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RCVS Statutory Membership Examination Exotic, Pocket Pet, Pet Bird & Reptile Medicine: practice questions

RCVS Statutory Membership Examination (SME) · UK · Royal College of Veterinary Surgeons

Original practice questions written to the published syllabus · not past papers
10worked here, free
96written to this exam in this subject
9syllabus units

What this subject covers

Rabbits, rodents, ferrets, parrots and reptiles: disease caused by poor husbandry, safe handling and anaesthesia, their common conditions, and the zoonoses they carry.

In the exams: NAVLE other small mammals 3.3%, pet birds 2.3% and reptiles 1.5%; SAVC exotic pets and cage birds 10

What RCVS Statutory Membership Examination asks from it

RCVS Statutory Membership Examination and Australasian Veterinary Examination

Day-one competence questions on rabbits (including vaccination, dental disease and stasis), guinea pigs, ferrets, pet birds and reptiles, safe anaesthesia and analgesia in small patients, prescribing under the national framework for unlicensed species, and zoonosis advice.

Where the 96 questions fall

How our questions for RCVS Statutory Membership Examination spread across the units of Exotic, Pocket Pet, Pet Bird & Reptile Medicine. Difficulty: 38 easy, 58 medium, 0 hard.

Anaesthesia of exotic pets12
Psittacine birds12
Handling of exotic pets11
Rabbits11
Pet rodents11
Ferrets10
Reptiles10
Zoonoses: psittacosis and Salmonella10
Husbandry-related disease9

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 · Husbandry-related disease · easy

A corn snake has severe ventral burns. The vivarium has an unguarded heat lamp and a heated rock with no thermostat. What is the main lesson for the owner?

  1. Ventral burns in snakes are a form of dysecdysis and need humidity, not heat control
  2. Burns in snakes are caused by UVB lamps, so the heat sources are irrelevant
  3. Reptiles need direct contact with a hot rock above 60 °C for proper digestion
  4. Heat sources need thermostats and guards, as reptiles do not avoid burns
Answer and working

D. Heat sources need thermostats and guards, as reptiles do not avoid burns

Reptiles do not withdraw from a burning surface as quickly as mammals, so unguarded lamps, heat mats and heated rocks without thermostats cause thermal burns. Dysecdysis is incomplete shedding from low humidity, not a burn.

Further reading: Girling & Raiti, BSAVA Manual of Reptiles

2 · Handling of exotic pets · medium

Which anticoagulant is generally preferred for haematology in chelonians, and why?

  1. Lithium heparin, because EDTA haemolyses the blood of many chelonians
  2. EDTA, because heparin causes clumping of reptile white cells always
  3. Sodium citrate, because heparin alters chelonian red cell shape badly
  4. No anticoagulant, because chelonian blood does not clot within a day
Answer and working

A. Lithium heparin, because EDTA haemolyses the blood of many chelonians

EDTA causes haemolysis in the blood of many chelonians and some birds, so lithium heparin is preferred, with a fresh smear made at sampling because heparin can affect staining. Chelonian blood does clot.

Further reading: Girling & Raiti, BSAVA Manual of Reptiles

3 · Anaesthesia of exotic pets · medium

Why are injections in reptiles often given in the cranial half of the body, especially for nephrotoxic drugs?

  1. The hind limbs of reptiles drain directly into the lungs, causing toxicity
  2. Reptiles have no muscle in the hind limbs, so the drug cannot be absorbed
  3. A renal portal system routes hind-limb blood through the kidneys first
  4. Cranial injections are absorbed by the thyroid, which activates most drugs
Answer and working

C. A renal portal system routes hind-limb blood through the kidneys first

Many reptiles (and birds) have a renal portal system through which blood from the caudal body can pass through the kidneys before reaching the systemic circulation. Its clinical importance is debated, but cranial injection is a common precaution for nephrotoxic or renally excreted drugs.

Further reading: Divers & Stahl, Mader's Reptile and Amphibian Medicine and Surgery

4 · Rabbits · medium

In warm weather an obese rabbit is presented with maggots in the soiled fur around its perineum. What is the correct description?

  1. Myxomatosis, a viral disease spread by mosquitoes and fleas
  2. Flystrike, an emergency linked to faecal soiling of the fur
  3. Pododermatitis, an infection of the plantar skin of the hocks
  4. Cheyletiellosis (walking dandruff), a mild mite infestation
Answer and working

B. Flystrike, an emergency linked to faecal soiling of the fur

Blowflies lay eggs on soiled fur and larvae invade the skin. Obesity, dental disease and immobility stop the rabbit cleaning itself or eating caecotrophs. Treat as an emergency, then correct the cause.

Further reading: Meredith & Lord, BSAVA Manual of Rabbit Medicine

5 · Pet rodents · medium

Several recently weaned Syrian hamsters have profuse watery diarrhoea, a wet perineum and some have died. What is the most likely cause?

  1. Tyzzer's disease (adult form) from Streptobacillus moniliformis
  2. Scurvy from vitamin C deficiency, the commonest hamster disease
  3. Coccidiosis from Eimeria stiedae, causing hepatic lesions
  4. Proliferative ileitis (wet tail) from Lawsonia intracellularis
Answer and working

D. Proliferative ileitis (wet tail) from Lawsonia intracellularis

Wet tail affects young hamsters around weaning and has high mortality. Tyzzer's disease is caused by Clostridium piliforme; Streptobacillus moniliformis causes rat-bite fever; Eimeria stiedae is a hepatic coccidium of rabbits; hamsters synthesise vitamin C.

Further reading: Quesenberry et al., Ferrets, Rabbits, and Rodents

6 · Psittacine birds · easy

A budgerigar has honeycomb-like crusts on its cere and beak. What is the most likely cause?

  1. Hypovitaminosis A
  2. Knemidocoptes mites
  3. Avian pox virus
  4. Candida albicans
Answer and working

B. Knemidocoptes mites

Knemidocoptes pilae burrows in the keratin of the cere, beak and legs of budgerigars, producing porous, honeycomb crusts, and responds to acaricide treatment under veterinary direction. Avian pox causes wart-like nodules, often in canaries.

Further reading: Chitty & Monks, BSAVA Manual of Avian Practice

7 · Reptiles · medium

A boa constrictor regurgitates repeatedly and shows head tremors and stargazing. Which disease is most likely?

  1. Chytridiomycosis caused by Batrachochytrium dendrobatidis
  2. Yellow fungus disease caused by Nannizziopsis species
  3. Inclusion body disease caused by reptarenavirus
  4. Cryptosporidiosis caused by Cryptosporidium varanii
Answer and working

C. Inclusion body disease caused by reptarenavirus

Inclusion body disease affects boas and pythons, with regurgitation, wasting and neurological signs; diagnosis is by inclusion bodies in blood cells or biopsies and PCR. Boas may carry it for long periods; pythons usually develop more severe neurological disease.

Further reading: Divers & Stahl, Mader's Reptile and Amphibian Medicine and Surgery

8 · Zoonoses: psittacosis and Salmonella · medium

Which antimicrobial class is used to treat avian chlamydiosis, and what is notable about the course?

  1. Lincosamides, usually clindamycin, given for a course of 7 days
  2. Penicillins, usually amoxicillin, given for a short course of 3 days
  3. Tetracyclines, usually doxycycline, given for a long course of 45 days
  4. Aminoglycosides, usually gentamicin, given as a single injection
Answer and working

C. Tetracyclines, usually doxycycline, given for a long course of 45 days

Long-course doxycycline is standard, and US public health guidance has traditionally recommended 45 days, with retesting after treatment. People are also treated with tetracyclines. Penicillins are not reliable against chlamydiae.

Further reading: NASPHV Compendium of Measures to Control Chlamydia psittaci Infection

9 · Zoonoses: psittacosis and Salmonella · medium

An owner wants her pet snake treated with antibiotics so it becomes free of Salmonella. What is the correct advice?

  1. One dose of an injectable antibiotic clears carriage for the snake's life
  2. Treatment is not recommended; it rarely clears carriage and promotes resistance
  3. Treatment is required by law before any reptile is sold or kept as a household pet
  4. Treatment is needed only if a single faecal culture is negative for it
Answer and working

B. Treatment is not recommended; it rarely clears carriage and promotes resistance

Reptiles carry Salmonella as part of their gut flora; antibiotics rarely eliminate it, and they select for resistance. Hygiene measures protect people. A negative culture does not prove freedom because shedding is intermittent.

Further reading: CDC, Healthy Pets, Healthy People

10 · Handling of exotic pets · medium

A healthy 30 g budgerigar is to be sampled. Its blood volume is taken as 10% of body weight, and no more than 10% of blood volume is to be removed. What is the largest volume to take?

  1. 0.03 mL
  2. 1 mL
  3. 0.3 mL
  4. 3 mL
Answer and working

C. 0.3 mL

Blood volume = 10% of 30 g = 3 mL. Maximum sample = 10% of 3 mL = 0.3 mL (equivalent to 1% of body weight). 3 mL is the whole blood volume; 0.03 mL is a tenfold slip; 1 mL is a third of the bird's blood volume.

Further reading: Chitty & Monks, BSAVA Manual of Avian Practice

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Exotic, Pocket Pet, Pet Bird & Reptile MedicineThe full study manual, free RCVS Statutory Membership ExaminationFormat, sections and how it has changed

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Exotic, Pocket Pet, Pet Bird & Reptile Medicine for other exams

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