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45
clinical items
180
option rationales
48
spaced cards
$0
forever
Bovine · Metabolic · Q1401:12

A 6-year-old Holstein cow is found down 18 hours after calving. She is tachycardic, cool to the touch, with a flaccid S-curve of the neck and no rumen contractions.

Which treatment should be started immediately?

  • A Oral propylene glycol
  • B Slow IV calcium borogluconate with cardiac auscultation

    Correct. Classic periparturient hypocalcemia — give calcium slowly and listen to the heart throughout for arrhythmia.

  • C IV hypertonic saline bolus
  • D Intramuscular dexamethasone
Confidence logged: unsureMastery +6

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Read the methodology
Emergency medicine82%
Production medicine64%
Toxicology47%
Regulatory / public health31%

Next block queued · Regulatory / public health · 12 items

Coverage across the whole blueprint.

Original items written to NAVLE-style clinical vignettes: emergency medicine, toxicology, public health, production medicine, regulatory medicine, and clinical calculations — each with practice questions and spaced-repetition cards attached.

  • Canine
  • Feline
  • Equine
  • Bovine
  • Small ruminant
  • Swine
  • Poultry
  • Public health
  • Toxicology
  • Anesthesia
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