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ICAR AIEEA Veterinary Clinical Medicine II: Metabolic, Production and Deficiency Diseases: practice questions

ICAR AIEEA (PG): Master's entrance, Veterinary Science and Animal Sciences · India · NTA for ICAR

Original practice questions written to the published syllabus · not past papers
10worked here, free
34written to this exam in this subject
12syllabus units

What this subject covers

The production diseases of high-yielding animals and the mineral and vitamin deficiencies: milk fever, ketosis, grass tetany, downer cow and their relatives.

In the exams: ICAR AICE-JRF core group 07 (Medicine); China comprehensive paper cattle; a recurring topic across Indian PG, PhD and state PSC syllabi

What ICAR AIEEA asks from it

ICAR AIEEA-PG (Veterinary Science, code 13)

Synonyms and definitions (parturient paresis, azoturia, pine, swayback, perosis), the ketone bodies and which test detects which, the cause of each deficiency sign, and the biochemistry of propionate, B12 and gluconeogenesis.

Where the 34 questions fall

How our questions for ICAR AIEEA spread across the units of Veterinary Clinical Medicine II: Metabolic, Production and Deficiency Diseases. Difficulty: 19 easy, 13 medium, 2 hard.

Vitamin deficiencies6
Trace mineral deficiencies5
Milk fever4
Metabolic profile testing3
Ketosis3
Fatty liver syndrome3
Hypomagnesaemia2
Azoturia2
Rickets, osteomalacia and osteodystrophy2
Endocrine disorders of dogs and cats (diabetes mellitus and DKA, hypo- and hyperadrenocorticism, thyroid disease)2
Downer cow syndrome1
Post-parturient haemoglobinuria1

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 · Metabolic profile testing · easy

The metabolic profile test, in which blood values of groups of dry, early-lactation and mid-lactation dairy cows are compared to judge nutritional adequacy, was first developed by:

  1. Workers at the National Dairy Research Institute, Karnal, in the 1990s
  2. The World Organisation for Animal Health as a notifiable-disease screen
  3. Payne and colleagues at Compton, England, around 1970
  4. Researchers in New Zealand as a test for bush sickness
Answer and working

C. Payne and colleagues at Compton, England, around 1970

The Compton metabolic profile test was developed in England by Payne and co-workers around 1970. It is a nutritional monitoring tool, not a disease-reporting scheme, and it is not specific to cobalt deficiency.

Further reading: Constable et al., Veterinary Medicine 11th ed.; Goff 2008; Oetzel 2004; Suttle, Mineral Nutrition of Livestock 4th ed.

2 · Ketosis · easy

Which of the following is NOT a ketone body?

  1. Acetoacetate
  2. Beta-hydroxybutyrate
  3. Acetone
  4. Propionate
Answer and working

D. Propionate

The three ketone bodies are acetoacetate, beta-hydroxybutyrate and acetone. Propionate is a volatile fatty acid made in the rumen and is the main glucose precursor in ruminants, so it counters ketosis.

Further reading: Constable et al., Veterinary Medicine 11th ed.; Goff 2008; Oetzel 2004; Suttle, Mineral Nutrition of Livestock 4th ed.

3 · Hypomagnesaemia · medium

Hypomagnesaemic tetany of calves most often occurs in calves:

  1. In the first 24 hours of life
  2. Of about 2 to 4 months of age fed mainly on milk or milk replacer
  3. Over 12 months old, usually on grain
  4. Only in beef calves grazing lush pasture with their dams in autumn and winter
Answer and working

B. Of about 2 to 4 months of age fed mainly on milk or milk replacer

Milk is low in magnesium, and absorption efficiency falls as the calf ages, so milk-fed calves of 2 to 4 months without supplementary feed become deficient. Early introduction of forage and concentrate with magnesium prevents it.

Further reading: Constable et al., Veterinary Medicine 11th ed.; Goff 2008; Oetzel 2004; Suttle, Mineral Nutrition of Livestock 4th ed.

4 · Post-parturient haemoglobinuria · easy

Post-parturient haemoglobinuria of dairy cows and buffaloes is most closely associated with a deficiency of:

  1. Phosphorus
  2. Copper
  3. Magnesium
  4. Vitamin A
Answer and working

A. Phosphorus

PPH typically occurs in high-yielding animals on phosphorus-deficient soils or rations and serum inorganic phosphorus is very low. Copper deficiency has been linked in New Zealand but is not the main association.

Further reading: Constable et al., Veterinary Medicine 11th ed.; Goff 2008; Oetzel 2004; Suttle, Mineral Nutrition of Livestock 4th ed.

5 · Trace mineral deficiencies · easy

Enzootic ataxia (swayback) of lambs is caused by deficiency of:

  1. Cobalt
  2. Selenium
  3. Copper
  4. Zinc
Answer and working

C. Copper

Copper deficiency in pregnant ewes impairs myelination in the fetal nervous system, causing congenital or delayed swayback. Cobalt deficiency causes wasting; selenium deficiency causes white muscle disease.

Further reading: Constable et al., Veterinary Medicine 11th ed.; Goff 2008; Oetzel 2004; Suttle, Mineral Nutrition of Livestock 4th ed.

6 · Trace mineral deficiencies · easy

Perosis (slipped tendon) in poultry is caused mainly by deficiency of:

  1. Vitamin A
  2. Iron
  3. Manganese
  4. Cobalt
Answer and working

C. Manganese

Manganese is needed for cartilage matrix formation; deficiency leads to shortened, thickened bones and slipping of the gastrocnemius tendon. Choline and biotin deficiency can cause similar lesions.

Further reading: Constable et al., Veterinary Medicine 11th ed.; Goff 2008; Oetzel 2004; Suttle, Mineral Nutrition of Livestock 4th ed.

7 · Trace mineral deficiencies · medium

Growing pigs on a diet high in calcium and plant phytate develop thick, crusted skin lesions (parakeratosis). Which deficiency is responsible?

  1. Zinc
  2. Copper
  3. Iodine
  4. Vitamin E
Answer and working

A. Zinc

High calcium and phytate reduce zinc absorption, causing parakeratosis. Correcting the calcium level and adding zinc resolves the lesions.

Further reading: Constable et al., Veterinary Medicine 11th ed.; Goff 2008; Oetzel 2004; Suttle, Mineral Nutrition of Livestock 4th ed.

8 · Vitamin deficiencies · easy

The earliest clinical sign of vitamin A deficiency is usually:

  1. Curled toe paralysis
  2. Night blindness
  3. Perosis
  4. Scurvy
Answer and working

B. Night blindness

Vitamin A forms rhodopsin in the retinal rods, so dim-light vision fails first. Curled toe paralysis is riboflavin deficiency, perosis is manganese or choline deficiency, and scurvy is vitamin C deficiency.

Further reading: Constable et al., Veterinary Medicine 11th ed.; Goff 2008; Oetzel 2004; Suttle, Mineral Nutrition of Livestock 4th ed.

9 · Vitamin deficiencies · medium

Bracken fern poisoning in horses produces incoordination that responds to thiamine because bracken contains:

  1. Dicoumarol
  2. Thiaminase
  3. S-methylcysteine sulfoxide
  4. Oxalate
Answer and working

B. Thiaminase

Bracken (Pteridium aquilinum) and horsetail (Equisetum) contain thiaminase, causing thiamine deficiency in monogastric herbivores such as the horse (bracken staggers). In cattle, bracken causes other diseases, including bone marrow suppression and enzootic haematuria.

Further reading: Reed, Bayly & Sellon, Equine Internal Medicine 4th ed.; Constable et al. 11th ed.

10 · Endocrine disorders of dogs and cats (diabetes mellitus and DKA, hypo- and hyperadrenocorticism, thyroid disease) · hard

A dog hospitalised for severe pneumonia has a low total thyroxine (T4) and a normal thyroid-stimulating hormone (TSH), with no clinical signs of hypothyroidism before the illness. What is the best course of action?

  1. Treat the pneumonia and retest after recovery; this is probably euthyroid sick syndrome
  2. Start levothyroxine immediately, because low T4 alone confirms primary hypothyroidism
  3. Perform thyroidectomy
  4. Start an anti-thyroid drug to prevent the pneumonia triggering thyroid storm after recovery
Answer and working

A. Treat the pneumonia and retest after recovery; this is probably euthyroid sick syndrome

Non-thyroidal illness and several drugs lower T4 in euthyroid dogs. Hypothyroidism is diagnosed by low total or free T4 together with raised TSH in a dog with compatible signs, and testing is best done when concurrent illness has resolved. Treating a low T4 alone risks unnecessary lifelong medication.

Further reading: Feldman et al., Canine and Feline Endocrinology 4th ed.; Ettinger, Feldman & Côté 8th ed.

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Read the subject

Veterinary Clinical Medicine II: Metabolic, Production and Deficiency DiseasesThe full study manual, free ICAR AIEEAFormat, sections and how it has changed

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Veterinary Clinical Medicine II: Metabolic, Production and Deficiency Diseases for other exams

ENADE · BrazilNational Veterinary Examination · JapanNAVLE · USA / CanadaRCVS Statutory Membership Examination · UKAustralasian Veterinary Examination, formerly the National Veterinary Examination · Australia / New ZealandNational Practising Veterinarian Qualification Examination · ChinaNational Licensure Examination for Veterinarians · Nepal

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