FVH Kleintiere Practice Questions - Fachtierarzt FVH für Kleintiere (Switzerland) Exam - FVH Kleintiere Practice Questions - Fachtierarzt FVH für Kleintiere (Switzerland) Exam

Question 1

A 9-year-old female spayed Dachshund with pituitary-dependent hyperadrenocorticism (PDH) has been receiving trilostane (1.5 mg/kg PO q12h) for 4 weeks. What is the standard consensus protocol for monitoring treatment efficacy and avoiding hypoadrenocorticism?

Evaluate clinical response (polyuria/polydipsia, appetite) combined with a pre-pill serum cortisol or post-pill ACTH stimulation test performed 3 to 4 hours after trilostane administration Perform a 24-hour urine cortisol-to-creatinine ratio (UCCR) alone, as serum cortisol concentrations do not correlate with adrenal enzyme inhibition Measure plasma endogenous ACTH (eACTH) 12 hours post-pill to verify complete down-regulation of pituitary corticotroph adenoma secretion Perform a high-dose dexamethasone suppression test (HDDST) every 3 months to assess adrenocortical reserve capacity

Correct Answer:

Evaluate clinical response (polyuria/polydipsia, appetite) combined with a pre-pill serum cortisol or post-pill ACTH stimulation test performed 3 to 4 hours after trilostane administration

Question 2

A 4-year-old female Standard Poodle presents with lethargy, vomiting, intermittent weakness, and mild bradycardia (HR 60 bpm). Serum biochemistry reveals sodium 128 mmol/L and potassium 6.8 mmol/L (Na:K ratio = 18.8). What is the primary pathophysiological basis for these electrolyte alterations?

Excess aldosterone secretion causing renal tubular sodium excretion and potassium retention Deficiency of aldosterone from adrenocortical destruction, leading to impaired distal renal tubular sodium resorption and potassium secretion Excess antidiuretic hormone (ADH) secretion leading to renal medullary wash-out and hyperkalemic metabolic alkalosis Renal medullary necrosis resulting in selective proximal tubular wasting of sodium and impaired hydrogen ion excretion

Correct Answer:

Deficiency of aldosterone from adrenocortical destruction, leading to impaired distal renal tubular sodium resorption and potassium secretion

Question 3

A 7-year-old male neutered Golden Retriever with diabetes mellitus treated with NPH insulin (0.8 U/kg SC q12h) presents for persistent polydipsia and polyuria. A serial blood glucose curve shows blood glucose dropping from 18 mmol/L at hour 0 to 2.8 mmol/L at hour 4, followed by a rise to 24 mmol/L at hour 10. What phenomenon is occurring, and what is the appropriate management?

True insulin resistance; increase the NPH insulin dose by 25% to sustain glucose control through hour 12 Short duration of insulin action; switch immediately to regular insulin administered three times daily Somogyi phenomenon (rebound hyperglycemia); decrease the insulin dose by 20-30% and repeat the curve in 7-10 days Diabetic ketoacidosis; hospitalize for immediate continuous intravenous insulin infusion and bicarbonate therapy

Correct Answer:

Somogyi phenomenon (rebound hyperglycemia); decrease the insulin dose by 20-30% and repeat the curve in 7-10 days

Question 4

A 13-year-old domestic shorthair cat is diagnosed with hyperthyroidism (total T4 = 110 nmol/L, reference 15-50 nmol/L) and normal pre-treatment serum creatinine (120 umol/L). Following 4 weeks of methimazole therapy, total T4 is 25 nmol/L, but serum creatinine increases to 240 umol/L. What is the primary mechanism underlying this biochemical change?

Methimazole-induced immune-complex glomerulonephritis with acute nephrotic syndrome Direct nephrotoxicity of antithyroid medications on the proximal convoluted tubular epithelium Acute renal infarction secondary to thyroid storm-induced systemic microthrombosis Resolution of thyrotoxic hyperfiltration reducing glomerular filtration rate (GFR) and unmasking underlying chronic kidney disease (CKD)

Correct Answer:

Resolution of thyrotoxic hyperfiltration reducing glomerular filtration rate (GFR) and unmasking underlying chronic kidney disease (CKD)

Question 5

Which combination of diet and insulin therapy provides the highest probability of achieving diabetic remission in newly diagnosed feline diabetes mellitus?

An ultra-low-carbohydrate, high-protein diet combined with a long-acting insulin analogue (e.g., glargine or detemir) A high-fiber, complex-carbohydrate diet combined with short-acting neutral regular insulin A moderate-protein renal diet combined with intermediate-acting porcine lente insulin An ultra-low-fat gastrointestinal diet combined with oral sulfonylureas (glipizide) monotherapy

Correct Answer:

An ultra-low-carbohydrate, high-protein diet combined with a long-acting insulin analogue (e.g., glargine or detemir)

Question 1

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Prepare with the FVH Kleintiere Practice Questions - Fachtierarzt FVH für Kleintiere (Switzerland) Exam practice quiz. This question bank includes 100 questions covering year-old, presents, severe, surgical, and standard. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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FVH Kleintiere Practice Questions - Fachtierarzt FVH für Kleintiere (Switzerland) Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, presents, severe, surgical, and standard. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

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FVH Kleintiere Practice Questions - Fachtierarzt FVH für Kleintiere (Switzerland) Exam

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