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Three Horses

EQUINE

Welcome to the Equine NAVLE Notes: Internal Medicine section on AllVetsLink.

This section provides comprehensive coverage of core equine internal medicine topics, including infectious diseases, gastrointestinal disorders, hepatic conditions, respiratory syndromes, and immune-mediated diseases. Each note is tailored to help you understand the pathophysiology, diagnostics, and treatments critical for NAVLE success and clinical practice.

Notes:

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Equine Medicine FCs

NAVLE test sample questions

Question 1:
Which of the following best describes the inheritance pattern and genetic basis of Overo Lethal White Syndrome (OLWS) in foals?

A. X-linked recessive mutation in the MITF gene
B. Autosomal recessive mutation in the EDNRB gene
C. Autosomal dominant mutation in the KIT gene
D. Incomplete dominance due to a mutation in the PAX3 gene

Question 2:
A newborn foal presents with an all-white coat, blue eyes, and severe colic within 18 hours of birth. No meconium has been passed. Which of the following conditions is most likely?

A. Combined immunodeficiency
B. Lethal white foal syndrome
C. Neonatal isoerythrolysis
D. Equine viral diarrhea

Question 3:
Which of the following is the most appropriate method for preventing the birth of foals affected by Overo Lethal White Syndrome?

A. Radiographic screening of pregnant mares
B. PCR-based genetic testing of breeding stock
C. Serum IgG measurement in neonates
D. Administering oxytocin during parturition

Scroll down to discover the answers and detailed explanations for the sample questions.

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Answer:

Answer 1:
B. Autosomal recessive mutation in the EDNRB gene

Explanation:
OLWS is caused by a missense mutation (Ile118Lys) in the EDNRB (endothelin receptor B) gene, inherited in an autosomal recessive pattern. Homozygous foals (mutant/mutant) are non-viable and present with aganglionic megacolon, while heterozygous carriers are phenotypically normal but often exhibit the frame overo coat pattern. The mutation disrupts the migration of neural crest-derived cells, which affects both enteric nervous tissue and melanocytes. This pathogenesis is distinct from other white spotting syndromes like dominant white (KIT gene) or splashed white (PAX3).

Answer 2:
B. Lethal white foal syndrome

Explanation:
These are hallmark signs of Overo Lethal White Syndrome (OLWS). The foal appears normal at birth but rapidly deteriorates due to aganglionosis of the distal colon, leading to functional ileus, severe colic, and absence of meconium. The foal’s white coat and blue eyes, in conjunction with early colic signs and no fecal passage, are classic. Unlike neonatal isoerythrolysis or SCID, which present differently (icterus, immune issues), OLWS is always fatal without intervention, and euthanasia is typically recommended due to the poor prognosis.

Question 3:
Which of the following is the most appropriate method for preventing the birth of foals affected by Overo Lethal White Syndrome?

Explanation.

A. Radiographic screening of pregnant mares
B. PCR-based genetic testing of breeding stock
C. Serum IgG measurement in neonates
D. Administering oxytocin during parturition

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