Laminitis Quiz On-Demand RACE CE Survey

Question Title

* 1. To reduce as much as possible the insulin response to a meal in a severely Insulin dysregulating horse recent work suggests you should:

only feed in the morning

feed less than 1.5g/kg bodyweight of feed

feed less than 1 g protein/kg bodyweight

feed less than 0.1 g NSC/kg bodyweight/meal

only feed to a fasted animal

Question Title

* 2. Testing for insulin dysregulation should include:

oral sugar test

fasting insulin

postprandial testing to evaluate diet

all of the above

none of the above

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* 3. TRUE of FALSE: According to research published in 2017, a Cresty Neck Score of 3 or higher (on a 5-point scale) is associated with an increased risk of laminitis.

True

False

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* 4. Which statement(s) about non-structural carbohydrates (NSC) are true?

NSC include starches, simple sugars and fructans

NSC are the sum total of starches and water-soluble carbohydrates

Ingesting NSCs typically simulates the release of insulin

NSC content of pastures can vary by the hour, day, week and season

All of the above

None of the above

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* 5. When it comes to research into the effects corticosteroids on laminitis:

horses without underlying endocrine disease are unlikely to develop laminitis in response to receiving a dose of corticosteroids

chronic exposure to glucocorticoids (as in the case of PPID) may be a risk factor for the development of laminitis

intrasynovial triamcinolone didn't increase the risk of laminitis significantly

all of the above

none of the above

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* 6. A good way to promote a healthy weight and improved insulin sensitivity is to:

exercise as much as the horse can comfortably tolerate

limit high starch and sugar feedstuffs

maximize turn out in a dry lot or in a pasture with a grazing muzzle

all of the above

none of the above

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* 7. TRUE or FALSE: A horse’s glucose and insulin response to their current diet can be tested using reference ranges for the Oral Sugar Test as a guideline to determine if that particular diet is causing abnormal postprandial hyperinsulinemia

True

False

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* 8. When considering the diet of a horse with a history of laminitis, what are key factors to implement?

limiting starch and sugar intake

carefully managed exercise, as tolerated

feeding low NSC forage

providing several small low NSC meals per day as opposed to 1-2 large meals

all of the above

none of the above

Question Title

* 9. TRUE or FALSE: A horse with a normal baseline ACTH concentration can still have PPID.

True

False

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* 10. Which of the following factors are known to affect the insulin response to the diet?

gastric emptying rate

health status

starch type

methodology used for analysis

all of the above

none of the above

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* 11. Major risk factors for the development of laminitis include:

A - equine metabolic syndrome

B - hyperinsulinemia

Both A and B

Neither A nor B

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* 12. TRUE or FALSE: Research has shown that grazing muzzles cause stress and restrict pasture intake too much.

True

False

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* 13. Which of the following is a good way to mitigate risk of laminitis?

testing glucose and insulin response with the oral sugar test

start horse on medication to improve thyroid function

pull shoes off

None of the above

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* 14. True or False : In the second reported British Prospective Laminitis study (Knowles et al 2021) there was a close association between absolute ACTH concentrations and laminitis risk

True

False

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* 15. Animals with Equine Metabolic Syndrome are at increased risk of laminitis and:

can be either obese or lean

always have insulin dysregulation

may have dyslipidemia and altered adipokines

none of the above

all of the above

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* 16. In the initial British study ( Menzies – Gow et al 2017) looking prospectively at laminitis risk – the main risk factors identified were:

high basal insulin and low adiponectin serum concentrations

high basal insulin and high adiponectin serum concentrations

high basal insulin and high leptin serum concentrations

high basal insulin and low leptin serum concentrations

Question Title

* 17. Fill out the following information.

Name

Vet or Vet Tech?

State/Province

License Number

Email Address

Laminitis Quiz On-Demand RACE CE

RACE CE Quiz - Laminitis

Question Title

* 1. To reduce as much as possible the insulin response to a meal in a severely Insulin dysregulating horse recent work suggests you should:

Question Title

* 2. Testing for insulin dysregulation should include:

Question Title

* 3. TRUE of FALSE: According to research published in 2017, a Cresty Neck Score of 3 or higher (on a 5-point scale) is associated with an increased risk of laminitis.

Question Title

* 4. Which statement(s) about non-structural carbohydrates (NSC) are true?

Question Title

* 5. When it comes to research into the effects corticosteroids on laminitis:

Question Title

* 6. A good way to promote a healthy weight and improved insulin sensitivity is to:

Question Title

* 7. TRUE or FALSE: A horse’s glucose and insulin response to their current diet can be tested using reference ranges for the Oral Sugar Test as a guideline to determine if that particular diet is causing abnormal postprandial hyperinsulinemia

Question Title

* 8. When considering the diet of a horse with a history of laminitis, what are key factors to implement?

Question Title

* 9. TRUE or FALSE: A horse with a normal baseline ACTH concentration can still have PPID.

Question Title

* 10. Which of the following factors are known to affect the insulin response to the diet?

Question Title

* 11. Major risk factors for the development of laminitis include:

Question Title

* 12. TRUE or FALSE: Research has shown that grazing muzzles cause stress and restrict pasture intake too much.

Question Title

* 13. Which of the following is a good way to mitigate risk of laminitis?

Question Title

* 14. True or False : In the second reported British Prospective Laminitis study (Knowles et al 2021) there was a close association between absolute ACTH concentrations and laminitis risk

Question Title

* 15. Animals with Equine Metabolic Syndrome are at increased risk of laminitis and:

Question Title

* 16. In the initial British study ( Menzies – Gow et al 2017) looking prospectively at laminitis risk – the main risk factors identified were:

Question Title

* 17. Fill out the following information.