Your Custom Quiz

In Heald 2022 et al., on PED wound therapy, what was the total time to clinical healing in the dog case after initiation of treatment?

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Correct. Although wound size decreased over 10 days, full healing was confirmed on day 67.
Incorrect. The correct answer is 67 days.
Although wound size decreased over 10 days, full healing was confirmed on day 67.

🔍 Key Findings

  • Electroceutical dressing (PED) promoted complete healing of chronic wounds in both a dog and a cat previously unresponsive to standard therapies.
  • Infection clearance occurred in both animals by the end of PED therapy, as shown by negative culture results.
  • In the dog, wound area reduced by ~4.2× over 10 days; healing completed by day 67 with no further antibiotic therapy.
  • In the cat, wound area reduced by ~2.5× over 17 days; healing completed by day 47 without systemic antibiotics.
  • PEDs function via direct current (DC) stimulation, believed to generate hypochlorous acid (HOCl) with antibacterial properties.
  • No side effects or adverse tissue reactions were observed in either case, supporting biocompatibility.
  • Multidrug-resistant organisms (e.g., S. pseudintermedius, S. canis, S. epidermidis) were eradicated by PED treatment.
  • PED therapy may reduce reliance on antibiotics and surgery, offering a novel adjunct for chronic, infected wounds.

Heald

Veterinary Surgery

3

2022

Electroceutical treatment of infected chronic wounds in a dog and a cat

2022-3-VS-heald-2

Article Title: Electroceutical treatment of infected chronic wounds in a dog and a cat

Journal: Veterinary Surgery

In Longo 2023 et al., on CT trochlear measurements, which statement is TRUE regarding the clinical utility of FTGA?

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Correct. FTGA provided distinct thresholds for small and large breeds and helped determine the need for trochleoplasty.
Incorrect. The correct answer is Thresholds differ by breed size and guide decision-making.
FTGA provided distinct thresholds for small and large breeds and helped determine the need for trochleoplasty.

🔍 Key Findings

  • Dogs with MPL had significantly shallower femoral trochlear grooves compared to controls, based on CT-measured femoral trochlear groove angle (FTGA).
  • FTGA >134° in small breeds (SB) and >128° in medium/large breeds (MLB) were associated with MPL and can serve as surgical thresholds for considering trochleoplasty.
  • FTA and FTRIA measurements were less reliable, showing lower sensitivity/specificity than FTGA.
  • Inter-rater reliability for FTGA was excellent (ICC > 0.9), supporting its use in clinical decision-making.
  • FTGA differed significantly between SB and MLB dogs, suggesting anatomical variation influences MPL predisposition.
  • Dogs with MPL but with FTGA below threshold may not benefit from trochleoplasty, supporting individualized surgical planning.
  • CT provides more precise and reproducible evaluation of trochlear morphology than radiography or ultrasound.
  • The study introduces a CT protocol using P25 and P50 reference points for consistent FTGA measurement.

Longo

Veterinary Surgery

3

2023

Computed tomographic measurements of the femoral trochlea in dogs with and without medial patellar luxation

2023-3-VS-longo-5

Article Title: Computed tomographic measurements of the femoral trochlea in dogs with and without medial patellar luxation

Journal: Veterinary Surgery

In Matz 2022 et al., on stapler size comparison, what is the clinical significance of the finding that all stapler groups had ILPs exceeding 25 mmHg?

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Correct. The study used 25 mmHg as a reference threshold; all stapler groups exceeded this, suggesting functional closure under physiological conditions.
Incorrect. The correct answer is They exceed normal intraluminal pressures in dogs.
The study used 25 mmHg as a reference threshold; all stapler groups exceeded this, suggesting functional closure under physiological conditions.

🔍 Key Findings

  • No significant difference in initial leak pressure (ILP) among TA 30 V3 2.5 mm, TA 60 3.5 mm, and TA 60 4.8 mm stapler sizes (P = .78).
  • All stapler types exceeded the physiological intraluminal pressure threshold (~25 mmHg), suggesting acceptable leak resistance.
  • Mean ILPs: TA 30 V3 (181.5 mmHg), TA 60 3.5 mm (112 mmHg), TA 60 4.8 mm (77.2 mmHg).
  • Leakage occurred at the staple line in 23 of 24 specimens; only one had ileal wall rupture.
  • No correlation found between ILP and cadaver weight, cecal wall thickness, or cecal length.
  • Cecal wall thickness averaged 4.9 mm, yet staple heights ranged only from 1.0–2.0 mm.
  • One specimen in each TA 60 group leaked near or below physiologic pressures, suggesting rare outliers.
  • Study supports clinical viability of all tested stapler sizes for canine typhlectomy, but highlights need for in vivo data on healing and complications.

Matz

Veterinary Surgery

4

2022

Ex vivo comparison of different thoracoabdominal stapler sizes for typhlectomy in canine cadavers

2022-4-VS-matz-4

Article Title: Ex vivo comparison of different thoracoabdominal stapler sizes for typhlectomy in canine cadavers

Journal: Veterinary Surgery

In Campbell 2026 et al., on septic peritonitis surgery, what is a major limitation of using visual and palpatory assessment alone to determine intestinal viability?

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Correct. Human studies showed up to 46% of viable intestine was unnecessarily resected when using gross assessment alone.
Incorrect. The correct answer is It frequently results in unnecessary resection of viable intestine.
Human studies showed up to 46% of viable intestine was unnecessarily resected when using gross assessment alone.

🔍 Key Findings

  • Peritoneal effusion cytology remains the most rapid and reliable diagnostic for SP; detection of intracellular bacteria is highly specific (100%) and sensitive in dogs and cats.
  • Blood-effusion glucose difference >20 mg/dL has 100% sensitivity and specificity for SP in both dogs and cats, but point-of-care glucometers may falsely elevate effusion glucose.
  • Preoperative stapled intestinal anastomoses have lower dehiscence rates than handsewn in dogs with SP in some studies, especially in unstable patients.
  • Fluorescent angiography may outperform visual/palpatory assessment in determining intestinal viability during surgery.
  • Omentalization and serosal patching offer reinforcement for intestinal repairs in SP; experimental studies show improved healing, though clinical data are limited.
  • Open abdomen with VAC therapy offers comparable survival to closed methods, with potential benefits including improved peritoneal healing and drainage.
  • Closed suction drains show survival rates ranging from 52–100% in dogs and cats with SP; concerns exist about nosocomial infections, but survival was not consistently affected.
  • Lavage with saline is standard (200–300 mL/kg), but risks include mesothelial irritation and cytokine spread; buffered solutions like LRS or Plasmalyte may be superior.

Campbell

Veterinary Surgery

1

2026

Diagnosis and surgical management of septic peritonitis in small animals: A review

2026-1-VS-campbell-2

Article Title: Diagnosis and surgical management of septic peritonitis in small animals: A review

Journal: Veterinary Surgery

In Cortez 2024 et al., on feline ectopic ureters, what diagnostic imaging modality was successful in all cases in which it was used?

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Correct. CT diagnosed ectopic ureters in 3/3 cases, making it the most consistently accurate modality in this cohort.
Incorrect. The correct answer is Computed tomography (CT).
CT diagnosed ectopic ureters in 3/3 cases, making it the most consistently accurate modality in this cohort.

🔍 Key Findings

  • Ectopic ureters in cats are rare, but most are extramural and bilateral.
  • Surgical techniques used included ureteroneocystostomy (UNC), neoureterostomy (NU), nephroureterectomy, and cystoscopic laser ablation (CLA).
  • All cats showed improvement in urinary continence postoperatively, with 11/12 achieving complete resolution.
  • Major complications were rare; one cat developed uroabdomen requiring revision surgery.
  • Diagnostic imaging was effective, with abdominal ultrasound diagnosing 8/10 and CT 3/3 cases.
  • Short- and long-term complications included urethral spasms, UTIs, stranguria, and rectal prolapse; all were manageable.
  • CLA was successful in 2 cats and is noted as a first-time described technique in feline ectopic ureter cases.
  • Median postoperative follow-up was 340 days, supporting good long-term outcomes.

Cortez

Veterinary Surgery

6

2024

Presentation, diagnosis, and outcomes of cats undergoing surgical treatment of ectopic ureters

2024-6-VS-cortez-3

Article Title: Presentation, diagnosis, and outcomes of cats undergoing surgical treatment of ectopic ureters

Journal: Veterinary Surgery

In Kwok 2023 et al., on BFX lateral bolt THR in dogs, what percentage returned to normal function?

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Correct. 97.4% of dogs returned to normal function per owner and clinical follow-up.
Incorrect. The correct answer is 97.4%.
97.4% of dogs returned to normal function per owner and clinical follow-up.

🔍 Key Findings

  • 97.4% of dogs returned to normal function after total hip replacement using the BFX lateral bolt.
  • Mean femoral stem subsidence was 1.22 mm, with most occurring in the first month and minimal thereafter.
  • Postoperative complication rate was 13.6%, with 9.2% major and 4.4% minor complications.
  • Femoral fractures (3.6%) and coxofemoral luxations (3.6%) were the most common major complications.
  • Increased age and higher stem size were risk factors for postoperative femoral fractures; CFI >2.0 was also associated.
  • Medial calcar fractures were avoided, and fractures occurred distal to stem ingrowth zone, simplifying repairs.
  • Three cases underwent prophylactic plating, all with excellent outcomes and no complications.
  • Explant rate was 2.6% (5/195), with most failures involving acetabular cup rather than femoral stem.

Kwok

Veterinary Surgery

1

2023

Clinical outcomes of canine total hip replacement utilizing a BFX lateral bolt femoral stem: 195 consecutive cases (2013–2019)

2023-1-VS-kwok-1

Article Title: Clinical outcomes of canine total hip replacement utilizing a BFX lateral bolt femoral stem: 195 consecutive cases (2013–2019)

Journal: Veterinary Surgery

In Bush 2023 et al., on canine salivary gland carcinoma, what was the rate of local recurrence after surgical excision of salivary carcinoma in dogs?

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Correct. Local recurrence (confirmed or suspected) occurred in 42% of cases, with a median DFI of 191 days.
Incorrect. The correct answer is 42%.
Local recurrence (confirmed or suspected) occurred in 42% of cases, with a median DFI of 191 days.

🔍 Key Findings

Source: Bush et al., 2023, Veterinary Surgery

  • Median survival time (MST) after surgery was 1886 days, which is significantly longer than previously reported.
  • Lymph node metastasis at surgery was a negative prognostic factor, reducing MST to 248 days (vs. 2340 days without nodal involvement).
  • Local recurrence occurred in 42% of dogs, with a median disease-free interval (DFI) of 191 days.
  • Metastatic disease occurred in 32% of dogs, most commonly to the lungs, with a median DFI of 299 days.
  • Histologic features (e.g., margin status, capsular, lymphatic, or vascular invasion) were not significantly correlated with recurrence or metastasis.
  • Facial nerve injury occurred in 9.7% perioperatively, especially after parotidectomy; intraoperative facial nerve transection led to long-term deficits.
  • Adjuvant therapies (chemotherapy, radiation, NSAIDs) did not significantly affect survival time.
  • Incisional biopsy was only 38% concordant with final excisional histology, suggesting limited reliability for definitive diagnosis.

Bush

Veterinary Surgery

3

2023

Outcomes and clinical features associated with surgically excised canine salivary gland carcinoma: A multi-institutional, retrospective, Veterinary Society of Surgical Oncology study

2023-3-VS-bush-3

Article Title: Outcomes and clinical features associated with surgically excised canine salivary gland carcinoma: A multi-institutional, retrospective, Veterinary Society of Surgical Oncology study

Journal: Veterinary Surgery

In Fitzpatrick 2024 et al., on ESF for pelvic fractures in cats, what was concluded regarding neurological complications?

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Correct. Some cats presented with pre-existing deficits, but no new neurologic injuries occurred from ESF placement.
Incorrect. The correct answer is No iatrogenic neurological deficits were observed.
Some cats presented with pre-existing deficits, but no new neurologic injuries occurred from ESF placement.

🔍 Key Findings

  • External skeletal fixation (ESF) was successfully applied to a variety of pelvic fracture types in cats, including sacroiliac luxations and ilial body fractures.
  • All fractures achieved radiographic union within 9 weeks, even in comminuted or complex configurations.
  • No intraoperative or long-term complications were reported during the study period.
  • Implant loosening was observed radiographically in 13% of cases, with 8% of pins found to be loose at frame removal.
  • ESF enabled indirect fracture reduction using components as handles, with a limited open approach minimizing soft tissue disruption.
  • No iatrogenic neurological deficits were observed, supporting safe pin placement near neurovascular structures, although some cats presented with pre-existing neurologic signs.
  • No cases required revision surgery, and all cats underwent stabilization solely with ESF as per study inclusion criteria.
  • Postoperative hospitalization ranged from 2 to 5 days, though no comparison to other fixation types was evaluated.

Fitzpatrick

Veterinary Surgery

7

2024

External skeletal fixation for the treatment of pelvic fractures in cats

2024-7-VS-fitzpatrick-3

Article Title: External skeletal fixation for the treatment of pelvic fractures in cats

Journal: Veterinary Surgery

In Burkhardt 2024 et al., on coagulation testing in liver lobectomy, what did the authors recommend regarding preoperative PT and aPTT testing?

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Correct. Authors concluded that routine testing is low-yield and should be considered on a case-by-case basis.
Incorrect. The correct answer is Should be reserved for cases with bleeding tendencies or hemangiosarcoma suspicion.
Authors concluded that routine testing is low-yield and should be considered on a case-by-case basis.

🔍 Key Findings

  • 20.6% of dogs had a preoperative prolongation in PT or aPTT, but only 5.6% had both prolonged.
  • Hemangiosarcoma was the only tumor type significantly associated with both PT and aPTT prolongation (37.5% of hemangiosarcoma cases, p < .001).
  • Dogs with both PT and aPTT prolongations were 6.5× more likely to have emergency surgery (p < .001) and 2.5× more likely to have hemoabdomen (p = .0022).
  • 60% of dogs with both PT and aPTT prolongation required blood transfusion (p < .001).
  • Only 1.9% of all dogs had both PT and aPTT prolonged by >25%, suggesting limited clinical utility of routine PT/aPTT testing.
  • Platelet count <50,000/μL was rare (1.5%) and not associated with PT/aPTT changes or transfusions.
  • Routine PT/aPTT testing offers low diagnostic yield in elective liver lobectomy cases.
  • Authors recommend case-by-case PT/aPTT screening, especially when hemangiosarcoma or bleeding tendencies are suspected.

Burkhardt

Veterinary Surgery

7

2024

Evaluating preoperative coagulation panels in dogs undergoing liver lobectomy for primary liver tumors: A multi-institutional retrospective study

2024-7-VS-burkhardt-4

Article Title: Evaluating preoperative coagulation panels in dogs undergoing liver lobectomy for primary liver tumors: A multi-institutional retrospective study

Journal: Veterinary Surgery

In Cheon 2025 et al., on guide accuracy in DFO, what correction capacities were designed into the universal guide?

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Correct. The universal guide corrected up to 24° of aLDFA and 20° of anteversion angle.
Incorrect. The correct answer is Up to 24° for aLDFA, 20° for AA.
The universal guide corrected up to 24° of aLDFA and 20° of anteversion angle.

🔍 Key Findings

  • Both patient-specific and universal guides yielded correction errors <2°, with no statistically significant difference in accuracy.
  • Universal guide corrected aLDFA up to 24° and AA up to 20°, addressing multiplanar deformities effectively.
  • Patient-specific guides allowed for preoperative simulation, providing more stable pin placement and potentially aiding less-experienced surgeons.
  • Universal guide eliminated the need for CT-based customization, reducing time and cost.
  • Cadaver and bone model trials showed consistent accuracy, validating both methods in vitro and ex vivo.
  • No significant differences in outcome when correcting uniplanar (aLDFA) vs biplanar (aLDFA + AA) deformities.
  • Universal guide's fixed size presented limitations in small dogs, potentially requiring multiple size options.
  • Universal guide showed potential for standard use, offering repeatable outcomes with minimal prep despite needing precise intraoperative placement.

Cheon

Veterinary and Comparative Orthopaedics and Traumatology

3

2025

Comparing the Accuracy of Patient-Specific Guide and Universal Guide for Distal Femoral Osteotomy in Dogs

2025-3-VCOT-cheon-2

Article Title: Comparing the Accuracy of Patient-Specific Guide and Universal Guide for Distal Femoral Osteotomy in Dogs

Journal: Veterinary and Comparative Orthopaedics and Traumatology

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