FREE DVM Doctor of Veterinary Medicine Small Animal Internal Medicine Questions and Answers

Question 1

A 7-year-old intact female Labrador Retriever presents with a 3-week history of polyuria, polydipsia, and weight loss despite a good appetite.
Physical examination reveals a thin body condition and cataracts.
Bloodwork shows hyperglycemia (450 mg/dL), glucosuria, and elevated fructosamine.
Urinalysis is negative for ketones.
What is the most likely diagnosis?

Accepted Answer

Diabetes mellitus

Answer

Hyperadrenocorticism

Answer

Chronic kidney disease

Answer

Hypothyroidism

Question 2

Which of the following would be the most appropriate initial diagnostic step for a 5-year-old male neutered Domestic Shorthair cat presenting with acute onset vomiting, anorexia, and lethargy, suspected of having an intestinal foreign body?

Accepted Answer

Abdominal radiography

Answer

Serum chemistry panel and complete blood count

Answer

Abdominal ultrasound

Answer

Exploratory laparotomy

Question 3

A 10-year-old spayed female Beagle presents with chronic coughing, exercise intolerance, and occasional syncope. On physical examination, a prominent left apical systolic murmur is auscultated. Radiographs show cardiomegaly, prominent pulmonary vessels, and a collapsed mainstem bronchus. What is the most likely underlying cardiac condition?

Accepted Answer

Mitral valve disease (MVD)

Answer

Dilated cardiomyopathy (DCM)

Answer

Tricuspid valve dysplasia

Answer

Pulmonic stenosis

Question 4

Which of the following is considered the gold standard for diagnosing Addison's disease (hypoadrenocorticism) in a dog?

Accepted Answer

ACTH stimulation test

Answer

Low-dose dexamethasone suppression test

Answer

Baseline cortisol measurement

Answer

Urine cortisol:creatinine ratio

Question 5

A 3-year-old male neutered Miniature Poodle is presented for acute onset non-weight-bearing lameness of the left hind limb. Physical examination reveals pain on palpation of the patellar region and a 'skipping' gait. Luxation of the patella is evident on manipulation. Which grade of medial patellar luxation would likely require surgical correction?

Accepted Answer

Grade IV

Answer

Grade I

Answer

Grade II

Answer

Grade III

Question 6

A 6-year-old spayed female Domestic Shorthair cat presents with a history of vomiting, diarrhea, and marked weight loss over several months. Bloodwork shows hypoproteinemia and hypoalbuminemia. An abdominal ultrasound reveals thickened intestinal loops. What is the most likely diagnosis, warranting further investigation with intestinal biopsies?

Accepted Answer

Inflammatory bowel disease (IBD)

Answer

Feline infectious peritonitis (FIP)

Answer

Hyperthyroidism

Answer

Pancreatitis