Today's Veterinary Practice

SEP-OCT 2018

Today's Veterinary Practice provides comprehensive information to keep every small animal practitioner up to date on companion animal medicine and surgery as well as practice building and management.

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PEER REVIEWED 40 SEPTEMBER/OCTOBER 2018 a. Physiologic parameters b. Body postures c. Behavioral parameters d. A, B, and C e. None of the above 7. Chronic care of cats with Pandora syndrome requires effective communication with the client because a. Clients may be frustrated with their cat. b. There is a lot of information to be conveyed. c. The client needs to do most of the work. d. Setbacks happen. e. All of the above 8. Drug therapy for Pandora syndrome a. Does not exist b. Depends on the cat's individual manifestations c. Is mostly extralabel d. Includes maropitant citrate e. B and C only 9. The most effective approach with regard to treatment of Pandora syndrome seems to be a. Early diagnosis b. Diet therapy c. Drug therapy d. Behavioral therapy e. Weight reduction 10. Multimodal environmental modification (MEMO) is indicated for a. All cats b. Only cats with Pandora syndrome c. Only cats with the chronic lower urinary tract signs consistent with Pandora syndrome d. Only obese cats e. No cats Pandora Syndrome in Cats: Diagnosis and Treatment 1. Pandora syndrome is a. An acronym b. An eponym c. An anxiopathy d. A Greek tragedy e. None of the above 2. The central threat response system includes a. The autonomic nervous system b. The endocrine system c. The immune system d. B only e. A, B, and C 3. System(s) affected by Pandora syndrome include a. Any organ system b. Multiple organ systems c. A and B d. Only the urinary bladder e. Behavior only 4. Diagnosis of Pandora syndrome includes a. Early adverse experience b. Waxing and waning signs c. Sickness behaviors d. Global response to MEMO e. All of the above 5. Acute therapy for hospitalized cats with Pandora syndrome includes a. Optimizing the cage environment b. Optimizing the ward environment c. Consistent and predictable daily routines d. Care by the same person e. All of the above 6. Assessment of a confined cat's perception of threat can include evaluation of LEARNING OBJECTIVES After reading this article, you will be able to • Describe how chronic stress (threat) affects confined cats • Explain how (early) life events affect stress responses • Differentiate between "disease" and "sickness behavior" in cats • Diagnose Pandora syndrome and provide acute and chronic care for patients • Implement effective environmental enrichment for all confined cats TOPIC OVERVIEW Pandora syndrome describes an "anxiopathy," a pathologic condition resulting from anxiety associated with chronic perception of threat. This article suggests provisional criteria for the diagnosis and makes general recommendations for MEMO 1 to increase the patient's perception of control and reduce its perception of threat. The article you have read has been submitted for RACE approval for 1 hour of continuing education credit and will be opened for enrollment when approval has been received. To receive credit, take the approved test online for free at . Free registration on is required. Questions and answers online may differ from those below. Tests are valid for 2 years from the date of approval. CONTINUING EDUCATION

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