Feline Pharmacology and Toxicology Flashcards
7 cards from real NAVLE practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Feline Pharmacology and Toxicology flashcards as text
A cat receiving phenobarbital for seizure management develops a sudden increase in seizure frequency despite adequate serum levels. Which mechanism best explains this phenomenon?
Answer: GABA receptor downregulation develops with chronic phenobarbital use, reducing drug efficacy
Chronic barbiturate use can cause GABA-A receptor downregulation and tolerance, reducing seizure threshold despite unchanged serum drug concentrations.
Which drug is the first-line treatment for feline arterial thromboembolism (ATE) prevention?
Answer: Clopidogrel
Clopidogrel (Plavix) is superior to aspirin for secondary prevention of ATE in cats with cardiomyopathy, as demonstrated in the FAT CAT study.
Propylene glycol is present in some semi-moist cat foods and medications. Why is it contraindicated in cats?
Answer: It causes Heinz body formation and hemolytic anemia in cats
Cats are uniquely susceptible to propylene glycol-induced Heinz body hemolytic anemia because their hemoglobin contains eight SH groups versus four in dogs.
A cat is presented for suspected oleander (Nerium oleander) ingestion. What is the primary mechanism of toxicity?
Answer: Inhibition of Na+/K+-ATPase causing cardiac glycoside toxidrome
Oleandrin and neriine in oleander inhibit Na+/K+-ATPase, causing hyperkalemia, bradyarrhythmias, and AV block similar to digoxin toxicity.
Which statement about maropitant (Cerenia) use in cats is correct?
Answer: It is approved at 1 mg/kg SC once daily for nausea prevention
Maropitant is approved at 1 mg/kg SC in cats for nausea and vomiting; it blocks NK1 receptors and also provides visceral analgesia.
A cat is diagnosed with feline infectious peritonitis (FIP). Which antiviral drug has shown efficacy and received conditional FDA approval for this disease?
Answer: GS-441524
GS-441524, an adenosine nucleoside analog, inhibits feline coronavirus RNA-dependent RNA polymerase and has conditional FDA approval as Mutian/brand equivalents for FIP.
A hyperthyroid cat on methimazole develops a platelet count of 40,000/µL on a CBC. What is the most appropriate next step?
Answer: Discontinue methimazole immediately and consider radioactive iodine or surgical thyroidectomy
Severe thrombocytopenia is a serious hematologic adverse effect of methimazole requiring immediate discontinuation; alternative definitive therapies should be pursued.