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RCVS Statutory Membership Examination Rotating Internship & Entrepreneurship Training: 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
39written to this exam in this subject
9syllabus units

What this subject covers

The compulsory rotating internship that closes the Indian BVSc & AH: postings in teaching and field clinics and in industry or institutions, a project report, and marks for each posting.

In the exams: Required for registration in India; not a separately examined subject

What RCVS Statutory Membership Examination asks from it

NAVLE (USA/Canada) and RCVS Statutory Membership Examination (UK)

Day-one clinical competence in vignette form: biosecurity and personal safety, records and consent, certification principles, zoonoses risk in practice, and professional conduct. The RCVS OSCE tests practical skills such as handling, examination and aseptic technique.

Where the 39 questions fall

How our questions for RCVS Statutory Membership Examination spread across the units of Rotating Internship & Entrepreneurship Training. Difficulty: 8 easy, 21 medium, 10 hard.

Posting: Veterinary Clinical Complex of the home college10
Posting: field veterinary hospital5
Posting: Veterinary Clinical Complex in another state4
Posting: zoo or wildlife unit4
Posting: animal welfare organisation4
Project report4
Evaluation: 20 marks per posting4
Posting: abattoir2
Posting: pharmaceutical or feed industry2

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 · Posting: Veterinary Clinical Complex of the home college · easy

In a SOAP progress note, which entry belongs under 'O'?

  1. Suspected traumatic reticuloperitonitis, improving since admission
  2. Rectal temperature 40.2 °C; heart rate 96/min
  3. Repeat haematology tomorrow and start the agreed treatment plan
  4. Owner reports the cow has eaten less since yesterday evening
Answer and working

B. Rectal temperature 40.2 °C; heart rate 96/min

O is objective: measured findings such as temperature and heart rate. The owner's report is subjective (S), the suspected diagnosis and trend are the assessment (A), and tests and treatment are the plan (P).

Further reading: Laisha internship manual; MSVE 2016 Reg. 19; standard veterinary public health, clinical and practice-management texts

2 · Posting: Veterinary Clinical Complex in another state · hard

An intern takes over a ward from another team at shift change. Which handover approach best prevents errors?

  1. A structured handover covering who the patient is, what is wrong, what has been done and what is due next
  2. Waiting for the owner to visit and explain the case, because owners know their animal best
  3. Relying on the ward attendant's memory of treatments, since attendants are present all day long
  4. Reading only the last line of each record, because the earlier entries are already out of date
Answer and working

A. A structured handover covering who the patient is, what is wrong, what has been done and what is due next

Structured handover, plus reading the whole record and asking about pending results and promises made to owners, prevents missed doses and lost results. Partial reading, attendants' memory and owners' accounts are not reliable substitutes.

Further reading: Laisha internship manual; MSVE 2016 Reg. 19; standard veterinary public health, clinical and practice-management texts

3 · Posting: zoo or wildlife unit · medium

A tiger in a zoo spends much of the day pacing the same route along its enclosure fence. How should the intern interpret this?

  1. As normal territorial patrolling that shows the enclosure is working exactly as planned
  2. As an early sign of rabies that requires the animal to be destroyed without delay
  3. As evidence of overfeeding that should be corrected by halving the meat ration
  4. As a stereotypy suggesting the environment does not meet the animal's behavioural needs
Answer and working

D. As a stereotypy suggesting the environment does not meet the animal's behavioural needs

Repetitive, unvarying pacing is a stereotypy and points to unmet behavioural needs; enrichment and enclosure changes are the response. It is not proof of rabies or of overfeeding.

Further reading: Laisha internship manual; MSVE 2016 Reg. 19; standard veterinary public health, clinical and practice-management texts

4 · Posting: zoo or wildlife unit · easy

Which zoonosis is a particular hazard for staff handling macaques?

  1. Bovine viral diarrhoea
  2. Feline panleukopenia
  3. Marek's disease
  4. Herpes B virus
Answer and working

D. Herpes B virus

Herpes B (Macacine alphaherpesvirus 1) is carried by macaques with mild signs but can cause fatal encephalitis in people. The other three are animal diseases that do not infect humans.

Further reading: Laisha internship manual; MSVE 2016 Reg. 19; standard veterinary public health, clinical and practice-management texts

5 · Posting: abattoir · medium

After captive-bolt stunning of a bovine, which finding indicates an ineffective stun needing an immediate back-up stun?

  1. A fixed, glassy stare with no corneal reflex
  2. Rhythmic breathing and an attempt to raise the head
  3. Immediate collapse followed by no rhythmic breathing at all
  4. Brief involuntary kicking of the hind limbs
Answer and working

B. Rhythmic breathing and an attempt to raise the head

Rhythmic breathing and righting attempts show the animal may be conscious, so it is re-stunned at once. Immediate collapse, apnoea and absent corneal reflex are signs of an effective stun; involuntary paddling or kicking can follow an effective stun.

Further reading: Laisha internship manual; MSVE 2016 Reg. 19; standard veterinary public health, clinical and practice-management texts

6 · Posting: abattoir · hard

An intern doing post-mortem inspection in an abattoir cuts their glove and finger while incising lymph nodes of a carcass with caseous lesions. What should happen first, after first aid?

  1. Report the injury, record it, and seek medical assessment because tuberculosis is a possibility
  2. Continue the shift and say nothing, as injuries from knives are routine in meat inspection
  3. Treat the cut with disinfectant only, because zoonoses cannot be acquired through skin wounds
  4. Ask the abattoir worker to finish the inspection and change the glove the following day
Answer and working

A. Report the injury, record it, and seek medical assessment because tuberculosis is a possibility

Caseous lymph node lesions suggest tuberculosis or caseous lymphadenitis; a contaminated cut is an occupational exposure that must be reported, recorded and medically assessed. Skin wounds are a recognised route for zoonoses, and silence or delay prevents follow-up.

Further reading: Laisha internship manual; MSVE 2016 Reg. 19; standard veterinary public health, clinical and practice-management texts

7 · Posting: field veterinary hospital · medium

A field veterinarian has four visits planned: a healthy calf-rearing unit, a herd with suspected foot-and-mouth disease, a dairy farm for pregnancy diagnosis, and a sheep flock for routine vaccination. In what order should the visits be made?

  1. Pregnancy diagnosis, suspected foot-and-mouth herd, calf-rearing unit, sheep vaccination
  2. Sheep vaccination, suspected foot-and-mouth herd, calf-rearing unit, pregnancy diagnosis
  3. Suspected foot-and-mouth herd first, then pregnancy diagnosis, sheep vaccination, calves
  4. Calf-rearing unit, sheep vaccination, pregnancy diagnosis, suspected foot-and-mouth herd
Answer and working

D. Calf-rearing unit, sheep vaccination, pregnancy diagnosis, suspected foot-and-mouth herd

Biosecurity planning visits young and healthy stock and routine work first and the farm with suspected infectious, notifiable disease last. Any order that puts the foot-and-mouth suspect before a clean farm risks carrying the virus.

Further reading: Laisha internship manual; MSVE 2016 Reg. 19; standard veterinary public health, clinical and practice-management texts

8 · Posting: field veterinary hospital · medium

During a village mass vaccination campaign, why must a fresh needle be used for each animal?

  1. Reusing needles is allowed only for live vaccines, which are self-sterilising
  2. Reusing needles is permitted if the needle is wiped with a dry cotton swab
  3. Reusing needles transmits blood-borne infections such as anaplasmosis and bovine leukosis
  4. Reusing needles changes the vaccine dose because each needle retains half a dose
Answer and working

C. Reusing needles transmits blood-borne infections such as anaplasmosis and bovine leukosis

Needles carry blood between animals and spread agents such as Anaplasma and bovine leukaemia virus. Needles do not hold half a dose, live vaccines do not sterilise needles, and wiping with a swab does not remove blood-borne agents.

Further reading: Laisha internship manual; MSVE 2016 Reg. 19; standard veterinary public health, clinical and practice-management texts

9 · Posting: field veterinary hospital · hard

A field intern is about to assist a calving of an aborted, autolysed foetus on a farm with a history of abortions. Which precaution matters most for the intern's own health?

  1. A cotton apron and bare hands, so that the uterus can be felt more accurately
  2. Washing hands only after finishing the farm visit, to save water on the farm
  3. Long gloves and eye protection, and safe disposal of the foetus and membranes
  4. Feeding the membranes to farm dogs, so that the material is removed quickly
Answer and working

C. Long gloves and eye protection, and safe disposal of the foetus and membranes

Abortion material may carry Brucella, Coxiella and Leptospira, which infect people through skin, mucous membranes and aerosols. Gloves, eye protection and safe disposal protect the intern and the farm; bare hands, delayed washing and feeding to dogs spread infection.

Further reading: Laisha internship manual; MSVE 2016 Reg. 19; standard veterinary public health, clinical and practice-management texts

10 · Posting: animal welfare organisation · medium

Which pair of diseases is the main reason shelters design dog kennels and cleaning to stop environmental transmission?

  1. Hip dysplasia and elbow dysplasia in puppies
  2. Diabetes mellitus and hypothyroidism
  3. Otitis externa and dental tartar
  4. Canine parvovirus and canine distemper
Answer and working

D. Canine parvovirus and canine distemper

Parvovirus survives for long periods in the environment and distemper spreads readily in groups, so housing, isolation and disinfection are designed around them. The other pairs are not contagious.

Further reading: Laisha internship manual; MSVE 2016 Reg. 19; standard veterinary public health, clinical and practice-management texts

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Read the subject

Rotating Internship & Entrepreneurship TrainingThe full study manual, free RCVS Statutory Membership ExaminationFormat, sections and how it has changed

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Rotating Internship & Entrepreneurship Training for other exams

VCI / State Veterinary Council registration · IndiaNAVLE · USA / CanadaRPSC Veterinary Officer · IndiaTNPSC Animal Husbandry & Veterinary Science, Code 396 · India

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