Your Custom Quiz

In Raleigh 2022 et al., on pericardiectomy complications, what was the most common intraoperative outcome for dogs that developed VF?

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Correct. 14 of 16 dogs that developed VF died intraoperatively, indicating high fatality.
Incorrect. The correct answer is Death from intraoperative VF.
14 of 16 dogs that developed VF died intraoperatively, indicating high fatality.

🔍 Key Findings

  • Ventricular fibrillation (VF) occurred in 3% of pericardiectomy cases across reporting institutions.
  • 14 of 16 dogs (88%) that developed intraoperative VF died, indicating high mortality.
  • Electrosurgical devices were used in 15/16 dogs; VF onset coincided with their use in 8 dogs, suggesting a potential but unproven association.
  • Preoperative arrhythmias were seen in 7 dogs (e.g., VPCs, VT, bradycardia), possibly serving as early warning signs.
  • Thoracoscopic approach was used in 75% of cases; however, conversion to open surgery was required in 9/13 thoracoscopic procedures after VF onset.
  • Defibrillation was attempted in 13 dogs, but only 3 converted to sinus rhythm, and only 2 survived postoperatively.
  • VF may result from stray current or cardiac manipulation; bipolar energy devices were implicated despite lower theoretical risk.
  • Preventative strategies include judicious electrosurgery use, close ECG monitoring, rapid CPR preparedness, and preop cardiac risk assessment.

Raleigh

Veterinary Surgery

4

2022

The development of ventricular fibrillation as a complication of pericardiectomy in 16 dogs

2022-4-VS-raleigh-2

Article Title: The development of ventricular fibrillation as a complication of pericardiectomy in 16 dogs

Journal: Veterinary Surgery

In Farrugia 2025 et al., on BODPUO location effects, which of the following had **no significant association** with change in ulna angle?

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Correct. Osteotomy length did not influence postoperative change in ulna angle after adjusting for osteotomy location.
Incorrect. The correct answer is Osteotomy length.
Osteotomy length did not influence postoperative change in ulna angle after adjusting for osteotomy location.

🔍 Key Findings

  • Proximal BODPUOs (closer to 26–28% of ulna length) resulted in greater increases in proximal ulna tilt postoperatively (up to 18°).
  • Distal osteotomies (closer to 48–49%) yielded minimal change in ulna angle.
  • Strong linear relationship between osteotomy location and change in angle; correlation coefficient = 0.73.
  • Initial proximal ulna angle (IPUA) influences results—angles closer to 90° yielded greater changes.
  • Craniocaudal osteotomy angle had minimal impact on tilt change after adjusting for location.
  • Osteotomy length had no significant effect on change in angle.
  • Prediction intervals showed wide individual variation in outcomes, especially with more proximal osteotomies.
  • No increase in complications was associated with more proximal osteotomies, contrary to past assumptions.

Farrugia

Veterinary Surgery

6

2025

Bi-oblique dynamic proximal ulna osteotomy: Effect of location on change in angle of the proximal ulna segment

2025-6-VS-farrugia-4

Article Title: Bi-oblique dynamic proximal ulna osteotomy: Effect of location on change in angle of the proximal ulna segment

Journal: Veterinary Surgery

In Condon 2024 et al., which inciting cause was most frequently associated with condylar fracture in French Bulldogs?

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Correct. Falls were the leading cause; stairs accounted for 20.45% of cases:contentReference[oaicite:2]{index=2}
Incorrect. The correct answer is Fall on stairs.
Falls were the leading cause; stairs accounted for 20.45% of cases:contentReference[oaicite:2]{index=2}

🔍 Key Findings Summary

  • Lateral humeral condylar fractures = 69.8% of cases; medial = 16.2%; Y/T = 14.0%
  • Falls/stairs were the inciting trauma in 45.6% of cases; significantly younger dogs were more likely to fracture after major trauma (p = 0.01)
  • Complication rate = 22% (10 major, 20 minor); implant migration and seroma most common
  • Fixation method had no significant impact on complication rates (p = 0.87)
  • Epicondylar comminution was significantly associated with complications (p = 0.02, OR = 3.27)
  • Contralateral intracondylar fissure found in 9.8%, none progressed to fracture during study
  • Wide inter-center variation in complication rate (5–62%, p = 0.002)

Condon

Veterinary and Comparative Orthopedics and Traumatology

2

2024

Humeral Condylar Fractures in French Bulldogs—Inciting Cause and Factors Influencing Complications of Internal Fixation in 136 Dogs

2024-2-VCOT-condon-3

Article Title: Humeral Condylar Fractures in French Bulldogs—Inciting Cause and Factors Influencing Complications of Internal Fixation in 136 Dogs

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Allaith 2023 et al., on THR outcomes, how did the veterinary surgeon–reported complication rate compare to that reported by owners?

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Correct. Veterinary-reported complication rate was 8.5% vs 23% by owners, indicating moderate agreement.
Incorrect. The correct answer is Surgeons reported 8.5%, owners 23%.
Veterinary-reported complication rate was 8.5% vs 23% by owners, indicating moderate agreement.

🔍 Key Findings

From Allaith et al., 2023 – Outcomes from a multiuser canine hip replacement registry

  • 2375 total hip replacements were analyzed across 1852 dogs, making this the largest multiuser canine THR dataset to date.
  • Most common indications for THR were hip dysplasia (51%) and osteoarthritis (34%).
  • Implants used included Kyon (46%), BioMedtrix CFX (22%), Hybrid (11%), BFX (9%), and Helica (4.5%).
  • Veterinary-reported complication rate was 8.5%, while owner-reported was 23%, with moderate agreement (k=0.44).
  • Most common complications: Luxation, femoral fracture, and aseptic loosening.
  • BioMedtrix BFX and Helica implants had a higher risk of complications when used after femoral head and neck excision (P = .031).
  • Postoperative LOAD scores significantly improved vs preoperative (21 → 11; P < .0001), supporting improved mobility.
  • Owner satisfaction was high, with 88% rating outcome as very good or good.

Allaith

Veterinary Surgery

2

2023

Outcomes and complications reported from a multiuser canine hip replacement registry over a 10-year period

2023-2-VS-allaith-3

Article Title: Outcomes and complications reported from a multiuser canine hip replacement registry over a 10-year period

Journal: Veterinary Surgery

In Woelfel 2022 et al., on cervical locked facets, what was the most common inciting cause?

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Correct. 9 out of 10 cases were due to external trauma from dog attacks.
Incorrect. The correct answer is Attacks by larger dogs.
9 out of 10 cases were due to external trauma from dog attacks.

🔍 Key Findings

  • Locked facet injuries in dogs involved unilateral dorsal displacement of the cranial articular process of the caudal vertebra, most commonly at C5/6 or C6/7.
  • All affected dogs were small/toy breeds, typically following trauma (most often attacks by larger dogs).
  • Neurologic severity ranged from ambulatory tetraparesis to tetraplegia, often with thoracic limb deficits more severe than pelvic limbs — suggesting a central cord syndrome-like pattern.
  • CT and MRI revealed axial rotation, subluxation, and articular process displacement; MRI showed T2 hyperintensity, nerve root impingement, and soft tissue changes.
  • Surgical treatment included ventral fixation with screws, pins, and PMMA, and one case required dorsal facetectomy for reduction.
  • Medical management, including external coaptation or rest, also resulted in functional recovery in select cases.
  • All dogs with follow-up data (8/8) had functional recovery, with nonambulatory dogs regaining ambulation in a median of 4 weeks.
  • No consistent differences in outcome were observed between surgical and nonsurgical management, suggesting locked facets may be biomechanically stable.

Woelfel

Veterinary Surgery

1

2022

Subaxial cervical articular process subluxation and dislocation: Cervical locked facet injuries in dogs

2022-1-VS-woelfel-3

Article Title: Subaxial cervical articular process subluxation and dislocation: Cervical locked facet injuries in dogs

Journal: Veterinary Surgery

In Larose 2024 et al., on laparoscopic liver biopsies in dogs, what was the overall histologic diagnostic agreement between samples collected with 3 mm and 5 mm forceps?

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Correct. Histologic agreement between 3 mm and 5 mm samples was 90%, with Gwet’s AC1 of 0.81.
Incorrect. The correct answer is 90%.
Histologic agreement between 3 mm and 5 mm samples was 90%, with Gwet’s AC1 of 0.81.

🔍 Key Findings

  • Histologic agreement between 3 mm and 5 mm biopsies was 90%, with a Gwet's AC1 of 0.81 (p < .0001).
  • 5 mm biopsies yielded significantly more portal triads and lobules than 3 mm samples (p = .0003 and p < .0001).
  • Crush artifacts were significantly higher in 3 mm samples (p = .035), though fragmentation scores were similar (p = .935).
  • Both forceps produced adequate samples for histopathology, copper quantification, and bacterial culture.
  • No hemorrhage requiring intervention occurred, and both sizes were deemed safe and minimally invasive.
  • Surface area ≥40 mm² strongly predicted ≥11 portal triads, a desirable threshold for reliable histopathology.
  • Use of 3 mm instruments was easier in small dogs (<12 kg), but more challenging in larger dogs due to shaft length.
  • Clinical diagnoses were unaffected by forceps size, even in the one discordant histologic pair.

Larose

Veterinary Surgery

4

2024

Comparing 3 mm and 5 mm laparoscopic liver biopsy samples in dogs

2024-4-VS-larose1-1

Article Title: Comparing 3 mm and 5 mm laparoscopic liver biopsy samples in dogs

Journal: Veterinary Surgery

In Hoenecke 2025 et al., on radiographic opacity in patella luxation, which variable was found to significantly increase the likelihood of radiographic soft tissue opacity in the stifle?

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Correct. Weight was significantly associated with increased opacity, with each 1 kg increase raising odds by 10%.
Incorrect. The correct answer is Weight.
Weight was significantly associated with increased opacity, with each 1 kg increase raising odds by 10%.

🔍 Key Findings

  • 65% of stifles with patella luxation and intact CCLs had increased radiographic soft tissue opacity
  • Weight and radiographic OA were significantly associated with increased opacity (p = .0029 and p = .0143)
  • Each 1 kg increase in weight increased the odds of opacity by 10%
  • Grade of patella luxation, age, and muscle atrophy were not significantly associated with increased opacity
  • 19% of dogs with long-term follow-up developed a CCL rupture post-patella surgery, 50% of those had opacity at initial presentation
  • Radiographic opacity alone should not be interpreted as CCL disease in dogs with patella luxation
  • Radiographic findings likely represent effusion or synovial hyperplasia, not CCL pathology
  • Arthrotomy was used to confirm CCL integrity at surgery, but arthroscopy could provide better sensitivity

Hoenecke

Veterinary Surgery

7

2025

Increased radiographic stifle soft tissue opacity in dogs with patella luxation

2025-7-VS-hoenecke-1

Article Title: Increased radiographic stifle soft tissue opacity in dogs with patella luxation

Journal: Veterinary Surgery

In Heald 2022 et al., on PED wound therapy, what current level was applied to the dressing during treatment?

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Correct. The current was limited to 600 μA (0.6 mA) via a 10-kΩ resistor.
Incorrect. The correct answer is 0.6 mA.
The current was limited to 600 μA (0.6 mA) via a 10-kΩ resistor.

🔍 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-5

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

Journal: Veterinary Surgery

In Kurogochi 2025 et al., on cardioplegia in mitral repair, what was the effect of mDN solution on sinus rhythm recovery?

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Correct. Faster sinus rhythm recovery in the mDN group (60s vs 362s, p = 0.027) suggests electrical stabilization benefits.
Incorrect. The correct answer is It resulted in significantly faster sinus rhythm recovery.
Faster sinus rhythm recovery in the mDN group (60s vs 362s, p = 0.027) suggests electrical stabilization benefits.

🔍 Key Findings

  • No significant difference in cardiac troponin I levels 12h post-op between mDN and St. Thomas cardioplegia groups (p = 0.478)
  • Sinus rhythm returned faster in the mDN group after aortic cross-clamp removal (median 60s vs 362s, p = 0.027)
  • Lower serum potassium at cross-clamp removal in the mDN group (median 4.5 mEq/L vs 5.4, p = 0.005)
  • Fewer doses needed in the mDN group (median 2.5 vs 4.0, p = 0.040)
  • Higher total crystalloid volume used in mDN group (23.6 vs 12.6 mL/kg, p < 0.001)
  • No difference in survival (700-day survival 90% in both groups, p = 0.958)
  • No difference in hospitalization duration (median 6 days for both, p = 0.789)
  • Echocardiographic remodeling similar between groups at 24h post-op

Kurogochi

Veterinary Surgery

7

2025

Saline‐based modified del Nido cardioplegia versus multidose St. Thomas cardioplegia in canine mitral valve repair: A randomized controlled trial

2025-7-VS-kurogochi-1

Article Title: Saline‐based modified del Nido cardioplegia versus multidose St. Thomas cardioplegia in canine mitral valve repair: A randomized controlled trial

Journal: Veterinary Surgery

In Danielski 2022 et al., on PAUL complications, what was the inter-observer agreement (kappa) for predicting complications from radiographs?

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Correct. Kappa values were as low as 0.11, indicating poor agreement between experts.
Incorrect. The correct answer is 0.11.
Kappa values were as low as 0.11, indicating poor agreement between experts.

🔍 Key Findings

  • Major complications occurred in 25.6% of limbs treated with PAUL, including non-union, implant failure, and infection requiring revision surgery.
  • Increased body weight was significantly associated with a higher risk of complications (7% increased risk per additional kg; p = .04).
  • Post-operative radiographic assessment was unreliable in predicting complications; inter-observer agreement was poor (kappa ≤ 0.12).
  • Expert evaluation of implant or reduction errors had low predictive value (k < 0.2) for postoperative complications.
  • Common major complications included non-union (6 limbs), screw breakage, and surgical site infections.
  • Implant removal was required in 11.5% of limbs, mostly due to non-union or infection.
  • Being a Labrador appeared protective on univariate analysis, but not on multivariate analysis after adjusting for weight.
  • Radiographs showing suboptimal plate placement or osteotomy reduction did not reliably correlate with actual complication occurrence.

Danielski

Veterinary Surgery

1

2022

Complications after proximal abducting ulnar osteotomy and prognostic factors in 66 dogs

2022-1-VS-danielski-5

Article Title: Complications after proximal abducting ulnar osteotomy and prognostic factors in 66 dogs

Journal: Veterinary Surgery

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