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NAVLE (North American Veterinary Licensing Examination) Practice Exam 08

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

Active sessionNAVLE examNorth American Veterinary Licensing ExaminationNAVLE practice testveterinary licensing examICVA NAVLE+3
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Question 1 of 1000%
Time remaining120:00
Attempts allowedUnlimited
Difficulty mixE • M • H
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Question 1

MEDIUM

A 6-year-old male neutered Labrador retriever is presented for acute onset vomiting and abdominal pain. The dog is restless, has a tense cranial abdomen, HR 150/min, and is mildly dehydrated. Serum chemistry shows ALT 420 U/L (high), ALP 180 U/L (mildly high), total bilirubin 0.8 mg/dL (normal), and lipase is mildly increased. Abdominal ultrasound shows an enlarged hypoechoic pancreas with hyperechoic peripancreatic fat and a small amount of free fluid. Which initial management is most appropriate?

Findings are most consistent with acute pancreatitis. Initial management is supportive: IV crystalloids to correct dehydration/perfusion, opioid analgesia, antiemetics, and early enteral nutrition when vomiting is controlled. Routine surgery is not indicated without evidence of obstruction, abscess, or necrosis requiring intervention. Steroids are not standard treatment. Prolonged NPO is not recommended; early nutrition improves outcomes. Activated charcoal/emesis induction is inappropriate without toxin ingestion and is contraindicated in vomiting patients.

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