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Derm on demand: Using telemedicine to manage patients with skin disease
Presented by Andrew Lowe, DVM, MS, Dipl. ACVD, Elizabeth Goodale, DVM, Dipl. ACVD and Kinga Gortel, DVM, MS, Dipl. ACVD
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CE credit: 1
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Derm on demand: Using telemedicine to manage patients with skin disease
Name
First name
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Last name
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Province where you practise
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Questions
1. To practise telemedicine, the following is required:
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a dedicated practice management software
a platform for video communications
a valid veterinary-client-patient relationship
additional professional liability insurance
2. Which of the following is true about the veterinary-client-patient relationship (VCPR)?
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it requires that you have examined the pet within the last 6 months
it requires that you have examined the pet for the same problem in the past year
veterinarians must check the rules about establishing a VCPR as they differ between provinces
a valid VCPR is required for telemedicine only in certain provinces
3. Which of the following dermatological cases is best suited for telemedicine?
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a dog with pyotraumatic dermatitis (hot spot)
a dog with acute otitis externa
a cat with a painful nodule on the ventral neck
a cat with a flare of chronic allergic dermatitis
4. For which of the following cases should you most recommend an in-person examination rather than a telemedicine appointment?
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an atopic dog that has developed a head tilt and circling
an atopic dog with recently increasing pedal pruritus
a food allergic dog with a relapse of recurrent pyoderma
a well-controlled allergic cat needing an immunotherapy refill
5. Which of the following are acceptable reasons for clients to seek a telemedicine appointment?
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personal safety during a pandemic
convenience
an anxious pet
any of the above
6. The easiest way to examine skin lesions using telemedicine is by:
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video during the examination
photos submitted prior to the examination
a verbal description by the client
skin lesions cannot be examined using telemedicine
7. Which of the following can be used to conduct a telemedicine appointment?
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telephone call
multipurpose telecommunications application, such as Zoom, FaceTime, etc.
dedicated telemedicine platform
any of the above
8. Which of the following is a limitation of telemedicine appointments for dermatology?
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inability to examine skin lesions
inability to collect skin cytology samples
limited ability to obtain a history
limited ability to convey recommendations to the client
9. You are examining an allergic dachshund using telemedicine and find about ten epidermal collarettes on its ventral abdomen. You cannot collect cytology samples but feel comfortable treating the presumptive pyoderma with:
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oral penicillin
chlorhexidine 4% shampoo and spray
topical corticosteroids
oral rifampin
10. You would like to do a treatment trial to rule out parasitic disease, including demodicosis, in a dog with pruritus and alopecia that you are examining using telemedicine. Which of the following treatments would be appropriate?
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isoxazoline dosed as per label
ivermectin administered twice, one month apart
pyrethrin shampoo purchased at a pet store
one cannot address parasites during a telemedicine appointment
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