IBD and pancreatitis with Dr. Hannah Darcy

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* 1. How long must the patient have shown signs to be considered chronic?

1 week

2 weeks

3 weeks

6 weeks

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* 2. What additional criteria are required to confirm a diagnosis of IBD?

An inflammatory leukogram

Painful abdomen

Documented intestinal inflammation by histology

Ruling out other causes of intestinal inflammation

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* 3. What percentage of dogs with chronic diarrhoea have a systemic cause?

~5%

~10%

~20%

~40%

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* 4. Once neoplastic and infectious causes are rule out, what percentage of dogs with vomiting and diarrhoea will respond to a food trial?

~1%

~33%

~66%

~99%

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* 5. In a suspected IBD case, prompt GI biopsy is indicated when these factors are present:

Loss of appetite

Marked hypoproteinemia

Effusion

Diarrhoea

Failure to respond to diet or medication trials

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* 6. What are some of the advantages of endoscopic biopsy compared to laparotomy?

Can be performed under heavy sedation

Reduced risk of dehiscence

Endoscopic biopsies are more sensitive and specific

Endoscopic biopsy permits the immediate use of immunosuppressive medications

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* 7. In cats, the cause of pancreatitis is most commonly:

Secondary to intestinal inflammation

Immune-mediated

Idiopathic

Dietary indiscretion

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* 8. How is acute pancreatitis normally appreciated on abdominal ultrasound?

Hyperechoic pancreas surrounded by hypoechoic reactive fat

Hypoechoic pancreas surrounded by hyperchoic reactive fat

Hyperechoic pancreas surrounded by hyperechoic reactive fat

Hypoechoic pancreas surrounded by hypoechoic reactive fat

Question Title

* 9. What is the reported sensitivity and specificity of the SNAP CPLi test?

~70% sensitive and 100% specific

~70% sensitive and ~70% specific

100% sensitive and 100% specific

100% sensitive and ~70% specific

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* 10. What are the aims of therapy when treating uncomplicated pancreatitis?

Maintain perfusion to the pancreas, encourage enteral nutrition, and relieve pain

Maintain perfusion to the pancreas, rest the gut for 48 hours, and relieve pain

Maintain perfusion to the pancreas, suppress pancreatic inflammation, and relieve pain

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* 11. Which of the following pain relief combinations would be appropriate for a dog with pancreatitis?

Fentanyl and meloxicam

Methadone and paracetamol

Paracetamol and carprofen

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* 12. Please add your contact details to receive your CPD certificate

Name

Veterinary Practice

Email Address