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Today's Ve T erinary Prac T ice | s eptember/ o ctober 2016 | tvpjournal.com TH e ye LL o W ca T: dia G nos T ic & TH era P e UT ic s T ra T e G ies Peer r eviewed 50 1. t rue/False: i cterus is a sensitive marker of the cause of hyperbilirubinemia in cats. a. True b. False 2. Locating the source of hyperbilirubin - emia is an important diagnostic step. Which of the following is not normally a component of this localizing step? a. Prehepatic b. Hepatic c. Intrahepatic d. Posthepatic 3. Which of the following is the first and most cost-effective step toward the diagnosis of prehepatic hemolysis? a. Hematocrit tube (PCV/TP) b. Complete blood count c. Serum biochemical profile d. Coombs' test 4. Which of the following is not considered a cause of hemolytic anemia in cats? a. FeLV b. Cytauxzoon felis c. Toxoplasmosis d. Mycoplasma hemofelis 5. Which of the following is the single most important component of the treatment plan for idiopathic hepatic lipidosis? a. Antibiotics b. Nutrition c. Glucocorticoids d. Vitamin E CE T E s T . T HE Y ELL ow C AT : D IAGN os TIC & T HE r APE u TIC sT r ATEGIE s This article is RACE-approved for 1 hour of continuing education credit. To receive credit, take the approved test online at vetmedteam.com/tvp.aspx (CE fee of $5/article). Learning Objectives After reading this article clinicians should be able to differentiate the disease processes in cats with hyperbilirubinemia, formulate an efficient diagnostic path, and prepare an effective treatment protocol for these patients. Overview This article provides an overview of the differentials for feline hyperbilirubinemia, a diagnostic plan for identifying the underlying etiology of the condition, and a number of therapeutic options for these patients. Note Questions online may differ from those here; answers are available once CE test is taken at vetmedteam.com/ tvp.aspx . Tests are valid for 2 years from date of approval. 6. Which of the following is not one of the WS a V a classifications of feline cholangitis? a. Acute neutrophilic b. Chronic neutrophilic c. Lymphocytic d. Acute eosinophilic 7. Cytology can be used to guide treatment in cases of feline cholangitis. i f ultrasound-guided F na of the liver revealed degenerative neutrophils with intracellular bacteria, the foundation of treatment would be which of the following? a. Interferon b. Amoxicillin and clavulanic acid c. Prednisolone d. u rsodeoxycholic acid 8. Which of the following is not considered a component of feline triaditis? a. Kidney b. Liver c. Pancreas d. Intestines 9. Which of the following is the treatment of choice in a cat in which biliary choleliths are causing an extrahepatic biliary obstruction? a. u rsodeoxycholic acid b. Prednisolone c. s urgery d. Antibiotics 10. Placement of an esophagostomy feeding tube allows the owner to administer which of the following to an icteric cat at home? a. Fluids b. Nutrition c. Medications d. All of the above