NAVLE (North American Veterinary Licensing Examination) Practice Exam 06
Practice exam for NAVLE (North American Veterinary Licensing Examination).
Question 1
MEDIUMA 7-year-old neutered male Labrador Retriever is presented for acute onset abdominal distension and nonproductive retching. The dog is tachycardic (180/min), has pale mucous membranes, and a tympanic abdomen. You place two large-bore IV catheters and begin crystalloid boluses. Which additional intervention is most appropriate before moving the dog to surgery?
This presentation is classic for gastric dilatation-volvulus (GDV) with shock. Rapid gastric decompression improves venous return and ventilation and should be performed as soon as possible. If an orogastric tube cannot be passed (often due to volvulus), percutaneous trocarization is appropriate and rapid. Inducing vomiting is contraindicated. Furosemide does not address the life-threatening obstruction/shock. Atropine is not indicated (the dog is tachycardic).
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