# VETS3070 ESE S2

A 9-year-old cat presents in respiratory distress. You strongly suspect a pleural effusion and would like to collect a sample of fluid for analysis. While clipping the thoracic wall the cat becomes fractious and nearly collapses and turns more cyanotic. You place the cat back in oxygen while you contemplate your next move. Which of the following ideas should drive your next decision regarding your diagnostic plan for this cat.
a. The risk of death far outweighs the benefit of a needle aspirate for definitive diagnosis at this time.
b. The risk to you from being bitten is the most important factor and why you should avoid attempting another needle aspirate.
c. The cost of wasting a needle and extension set outweighs the benefit of a definitive diagnosis.
d. The owner is in no rush to know what's wrong, and so there is no rush to arrive at a definitive diagnosis.
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A 9-year-old cat presents in respiratory distress. You strongly suspect a pleural effusion and would like to collect a sample of fluid for analysis. While clipping the thoracic wall the cat becomes fractious and nearly collapses and turns more cyanotic. You place the cat back in oxygen while you contemplate your next move. Which of the following ideas should drive your next decision regarding your diagnostic plan for this cat.
a. The risk of death far outweighs the benefit of a needle aspirate for definitive diagnosis at this time.
b. The risk to you from being bitten is the most important factor and why you should avoid attempting another needle aspirate.
c. The cost of wasting a needle and extension set outweighs the benefit of a definitive diagnosis.
d. The owner is in no rush to know what's wrong, and so there is no rush to arrive at a definitive diagnosis.
Doctor Jacquie is presented with an itching dog. The pattern of lesions on the skin are really similar to two dogs she treated last week for flea bite dermatitis. Jacquie is in a hurry and decides not to do any diagnostics, but to treat for fleas (it is spring, after all). The owner returns in a month because the skin is no better (actually worse). Which source of cognitive error is MOST likely the cause of missing the accurate diagnosis on the first visit?
a. Availability bias
b. Conformation bias
c. Search satisfaction
d. Anchoring
A 12-year-old cat presents for confusion and bumping into things at home. On clinical examination you note the cat is unable to navigate an obstacle course in the room and does not have a menace response (does not blink or indicate that she is able to see when something is quickly held in front of her eyes). You complete a fundic examination and see that her retinas have both detached and are seen as pillowing membranes in the posterior chamber of the eye. A cat with detached retinas is blind. Which of the following is the BEST/MOST APPROPRIATELY formulated problem to include in your problems list?
a. Blindness
b. Acute blindness
c. Unable to navigate obstacles
d. Bilateral retinal detachment with secondary blindness
Doctor Drew is treating a dog with bacterial cystitis that he diagnosed on urinalysis two weeks ago. The owner calls to report the problem has returned about a week after finishing the last course of antibiotics prescribed. Drew assumed it just wasn't treated long enough, and another course of antibiotic is prescribed. The problem returns a third time and so Drew examines the dog and palpates something hard in the urinary bladder. Radiographs identify a urocystolith. This is likely the cause of the repeat cystitis. Which source of cognitive error is MOST likely the cause of missing the complete diagnosis on the first visit?
a. Availability bias
b. Conformation bias
c. Search satisfaction
d. Anchoring
A 6-year-old French Bulldog has been vomiting and one of his toys are missing. You would like to find clear evidence of an obstruction to justify your therapeutic plan. Which diagnostic is MOST appropriate for this purpose?
a. Complete biochemistry
b. Computed tomography (CT)
c. abdominal radiographs
d. Faecal examination
A middle-aged cat presents with a mass on the right side of her face. She is indoor/outdoor and was normal yesterday. The mass is painful and warm to touch. You suspect an abscess. What should your diagnostic plan include in order to definitively identify WHAT the mass is?
a. Needle aspirate of the swelling
b. Surgical biopsy of the swelling
c. Radiograph of the skull
d. Complete blood count
Doctor Ned is called out to a farm to evaluate a lame horse. The owner says the horse appears painful in the knee (carpus) after working yesterday. This has happened before. Doctor Ned evaluates the carpus, thinks the carpus might have a small effusion, but the carpus doesn't seem too painful. He suspect there might be a problem in the foot, but decides not to pick the hoof and instead agrees with the owner. It probably is the knee since he's been lame in that joint before. He recommends phenylbutazone and rest. Two days later the horse is worse. On re-examination, an old piece of metal is found wedged in the frog. It is removed and the horse improves within hours. Which source of cognitive error is MOST likely the cause of missing this diagnosis on the first visit?
a. Availability bias
b. Conformation bias
c. Search Satisfaction
d. Anchoring