Canine Internal Medicine Flashcards
7 cards from real ICVA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Canine Internal Medicine flashcards as text
A 7-year-old Labrador presents with polyuria, polydipsia, and a pendulous abdomen. Bloodwork shows elevated ALP and a stress leukogram. Which test best differentiates pituitary-dependent hyperadrenocorticism from adrenal-dependent hyperadrenocorticism?
Answer: High-dose dexamethasone suppression test
The high-dose dexamethasone suppression test differentiates PDH (suppresses) from ADH (fails to suppress) in dogs with confirmed hyperadrenocorticism.
A dog with immune-mediated hemolytic anemia (IMHA) has a PCV of 14%. Which finding on blood smear is most consistent with regenerative anemia?
Answer: Polychromasia and reticulocytosis
Polychromasia and reticulocytosis indicate active bone marrow regeneration in response to anemia.
Which electrocardiographic finding is most characteristic of hyperkalemia in a dog?
Answer: Peaked T waves and widened QRS complexes
Hyperkalemia causes peaked T waves, widened QRS, and eventually sinoventricular rhythm as potassium rises.
A 5-year-old Golden Retriever presents with ascites. Abdominal fluid analysis shows a total protein of 1.8 g/dL and cell count of 300 cells/µL. This fluid is best classified as:
Answer: Pure transudate
A pure transudate has low protein (<2.5 g/dL) and low cell count (<1500 cells/µL), typically caused by hypoalbuminemia or portal hypertension.
Which hepatic enzyme is most specific for hepatocellular damage (rather than cholestasis) in dogs?
Answer: Alanine aminotransferase (ALT)
ALT is a cytosolic enzyme most specific for hepatocyte damage in dogs, while ALP and GGT primarily reflect cholestasis or induction.
A dog with protein-losing nephropathy (PLN) has a urine protein:creatinine ratio of 6.2. Which breed is most predisposed to glomerulonephritis due to a primary genetic defect in collagen IV?
Answer: Samoyed
Samoyeds have an X-linked hereditary nephritis caused by a mutation in the COL4A5 gene encoding type IV collagen.
In a dog with diabetic ketoacidosis (DKA), which electrolyte abnormality is most critical to monitor and replace during insulin therapy?
Answer: Potassium
Insulin drives potassium into cells, so serum potassium must be closely monitored and supplemented to prevent life-threatening hypokalemia during DKA treatment.