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In Brisimi 2022 et al., on tracheal anastomosis tension, where did failure most commonly occur?

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Correct. All constructs failed by tearing through the annular ligament near the dorsal ring.
Incorrect. The correct answer is Suture pullthrough at annular ligament.
All constructs failed by tearing through the annular ligament near the dorsal ring.

🔍 Key Findings

  • Tracheal anastomoses in immature dogs failed at significantly lower distraction forces (44.91 ± 59.03 N) than in adults (149.31 ± 45.36 N; _P_ = .007).
  • Immature tracheae tolerated significantly more elongation before failure (39.75 ± 5.45%) than adult tracheae (30.57 ± 7.19%; _P_ = .0012).
  • All constructs failed by suture tearing through the annular ligament, primarily near the dorsal tracheal ring.
  • Overlapping of tracheal ends was seen in 50% of specimens across both age groups, suggesting limitations in tissue apposition with the chosen technique.
  • Simple continuous pattern using 2-0 polypropylene was used; this pattern provides superior tensile strength compared to simple interrupted, but apposition may be suboptimal.
  • Tracheal elasticity in immature dogs may allow longer resections, but the lower tensile strength necessitates reinforcement.
  • Annular ligament-cartilage technique with 4-mm suture spacing showed variable results; smaller bites and nylon suture may improve outcomes.
  • Ex vivo setup using frozen-thawed tracheae is a limitation, but prior studies support comparability with fresh tissue.

Brisimi

Veterinary Surgery

5

2022

Influence of age on resistance to distraction after tracheal anastomoses in dogs: An ex vivo study

2022-5-VS-brisimi-3

Article Title: Influence of age on resistance to distraction after tracheal anastomoses in dogs: An ex vivo study

Journal: Veterinary Surgery

In Kimura 2025 et al., on mini-THA in <4 kg dogs, what statistically significant change was observed in HCPI scores from baseline to 1 year?

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Correct. Statistical analysis showed HCPI dropped from 19.8 to 2.3 (p = 0.0141), with all domains improving except vocalization:contentReference[oaicite:1]{index=1}.
Incorrect. The correct answer is Significant improvement in all but vocalization.
Statistical analysis showed HCPI dropped from 19.8 to 2.3 (p = 0.0141), with all domains improving except vocalization:contentReference[oaicite:1]{index=1}.

🔍 Key Findings

  • Zurich mini-cementless THA was successful in 9/10 hips in dogs <4 kg, with no lameness at 52 weeks in completed cases.
  • Helsinki Chronic Pain Index significantly improved from a mean of 19.8 to 2.3 at 52 weeks (p = 0.0141).
  • Fluoroscopy improved implant positioning, especially in LCPD and HD cases, aiding in accurate reaming and alignment.
  • Intraoperative complications occurred in 2/10 cases, including acetabular fractures; one case required discontinuation.
  • Prophylactic bicortical screws and reinforcement plates were used in cases with rotational instability or cortical compromise and were effective in preventing loosening/fractures.
  • Medial patellar luxation improved postoperatively in one dog, though recurrence was noted later without surgical correction.
  • No stem or implant loosening or fracture occurred over a mean follow-up of 24.4 months.
  • CT is recommended in preoperative planning, particularly in luxoid hip dysplasia cases with uncertain bone stock.

Kimura

Veterinary Surgery

6

2025

Long‐term outcomes of 10 dogs weighing less than 4 kg after Zurich mini‐cementless total hip arthroplasty

2025-6-VS-kimura-2

Article Title: Long‐term outcomes of 10 dogs weighing less than 4 kg after Zurich mini‐cementless total hip arthroplasty

Journal: Veterinary Surgery

In Sunlight 2022 et al., on Protein C monitoring, what was the most common reason for requiring a second PTCE procedure?

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Correct. This was the most frequent finding at repeat venography in dogs needing second procedures.
Incorrect. The correct answer is Compression and contraction of previously placed coils.
This was the most frequent finding at repeat venography in dogs needing second procedures.

🔍 Key Findings

  • Postoperative Protein C (PC) activity increased in 78.7% of dogs, and was significantly higher in dogs with excellent clinical outcomes.
  • Complete acute shunt occlusion resulted in higher postoperative PC activity (96.3%) and better ultimate clinical outcomes than incomplete occlusion.
  • Preoperative PC was not predictive of clinical status, but postoperative PC was associated with improved outcomes.
  • Standard biochemical markers (HCT, MCV, ALB, BUN) also improved postoperatively, especially in dogs with excellent clinical outcomes.
  • Dogs requiring a second procedure had significantly lower postoperative PC (43.5%) than those not requiring further intervention (78.5%).
  • Repeat procedures improved PC and BUN values, with PC increasing significantly after second intervention (to 69.8%).
  • PC normalization (within reference interval) occurred in 87.5% of dogs with excellent clinical status, compared to only 12.5% in those with poor status.
  • Clinical outcome classification (excellent/fair/poor) correlated with biochemical normalization and lack of need for diet/medications.

Sunlight

Veterinary Surgery

1

2022

Protein C and comparative biochemical changes in dogs treated with percutaneous transvenous coil embolization of congenital intrahepatic portosystemic shunts

2022-1-VS-sunlight-4

Article Title: Protein C and comparative biochemical changes in dogs treated with percutaneous transvenous coil embolization of congenital intrahepatic portosystemic shunts

Journal: Veterinary Surgery

In Klever 2024 et al., what is the minimum degree of lateral pelvic tilt that significantly alters Norberg angle on one side?

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Correct. Tilt of 3 degrees caused statistically significant asymmetry in Norberg angle between sides
Incorrect. The correct answer is 3 degrees.
Tilt of 3 degrees caused statistically significant asymmetry in Norberg angle between sides

🔍 Key Findings

  • Dorsoventral radiographs artificially increase Norberg angle values by 3.2–5.8% and should be excluded.
  • Lateral pelvic tilt >2° causes asymmetric changes in Norberg angle; >3° results in significant side-specific changes.
  • Cranioventral-to-caudodorsal tilt >10° results in obvious radiographic tilt, but changes Norberg angle by only ~2%.
  • Tilted but subjectively acceptable images have minor impact and may still be usable for screening.
  • Norberg angle readings differed consistently between left/right hips — possibly due to operator handedness.

Klever

Veterinary and Comparative Orthopedics and Traumatology

1

2024

Influence of Femoral Position and Pelvic Projection on Norberg Angle Measurements

2024-1-VCOT-klever-2

Article Title: Influence of Femoral Position and Pelvic Projection on Norberg Angle Measurements

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Young 2023 et al., on minimally invasive parathyroidectomy, what was the most common location of affected parathyroid glands identified on ultrasound?

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Correct. The right side was the most common location (46%) for abnormal parathyroid glands identified via ultrasound.
Incorrect. The correct answer is Right side.
The right side was the most common location (46%) for abnormal parathyroid glands identified via ultrasound.

🔍 Key Findings

  • Short-term resolution of hypercalcemia occurred in 97.8% (44/45) of dogs.
  • Long-term cure rate was 93.3%, comparable to traditional bilateral neck exploration.
  • Postoperative hypocalcemia was observed in only 15.6%, which is lower than traditional approaches (36–63.8%).
  • Permanent hypocalcemia occurred in 4.4%, requiring lifelong calcitriol supplementation.
  • Minimally invasive approach had median surgical times of 26 min (unilateral) and 45.5 min (bilateral).
  • Most lesions were adenomas (54.8%), followed by hyperplasia (27.4%) and carcinomas (3.2%).
  • Ultrasound identified 98.4% (61/62) of abnormal glands, supporting it as the preferred imaging modality.
  • One death due to non-compliance with calcitriol, emphasizing importance of postoperative management.

Young

Veterinary Surgery

1

2023

Surgical description and outcome of ultrasound‐guided minimally invasive parathyroidectomy in 50 dogs with primary hyperparathyroidism

2023-1-VS-young-3

Article Title: Surgical description and outcome of ultrasound‐guided minimally invasive parathyroidectomy in 50 dogs with primary hyperparathyroidism

Journal: Veterinary Surgery

In Dobberstein 2022 et al., on NSAID ulcer repair, what clinical parameter was associated with a trend toward increased risk of death?

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Correct. Each 1 mmol/L increase in serum lactate doubled the risk of postoperative mortality.
Incorrect. The correct answer is Hyperlactatemia.
Each 1 mmol/L increase in serum lactate doubled the risk of postoperative mortality.

🔍 Key Findings

  • Primary repair of NSAID-associated full-thickness gastroduodenal ulcers was successful in 73% (8/11) of cases.
  • NSAID overdose, concurrent corticosteroid use, or extended duration were identified in 9/11 dogs and were major contributors to ulceration.
  • All perforations were in the pylorus or proximal duodenum, locations suitable for primary closure.
  • No significant association between ulcer size or location and postoperative survival.
  • Preoperative hyperlactatemia trended toward increased mortality (P = .0544; OR 2.045).
  • Postoperative vasopressor use was linked with a 9-fold increased risk of mortality (P = .0545).
  • Dehiscence was rare, suspected in only 1 of 11 cases, indicating that primary repair is structurally sound in selected cases.
  • Median follow-up of 444 days showed long-term survival was achievable post-primary repair.

Dobberstein

Veterinary Surgery

7

2022

Primary repair of nonsteroidal anti‐inflammatory drug‐associated full thickness gastrointestinal ulcers in 11 dogs

2022-7-VS-dobberstein-5

Article Title: Primary repair of nonsteroidal anti‐inflammatory drug‐associated full thickness gastrointestinal ulcers in 11 dogs

Journal: Veterinary Surgery

In Kikuchi 2025 et al., on arthroscopic MMI in toy breeds, what arthroscopic finding was associated with **severe** meniscal injury?

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Correct. Severe MMI was defined as requiring partial meniscectomy, often due to bucket-handle or flap tears.
Incorrect. The correct answer is Bucket-handle tear.
Severe MMI was defined as requiring partial meniscectomy, often due to bucket-handle or flap tears.

🔍 Key Findings

  • Medial meniscus injury (MMI) occurred in 36.3% of stifles with CrCLR in toy breed dogs (<5 kg)
  • Complete CrCLR was significantly associated with MMI (15.3% of complete vs. 3.4% of partial)
  • Severe lameness (grade 3) increased the likelihood of MMI compared to mild lameness (grade 1)
  • Higher body weight, even within the toy breed range, was positively associated with MMI
  • Yorkshire Terriers had the highest MMI incidence (55.6%), but this was not a significant independent factor due to multicollinearity
  • Arthroscopy identified more meniscal damage (including small radial tears and bucket-handle lesions) than gross examination might detect
  • MMI was classified as mild (radial tear) or severe (bucket-handle or flap) with implications for partial meniscectomy
  • Arthroscopy was used in all cases, underscoring its utility in small-breed stifle assessment

Kikuchi

Veterinary and Comparative Orthopaedics and Traumatology

5

2025

Incidence of Medial Meniscus Injury Detected by Arthroscopy in Toy Breed Dogs

2025-5-VCOT-kikuchi-3

Article Title: Incidence of Medial Meniscus Injury Detected by Arthroscopy in Toy Breed Dogs

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Renaud 2025 et al., on biliary peritonitis surgery, what total bilirubin threshold was associated with a 50% mortality rate?

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Correct. Total bilirubin > 60.5 µmol/L was associated with 50% mortality among dogs with biliary peritonitis.
Incorrect. The correct answer is 60.5 µmol/L.
Total bilirubin > 60.5 µmol/L was associated with 50% mortality among dogs with biliary peritonitis.

🔍 Key Findings

Mortality rate: 36% (12/33)
Cholecystectomy performed: 94% of dogs (31/33)
New significant prognostic factors for survival:

  • Hyperbilirubinemia (p = .049) — threshold = 60.5 μmol/L
  • Use of vasopressors (p = .002)
  • Renal dysfunction postoperatively (p = .008)
  • Number of postoperative complications (p = .005)

Multivariate model: Total bilirubin and number of complications best predicted survival
Septic vs nonseptic effusion: No significant difference in survival
Diagnostic imaging: Ultrasound sensitivity for extrahepatic biliary rupture = 38%
Most cultured pathogen: E. coli (80% of septic cases)

Renaud

Veterinary Surgery

2

2025

Clinical findings and prognostic factors for immediate survival in 33 dogs undergoing surgery for biliary peritonitis

2025-2-VS-renaud-2

Article Title: Clinical findings and prognostic factors for immediate survival in 33 dogs undergoing surgery for biliary peritonitis

Journal: Veterinary Surgery

In Nash 2024 et al., on esophageal pH monitoring, what was the defined upper reference limit for distal GER events per hour in healthy nonbrachycephalic dogs?

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Correct. The study defined the upper reference limit for distal GER events per hour as 2.4 based on nonparametric analysis.
Incorrect. The correct answer is 2.4.
The study defined the upper reference limit for distal GER events per hour as 2.4 based on nonparametric analysis.

🔍 Key Findings

  • Esophageal pH-monitoring was well tolerated in all 35 nonbrachycephalic dogs, with no major adverse events reported.
  • Distal GER occurred in 80% of dogs, but events were typically brief and non-productive; proximal GER occurred in only 39%.
  • Upper reference limits for GER were 2.4 events/hour (distal) and 0.4 events/hour (proximal).
  • Cumulative acid exposure was minimal: upper limits were 2.3% (distal) and 0% (proximal).
  • Comparison with brachycephalic dogs shows significantly higher GER frequency and duration, validating the diagnostic utility of pH monitoring.
  • Transnasal probe placement under light anesthesia was safe and less morbid compared to percutaneous or conscious techniques.
  • No expelled or productive regurgitation occurred, despite some GER events, indicating efficient esophageal clearance in healthy dogs.
  • Diet and fasting duration may affect GER, but these were not controlled variables in this study.

Nash

Veterinary Surgery

8

2024

Esophageal pH‐monitoring in nonbrachycephalic dogs: A reference

2024-8-VS-nash-1

Article Title: Esophageal pH‐monitoring in nonbrachycephalic dogs: A reference

Journal: Veterinary Surgery

In Peng 2025 et al., on grading reliability, … what was the overall interobserver reliability among expert remote graders?

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Correct. This value reflects moderate agreement among expert graders using remote recordings.
Incorrect. The correct answer is Fleiss’ kappa = 0.59.
This value reflects moderate agreement among expert graders using remote recordings.

🔍 Key Findings

  • Remote respiratory function grading (RFG) had poor to moderate reliability compared to in-person assessment.
  • Expert graders had higher agreement with in-person scores than novices (Cohen’s kappa 0.37–0.48 vs. 0.21–0.47).
  • Interobserver agreement was moderate among experts (Fleiss’ kappa = 0.59) and poor among novices (Fleiss’ kappa = 0.39).
  • Remote recordings suffered from background noise, short clip durations, and technical limitations of electronic stethoscope recordings.
  • Final RFG scores were based on the highest grade across categories (respiratory noise, inspiratory effort, dyspnea/cyanosis/syncope).
  • Clinical impact: Only in-person grading reliably supports decisions for surgical intervention or breeding restrictions.

Peng

Veterinary Surgery

3

2025

Comparison of remote and in-person respiratory function grading of brachycephalic dogs

2025-3-VS-peng1-1

Article Title: Comparison of remote and in-person respiratory function grading of brachycephalic dogs

Journal: Veterinary Surgery

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