NAVLE（北美执业兽医考题）Day 761

Q1:An 11-year old female Pomeranian presents to you for coughing and exercise intolerance. On exam: Wt: 9.25 lbs, T: 101.2F (38.4 C), HR: 132 bpm, RR: Panting, mucous membranes are pink. She has mild tracheal sensitivity and a grade III-IV/VI left apical holosystolic murmur and grade II/VI right apical holosystolic murmur. Femoral pulses are strong and synchronous, with a regular rhythm. She has harsh lung sounds bilaterally. On abdominal palpation, you note hepatomegaly. You find bilateral luxating patellas. You take chest radiographs (see image) and decide to treat the dog based on these findings. Which medication plan is most appropriate? 一只11岁的雌性博美由于咳嗽和运动不耐受前来就诊。体格检查：体重9.25lbs，体温38.4摄氏度，心率132bpm，呼吸：喘，mm粉红。她的器官轻微敏感且有3-4级的左侧心尖部全收缩期杂音以及2级右侧心尖处全收缩期杂音。股动脉强壮，同步且存在有规律的心率不齐。她的双侧肺音粗粝。腹部触诊你还发现她肝脏肿大，双侧髌骨脱位。你为她拍摄的胸腔X光片如下图，你决定根据这些发现进行治疗。哪个治疗方案是最合适的？[图片]