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Y6S2 - Internal Medicine (IVDD & Myelomalacia + Epilepsy/Neuro)

Create an educational and visually engaging illustration of a veterinarian examining a dog with a spinal issue in a clinical setting, including anatomical models and MRI images in the background.

IVDD & Neurological Disorders Quiz

Test your knowledge on intervertebral disk disease (IVDD), myelomalacia, and epilepsy in dogs through this comprehensive quiz. Designed for veterinary students and professionals, the quiz covers clinical signs, management strategies, and prognosis for various conditions.

  • 53 engaging questions
  • Focused on IVDD and neurological disorders
  • Learn about treatment options and prognosis
53 Questions13 MinutesCreated by CaringPaw123
 
 
IVDD & Myelomalacia
 
 
IVDD & Myelomalacia
Prognosis of recuperation in IVDD - pain only / ambulatory paraparetic:
Medical management: 10%
Medical management: 34%
Medical management: 56%
Medical management: 62%
Medical management: 79%
Medical management: 70-80%
Surgical management: 26%
Surgical management: 61%
Surgical management: 66%
Surgical management: 83%
Surgical management: 93%
Surgical management: 96%
Prognosis of recuperation in IVDD - paraplegic:
Medical management: 10%
Medical management: 34%
Medical management: 56%
Medical management: 62%
Medical management: 79%
Medical management: 70-80%
Surgical management: 26%
Surgical management: 61%
Surgical management: 66%
Surgical management: 83%
Surgical management: 93%
Surgical management: 96%
Prognosis of recuperation in IVDD - paraplegic with no deep pain:
Medical management: 10%
Medical management: 34%
Medical management: 56%
Medical management: 62%
Medical management: 79%
Medical management: 70-80%
Surgical management: 26%
Surgical management: 61%
Surgical management: 66%
Surgical management: 83%
Surgical management: 93%
Surgical management: 96%
Prognosis of recuperation in IVDD - non-ambulatory paraparetic:
Medical management: 10%
Medical management: 34%
Medical management: 56%
Medical management: 62%
Medical management: 79%
Medical management: 70-80%
Surgical management: 26%
Surgical management: 61%
Surgical management: 66%
Surgical management: 83%
Surgical management: 93%
Surgical management: 96%
Young dog, active, do you recommend surgical management?
Yes
No
Short-term hopitalization can be considered in dogs with progressive clinical signs:
True
False
In conservative management of thoracolumbar IVDE, how many time of exercise restriction is recommended?
No execise restriction is recommended
At least 2 days
At least 2 weeks
At least 2 months
At least 3 days
At least 3 weeks
At least 3 months
At least 4 days
At least 4 weeks
At least 4 months
Use of corticoids is recommended:
True
False
Use of NSAIDs for at least 14 days is recommended:
True
True, but only use multiple NSAID formulations
True, but only use with concurrent corticosteroids
False
Delay surgerical decompression leads to:
Decrease of likelihood of regaining independent ambulation
Increase of likelihood of regaining independent ambulation
Increase progressive myelomalacia probability
None of the above
If the dog is paraplegic with deep pain present, long-term incondinence can appear in:
5% of case
7.4% of case
16.5%
23%
42%
55.2%
Which breed of dogs is at higher incidence of Progressive Myelomalacia.
Border Collie
Akita Inu
King Charles Spaniel
Bichon
Chihuahua
French bulldogs
 
 
Epilepsy / Neuro
 
 
Epilepsy / Neuro
In a dog with CKD the dosage of Phenobarbitone should be:
Increased from 2.5 to 4 mg/ kg/12 h
Decreased from 2.5 to 1.25 mg/ kg/12 h
None of the above
Phenobarbital is metabolized at the level of the liver.
Phenobarbital is metabolized at the level of the liver.
In a dog with hepatic failure, the dosage of Levetiracetam should be:
20-25 mg/kg/8-12 h
20-25 mg/ kg/24 h
10-15 mg/kg/24 h
None of the above
Dog male 8 years. 4 seizures in last 24 h. General and neurological exams normal. For Tier I you should consider also:
CBC, serum bch, bile acids, CSF
Serum and urine bch, CBC, bile acids, abdominal ultrasound, thorax Xray
CBC, serum and urine bch, abdominal ultrasound, thorax Xray
None of the above
Tier II is represented by: CSF, Bile acids, EEG
True
False
EEG is part of Tier III
EEG is part of Tier III
The dog have normal CBC and serum/urine biochem. Thorax X ray and abdominal ultrasound are negative. AT 7 days post seizures no clinical and neurological deficits are observed. Brain neoplasia and Stroke are parts of the differential:
True
False
Main differential diagnosis:
  1. Brain neoplasia
  2. Stroke
  3. Myelitis
  4. Encephalitis
Main differential diagnosis:
  1. Brain neoplasia
  2. Stroke
  3. Myelitis
  4. Encephalitis
No changes are observed on brain CT. CSF is normal for cells but prots are slightly increased. What is your decision? (NOT SURE ABOUT THE ANSWER)
Idiopathic epilepsy. No treatment. Wait for the following episode of seizures and then reconsider AED administration
Structural epilepsy. No treatment. Wait for the following episode of seizures and then reconsider AED administration
Structural epilepsy. Give AED. Reconsider Imaging.
None of the above
Same dog. Please remember the serum biochem results. What is the most appropriate AED and dosage?
Phenobarbitone 25 mg/kg/24 h, recheck the serum PB after 21 days
Levetiracetam 20-30 mg/kg/24h
Phenobarbitone 2,5 mg/kg/12 h, recheck the serum PB after 14 days
Phenobarbitone 25 mg/kg/12 h, recheck the serum PB after 14 days
Levetiracetam 20-30 mg/kg/8-12h
Levetiracetam 20-30 mg/kg/8-12h
Not the saffest (Imectin is the saffiest) but Phen is more efficient than Leviteracetam
Not the saffest (Imectin is the saffiest) but Phen is more efficient than Leviteracetam
Same dog. After 3 weeks the dog elicits a status epilepticus. Your first therapeutic intention is:
Diazepam 0,5 mg/kg IR x 3 over 15 min
Midazolam 2 mg/kg IN
Diazepam 1-2 mg/kg IR/IV
Levetiracetam 20-30 mg/kg IR/IV
Midazolam 0,2 mg/kg IV/IN
Same dog. Brain tumor (chistic glioma) diagnosed at CT after 2 months. Under phenobarbitone have ALAT 150 UI/L and PAL 180/ L. What’s your opinion?
Change the AED. Put Leviteracetam 30 mg/kg/8-12h
Dont change the AED. Is just an enzimatic induction
Add a second AED in lower dosage: FB 2,5 mg/kg/12h + Levi 10 mg/kg/8h
None of the above
The owner consider euthanasia after 4 months. Seizure control is bad one. However,the owner said that he owns another 4 yo dog with seizures (1 at every 3 months in the last 6 months). Do you suspect epilepsy?
Yes
No
First control. Tier I and II normal. Your opinion?
Idiopathic epilepsy
Reactive epilepsy
Structural epilepsy
Do you start a treatment?
Only if a new seizure in the next 3 months
Yes
No
After 2 weeks of FB the FBemia is 25 ug/ l. Do you change the dosage?
Yes
No
5 weeks later. The owner: the dog is more anxious. Do you think is because of FB?
Yes
No
Do you consider: (NOT SURE ABOUT THE ANSWER)
Behaviorist control
Anxiolytic medication
Nothing
8y French Bulldog is presented with CP deficits on right posterior and anterior legs. The reflectivity is normal for 4 legs
UMN right and normal left
LMN right and normal left
UMN left and LMN right
LMN anterior right and UMN posterior right with normal left
UMN anterior right and LMN posterior right with normal left
Neurolocalization:
Thoracolumbar
Lombosacral
Intracranian
Cervical
Cervicotoracal
After 12 hrs: menace response absent bilateral. Neurolocalization:
Cervical
Intracranian
Lumbosacral
Thoracolumbar
Cervical and intracranian
After 2 hrs the dog had a seizure. What is your main suspicion?
Idiopathic epilepsy
Structural epilepsy
Reactive epilepsy
Intervertebral disk disease
None of the above
The dog received Fenobarbitone 2.5 mg/ kg with normal FBemia after 2 weeks. However, after other 2 weeks he developed a new seizure. What you will do?
Add another AED
Change AED
The second AED is Levetiracetam 10 mg/kg. Are the dosage appropriate?
Yes
No
40 to 30 is appropriated. 40 to 60 in status epillepticus.
40 to 30 is appropriated. 40 to 60 in status epillepticus.
After 25 days of FB and Lev the bch profile is: ALT 80 U/L, PAL 320 U/ L, GGT 2, Creat 1.3 mg/dl, ureea 30 mg/dl, Serum Proteine 6.2 g/dl, bile acids prestim < 10. What are you doing? (NOT SURE ABOUT THE ANSWER)
Stop FB. Let LEV. Add another AED
Decrease FB. Let LEV
Increase FB. Stop LEV
Stop FB and LEV. Give a different AED
None of the above
After 2 months> PAL 620 U/L, ALT 150 U/L, What you will do? (NOT SURE ABOUT THE ANSWER)
Stop FB. Let LEV
Stop FB and LEV. Give a diff AED
After other 3 days the dog developed 4 seizures over 20 hrs. What should I do?
Add a new AED (3 drugs)
Change one AED from those 2
Treat as an emergency patient
Cluster seizure
Cluster seizure
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