A practical guide to managing OA: Making sense of current therapies

Presented by Bryan Torres, DVM, PhD, Dipl. ACVS (small animal), Dipl. ACVSMR

Continuing education questionnaire

CE credit: 1

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Name

First name *

Last name *

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Province where you practise *

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Questions

1. It is estimated that approximately ___% of adult dogs and between __-__% of cats have OA. *

20% and 20-90%

5% and 30-40%

60% and 5-10%

90% and 20-50%

2. A systematic approach to diagnosing OA involves: *

3. When determining an appropriate OA treatment plan for your patient, it is important to consider a multi-modal approach with options from the following categories (represented by the acronym W.E.D.D.S): *

Wellness profile; Exercise modification; Dietary restriction; Drugs; Supplements

Weight management; Exercise modification; Dietary management; Drugs; Surgery

Water therapy; Exercise modification; Diet change; Disease prevention; Surgery

Wellness examinations; Exercise modification; Diet plan; Drugs; Supplements

4. Compared to the newpiprant class of NSAIDs (grapiprant), traditional COX modulating NSAIDs like meloxicam (Metacam®) and firocoxib (Previcox®) have more published Evidence Based Medicine supporting their safety and efficacy as a first-line OA therapy. *

True

False

5. During the assessment of grapiprant (Galliprant™) efficacy in an induced model of acute arthritis in dogs versus traditional COX-inhibiting NSAIDs such as firocoxib (Previcox®) and carprofen (Rimadyl®), which of the following statements is correct: *

Firocoxib provided pain control that was statistically superior to placebo and grapiprant.

Carprofen provided pain control that was statistically superior to placebo and grapiprant.

Grapiprant was no different than placebo in its ability to provide pain control.

All of the above.

6. The pharmacokinetics/dynamics of Tramadol in the dog make it an excellent stand-alone analgesic in dogs. *

True

False

7. When employing a multi-modal approach to the long-term management of OA in dogs, which of the following treatment(s) have studies done in dogs supporting their efficacy as adjunctive treatment: *

Gabapentin

Tramadol

Amantadine

Glucosamine/Chondroitin

8. A recent study examining deracoxib adverse events howed that 55% of dogs with GI perforations had received a __ than approved dose and 60% of dogs with GI perforations received at least 1 other __ or __ within 72 hours of NSAID administration. *

Lower; SSRI; Corticosteroid

Higher; NSAID; Corticosteroid

Lower; NSAID; Diuretic

Higher; NSAID; Tramadol

9. When choosing a medication, it is important to consider potential differences in potency variability between branded and generic options, as this may impact treatment consistency. *

True

False

10. The long-term use of NSAIDs for the treatment of osteoarthritic pain has been associated with continued improvement and better clinical outcomes. *

True

False