YOU ARE ASKED BY A LOCAL CAT RESCUE CHARITY TO REVIEW THEIR VACCINATION SCHEDULE FOLLOWING AN OUTBREAK OF RESPIRATORY DISEASE

YOU ARE ASKED BY A LOCAL CAT RESCUE CHARITY TO REVIEW THEIR VACCINATION SCHEDULE FOLLOWING AN OUTBREAK OF RESPIRATORY DISEASE

1. You are asked by a local cat rescue charity to review their vaccination schedule
following an outbreak of respiratory disease. The cats at the facility are a mixture of
long-term residents, abandoned kittens, adults and pregnant queens. The cats are
individually housed with public access to a viewing area. The charity has moderate
funding.
Answer both parts of this question:
a) Describe, justify and prioritise your vaccination schedule. (34 marks)
b) Briefly discuss any additional control measures that you would consider to
reduce the likely recurrence of respiratory infections. (14 marks)
2. Answer both parts of this question:
a) Describe and justify your diagnostic approach to progressive and generalised
lower motor neuron (LMN) signs, with reference to specific diseases that can
result in LMN dysfunction in cats. Explain how your approach may differ for an
acute versus a chronic presentation. (24 marks)
b) Describe in detail your therapeutic approach to central nervous system (CNS)
cryptococcosis in a four-year-old domestic shorthaired cat. (24 marks)
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Feline Medicine Paper 2 Page 3 of 4
3. Answer all parts of this question:
a) A colleague asks for advice about the addition of doxorubicin to a COP
(cyclophosphamide, vincristine, prednisolone) protocol to treat an eight-year-old
cat with mediastinal lymphoma. Explain your recommendations for or against
the use of doxorubicin in this scenario. Describe its potential adverse effects and
how to prevent and monitor for these adverse effects. (12 marks)
b) A colleague asks for advice about the use of famciclovir and dosing regimens in
an adult cat. Describe the mechanism of action of famciclovir and your dosing
recommendations. Include your justification for the dosing regimens you advise.
(12 marks)
c) A colleague asks for advice about the use of clopidogrel in cats with
cardiomyopathy. Describe the advice that you would give regarding its use in
this scenario including any evidence for its use as well as any potential
disadvantages. (12 marks)
d) Your clinic is reviewing its antimicrobial usage guidelines to promote
responsible antimicrobial usage and to minimise the development of hospitalacquired
resistance. Outline your recommendations regarding the use of
cefovecin in the cat. (12 marks)
4. A 12-year-old domestic shorthaired cat (6 kg weight; 3/5 body condition score) is
presented for uncontrolled diabetes mellitus. The patient is receiving 12 IU of glargine
insulin (Lantus®
) injected subcutaneously every 12 hours. You suspect the cat might
have hypersomatotropism (acromegaly).
Answer all parts of this question:
a) What clinical features may give rise to this suspicion? (2 marks)
b) Describe your investigation of this patient and what abnormalities you might
expect to find with acromegaly. (17 marks)
c) Discuss in detail the medical and surgical treatment options for acromegaly.
Include in your answer any limitations of those treatments. (25 marks)
d) Describe how your approach would be modified if the owners had a limited
budget of $2,000. (4 marks)
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Feline Medicine Paper 2 Page 4 of 4
5. Answer all parts of this question:
a) List the potential causes of ureteral obstruction in the cat. (4 marks)
b) Describe the possible presenting complaints, clinical and laboratory findings of a
cat with complete ureteral obstruction. Compare and contrast the potential
differences in these findings between unilateral and bilateral complete ureteral
obstruction. (10 marks)
c) Discuss the advantages and limitations of different diagnostic imaging
modalities for diagnosing ureteral obstruction. (10 marks)
d) Discuss in detail the medical and surgical treatment options for a unilateral
ureteral obstruction caused by suspected dried-blood calculi. Include in your
answer how you would monitor the response to treatment. (24 marks)

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