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NAVLE (North American Veterinary Licensing Examination) Practice Exam 10

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 7-year-old neutered male Labrador retriever presents for acute onset restlessness, unproductive retching, and abdominal distension after eating. On exam: tachycardia 180/min, pale mucous membranes, prolonged CRT, and a tympanic abdomen. Which is the most appropriate immediate next step?

This presentation is classic for GDV with shock. Immediate priorities are stabilization (IV fluids, analgesia, oxygen as needed) and rapid gastric decompression (orogastric tube or trocarization if tube cannot pass) while preparing for definitive surgical correction. Waiting for imaging delays life-saving care; inducing vomiting is contraindicated and dangerous; oral agents are ineffective.

Select one answer

Administer oral simethicone and observe for 30 minutes

Place a nasogastric tube to relieve gas and reassess

Begin IV shock therapy and attempt gastric decompression while preparing for surgery

Perform abdominal ultrasound to confirm torsion prior to any intervention

Induce vomiting with apomorphine to relieve gastric pressure

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NAVLE (North American Veterinary Licensing Examination) Practice Exam 10

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