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Veterinary Anesthesia and Pain Management 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.

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  1. A 10-year-old diabetic cat is scheduled for dental extraction. Which inhalant anesthetic is preferred due to its lower solubility and faster recovery profile?

    Answer: Sevoflurane

    Sevoflurane has the lowest blood-gas partition coefficient among commonly used veterinary inhalants, resulting in the fastest induction and recovery.

  2. When performing a dental nerve block using the infraorbital approach in a dog, which nerve is primarily desensitized?

    Answer: Maxillary nerve branches supplying upper premolars and incisors

    The infraorbital nerve block desensitizes the upper incisors, canine, and premolars ipsilaterally by blocking the maxillary nerve at the infraorbital foramen.

  3. Which scoring system is validated for assessing acute pain in cats in the postoperative period?

    Answer: Colorado State University Feline Acute Pain Scale

    The Colorado State University Feline Acute Pain Scale is a validated, species-specific tool widely used in clinical settings to assess acute pain in cats.

  4. A rabbit undergoing ovariohysterectomy shows bradycardia (HR 120 bpm) under isoflurane. What is the most likely cause and initial treatment?

    Answer: Anesthetic overdose — reduce vaporizer setting

    Reducing the isoflurane vaporizer setting addresses anesthetic-induced bradycardia by decreasing myocardial depression from excessive anesthetic depth.

  5. Which route of buprenorphine administration has been shown to achieve effective plasma concentrations in cats via the oral mucosa?

    Answer: Transmucosally (OTM — oral transmucosal)

    Buprenorphine is highly bioavailable when applied to the oral mucosa of cats (OTM) due to the alkaline feline oral pH facilitating absorption.

  6. A dog is receiving a fentanyl CRI at 5 mcg/kg/hr intraoperatively. Signs of opioid-induced bradycardia appear. Which drug reverses fentanyl's cardiovascular effects with the least effect on analgesia?

    Answer: Glycopyrrolate IV to treat bradycardia without reversing opioid

    Glycopyrrolate treats opioid-induced bradycardia by blocking vagal tone without reversing analgesia, unlike naloxone which would eliminate pain control.

  7. During a TPLO in a dog, the surgeon requests addition of an NSAID for multimodal analgesia. The dog has received acepromazine and morphine as premedication. Which consideration is most important before administering carprofen?

    Answer: Confirm the dog has normal renal perfusion before NSAID administration

    NSAIDs inhibit prostaglandin-mediated afferent arteriolar dilation in the kidney; adequate renal perfusion must be confirmed before perioperative NSAID use to prevent acute kidney injury.