Er Reproduction Part 4: Dystocia

27 Questions

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Er Reproduction Part 4: Dystocia

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Questions and Answers
  • 1. 
    Select the signs of dystocia. 
    • A. 

      Strong contractions for >30 mins with no progress

    • B. 

      Small, infrequent contractions >2 hours with no progress

    • C. 

      Prolonged interval between puppies/kittens

    • D. 

      Female is in obvious pain

    • E. 

      Black, purulent or hemorrhagic discharge

    • F. 

      Signs of systemic illness

    • G. 

      Wait, what is dystocia again?

    • H. 

      Female vocalizing

  • 2. 
    Maternal causes of dystocia. (Check all that apply)
    • A. 

      Primary inertia

    • B. 

      Secondary intertia

    • C. 

      Birth canal too small

    • D. 

      Vaginal vault

  • 3. 
    Fetal causes of dystocia. (Check all that apply)
    • A. 

      Fetal oversize

    • B. 

      Abnormal fetal presentation

    • C. 

      Vaginal vault

    • D. 

      Fetus just doesn't feel like leaving yet

  • 4. 
    _________ is when the fetus is wedged in vaginal vault due to oversize or small pelvis/stricture.
    • A. 

      Vaginal vault

    • B. 

      Fetal oversize

    • C. 

      Fetal vault

    • D. 

      Note to self: Don't have kids

  • 5. 
    Dystocia. Failure of uterine contractions sufficient to deliver fetusDead fetus (lack of initiation of parturition)Fetal hormone deficiency (lack of parturition)
    • A. 

      Primary inertia

    • B. 

      Secondary inertia

    • C. 

      Tertiary inertia

    • D. 

      Lazy uterus syndrome

  • 6. 
    DystociaLack of uterine contractions resuming following expulsion of puppiesOften related to exhaustion, hypocalcemia, hypoglycemia, old age
    • A. 

      Secondary intertia

    • B. 

      Primary inertia

    • C. 

      Tertiary inertia

    • D. 

      GTFO YOU LAZY FETUS HAVE I TAUGHT YOU NOTHING

  • 7. 
    Dystocia, dystocia, what to monitor, I wonder??
    • A. 

      PCV/TP (dehydration), glucose, calcium

    • B. 

      PCV/TP (dehydration)

    • C. 

      Blood glucose, calcium

    • D. 

      Wait to see the head and call the vet

  • 8. 
    Select all the different kamasutra positions a fetus can maintain to cause dystocia. (That little shit)
    • A. 

      Head first with retention of forelegs

    • B. 

      Presentation of one foreleg and retention of the other

    • C. 

      Dorsoflexion of the head

    • D. 

      Transverse presentation

    • E. 

      Golden lotus position

    • F. 

      Puppy-is-stuck position

  • 9. 
    The options you have when encountering dystocia: 
    • A. 

      Medical or surgical intervention, manual manipulation

    • B. 

      Surgical intervention is the only way

    • C. 

      Manually extracting the fetuses. One by one. Slowly. Good luck.

    • D. 

      Medical or surgical intervention.

  • 10. 
    Dysotcia: What do signs of system illness indicate?
    • A. 

      C-Section ASAP

    • B. 

      Treat for sepsis ASAP

    • C. 

      Treat for shock ASAP

    • D. 

      Flip over the surgical table ASAP

  • 11. 
    You can diagnosis dystocia via ____.
    • A. 

      Radiography, ultrasonography, doppler

    • B. 

      Radiography

    • C. 

      External physical signs and ultrasonography

    • D. 

      Radiography, doppler

  • 12. 
    Fetal heartrate of _______ = immediate surgical intervention.
    • A. 

    • B. 

    • C. 

    • D. 

  • 13. 
    ____ agents, such as ______, are administered in the medical treatment of dystocia. 
    • A. 

      Ecobolic, oxytocin

    • B. 

      Ecobolic, clacium dextrosate

    • C. 

      Induction, propofol

    • D. 

      Parturition, oxytocin

  • 14. 
    Calcium gluconate and dextrose are _______ in the medical treatment of dystocia. 
    • A. 

      Ecobolic agents

    • B. 

      Induction agents

    • C. 

      Ecobolic offiers

    • D. 

      Used

  • 15. 
    Dystocia: Oxytocin can be given Sq or IM 3 times at 30-40 min intervals.
    • A. 

      True

    • B. 

      False

  • 16. 
    • A. 

      Small, repeated

    • B. 

      Big, repeated

    • C. 

      High

    • D. 

      Low

  • 17. 
    High doses of oxytocin can cause _____ uterine contractions.
    • A. 

      Tetanic/clonic

    • B. 

      Decreased

    • C. 

      Increased

    • D. 

      Incoordinated (Flailing uterus syndrome)

  • 18. 
    Dystocia: Surgical intervention is recommended if the female is not responsive after ___ doses of oxytocin.
    • A. 

      3

    • B. 

      2

    • C. 

      4

    • D. 

      5

  • 19. 
    Manual manipulation: Use _______, ______ and have animal standing. 
    • A. 

      Sterile gloves, lubrication

    • B. 

      Sterile gloves, sterile surgical field

    • C. 

      Non-powdered latex gloves, lubrication

    • D. 

      Non-powdered latex gloves, lubrication

  • 20. 
    Manual manipulation: _______ applied in ______ and ______ direction.
    • A. 

      Traction, caudal, ventral

    • B. 

      Traction, distal, proximal

    • C. 

      Pulling, caudal, ventral

    • D. 

      Pulling, distal, proximal

  • 21. 
    Induction drug?
    • A. 

      Propofol

    • B. 

      Ketamine

    • C. 

      Benzodiazepine

    • D. 

      Thiopental

  • 22. 
    For anesthesia, avoid using ____________, because they reduce puppy vigor.
    • A. 

      Ketamine, benzodiazepine or thiopental

    • B. 

      Ketamine, propfol, or thiopental

    • C. 

      Benzodiazepines

    • D. 

      Ketamine or propofol

  • 23. 
    Anesthesia: What's important to consider?
    • A. 

      Reverse the puppies ASAP

    • B. 

      Maximize time under anesthetic

    • C. 

      Avoid puppy vigor

    • D. 

      Avoid propofol

  • 24. 
    Check all the steps involved in neonate resuscitation.
    • A. 

      Remove fetal membranes

    • B. 

      Clear airway with gentle suction

    • C. 

      Rough drying with towels to stimulate respiration (prepare oxygen mask beforehand)

    • D. 

      Swinging

    • E. 

      Doxapram

    • F. 

      Naloxone to reverse anesthteic (under tongue or into umbilical vein)

    • G. 

      CPCR if arrested upon delivery

    • H. 

      Tie off umbilical stump and swab with iodine

    • I. 

      Place in pre-warmed area and encourage to nurse ASAP

    • J. 

      Give puppy to the female so she eat off the umbilical cord

  • 25. 
    Postpartum _________ is the reduction in size/return to normal of uterus.
    • A. 

      Uterine involition

    • B. 

      Uterine regression

    • C. 

      Uterine revolition

    • D. 

      Uterine subinvolution

  • 26. 
    ____ is the failure to return the uterus to its normal size after parturition.
    • A. 

      Subinvolution

    • B. 

      Involution

    • C. 

      Eyesolution

    • D. 

      Convolution

  • 27. 
    A non-orodrous bloody vaginal disharge is normal for up to 8-10 weeks postpartum.
    • A. 

      True

    • B. 

      False