Take this 5 minute, 20 question Quiz! - click Section-1 to start

Health Challenges

PPID (Pituitary pars intermedia dysfunction or Cushing’s Disease)

Approximately, how many horses and ponies over 15 years of age have PPID?

  1. 1 in 20
  2. 1 in 7
  3. 1 in 100
  4. 1 in 3

PPID can be cured.

  • True
  • False

Which of the following is not a sign of PPID?

  1. Laminitis
  2. Abnormal amount of hair growth
  3. Rapid weight loss & tucked up abdomen
  4. Lethargy

There is an approved treatment available in North America to manage the clinical signs of PPID and improve the quality of life of PPID affected horse.

  1. True
  2. False

EMS (Equine Metabolic Syndrome)

. Equine Metabolic Syndrome (EMS) and PPID (also known as Cushings) are essentially the same.

  1. True
  2. False

What differentiates EMS from PPID?

  1. Laminitis
  2. Obesity or regional adiposity (“fat pads”)
  3. Delayed shedding

Colic is the number one cause of death in senior horses, other than old age.

  1. True
  2. False

The risk of colic does not increase with old horses.

  1. True
  2. False



  1. Is a disease only older horses develop
  2. Is completely related to nutrition
  3. Is very responsive to pain killers which usually allows horses to return to competing
  4. Only occurs in Quarter horses
  5. None of the above


The following factors increase the risk of arthritis in horses:

  1. Previous injuries
  2. Old age
  3. Repetitive excessive force on joints
  4. Poor conformation
  5. All of the above


Physical changes in the older horse can include everything except:

  1. Atrophy of muscles associated with lack of use
  2. Rapid hoof growth
  3. Weakening of tendons and ligaments
  4. Changes in gut function
  5. Loss of flexibility and agility

Regular exercise at appropriate levels for fitness/health is important for the aged horse to maintain joint health.

  1. True
  2. False

Pain Recognition

It is easy to recognize pain in horses.

  1. True
  2. False

Which of the following behaviours could be a sign that a horse is experiencing pain?

  1. Non-responsive
  2. Quiet with their head in a corner of the stall
  3. Rolling frequently
  4. Grazing and moving around normally in the field
  5. All of the above

General Management (dental, hoof care, nutrition)

As horses age, they have less dental issues because their teeth stop growing.

  1. True
  2. False

Hoof care is just as important for the senior horse as it is for their younger counterparts.

  1. True
  2. False

It is expected and acceptable that older horses will become thin.

  1. True
  2. False

Older horses will be higher in the herd hierarchy and are allowed to eat and drink first.

  1. True
  2. False

End of Life Decisions

Even though the pain control methods are not working, it is better to keep my arthritic horse alive.

  1. True
  2. False

My horse is in a great deal of pain and there is nothing the vet can do, but now is not a good time for me to lose my horse so I will wait until I am ready. This statement is:

  1. Acceptable
  2. Unacceptable

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