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Help, I can’t pee! Recurrent feline urethral obstruction
Presented by Marilyn Dunn, DVM, MVSC, Dipl. ACVIM, Fellow IR
Continuing education questionnaire
CE credit: 1
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Help, I can’t pee! Recurrent feline urethral obstruction
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Questions
1. A male cat presents with his third urethral obstruction in 1 month. Likely differentials for the obstruction include all of the following, except:
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Urethral inflammation/spasm
Urethral stone
Bacterial cystitis
Urethral stricture
2. A male cat presents with a recurrent urethral obstruction. On palpation, his bladder is large, painful, and cannot be manually expressed. The owners are strained financially. The most appropriate course of action is:
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Send him home with a urinary diet
Perform a perineal urethrostomy
Administer antibiotics
Perform a voiding urethrogram to identify the cause of the obstruction
3. Regarding feline urinary incontinence:
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Urethral obstruction is the most common cause
Ureteral obstruction is the most common cause
Sphincter incompetence is the most common cause
The administration of phenylpropanolamine is always indicated
4. Regarding the feline urethra:
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2/3 is composed of smooth muscle
2/3 is composed of striated muscle
Urethral spasms only occur in the smooth muscle portion of the urethra
Urethral spasms only occur in the striated muscle portion of the urethra
5. Which one of the following associations is false?
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Prazosin: beta-adrenergic
Tamsulosin: alpha-adrenergic antagonist
Valium: striated muscle
Bethanechol: parasympathomimetic
6. Which one of the following associations is false?
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Bethanechol: bladder atony
Gabapentin: decreased bladder pain sensation
Tamsulosin: striated muscle
Feline urethral spasm: prazosin and valium
7. True or False. Prazosin is contraindicated in cats with urethral obstruction.
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True
False
8. True or False. Prazosin does not decrease the rate of recurrent urethral obstruction.
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True
False
9. True or False. Urethral plugs are more commonly associated with struvite stones.
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True
False
10. True or False. In a cat with recurrent urethral obstruction, a perineal urethrostomy should only be performed following a contrast urethrogram.
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True
False
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COMPANION
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