ACCREDITED CPD
6. Which one of the following statements regarding
the medical management of HAC is TRUE
a. Trilostane therapy is 100% safe.
b. Trilostane needs to be administered bid.
c. Lysodren causes long-term irreversible adrenal
gland suppression.
d. Both medications have resulted in addisons
and death in patients as a side effect.
e. Induction of cortisol suppression with
lysodrenal always occurs within 10-14 days
days.
7. Which one of the following statements is TRUE
a. The target range for successful therapy using
trilostane is a basal cortisol of <50nmol/L.
b. The target range for successful therapy using
trilostane is a basal cortisol of >50nmol/L.
c. The target range for successful therapy
using trilostane is a basal cortisol of 50nmol/L
– 150nmol/L.
d. The target range for successful therapy using
trilostane is a post stim cortisol <50nmol/L.
e. The target range for successful therapy
using trilostane is a post stim cortisol of 50
-150nmol/L.
8. Which one of the following statements is TRUE?
a. There is no effect of timing on test results
when performing the ACTH stim test to
monitor treatment efficacy in HAC.
b. The ACTH stim test ,when monitoring
efficacy of trilostane should be performed just
prior to the next dose (trough effect)
c. The ACTH stim test, when monitoring
efficacy of trilostane should be performed just
4 hours after the pill is given.
d. The ACTH stim tes,t when monitoring efficacy
of Lysodren should be performed just prior
to the next dose (trough effect)
e. The ACTH stim test, when monitoring
efficacy of Lysodren should be performed
4 hours after the pill is given.
9. Which one of the following statements is INCORRECT?
a. Neurological signs may develop due to
effects of uncontrolled cortisol production,
thrombocytosis and hypercoagulability
b. Neurological signs may develop due to
effects of pituitary mass which keeps on
growing
c. Proteinuria may persist despite treatment
d. Hypertension may persist despite treatment
e. Clinical signs of overdose of medications
occurs in about 10% of patients
10. A 10 year old intact fox terrier male presented with
a history of waxing and waning inappetance . The
abdomen is moderately distended. The dog is less
active than normal and the owners complain it is
breathing faster than normal. It is also PU/PD according to them. A serum chemistry profile shows
vet360
Issue 06 | DECEMBER 2015 | 20
a moderately elevated ALT, mildly elevated ALT and
slight lipaemia. Which one of the tests listed below
is NOT initially indicated for the patient described
above?.
a. Blood smear
b. Urinalysis
c. ACTH stim test
d. Abdominal ultrasound
e. Thoracic radiographs
ANSWER the questions on the Vet360 App.
Available from the Itunes/Play store!
Do you want to complete your CPD on the traditional
webplatform or SMS system? Use the following codes
for sms or follow the link from www.vet360.vetlink.
co.za
• Transfusion Medicine in Small Animal Practice.
Dr Liesel van der Merwe SMS code = a90559
• Diagnosis of Demodicosis in Dogs & Cats.
Dr Karen A. Moriello SMS code = a22801
• A review of sterilisation practices and impact on
the individual animal, in dogs and cats.
Dr K de Cramer and Dr K May SMS code =
a26581
• Rehabilitation of neurological patients.
By Dr Megan Kelly SMS code = a97907
• Diabete Mellitus
By Dr Marlies Bohm SMS code a55046
• Cyclosporine in Canine Atopy
By Dr Heidi Schroeder SMS code a24438
• Cushings (Various authors) SMS code a20643
LONDON 2016?
Work in the UK happy that the Goddard Veterinary Group
has removed the hassle and uncertainty of dealing with
visa applications. Lucrative salaries and extensive CPD
opportunities are available to South Africans seeking to
be a part of London’s foremost practice. We have three
referral hospitals and 46 well-equipped sole charge surgeries across the Capital, all with standards accredited by
the RCVS, and would welcome South Africans to join us
for a minimum of two years.
• sponsorship under Tier 2 (General), subject to telephone
interview
• accommodation provided on arrival and available for
duration of most placements
• lucrative salary in well-equipped surgery
• extensive free CPD – Certificate opportunities
Please visit www.goddardvetgroup.co.uk for more details
of the practice.
Contact Jeremy Robinson, General Manager,
Goddard Veterinary Group on
[email protected]