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NAVLE (North American Veterinary Licensing Examination) Practice Exam 04

Practice exam for NAVLE (North American Veterinary Licensing Examination).

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Question 1 of 1000%

Time remaining120:00

Attempts allowedUnlimited

Difficulty mixE • M • H

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Question 1

MEDIUM

120:00

A 6-year-old spayed female Labrador Retriever is presented for acute onset nonproductive retching and abdominal distension after eating a large meal. The dog is restless and hypersalivating. Physical exam shows pale mucous membranes, prolonged CRT, tachycardia (180/min), and a tympanitic cranial abdomen. Which is the most appropriate next step?

The presentation is classic for gastric dilatation-volvulus (GDV) with shock. The priority is stabilization (large-bore IV catheters, rapid isotonic crystalloids ± hypertonic saline/colloids as indicated), immediate gastric decompression (orogastric tube if possible or trocarization), analgesia, and then definitive surgical correction with gastropexy. Delaying for imaging risks death. Inducing emesis is contraindicated.

Select one answer

Administer oral activated charcoal and monitor

Immediate gastric decompression and aggressive IV fluid resuscitation, then surgical exploration

Perform abdominal ultrasound to confirm diagnosis prior to any intervention

Induce vomiting with apomorphine

Administer IV furosemide and oxygen therapy only

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NAVLE (North American Veterinary Licensing Examination) Practice Exam 04

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