Er Reproduction Part 4: Dystocia
Settings
-
+
.
- 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
Back to top