dr. john carr - carrsconsulting.com board... · forms expanding lesions ... of 50 exhibit cns signs...
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Dr. John Carr
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Question 1You examine a hog carcass with moderately severe lesionsYou examine a hog carcass with moderately severe lesions
of tuberculosis (TB) in the mesenteric lymph nodes. Youfind no other lesions of TB, but there is a purulent abscessin the right shoulder. All other tissues are unremarkable.What is the most appropriate course of action?
a. Condemn the carcase and partsb. Remove the involved tissues and pass the remainder unrestrictedc. Remove the involved tissues and pass the remainder for cooking only
d. Submit samples to the laboratory and made a decision based on their results
e. Pass the entire carcass
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Answer to question 1b. Remove the involved tissues and pass theb. Remove the involved tissues and pass the
remainder unrestricted
Note that Hog TB ishandled differentlythan cattle TBthan cattle TB
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Question 2Raised, crusty lesions on the ventrum, with aRaised, crusty lesions on the ventrum, with a
peripheral zone of hyperemia and a central zone ofhealed tissue, describes which porcine disease?
a. Exudative epidermitisb. Swine poxb. Swine poxc. Erysipelasd. Pityriasis roseae. Sarcoptic mange
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Answer toquestion 2d. Pityriasis rosea
Also know as juvenile pustularpsoriaform dermatitis, thisself healing disease affectsmainly the ventrum andforms expanding lesionswith a central healed zonewith a central healed zone
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Question 3Which pathogen of pigs is not a potential pathogen ofWhich pathogen of pigs is not a potential pathogen of
people
a. Erysipelothrix rhusiopathiaeb. Trichinella spiralisc. Actinobacillus pleuropneumoniaed. Brucella suise. Streptococcus suis
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Answer to question 3c. Actinobacillus pleuropneumoniaec. Actinobacillus pleuropneumoniae
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Question 4Peribronichiolar lymphoid hyperplasia is characteristicPeribronichiolar lymphoid hyperplasia is characteristic
of which respiratory disease in swine?a. Swine influenzab. Porcine reproductive and respiratory syndromec. Pasteurella multocida infectiond. Mycoplasma infectione. Metastrongylus apri infection
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Answer question 4d. Mycoplasma infectiond. Mycoplasma infection
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Question 5Massive hepatic necrosis in pigs may be caused by anyMassive hepatic necrosis in pigs may be caused by any
of the following except:
a. Gossypol toxicosisb. Vitamin E/selenium deficiencyc. Fumonisin toxicosisc. Fumonisin toxicosisd. Aflatoxicosise. Coal tar toxicosis
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Answer Question 5c. Fumonisin toxicosisc. Fumonisin toxicosis
Fumonisin toxicosis causes pulmonary oedema
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Question 6“Milk spots” in the liver of pigs are caused by “Milk spots” in the liver of pigs are caused by
migration of larval stages in:a. Trichuris suisb. Macracenthorhynchus hirudinaceusc. Ascaris suumd. Oesophagostomum dendatusd. Oesophagostomum dendatuse. Ancylostoma duodenale
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Answer question 6c. Ascaris suumc. Ascaris suum
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Question 7Based on gross lesions found at necropsy, youBased on gross lesions found at necropsy, you
suspect Salmonella choleraesuis infection in agroup of pigs. What is the best samples to collectfor histopathogic examination to confirm yourtentative diagnosis?
a. Lungb. Intestineb. Intestinec. Skind. Livere. Large intestine
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Answer 7d. Liver
Parathyroid nodules(microscopic, multifocal,randomly distributednecrosis, with infiltrationby histiocytes andneutrophils) in the liver areneutrophils) in the liver arealmost pathognomic forthis infection in pigs.
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Question 8Megacolon in feeder/finisher pigs is oftenMegacolon in feeder/finisher pigs is often
secondary to rectal stricture. What is theinitiating cause (possibly weeks earlier) of thissequence of lesions?
a. Colibacillosisb. Trichuriasisc. Salmonella choleraesuis infectiond. Salmonella typhimurium infectione. Brachyspira hyodysenteriae infection
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Answer question 8d. Salmonella typhimurium infectiond. Salmonella typhimurium infectionOne of the lesions of Salmonella typhimurium infection is
thrombosis of blood vessels supply the rectum, leading toischemic necrosis, fibrosis, stricture and megacolon. Thissequence of events ma take weeks to develop; the historymay include an episode of diarrhea several weeks earlier.
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Question 9The porcine liver has six lobes that are partially orThe porcine liver has six lobes that are partially or
completely separated by external fissures. Which ofthe following structures are absent in pigs?
a. Gallbladder and bile ductb. Divided left and right lobesc. Papillary process of the caudate lobe and caudate ligamentd. Quadrate lobe not extending to the ventral border and hepaticd. Quadrate lobe not extending to the ventral border and hepatic
(portal) lymph node at the hepatic portal (hilus)e. Renal impression for the right kidney and gallbladder
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Answer question 9c. Papillary process of the caudate lobe andc. Papillary process of the caudate lobe and
caudate ligament
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Question 10Differential diagnosis for the cause of diarrhoea inDifferential diagnosis for the cause of diarrhoea in
finishing pigs should include all the following except:a. Salmonellosisb. Proliferative ileitisc. Swine dysenteryd. Colibacilliosise. Trichuriasis
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Answer question 10d. Colibacilliosis
Colibacilliosis affectsneonatal and nursery pigs
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11. Concerning hairballs (trichobezoars) in swine,which statement is most accurate?
a. Hairballs do not occur in swine because pigs areunable to groom themselves.
a. Hairballs do not occur in swine because pigs areunable to groom themselves.
b. Hairballs are common in swine and are readilypassed through the gastrointestinal tract andexcreted in the manure.
c. Hairballs are most commonly found in young ornursing piglets.
d. Most hairballs are not actually composed of hair,d. Most hairballs are not actually composed of hair,but usually of plant fibers derived from the feed.
e. Hairballs occasionally cause death in swine.
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Answer to question 11e. Hairballs form in pigs that ingest quantities of hair,e. Hairballs form in pigs that ingest quantities of hair,
usually during floor feeding (typical practice witholder animals), and may produce metabolicimbalances through vomiting, irritation of the gastricmucosa, and ulceration. Occasionally they may beidentified as the cause of death
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Question 12Examination of the intestinal tract in several finishing pigs withExamination of the intestinal tract in several finishing pigs with
diarrhea reveals a combination of lesions, including thickeningof the distal small intestine, fibrinohemorrhagic casts in thedistal small intestine, and fibrinonecrotic pseudomembranes inthe distal small intestine. The most likely cause of these findingsis infection with:
a. Salmonella choleraesuisb. Brachyspira hyodysenteriaeb. Brachyspira hyodysenteriaec. Lawsonia intracellularisd. Isospora suise. Trichuris suis
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Answer question 12c. Lawsonia intracellularisc. Lawsonia intracellularis
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Question 13Nursery pigs show snout deviation. HistologicNursery pigs show snout deviation. Histologic
examination of the nasal turbinates reveal manylarge glandular epithelial cells containing largeintranuclear inclusion bodies. What is the mostlikely cause of these findings.
a. Pasteurella multocida infectionb. Bordetella bronchiseptica infectionb. Bordetella bronchiseptica infectionc. Cytomegalovirus infectiond. Pseudorabiese. Chlamydia psittaci infection
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Answer question 13c. Cytomegalovirus infectionc. Cytomegalovirus infection
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Question 14Imbalance of vitamin E/selenium in the diet of feederImbalance of vitamin E/selenium in the diet of feeder
pigs may cause the following lesions except:a. Myocardial necrosisb. Hydrothoraxc. Hepatic necrosisd. Encephalomalaciae. Necrotizing myositis
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Answer question 14d. Encephalomalaciad. Encephalomalacia
Encephalomalacia may been seenin poultry with Vit E difficiencybut this lesion is not seen in pigs
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Question 15One week after weaning, several pigs from a groupOne week after weaning, several pigs from a group
of 50 exhibit CNS signs and swollen eyelids.Necrospy reveals edema in the wall of the stomachand mesentery of the spiral colon. What is themost likely cause of these findings?
a. Streptococcus suis infectionb. Haemophilus parasuis infectionb. Haemophilus parasuis infectionc. Pseudorabiesd. Escherichia coli infectione. Water deprivation
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Answer question 15d. Escherichia coli F18 infectiond. Escherichia coli F18 infection
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Question 16You examine fetal pigs from three different litters fromYou examine fetal pigs from three different litters from
a herd experiencing an abortion storm. Pigs from thesame litter are of markedly different sizes, some haveswollen, edematous, hemorrhagic umbilical cords.What is the most likely cause of these finding?
a. Pseudorabiesb. Porcine reproductive and respiratory syndromeb. Porcine reproductive and respiratory syndromec. Leptospirosisd. Brucellosise. Parvovirus infection
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Answer question 16b. Porcine reproductive and respiratory syndrome
PRRSv causes arteritis ofthe umbilical arteries,resulting in haemorrhageand edema of the umbilicalcord.Parvovirus might causedisparity in the size ofdisparity in the size offetuses in the same litter,but is also usually causesmummification of somefetuses
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Question 17You perform a necropsy on three neonatal pigs that had
diarrhoea. Two of the three have haemorrhagic smallYou perform a necropsy on three neonatal pigs that had
diarrhoea. Two of the three have haemorrhagic smallintestines characterized by bright to dark reddiscolouration of the serosal and mucosal surfaces and redfluid in the intestinal lumen. What is the most likelycause of these findings?
a. Colibacillosisb. Clostridium perfringens infectionb. Clostridium perfringens infectionc. Salmonellosisd. Rotaviruse. Transmissible gastroenteritis
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Answer question 17b. Clostridium perfringens infectionb. Clostridium perfringens infection
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Question 18Perivascular eosinophilic cuffing in the brain of pigs inPerivascular eosinophilic cuffing in the brain of pigs in
caused by:
a. Streptococcus suis infectionb. Haemophilus parasuis infectionc. Pseudorabiesd. Water deprivation/salt intoxicatione. Edema disease
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Answer question 18d. Water deprivation/salt intoxicationd. Water deprivation/salt intoxication
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19. In a swine herd the prevalence of disease X is10%. If the test to detect disease X has 90%sensitivity and 80% specificity, what percentagesensitivity and 80% specificity, what percentageof the pigs in this herd will react positively whentested?a. 20%b. 27%c. 10%c. 10%d. 8%e. 15%
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Answer question 19b. Sensitivity is the probability of detecting ab. Sensitivity is the probability of detecting a
positive animal. Specificity is the probability ofdetecting a known negative. In this herd of 100pigs, there are 90 true negative and 10 true positiveanimals (10% prevalence). Of the 10 true positives,nine will be detected as positive (90% sensitivitywith one false negative) and 72 of the truewith one false negative) and 72 of the truenegatives will be detected (80% specificity, 18 falsepositives), for a total of 27 positives.
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19. CalculationFrom 100 animals tested
PrevalencePrevalence(10%) Positives + Negatives (-)
Actual 10 90True positives detectedSensitivity 9 1True negatives detectedSpecificity 18 72Specificity 18 72Apparent results 27 73
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Question 20Staphylococcus hyicus is most frequently involved in:Staphylococcus hyicus is most frequently involved in:
a. Mastitis in cowsb. Mastitis in sowsc. Urinary tract infection in animalsd. Exudative epidermitis in pigsd. Exudative epidermitis in pigse. Staphylococcus pyoderma
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Answer question 20d. Exudative epidermitis in pigsd. Exudative epidermitis in pigs
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Question 21A producer want to feed 0.1kg of calcium to his sow.A producer want to feed 0.1kg of calcium to his sow.
How much limestone containing 36% of calciumshould be fed?
a. 0.036kgb. 0.28kgc. 0.36kgd. 2.8kge. 3.6kg
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Answer question 21d. 0.1/0.36–0.277 kgd. 0.1/0.36–0.277 kg
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Question 22Some pigs in a group of 100 4-month old pigs show diarrhoeaSome pigs in a group of 100 4-month old pigs show diarrhoea
and unthriftiness. At necropsy, you observe proliferative,necrotic, blood lesions in the ileum. Warthin-Starrysilver staining of a histopathologic specimen from anaffected area shows intracellular curved bacteria. What isthe most likely cause of these findings?
a) Campylobacter hyointestinalisb) Camplyobacter jejunic) Clostridium piliformed) Lawsonia intracellularise) Listeria monocytogenes
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Answer question 22d. Lawsonia intracellularis
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Question 23In 8 to 10 week old pigs, systemic infection withIn 8 to 10 week old pigs, systemic infection with
Haemophilus parasuis is most accuratelydescribed pathologically as:
a) Acute purulent bronchopneumoniab) Endotoxaemiab) Endotoxaemiac) Fibrinous bronchopneumonia and pleuritisd) Fibrinous polyserositise) Necrotizing vasculitis
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Answer question 23D. Fibrinous polyserositis
In uncomplicated casespneumonia is normally notpresent
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Question 24Of the common causes of diarrhoea in neonatalOf the common causes of diarrhoea in neonatal
piglets, which is least likely to cause significanthistologic lesions.
a) Escherichia colib) Clostridium perfringensb) Clostridium perfringensc) Isospora suisd) Rotaviruse) coronavirus
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Answer question 24A. Escherichia coliA. Escherichia coli
Colibacilliosis often causes no significant histologiclesions. The viral agents cause villus atrophy.Coccidiosis causes necrosis and villus atrophy.Clostridial enteritis causes haemorrhage and necrosis.
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Question 25Streptococcus suis infection in pigs commonlyStreptococcus suis infection in pigs commonly
caused all the following lesions except:
a) Meningitisb) Pneumoniac) Synovitisc) Synovitisd) Polyserositise) Hepatitis
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Answer question 25E. HepatitisE. Hepatitis
In addition it may cause pericarditis, endocarditis andpleuritis
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Question 26During collection of blood from the jugular, the right side isDuring collection of blood from the jugular, the right side is
preferred to avoid injury to the:
a) Thymus gland, left brachiocephatic artery, and thymusb) Left vagus nerve, thymus and heartc) Thoracic duct, thyroid gland and left vagus nerved) Thymus, left azygos vein and thoracic ductd) Thymus, left azygos vein and thoracic ducte) Capula pleurae, thyroid gland and vagosympathetic trunk
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Answer question 26C. Thoracic duct, thyroid gland and left vagus nerveC. Thoracic duct, thyroid gland and left vagus nerveThe right vagus provides more innervation to the heart
and diaphragm.
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Question 27Pigs can be infected with several species of Sarcocystis,Pigs can be infected with several species of Sarcocystis,
including S. miescheriana and S. suihominus. In thedescribed live cycles of Sarcocystis species, the final host(host in which gametogony and sporocyst productionoccurs) is:
a) Herbivoreb) Carnivoreb) Carnivorec) Mammald) Birde) Feline
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Answer question 27C. Carnivore
The carnivore may bemammal, bird or reptile
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Question 28A visit to a pig farm presents with a high mortality inA visit to a pig farm presents with a high mortality in
nursery pigs associated with wasting. Postmortemexamination reveals enlarged superficial inguinallymph nodes. What is the most likely diagnosis
a. PRRSvb. PCVADc. TEGc. TEGd. PRCe. PDNS
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Answer question 28PCVADPorcine CircovirusPorcine Circovirus
Associated Disease
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Question 29Pigs present at 120 lbs in reasonable condition withPigs present at 120 lbs in reasonable condition with
purple patches mainly over the rump and scrotum.Postmortem examination reveals enlarged kidneys.
What is the most likely diagnosis?a. Hog Cholerab. Erysipelasb. Erysipelasc. Renal cystic diseased. Porcine Dermatitis and Nephropathy syndromee. Nephroblastoma
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Answer question 29D. PDNSD. PDNS
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Question 30Which of the following organisms are resistant toWhich of the following organisms are resistant to
penicillinsa. Escherichia colib. Streptococcus suisc. Actinobacillus suisd. Mycoplasma hyosynoviaed. Mycoplasma hyosynoviaee. Actinobaculum suis
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Answer question30D. Mycoplasma
hyosynoviaehyosynoviae
Mycoplasma’s do not have a cell wall.