You are admitting a patient for a day case. The cat is a 13-year-old DSH here for a blood glucose curve. You obtain the patient's medications and dosing frequency and ask the owner if there are any changes in eating, drinking, and urination. The owner reports that she is on subcutaneous fluids (SQF) at home for chronic kidney disease, glargine insulin 3 units q 12 hours, and liquid gabapentin q 8 to 12 hours for pain. The owner requests a refill of the SQF and tells you that she got the wrong one last time. She called and was told it was safe to use, but it seemed to sting. She told you she got plasma-something last time but wants the one she had the time before that.
What are fluid solutions commonly sent home or used in hospitals for SQF administration?

• A.5% dextrose in water or lactated Ringer's (LR)
• B.0.45% NaCl or lactated Ringer's (LR)
• C.Plasmolyte or lactated Ringer's (LR)
• D.0.9% NaCl or lactated Ringer's (LR)

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Activated clotting time (ACT) is a coagulation test that can be performed in-house with a special collection tube containing which substance?

• A.Diatomaceous earth
• B.Citrate
• C.Heparin
• D.Ethylenediaminetetraacetic acid (EDTA)

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You would want to prepare the patient in ventral recumbency in all of the following surgeries, except:

• A.Anal sacculectomy
• B.Perineal urethrostomy
• C.C-section
• D.Rectal fistula

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Which type of scissors should be used to remove a bandage from a canine patient?

• A.Littauer scissors
• B.Metzenbaum scissors
• C.Mayo scissors
• D.Lister scissors

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An owner who refuses to do medical management for a patient with normal neurological status but cervical intervertebral disc disease wants to know what can be done, excluding using medications or surgery to treat her pet. The veterinarian and you discuss that pain delays healing. You strongly recommend pain management in addition to adjunctive therapy to improve the pet's likelihood of a successful recovery. The pet is in a lot of pain, and you explain that while alternative modalities can be beneficial, they do not provide sufficient pain relief. You are concerned that the pet will suffer. The owner permits an injection of an opioid and takes a prescription for gabapentin, but refuses NSAIDs or steroids. Further, she requests an immediate referral for alternative care. You emphasize that she can always call at any time for pain meds. In discussing alternative care options, the owner asks if she can provide massage therapy at home. You explain that this is feasible and demonstrate a few techniques she can use.
However, you emphasize that massage is contraindicated in endangerment sites, which include all of the following, except:

• A.Throat
• B.Over the heart
• C.Brachial plexus
• D.Abdomen over the kidneys, deep tissue near the aorta

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