Vet360 Vol 4 Issue 2 April 2017 Vet360 | Page 20

CPD ACCREDITED ARTICLE CPD Questions AC/1660/17 1. What is the expected urine production in a NORMAL horse? A. 5 - 15 ml/kg/day B. 15-30 ml/kg/day C. 50-60 ml/kg/day D. 75-85 ml/kg/day 2. You examine an 8 year old Standardbred gelding with uri- nary incontinence. What are the MOST appropriate diag- nostic procedures that you would select to make a diag- nosis? A. Rectal examination, urinalysis, endoscopy, neurological examination B. Rectal examination, urinalysis, complete water deprivation test C. Rectal examination, urinalysis, partial water deprivation test D. Rectal examination, serum electrolytes, dexamethasone suppression test 3. A horse (B) presents with ataxia, paresis and urinary incon- tinence of sudden onset. The same day, you have already examined another horse (A) presenting fever and nasal discharge on the same premises. Which of the following diagnostic procedures would be MOST helpful to make a diagnosis? A. Performing a radiographic exam of the cervical region on horse B and sampling nasal swab and whole blood on horse A and B B. Sampling nasal swab, whole blood and Cerebro-Spinal Flu- id (CSF) on horse B C. Sampling nasal swab and whole blood on horse B and control movements of horses D. Check for the vaccination against rabies and sample CSF on horse B and a nasal swab on horse A E. Check for the vaccination against West Nile virus and sam- ple CSF, whole blood and serum on horse B and a nasal swab on horse A 4. Which of the following is NOT considered a cause of urinary incontinence in a horse? A. EHV myelitis B. Trauma (eg. Dystocia) C. Neoplasia D. West Nile Virus E. Neuritis of the cauda equine (polyneuritis equi) 5. Which of the following clinical signs have been associated with urinary incontinence in the horse? A. Urine scalding B. Stranguria C. Urine dribbling D. Hematuria E. All of the above 6. Which of the following is NOT a recommended empirical pharmacological therapy for urinary incontinence in the horse? A. Phenoxybenzamine B. Dantrolene C. Bethanechol D. Phenylephrine 7. Which of the following neurological signs is consistent with UMN urinary dysfunction? A. Flaccid tail paralysis B. Ataxia C. Faecal retention, D. Loss of anal sphincter tone 8. Which of the following causes of urinary incontinence are associated with a good prognosis if the underlying prob- lem is treated promptly? A. Equine degenerative myeloencephalopathy B. Cervical stenotic myelopathy C. EHV-1 D. Polyneuritis equi 9. The presence of hematuria in a horse with urinary inconti- nence may indicate the presence of: A. Urolithiasis B. Cystitis C. Neoplasia D. Bladder trauma E. All of the above 10. You obtain a urinalysis from a horse with urinary inconti- nence and identify pyuria. Which of the following condi- tions is the most likely cause of the pyuria? A. Bacterial cystitis B. Urolithiasis C. Trauma (e.g. bladder trauma secondary to dystocia) D. Hypoestrogenism ANSWER the questions on the Vet360 App. Available from the Itunes/Play store! Use your App to answer the questions. Your certificate can be found on www.vet360.vetlink.co.za if you log in with your App username and password. Or for a web based system visit: http://www.cpdsolutions.co.za/?re=onlinevets vet360 Issue 02 | APRIL 2017 | 20