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midterm

        Help!  

Question
Answer
etomidate is particularly well suited for induction of dogs with which type of systemic disease   severe cardiac disease  
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injectable drugs that are highly fat soluble are likely to be taken up by the brain more quickly than drugs that are not fat soluble (true/false)   true  
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Ketamine HCL is what type of anesthetic drug   dissociative  
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metabolism and elimination of ketamine HCl is the same in the dog as it is in the cat (true/false)   false  
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halothane may sensitize the heart to catecholamines (true/false)   true  
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halothane is moderately soluble in rubber which may result in release of gas from the equipment (true/false)   true  
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an anesthetic agent with a low solubility coefficient will result in ___ induction and recovery time   fast  
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what gas anesthetic has the lowest solubility coefficient out of halothane, isoflurane, methoxyflurane, sevoflurane   sevoflurane  
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as a rough guideline to safely maintain a surgical plane of anesthesia, the vaporizer should be set at ___x MAC   1.5  
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isoflurane is a more potent cardiac depressant than halothane (true/false)   false  
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propofol sometimes causes transient apnea, to avoid this the aneshetist should   titrate the drug in several boluses  
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as the depth of anesthesia increases, there will be continued depression of cardiovascular and respiratory function (true/false)   true  
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the surgical plane of anesthesia is generally considered to be   stage III plane 2  
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breath holding, vocalization, and involuntary movement of the limbs are most likely an indication that the animal is in what stage/plane of anesthesia   stage II  
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an increase in respiratory rate   tachypnea  
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a decrease in respiratory rate   bradypnea  
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collapsed alveoli   atelectasis  
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after an anesthetic procedure when is it best to extubate the patient   when the animal begins to swallow  
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pale mucous membranes may be an indication of what   anemia  
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it is illegal in the U.S. to put an animal under anesthesia with out what   informed consent  
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why would we want to ask an owner about exercise tolerance during a history   exercise intolerance can indicate heart or lung disease  
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an obese animal that is otherwise healthy is considered what class of anesthetic risk   class II  
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pre-anesthetic agents are routinely administered how long before induction of general anesthesia   10-15 mins  
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the standard surgical anesthetic fluid rate is what   10ml/kg/hr  
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the color utilized for isoflurane recognition is   purple  
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the color utilized for sevoflurane recognition is   yellow  
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easier induction of the patient is a reason for the use of a preanesthetic agent (true/false)   true  
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deeper plane of anesthetis is a reason for use of a preanesthetic agent (true/false)   false  
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pain management is a reason for use of a preanesthetic agent (true/false)   true  
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smoother recovery is a reason for use of a preanesthetic agent (true/false)   true  
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what does MAC stand for   mininum alveolar concentration  
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why should you include an anticholinergic in a preanesthetic medication   to prevent bradycardia  
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what is the normal condition where the heart rate increases slightly apon inhalation called   sinus arrhythmia  
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mucous membranes that are yellow in color are otherwise known as   jaundice  
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if pre anesthetic blood work shows a low pcv this would indicate what   anemia  
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if pre anesthetic blood work shows an increased pcv and tp this would likely indicate what   dehydration  
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analgesics that are use post operatively can often cause what   GI irritation or ulcerations  
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clinical pain effects in the patient can alter what   healing times, tissue catabolism, emotions  
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you can minimize anesthesia time by planning ahead (true/false)   true  
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you should avoid drugs that can reduce pre existing health problems (true/false)   false  
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it is advisable to routinely bag a patient every 7 mins during anesthesia (true/false)   false  
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the resivor bag deflats every time a patient inhales (true/false)   true  
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when reading the ball indicator on the flowmeter you should read what part of the ball   middle  
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what on the anesthetic machine is used to allow you to breath for your patient   pop-off valve  
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what on the anesthetic machine contains carbon that absorbs excess anesthetic gas and CO2   scavenger canister  
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a non rebreathing system is used for patients weighing how much   less than 7kg  
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what is the item on the anesthetic machine called that contains the anesthetic gas   vaporizer  
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what does soda lime absorb   CO2  
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what color does soda lime turn when it is fully absorbed/used up   purple  
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when giving a breath to a patient you should never go above what on the pressure manometer   20cm of H2O  
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what does CRI stand for   constant rate infusion  
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oxygen tanks can be identified simply because they are always what color   green  
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what types of drugs might be used for premeds   opiods, anticholinergics, alpha 2 agonisist, sedatives, tranqulizers  
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if the pop off valve is inadvertently left shut what will happen   a significant rise of pressure in the circuit  
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a geriatric patient is considered to be a patient that has reached how much of its life expectancy   75%  
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brain damage may occur when there is inadequate oxygenation of the tissues for how long   4 mins  
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when a technician is performing CPR alone the ration of cardiac compression to ventilation should be what   5:1 or 10:2  
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to ensure that the benefit an animal obtains from CPR is not lost, one should not discontinue the CPR for how long   30 seconds  
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respiratory arrest is always fatal (true/false)   false  
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atropine and glycopyrrolate are what type of drugs   anticholinergic  
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acepromazine is what type of drug   phenothiazine  
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dexmedetomidine, medetomidine, and xylazine are what types of drugs   alpha-2 agonist  
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diazepam, midazolam, and zolazepam are what type of drugs   benzodiazepines  
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buprenorphine, butorphanol, fentanyl, hydromorphone, meperidine, morphine, and oxymorphone are what type of drugs   opioid  
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ketamine and tiletamine are what kind of drugs   dissociative  
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how should an inhalant anesthetic be given   to effect  
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what does MAC measure   anesthetic potency  
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an unpleasant sensory or emotional experience associated with acute or potential tissue damage   pain  
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visceral or somatic pain   peripheral  
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pain originating from damaged nerves   neuropathic  
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pain that is ongoing   clinical  
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pain of unknown cause   idiopathic  
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immunosuppression, increased tissue catabolism, reduced healing, increased autonomic activity (primarily sympathetic) emotional stress/distress are all what   clinical pain effects on the patient  
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reduction or absence of pain sensation with out loss of other sensations   analgesia  
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"controlled death" loss of sensation to part or all of the body   anesthesia  
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anesthesia induced by infiltrating immediate arear with an agent that interferes with nerve-impulse transmission   local anesthesia  
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anesthesia achieved by blocking nerve or nerve endings that supply a region or segment of the body   regional/sedmental anesthesia  
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anesthesia induced by injecting local anesthetic or analgesic agent into the subarachnoid or epidural space of spianl cord   spinal/epidural anesthesia  
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the purposeful derangement of a patients normal physiologic processes to produce a state of unconsciousness, relaxation,m analgesia, and/or amnesia   general anesthesia  
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mild to profound degree of CNS depression in which patient is drowsy but may be aroused by painful stimuli   sedation  
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state of relaxation and calmness characterized by lack of anxiety or concern without significant drowsiness   tranqulization  
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acupuncture, electrical nerve stimulation, magnetic field induction and neurolysis are all what   alternative pain relief modalities  
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5% loss of body water, eyelid pinch= mild tenting, pinch slowly relaxes; cornea is moist; minimal space between canthus and globe; decreased pliability of neck skin; moist, warm, pink MM; are indications of what hydration status   mild  
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6-9% loss of body water, eyelid pinch= moderate tenting, pinch persists; cornea drier, tearing infequent; pronounced space between canthus and globe; skin tint persists 3-5 sec; sticky MM, are signs of what hydration status   moderate  
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10-15% loss of body water; eyelid pinch= severe tint, pinch persists; cornea dry, no tearing; space >4mm between canthus and globe; skin tented and persists >5 sec; dry, cold, pale MM; poor CRT are signs of what hydration status   severe  
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how many ASA classification are there   5  
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this ASA classification is a normal healthy animal with minimal risk   class I  
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this ASA classification is an animal with mild systemic disturbances but is able to compensation, slight risk with minor disease   class II  
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this ASA classification is an animal with moderate systemic disease, mild CS, moderate risk, obvious disease present   class III  
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this ASA classification is animals with severe systemic diseae, high risk, significantly compromised by disease   class IV  
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this ASA classification is an extreme risk animal, surgery is often performed in desperate attempt to save animals life   class V  
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how long should a canine, feline, equine, swine be fasted before an anesthetic procedure   8-12 hours, water ad lib  
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how long should a large ruminant be fasted before an anesthetic procedure   36-48 hours, with hold water 12-24 hours  
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how long should a small ruminant be fasted before an anesthetic procedure   24 hours, with hold water 6-8 hours  
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how long should a neonate be fasted before an anesthetic procedure   2-4 hours if at all  
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what special consideration should be taken for patients with renal disease when fasting before an anesthetic procedure   never with hold water  
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occular/nasal discharge, chemosis, subcutaneous edema, increased lung sounds, increased RR, dyspnea, coughing, restlessness can all be signs of what   overhydration  
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the tendency of a molecule to escape from a liquid phase to the vapor/gas phase   vapor pressure  
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what determines how readily the anesthetic liquid evaporate in the anesthetic machine vaporizer   vapor pressure  
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information about anesthetics speed of inductin, recovery, and potency   solubility coefficient  
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how soluble the anesthetic is in the blood; how much/how quickly the agent will diffuse from alveoli into blood   blood gas solubility coefficient  
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what is the most nephrotoxic inhalation anesthetic agent   methoxyflurane  
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which inhalation anesthetic agent is the only one that does not decrease blood flow through the hepatic artery and portal vein   isoflurance  
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to calm the patient, provide analgesia, reduce/eliminate the adverse effects associated with use of general anesthetics, help maintain anesthesia, smooth inductin, improve recovery are all what   reasons for preanesthetics  
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all preanesthetics except which one cross the placental barrier   glycopyrrolate  
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this type of premed blocks acetylcholine receptors, reverse effects of parasympathetic system   anticholinergics  
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what premed increases heart rate, decreases gut motility, decreases salivation   anticholinergics  
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this type of tranquilizer is commonly used, does not caused significant respiratory or cardiac depression, wide margin of safety in healthy patients, effective in many species, may be given in combo with other drugs   phenothiazines  
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sedation, antiemetic, antiarrhythemic effect, antihistamine effect, peripheral vasodilation, personality effects, penile prolapse, lack of analgesia   phenothiazines  
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phenothiazine metabolized by liver; lasts up to 8hrs; can cause low BP; antiemetic, antiarrhythmic, antihistamine, anti-anxiety, causes platelet dysfunction, no reversal agent   acepromazine  
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this type of tranqulizers effects are caused by release fo amma-aminobutyric acid (GABA)- an inhibitory neurotransmitter in the brain   benzodiazepines  
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antianxiety and calming, skeletal muscle relaxtion, anticonvulsant activity, minimal adverse effects, appetite stimulation, behavior modification, can be reversed   benzodiazepines  
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what is the reversal agent for benzodiazipines   flumazenil  
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premeds that bind to receptors with in the body that are the most effective analgesics   opiods  
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how many types of opiods are there   3  
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this type of opiod stimulates all types of receptors; includes morphine, oxymorphone, fentanyl   pure agonists  
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this type of opiod blocks one type of receptor and stimulates another type; includes butorphanol   mixed agonists/antagonists  
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this type of opiod blocks all types of receptors; includes naloxone   pure antagonists  
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morphine, merepidine, fentanyl, hydromorphone, oxymorphone, and methodone are what type of opiod   agonists (full or mu)  
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buprenorphine is what type of opiod   partial agonists (mu)  
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butorphanol, pentazocine, nalbuphine are what types of opiods   agonist-antagonist  
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affinity for the receptor; how much drug to give to bind to the receptor and activate it   potency  
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anticipated clinical effect and how well it works   efficacy  
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compressed gas supply, anesthetic machine, and breathing circuit are all what   main part of anesthetic system  
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these type of cylinders are small cylinders that are usually attaches to the anesthetic machine   E cylinders  
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these are cylinders that stand seperate from the anesthetic machine   large cylinders  
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the function of this is to mix oxygen and the desired amount of anesthetic and deliver the mixture to the breathing circuit   anesthetic machine  
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this part of the anesthetic machine consists of a dial attached to a graduate glass cylinder and allows the anesthetists to see the amount of oxygen to be delivered to the patient   flowmeter  
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this part of the anesthetc machine converts liquid anesthetic to a vapor state and adds a controlled amount of anesthetic vapor to carrier gas flowing through the machine   vaporizer  
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this part of the anesthetic machine carries anesthetic and oxygen from the vaporizer to the patient and conveys expired gases away from the patient   breathing circuit  
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reservoir bags should have a minimum volume of what   60/ml/kg  
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this part of the anesthetic machine prevents build-up of excess pressure or volume of gas with in the circuit; main purpose is to allow excess gas to exit the anesthetic circuit and enter the scavenging system   pop-off valve  
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this part of the anesthetic machine allows oxygen to bypass the flowmeter and vaporizer and enter the machine between the unidirectional valves   oxygen flush valve  
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this part of the anesthetic machine measures the pressure of gases within the breathing system   pressure manometer  
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this type of vaporizer is designed to deliver an exact concentration of anesthetic, are labeled for use with one anesthetic only   precision vaporizer  
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this type of vaporizer can only be used with anesthetics that have a low vapor pressure, concentration of anesthetic delivered is unknown   nonprecision vaporizer  
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this type of rebreathing system requires a low oxygen flow rate, allows all gases exhaled by the patient to remain in the circuit   total rebreathing system  
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this type of rebreathing system requires a higher oxygen flow rate, allows some gases exhaled by the patient to remain in the circuit   partial rebreathing system  
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this is the forced delivery of oxygen to the patient that can be achieved by bagging or a ventilator   assisted ventilation  
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this is necessary when neuromuscular blocking agents are used (paralytics) and is assisted or controlled breathing by the anesthetists   intermittent positive pressure ventilation  
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what are the two different types of ET tubes used in veterinary medicine   murphy; magil  
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which type of ET tube have a beveled patient end and no eye   magil  
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which type of ET tube has a beveled patient end and an eye near the beveld end   murphy  
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this is an ultra short acting thibarbiturate; highly fat soluble; short onset of duration and action (5-15 mins) only IV; arrhytomogenicity; protein binding; no analgesia; cheap; schedule III controlled substance; decreases intracranial pressure   thiopental  
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phenolic compound; non barbiturate; non steroid; IV only; similiar to thiopental but doesnt cause as much excitement; milk of anesthesia; limited shelf life; can be used as a CRI; rapid onset & short duration; may cause injury to feline RBC; no analgesia   propofol  
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nonbarbiturate; imidazole hypnotic agent; rapid induction and recovery; only IV(painful); excellent for <3 patients, mild respiratory depressant; crosses placental barrier but is rapidly cleared w/little effects; can be $; wide safety margin;   etomidate  
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muscle relaxant commonly given 2 large animals as part of a combo; common decongestant and antitussive; only IV; crosses placental barrier w/ minimal effects   guafenesin  
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mostly commonly used agent in N. american sm practices; controlled substance; rapid onset; IV/IM or PO off label; potent cerebral vasodilator; cardiovascularly supportive drug; some analgesia; better recovery when premeds are used; avoid use in renal cats   ketamine  
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1:1 ratio of dissociative; benzodiazepine; popular in private practice; cheap; effective in many species; IV/IM/SC; stable 4 days at room temp/ 14 days in fridge; similar to ketamine; avoid use in patients w/ CNS signs, hyperthyroidism, cardiac dz, etc   telazol  
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these are variables that indicate how the patients body is responding to anesthesia   vital signs  
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these are involuntary responses to given stimuli   reflexes  
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presence of a heart beat means that circulation in the body is adequate (true/false)   false  
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the force exerted by flowing blood on arterial walls   blood pressure  
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a 3x3 sponge that is fully soaked with blood equals how many mls of blood   5-6  
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how often should you routinely bag the patient while under inhalation anesthesia   every 5 mins  
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inspiration followed by prolonged pause before expiration   apneustic breathing  
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highest pressure exerted throughout cardiac cycle; produced by contraction of ventricles and propels blood through aorta and major arteries   systolic blood pressure  
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lowest pressure throughout cardiac cycle; pressure that remins when the heart is in its resting phase   diastolic blood pressure  
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average pressure throughout cardiac cycle; best indicator of blood perfusion to internal organs   mean arterial pressure  
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pressure detected by manual palpation of an artery; difference between systolic and diastolic pressure   pulse pressure  
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this type of blood pressure reading is obtained through a catheter inserted into an artery; rarely used in veterinary practice   direct monitoring  
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this type of blood pressure is obtained through a probe place on the outside surface of an animal and the cuff is used to compress an artery   indirect monitoring  
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the amount of free o2 in plasma   PaO2  
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the amount of o2 bound to hemoglobin   Sao2  
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when the electrical impulse that causes the heart to beat is not being transmitted efficiently through out the heart   heart block  
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the degree of heartblock with prolonged interval between p wave and QRS complex   first degree  
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the degree of heartblock with some P waves that are not followed by QRS complexes   second degree  
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the degree of heartblock with atrial and ventricular contrations occuring independently; P wave occur in one pattern and QRS complexes occur at completely different intervals   third degree  
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contration within small muscle bundles within the ventricles causing irregular, inefficient ventricular contractions; indicates impending cardiac arrest   fibrillation  
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ineffective and uncoordinated ventricular contrations that occur as a bizarre, wide QRS complex   premature ventricular contrations  
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in healthy animals 1 dog will die in every how many procedures   870  
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in healthy animals 1 cat will die in every how many procedures   552  
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in animals with systemic disease 1 will die in every how many procedures   30  
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this device should be premeasured from the incisors to the mid-neck and advanced no further than the point of the shoulder   ET tube  
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pediatric patients are those that are considered to be how old   younger than 3 months  
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drug dosages in pediatric patients should be calculated at what of normal dosages   1/2- 2/3 of normal dose  
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these type of dogs tend to have higher parasympathetic tone causing bradycardia   brachycephalic  
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the absence of a palpable pulse at the metatarsal atery suggests a systolic blood pressure of < what   60 mmHg  
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absence of palpable pulse at the femoral artery suggests a systolic blood pressure of < what   40 mmHg  
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what does the A in the steps of CPR stand for   airway  
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what does the B in the steps of CPR stand for   breathing  
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what does the C in the steps of CPR stand for   circulation  
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what does the D in the steps of CPR stand for   drugs  
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what does the E in the steps of CPR stand for   ECG  
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what does the F in the steps of CPR stand for   fluids  
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when breathing for a patient during CPR how often should a breath be given   every 3-5 seconds  
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when doing chest compressions during CPR how often should the rate of compressions be   1-2 times/second  
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the method to determine the amount of co2 in the air that is breathed in and out by the patient   capnography  
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what is the normal systolic pressure   120 mmHg  
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what is the normal diastolic pressure   80 mmHg  
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what is the normal MAP in an awake patient   90-100 mmHg  
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what is the normal MAP in an anesthetizes patient   70-90 mmHg  
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what reading of PaO2 is considered hypoxic   <60 mmHg  
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what reading of SaO2 is considered hypoxic   <90 mmHg  
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what is the normal capnography range of a dog   35-47 mmHg  
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what is the normal capnography range of a cat   32-35 mmHg  
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what is the maintenance rate of fluids   40-60ml/kg/day  
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what is the surgical rate of fluids   10ml/kg/day  
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how many mls of fluid should be given for every ml of blood lost   3  
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what is the shock fluid rate for the first hour in a dog   90ml/kg  
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what is the shock fluid rate for the first hour in a cat   50ml/kg  
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what can overhydration cause especially in very small animals or patients with heart or kidneys disease   pulmonary/cerebral edema  
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this is the upper jaw   maxilla  
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this is the lower portion of the jaw   mandible  
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this is the portion of the roof of the mouth that consists of hard bone   hard palate  
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mucous membrane that has irregular ridges, covers the hard palate   rugae palatinae  
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posterior portion of the roof of the mouth which does not have underlying bone   soft palate  
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hinge joint that connects that maxilla and mandible   temporomandibular joint  
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structures and surfaces beneath the tongue   sublingual  
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tissue that forms the lining of most of the oral cavity outside the mucogingival line   mucous membrane  
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tip of the crown   cusp  
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deepest part of the root   apex  
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small channels where blood vessels and nerves enter the tooth   apical delta  
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large canals in the apex of the root through which nerves and vessels pass into the root canal   apical foramen  
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the area between the free gingiva and the tooth when healthy and without space   sulcus  
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when there is a space between the free gingiva and tooth, considered disease tissue when periodontal disease is present   pockets  
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treatment of disease related to the way the teeth fit together   orthodontic  
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oral disease caused by the malalignment of teeth classified by three different groups of malocclusions   orthodontic disease  
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normal occlusion, except that one or two teeth are out of alingment   class I  
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mandible is shorter than normal can cause adult canines and incisors to penetrate the hard palate and irritate/ulcerate the hard palate   class II  
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several forms, can be mandible being to long or bowed, maxilla being to short   class III  
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normal occlusion except one or more of the incisors are malaligned   anterior cross bite  
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maxillary premolars are lingual to the mandibular premolars or molars   posterior cross bite  
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structural narrowing of the mandible or by the eruption of the canines in an overly upright position   base narrowed canines  
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maxillary canines are tipped in a rostral position and are trapped by the mandibular canines   spearing  
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the treatment of disease inside the tooth   endodontics  
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result from advanced periodontal disease on the inside of the canines   oronasal fistulas  
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these develope when patients with renal disease develop ulcerations on the tip of the tongue   uremic ulceration  
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these are benign and are common and usually result from periodontal disease or irritation   granulomas  
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proliferation of gingival cells and is common among collies, boxers, and cocker spaniels   gingival hyperplasia  
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tumors in the tissue of the gingiva that contain fibrous tissue   fibromatous epulides  
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contain a large amount of bone material and can be difficult to remove   ossifying epulis  
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primarilarly composed of epithelial cells associate with the tissue, tend to invade bone   acanthomatous epulis  
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locally invasive and highly metastatic to the lungs, more common in dogs than cats   malignant melanoma  
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occur in the mandible or maxilla and create fleshy, protruding, firm masses that sometimes are friable   fibrosarcoma  
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arise in a variety of locations and develops from epithelium cells, most common tumor in cats   squamous cell carcinoma  
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four main types of hand instruments   probe, explorer, scaler, curette  
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portion that comes in contact with the patients tooth   working end  
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part of the shank that is closest to the working end   terminal shank  
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joins the working end with the handle   shank  
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parts that are grasped- round, tapered, and hexagonal shaped   handle  
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this is the most common type of explorer   shepherds hook  
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this explorer allows operator to use the tip of the instrument and avoid touching with the side of the instruments those parts of the tooth that are not being explored   pigtail explorer  
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this dental instrument is used to detect plaque and calculus primarily   explorer  
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this dental instrument is used to evaluate pockets or sulcus depth   periodontal probe  
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this dental instrument is used for quick removal of large pieces of calcuulus   calculus removal forceps  
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have 3 sharp sides and a sharp tip, used for scaling calculus from the crown surface   scalers  
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fine scaler used for extremely small teeth   morris  
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most commonly used type of scaler   sickle scaler  
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used for the removal of calculus both supragingivally and subgingivally   currettes  
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this dental instrument has two sharp sides and a round toe   currettes  
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this type of currette can adapt to almost all dental surfaces   universal  
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this type of currette is adaptable to different areas of the mouth   area specific  
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inflammation and infection of the tissues surrounding the tooth   periodontal disease  
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a glycoprotein component of saliva that attaches to the tooth surface   acquire pellicle  
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as periodontal disease progresses this type of bacteria begin to colonize   gram negative  
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subgingival plaque may be found in these four areas   pocket, sulcus, tooth, gingiva  
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this stage of periodontal disease can appear 2 to 4 days after plaque accumulation in previously healthy gingival   stage 1  
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this stage of periodontal disease is known as advance gingivitis   stage 2  
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this stage of periodontal disease has advance breakdown, severe pocket depth, bleeding easily on probing, pus, bone loss, and mobility   stage 4  
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these are performed for patients with healthy stage 1 or 2 periodontal disease   prophys  
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this is performed for patients with stage 3 or 4 periodontal disease   periodontal therapy  
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the two following types of devices in the handpiece can pick up the sound wave and turn it into vibration   piezoelectric, magnetostrictive  
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the four types of hazards   chemical, physical, ergonomic, biologic  
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the most common malignant oral tumor in a dog   melanoma  
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the most common oral disease among dogs and cats   gingivitis  
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mandibular prognathis is an example of a class II malocclusion   false  
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felines do not have a first premolar in the maxilla so numbering starts with two in the maxilla   true  
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inflammation of the gums caused by bacteria   gingivitis  
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step one of a dental prophy   preliminary exam and evaluation  
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step two of a dental prophy   gross calculus removal  
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step three of a dental prophy   periodontal probing  
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step four of a dental prophy   subgingival calculus removal  
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step five of a dental prophy   missed plaque/calculus detection  
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step six of a dental prophy   polishing  
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step seven of a dental prophy   sulcus irrigation  
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step eight of a dental prophy   periodontal diagnostics  
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step nine of a dental prophy   final charting  
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step ten of a dental prophy   home care by the owner  
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these are cavities in cats and dogs   caries  
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mandibular prognathis is when the mandible is too long, class III   true  
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maxillary brachygnathis is when the maxilla is too short, class III   true  
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