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Australasian Veterinary Examination, formerly the National Veterinary Examination Communication, Professionalism, Practice Management & Wellbeing: practice questions

Australasian Veterinary Examination (AVE), formerly the National Veterinary Examination (NVE) · Australia / New Zealand · Australasian Veterinary Boards Council (AVBC)

Original practice questions written to the published syllabus · not past papers
10worked here, free
57written to this exam in this subject
9syllabus units

What this subject covers

The non-technical skills that decide whether a veterinarian succeeds: talking to clients, consent, teamwork and leadership, the business of practice, clinical governance and looking after oneself.

In the exams: NAVLE communication 8% and professionalism, practice management and wellness 7%; RCVS Day One competences (Personal Leadership, Reflective Relationships); AVMA COE competencies

Where the 57 questions fall

How our questions for Australasian Veterinary Examination, formerly the National Veterinary Examination spread across the units of Communication, Professionalism, Practice Management & Wellbeing. Difficulty: 20 easy, 29 medium, 8 hard.

Client communication9
Breaking bad news9
Teamwork8
Clinical governance7
Wellbeing and burnout6
Diversity and inclusion6
Informed consent5
Lifelong learning5
Leadership2

10 practice questions, worked

Choose an answer, then open the working. Each explanation says why the right answer is right and why the others are not.

1 · Client communication · easy

In the Calgary–Cambridge guide, which two tasks run continuously through the whole consultation rather than at one stage?

  1. Gathering information and the physical examination
  2. Initiating the session and closing the session
  3. Providing structure and building the relationship
  4. Explanation and planning, and obtaining consent
Answer and working

C. Providing structure and building the relationship

The guide has five sequential tasks (initiating, gathering information, physical examination, explanation and planning, closing) framed by two threads that run throughout: providing structure and building the relationship. Gathering information and examination are sequential stages, not continuous threads.

Further reading: Adams & Kurtz, Skills for Communicating in Veterinary Medicine

2 · Teamwork · medium

What is the main purpose of a short daily team huddle?

  1. To go through each staff member's performance appraisal in front of all their colleagues
  2. To replace written hospital records with quick verbal updates on every in-patient
  3. To share the day's caseload, risks and concerns so the team starts with a shared plan
  4. To let the practice owner announce the previous day's financial results to everyone
Answer and working

C. To share the day's caseload, risks and concerns so the team starts with a shared plan

A huddle is a brief briefing that gives the team a shared mental model of the day: workload, known risks, staffing gaps, concerns. It does not replace records, and appraisals are private.

Further reading: Patient-safety literature

3 · Leadership · medium

A vet notices her rising irritation with a client and deliberately chooses to pause and respond calmly. Which components of emotional intelligence is she using?

  1. Empathy and social skill
  2. Self-awareness and self-regulation
  3. Motivation and empathy
  4. Social skill and motivation
Answer and working

B. Self-awareness and self-regulation

Noticing one's own emotion is self-awareness; managing the response is self-regulation. Empathy concerns others' emotions and social skill concerns managing relationships.

Further reading: Goleman, Emotional Intelligence

4 · Clinical governance · easy

What is the correct order of the clinical audit cycle?

  1. Measure practice, set standard, re-audit, select topic, implement change
  2. Implement change, select topic, measure practice, set standard, re-audit
  3. Set standard, implement change, select topic, re-audit, measure practice
  4. Select topic, set standard, measure practice, implement change, re-audit
Answer and working

D. Select topic, set standard, measure practice, implement change, re-audit

Audit chooses a topic, agrees a standard, measures current practice against it, makes changes and re-audits to see whether practice improved. Without re-audit the loop is not closed.

Further reading: NICE, Principles for Best Practice in Clinical Audit

5 · Wellbeing and burnout · easy

What are the three dimensions of burnout described by Maslach?

  1. Low mood, loss of appetite and disturbed sleep lasting more than two weeks
  2. Emotional exhaustion, depersonalisation and reduced personal accomplishment
  3. Fear, avoidance and hypervigilance following a single traumatic event
  4. Physical fatigue, muscle pain and frequent minor infections over winter
Answer and working

B. Emotional exhaustion, depersonalisation and reduced personal accomplishment

Maslach's three dimensions are emotional exhaustion, depersonalisation (cynicism) and reduced personal accomplishment. Low mood with sleep and appetite change describes depression; fear and hypervigilance after trauma describe post-traumatic stress.

Further reading: Maslach & Leiter 2016

6 · Wellbeing and burnout · medium

A vet believes a suffering dog should be euthanised, but the owner refuses and the vet cannot act. The resulting stress is best called:

  1. Compassion fatigue
  2. Burnout
  3. Moral distress
  4. Imposter phenomenon
Answer and working

C. Moral distress

Moral distress (Jameton) arises when one knows the right action but is constrained from taking it. Compassion fatigue comes from repeated exposure to suffering, and burnout from chronic unmanaged work stress.

Further reading: Jameton 1984

7 · Wellbeing and burnout · hard

A colleague has seemed withdrawn for weeks and says, "There's no point any more." What should you do?

  1. Avoid mentioning suicide, since asking about it could put the idea into their head
  2. Give them space and check in again next week if things have not obviously improved by then
  3. Ask directly whether they are thinking of suicide, listen, and help them reach support
  4. Tell the whole team at once so that everyone can keep a close eye on them
Answer and working

C. Ask directly whether they are thinking of suicide, listen, and help them reach support

Asking directly about suicide does not increase risk and is what crisis-intervention training teaches. Then listen, help the person reach professional support (emergency services if danger is immediate) and follow up. Waiting a week or spreading the news are harmful.

Further reading: Suicide-prevention guidance

8 · Wellbeing and burnout · easy

In the job demands–resources model, which is a job resource?

  1. A high caseload and emotionally demanding clients each day
  2. Supportive supervision and control over one's own schedule
  3. Unpaid overtime and frequent night work at short notice
  4. Client complaints and critical comments posted online
Answer and working

B. Supportive supervision and control over one's own schedule

Job resources, such as support, autonomy, feedback and development, buffer demands and drive engagement. The other options are job demands.

Further reading: Bakker & Demerouti, job demands–resources model

9 · Diversity and inclusion · medium

A client repeatedly asks a female vet when 'the real vet' will be coming in. This is an example of:

  1. A reasonable request for a second opinion
  2. Positive discrimination in favour of the vet
  3. A microaggression based on a gender stereotype
  4. Indirect harassment by the practice itself
Answer and working

C. A microaggression based on a gender stereotype

A microaggression is an everyday remark, often unintended, that conveys a demeaning message about a group. A request for a second opinion would be explicit and would not deny the vet's role.

Further reading: Diversity and inclusion literature

10 · Diversity and inclusion · hard

A farmer whose community regards cattle as sacred refuses to have a chronically lame cow culled. What is the best approach?

  1. Insist on immediate euthanasia, since welfare overrides every cultural consideration without discussion
  2. Accept the decision and leave the lameness untreated, since cultural beliefs must never be questioned
  3. Explore the belief respectfully, explain the welfare position and seek lawful options that protect welfare
  4. Report the farmer to the police straight away, before any discussion about the cow has taken place
Answer and working

C. Explore the belief respectfully, explain the welfare position and seek lawful options that protect welfare

Welfare cannot be compromised, but how it is achieved can often be negotiated: treatment, palliative care or transfer to a sanctuary where these exist and the law allows. Overriding the farmer without discussion, abandoning the cow, or reporting before talking all fail one side.

Further reading: Welfare and cultural-competence literature

Ten here, 57 in the app. The Laisha app has every practice question we have written to Australasian Veterinary Examination, formerly the National Veterinary Examination in this subject, marked as you go, with timed papers, a jump-to-unanswered list and a certificate when you pass at 70 per cent.

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Read the subject

Communication, Professionalism, Practice Management & WellbeingThe full study manual, free Australasian Veterinary Examination, formerly the National Veterinary ExaminationFormat, sections and how it has changed

More Australasian Veterinary Examination, formerly the National Veterinary Examination practice

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Communication, Professionalism, Practice Management & Wellbeing for other exams

NAVLE · USA / CanadaRCVS Statutory Membership Examination · UKEGEL Plus MVZ · Mexico

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