LAISHA
Open Laisha

Australasian Veterinary Examination, formerly the National Veterinary Examination Veterinary Orthopaedics & Lameness: 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
34written to this exam in this subject
9syllabus units

What this subject covers

Fractures and their fixation, joint, tendon and ligament disease, lameness examination in horses and cattle, hoof and claw disorders, diagnostic nerve blocks and rehabilitation.

In the exams: ICAR AIEEA-PG 13 (Surgery & Radiology); NAVLE equine 14.7% and bovine 13.3% species weighting

Where the 34 questions fall

How our questions for Australasian Veterinary Examination, formerly the National Veterinary Examination spread across the units of Veterinary Orthopaedics & Lameness. Difficulty: 6 easy, 23 medium, 5 hard.

Joint diseases6
Tendon and ligament injuries5
Hoof and claw disorders5
Fractures4
Equine lameness examination3
Diagnostic nerve blocks3
Bovine lameness examination3
Physiotherapy and rehabilitation3
Fracture fixation2

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 · Fractures · medium

A 5-month-old Labrador has a displaced fracture that passes through the distal femoral epiphysis into the stifle joint and continues across the physis and metaphysis. What is the most appropriate management principle?

  1. A modified Robert Jones bandage for four weeks, because physeal fractures in young dogs always heal quickly
  2. Anatomical reduction and rigid internal fixation, as it is an articular Salter-Harris type IV fracture
  3. Cage rest and analgesia only, because the remaining growth will remodel the joint surface in time
  4. A single intramedullary pin alone, because it controls rotation and collapse in the distal femur
Answer and working

B. Anatomical reduction and rigid internal fixation, as it is an articular Salter-Harris type IV fracture

A fracture crossing epiphysis, physis and metaphysis is Salter-Harris type IV and involves the joint, so the joint surface must be reconstructed exactly and fixed rigidly. A bandage cannot immobilise the femur. Rest alone leaves an incongruent joint. An IM pin alone does not control rotation or collapse.

2 · Fracture fixation · medium

Why are positive-profile threaded pins preferred to smooth pins in external skeletal fixators?

  1. They can be placed without pre-drilling in hard diaphyseal cortex
  2. They allow the pin to slide so that the fracture compresses itself
  3. They resist pin loosening and pull-out at the bone-pin interface
  4. They avoid the need for connecting bars on the outside of the limb
Answer and working

C. They resist pin loosening and pull-out at the bone-pin interface

Threads engage the cortex and resist loosening, the commonest complication of fixators. Positive-profile pins are usually placed after pre-drilling, should not slide, and still need connecting bars.

3 · Joint diseases · easy

Which single measure has the strongest evidence for reducing clinical signs of osteoarthritis in an overweight dog?

  1. Oral glucosamine and chondroitin alone
  2. Strict cage rest for several months
  3. Long-term systemic corticosteroids
  4. Weight loss to an ideal body condition
Answer and working

D. Weight loss to an ideal body condition

Weight loss consistently improves lameness in overweight dogs with osteoarthritis. Evidence for nutraceuticals is mixed, prolonged rest causes stiffness and muscle loss, and long-term systemic corticosteroids carry serious adverse effects.

4 · Joint diseases · hard

During examination under sedation, a 6-month-old dog's hip is pushed dorsally with the limb adducted, then abducted, and a clunk is felt as the femoral head drops into the acetabulum. This finding is:

  1. A positive cranial drawer sign of the stifle
  2. A normal finding in a puppy with tight hips
  3. A positive Ortolani sign, indicating hip laxity
  4. A craniodorsal hip luxation needing a sling
Answer and working

C. A positive Ortolani sign, indicating hip laxity

The clunk of reduction as the subluxated femoral head re-enters the acetabulum is the Ortolani sign of hip laxity. The drawer test is a stifle test, a normal hip does not subluxate, and a luxated hip does not reduce and re-luxate with this manoeuvre.

5 · Tendon and ligament injuries · easy

Which test detects cranial cruciate ligament insufficiency in a dog by flexing the hock while holding the stifle at a standing angle?

  1. Ortolani test
  2. Cranial drawer of the hock
  3. Patellar push test
  4. Tibial compression test
Answer and working

D. Tibial compression test

In the tibial compression test, flexing the hock tightens the gastrocnemius and pushes the tibia cranially if the cranial cruciate ligament is deficient. The Ortolani test is for hip laxity, and the other names are not standard tests for the CrCL.

6 · Tendon and ligament injuries · medium

A dog with a lacerated common calcaneal tendon stands with the hock dropped, and the toes are held curled when the gastrocnemius part is ruptured but the superficial digital flexor tendon is intact. This stance is described as:

  1. Plantigrade, with flexed, claw-like toes
  2. Palmigrade, with hyperextended toes
  3. Digitigrade, with the hock hyperextended
  4. Plantigrade, with the hip held abducted
Answer and working

A. Plantigrade, with flexed, claw-like toes

Loss of gastrocnemius function drops the hock into a plantigrade stance; if the SDFT remains intact it tightens and flexes the toes. Palmigrade refers to the forelimb, and the other descriptions do not match.

7 · Equine lameness examination · easy

A horse trotting in a straight line raises its head when the left forelimb lands and drops it when the right forelimb lands. Which forelimb is lame?

  1. Left forelimb
  2. Right forelimb
  3. Both forelimbs equally
  4. Neither; this is a hindlimb sign
Answer and working

A. Left forelimb

The head rises when the lame forelimb bears weight and drops when the sound limb lands (down on sound). The head drops on the right, so the right is sound and the left is lame.

8 · Bovine lameness examination · medium

A cow has acute lameness with marked swelling above the coronary band of one claw and a discharging tract. What does this suggest?

  1. Deep digital sepsis involving structures such as the distal interphalangeal joint
  2. Mild sole haemorrhage that will resolve without treatment within days
  3. Heel horn erosion confined to the superficial horn of the bulbs
  4. Interdigital hyperplasia causing pressure on the skin of the cleft
Answer and working

A. Deep digital sepsis involving structures such as the distal interphalangeal joint

Unilateral swelling above the coronary band with a tract indicates infection of deep structures such as the DIP joint, navicular bursa or tendon sheath. Sole haemorrhage and heel erosion are superficial, and hyperplasia is a firm interdigital growth.

9 · Hoof and claw disorders · easy

Which form of equine laminitis is now considered the most common?

  1. Endocrinopathic laminitis associated with insulin dysregulation or PPID
  2. Supporting-limb laminitis following a fracture of the opposite limb
  3. Laminitis caused by walking on hard roads after a long journey
  4. Laminitis caused by retained fetal membranes in mares after foaling
Answer and working

A. Endocrinopathic laminitis associated with insulin dysregulation or PPID

Endocrinopathic laminitis linked to equine metabolic syndrome or pituitary pars intermedia dysfunction is now regarded as the commonest form. Supporting-limb, road and sepsis-related causes occur but are less common.

10 · Physiotherapy and rehabilitation · medium

After TPLO in a dog, which instruction is most appropriate in the first weeks?

  1. Unrestricted off-lead exercise from the day after surgery to strengthen the quadriceps quickly
  2. Complete immobilisation of the limb in a full-length cast for eight weeks after the osteotomy
  3. No weight bearing on the limb at all until the implant is removed after six months
  4. Short controlled lead walks and home exercises; no off-lead running until the bone has healed
Answer and working

D. Short controlled lead walks and home exercises; no off-lead running until the bone has healed

Controlled lead walking and progressive exercises protect the osteotomy while preventing stiffness and muscle loss. Unrestricted activity risks implant failure, a cast causes fracture disease, and prolonged non-weight-bearing is unnecessary.

Ten here, 34 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.

Free for ten days, then one subscription of US$10 a month. We would rather say so here than have you find it later.

Practise the full set in Laisha →

Read the subject

Veterinary Orthopaedics & LamenessThe 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

Companion Animal Practice: Breeding, Management, Nutrition and Health CareEquine Medicine, Surgery & PracticeLivestock Farm PracticesVeterinary Clinical Practice (Veterinary Clinical Complex)Animal Behaviour, Ethology & Welfare ScienceExotic, Pocket Pet, Pet Bird & Reptile MedicineEmergency & Critical Care, Fluid Therapy and EuthanasiaCommunication, Professionalism, Practice Management & WellbeingAquatic Animal Diseases, Health Care & ManagementVeterinary Clinical Medicine II: Metabolic, Production and Deficiency DiseasesPreventive Veterinary Medicine II: Viral and Parasitic DiseasesVeterinary Pharmacy, Prescribing Law & Medicines RegulationVeterinary ObstetricsFood-Animal Production Medicine & Herd HealthDiagnostic Imaging: Radiology and UltrasonographyGeneral Veterinary MicrobiologySystematic Veterinary VirologyGeneral Veterinary PathologyVeterinary Andrology & Assisted Reproductive TechniquesVeterinary Physiology I: Body Fluids, Blood, Circulation, Respiration and ExcretionClinical, Diagnostic & Immuno-ParasitologyAvian PathologyVeterinary Clinical Biochemistry & Laboratory DiagnosisSystematic Veterinary Bacteriology & Mycology

Veterinary Orthopaedics & Lameness for other exams

ENADE · BrazilNational Veterinary Examination · JapanRCVS Statutory Membership Examination · UKBCSE · USA / CanadaNAVLE · USA / CanadaNational Licensure Examination for Veterinarians · NepalICAR AIEEA · India

Ask Laisha about this

Opens Laisha's chat with your question ready to send. Sign in or start free.