Your Custom Quiz

In Kennedy 2024 et al., which portal had the highest rate of articular cartilage injury?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. 60% of shoulders had IACI at the caudal instrument portal vs 25% at the middle portal:contentReference[oaicite:1]{index=1}
Incorrect. The correct answer is Caudal instrument portal.
60% of shoulders had IACI at the caudal instrument portal vs 25% at the middle portal:contentReference[oaicite:1]{index=1}

🔍 Key Findings Summary

  • 20 shoulders from 11 medium-to-large breed dogs evaluated
  • Lateral portals used: middle arthroscopic, caudal instrument, cranial egress
  • Musculotendinous lesions unavoidable, but small (18G needle); seen in deltoideus (90%), infraspinatus, teres minor, etc.
  • Neurovascular safety:
    • Caudal portal was closest to axillary artery/nerve branches (as close as 7 mm)
    • Only 2/20 shoulders (10%) had omobrachial vein penetrated
  • Cartilage injuries (IACI) occurred in 65%, primarily minor linear defects; use of guarded cannulas and distractors suggested for minimization
  • Supports overall safety of lateral shoulder arthroscopy with portal placement awareness

Kennedy

Veterinary and Comparative Orthopedics and Traumatology

4

2024

Evaluation of Canine Shoulder Arthroscopy for Anatomical and Safety Considerations

2024-4-VCOT-kennedy-2

Article Title: Evaluation of Canine Shoulder Arthroscopy for Anatomical and Safety Considerations

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Sadowitz 2023 et al., on screw angle & speed, what was the transcortical fracture (TCF) rate when screws were inserted at a 10° angle at 1350 rpm?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Higher insertion angle and speed were associated with the highest TCF rate, observed in Group E at 10°/1350 rpm.
Incorrect. The correct answer is 17.5%.
Higher insertion angle and speed were associated with the highest TCF rate, observed in Group E at 10°/1350 rpm.

2023-8-VS-sadowitz-1

Article Title:

Journal:

In Gibson 2024 et al., on mediastinoscopy in dogs, what was the **overall complication rate** observed during the cadaveric procedures?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Only minor grade 1 events (pleural tear and LN rupture) were reported, with no major complications.
Incorrect. The correct answer is Low with only two minor adverse events.
Only minor grade 1 events (pleural tear and LN rupture) were reported, with no major complications.

🔍 Key Findings

  • Mediastinoscopy was technically feasible in large-breed canine cadavers using a SILS port and standard laparoscopic instruments.
  • The left tracheobronchial lymph node (LTBLN) was successfully retrieved in all cadavers (7/7), while cranial mediastinal lymph nodes were retrieved in only 1/7.
  • Postprocedural pleural gas was observed in 4/7 cadavers, likely due to CO₂ insufflation.
  • Instrument limitations with a human-designed mediastinoscope led to preference for laparoscopic instruments and SILS port for improved access and visualization.
  • Complication rates were low, with only two minor (Grade 1) adverse events (pleural tear and LN rupture).
  • Obesity and mediastinal fat were cited as potential challenges to visualization and node retrieval.
  • NASA-TLX workload scores were lowest for tracheobronchial nodes, indicating these were the easiest to access.
  • The authors concluded this approach may facilitate minimally invasive biopsy or resection of cranial mediastinal masses in live dogs, but clinical trials are needed to validate safety and efficacy.

Gibson

Veterinary Surgery

5

2024

Evaluation of mediastinoscopy for cranial mediastinal and tracheobronchial lymphadenectomy in canine cadavers

2024-5-VS-gibson-4

Article Title: Evaluation of mediastinoscopy for cranial mediastinal and tracheobronchial lymphadenectomy in canine cadavers

Journal: Veterinary Surgery

In Pilot 2022 et al., on closure methods in sternotomy, how did complication severity generally present?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Of the 37 complications, most were mild (62%), with only 10 severe cases.
Incorrect. The correct answer is Mostly mild complications.
Of the 37 complications, most were mild (62%), with only 10 severe cases.

🔍 Key Findings

  • Overall closure-related complication rate was 14.1%, lower than previously reported (17–78%).
  • No clinically meaningful difference in complication rate between orthopedic wire (17.4%) and suture (11.5%) closure methods.
  • Dog size (≥20 kg) was the only significant risk factor associated with increased closure-related complications (p = .01).
  • Type of closure (wire vs. suture) did not affect risk, even in larger dogs.
  • Suture closure showed a non-significant trend toward fewer complications (mean reduction 2.3%, 95% CI: –9.1% to +4.5%).
  • Most complications were mild (62%), with only 10 severe cases requiring surgical revision.
  • Infection rate was low (2.7%), and not significantly different between wire and suture.
  • Suture closure is a valid alternative to wire, including in large dogs, based on this large, multi-institutional study.

Pilot

Veterinary Surgery

6

2022

Comparison of median sternotomy closure‐related complication rates using orthopedic wire or suture in dogs: A multi-institutional observational treatment effect analysis

2022-6-VS-pilot-4

Article Title: Comparison of median sternotomy closure‐related complication rates using orthopedic wire or suture in dogs: A multi-institutional observational treatment effect analysis

Journal: Veterinary Surgery

In Davies 2024 et al., on lymphaticovenous anastomosis, what was used to create the end-to-end connection?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. A commercially available MAC device enabled end-to-end coupling of TD to AV.
Incorrect. The correct answer is Microvascular anastomotic coupler (MAC).
A commercially available MAC device enabled end-to-end coupling of TD to AV.

🔍 Key Findings

  • Lymphaticovenous anastomosis (TD to AV) was successfully performed in all 8 feline cadavers using a microvascular anastomotic coupler (MAC).
  • Anastomotic patency was confirmed intraoperatively and postoperatively in 7/8 cats via contrast lymphography or retrograde venography.
  • Dissection and anastomosis took a median of 120 minutes, with minimal technical complications.
  • A 1.5 mm MAC was used in 6 cats, and a 2.0 mm in 2 cats; TD diameter ranged 1.0–1.5 mm, AV up to 2.25 mm.
  • Challenges included vessel twisting and luminal patency issues, resolved intraoperatively with minor adjustments (e.g., repeat pinning, tacking suture).
  • MAC use eliminated need for hand-suturing, lowering skill demands but requiring precise alignment.
  • Technique provides direct lymphatic-to-venous drainage, potentially reducing the stimulus for collateral vessel formation.
  • May serve as a future treatment option for feline idiopathic chylothorax, warranting further in vivo studies.

Davies

Veterinary Surgery

7

2024

Lymphaticovenous anastomosis of the caudal thoracic duct to the azygous vein: A feline cadaver study

2024-7-VS-davies-1

Article Title: Lymphaticovenous anastomosis of the caudal thoracic duct to the azygous vein: A feline cadaver study

Journal: Veterinary Surgery

In Isono 2025 et al., on tibial malalignment in MPL, what clinical advantage does PTMTA provide over TTA in preoperative assessment?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Unlike TTA, PTMTA can be visually estimated during palpation, improving clinical utility.
Incorrect. The correct answer is It can be assessed visually during palpation.
Unlike TTA, PTMTA can be visually estimated during palpation, improving clinical utility.

🔍 Key Findings

  • Proximal Tibia Metatarsal Angle (PTMTA) was significantly increased in dogs with grade 3 and 4 MPL, making it a useful marker for severity.
  • PTMTA strongly correlated with Tibial Torsion Angle (TTA) (r = 0.733) and Crural Rotation Angle (CRA) (r = 0.643), integrating multiple morphological deformities.
  • Grade 4 MPL cases showed significant internal tibial torsion, increased mMPTA, and decreased MDTT/PTW—indicating both rotation and medial displacement.
  • DTMTA was significantly more negative in grade 4, indicating a consistent pattern of internal foot rotation with disease severity.
  • PTMTA can be visually assessed during palpation, offering preoperative utility without CT.
  • Among toy poodles, PTMTA showed significant differences even between grades 3 and normal, suggesting breed-specific severity patterns.
  • Corrective osteotomy may need to address tibial as well as femoral deformities in severe MPL cases with high PTMTA.
  • Younger dogs with grade 4 MPL had more severe deformities, possibly due to early onset or developmental progression.

Isono

Veterinary and Comparative Orthopaedics and Traumatology

4

2025

Tibial Torsion Malalignment in Small Dogs with Medial Patellar Luxation

2025-4-VCOT-isono-3

Article Title: Tibial Torsion Malalignment in Small Dogs with Medial Patellar Luxation

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Bayrakdarian 2026 et al., on feline skin perfusion, how did the standard intradermal horizontal mattress pattern affect perfusion?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. The standard intradermal horizontal mattress pattern produced a mean decrease in perfusion of approximately 20 BPU.
Incorrect. The correct answer is It significantly decreased perfusion.
The standard intradermal horizontal mattress pattern produced a mean decrease in perfusion of approximately 20 BPU.

🔍 Key Findings

  • A within-animal randomized controlled trial was performed in 32 adult cats undergoing ovariohysterectomy, allowing direct comparison of two intradermal skin-closure patterns in the same incision.
  • Each 4-cm ventral midline incision was divided into cranial and caudal halves, randomly assigned to either a modified Allgower-Donati (mAD) intradermal pattern or a standard intradermal horizontal mattress pattern (SP).
  • The modified Allgower-Donati pattern significantly increased wound-edge perfusion, whereas the standard intradermal horizontal mattress pattern decreased perfusion.
  • Mean perfusion change was +59.7 ± 124.1 BPU with mAD versus −20.2 ± 119.9 BPU with SP (p < .01), demonstrating improved acute microcirculation with the mAD technique.
  • Relative perfusion increased by 115.3% with mAD but decreased by 24.1% with SP, reinforcing the perfusion advantage of the modified pattern.
  • The critical technical difference was suture bite orientation: mAD placed dermal bites perpendicular (90°) to the incision, while the standard pattern placed bites parallel and close to the wound edge.
  • Both techniques used buried continuous intradermal closure with 4-0 poliglecaprone, maintaining the cosmetic and patient-comfort advantages of intradermal suturing.
  • No incisional complications were reported within 30 days, although follow-up relied on re-presentation rather than scheduled examination, limiting detection of minor complications.

Bayrakdarian

Veterinary Surgery

2

2026

Comparison of the effect on blood flow of two intradermal suture patterns in feline skin: A within animal randomized controlled trial

2026-2-vs-bayrakdarian-4

Article Title: Comparison of the effect on blood flow of two intradermal suture patterns in feline skin: A within animal randomized controlled trial

Journal: Veterinary Surgery

In Banse 2022 et al., on skill retention methods, which component of cognitive load was significantly higher in massed instruction (MI) students at LMU?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. LMU MI students reported higher mental, physical, and time demands, indicating elevated cognitive load.
Incorrect. The correct answer is Mental demand.
LMU MI students reported higher mental, physical, and time demands, indicating elevated cognitive load.

🔍 Key Findings

  • Spaced instruction (SI) improved immediate performance on the first learned skill compared to massed instruction (MI) in both LSU and LMU cohorts.
  • Cognitive load was higher in MI students at LMU, particularly in physical demand, effort, and frustration, while LSU showed no significant cognitive load differences.
  • Skill performance differences disappeared after 2 weeks of supervised practice, regardless of instructional format.
  • Time to complete skills improved over time, but this did not always correlate with improved checklist or global rating scores.
  • Intrinsic cognitive load increased when teaching more complex or related surgical tasks in the same session.
  • Initial skill complexity and prior exposure may influence effectiveness of spaced vs massed instruction.
  • Supervised practice sessions are critical to eliminate initial skill disparities between instructional methods.
  • Massed instruction may still be acceptable if followed by scheduled practice opportunities.

Banse

Veterinary Surgery

7

2022

Teaching veterinary surgical skills: Comparison of massed versus spaced instruction

2022-7-VS-banse-2

Article Title: Teaching veterinary surgical skills: Comparison of massed versus spaced instruction

Journal: Veterinary Surgery

In Ferreira 2025 et al., on tibial torsion measurement, which method had the highest interobserver reproducibility?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. The new method had an interobserver ICC of 0.83, higher than the traditional method (0.52).
Incorrect. The correct answer is 3D tomographic method described in this study.
The new method had an interobserver ICC of 0.83, higher than the traditional method (0.52).

🔍 Key Findings

Objective: Validate a new 3D CT-based method for measuring tibial torsion in dogs with MPL, comparing it to a traditional method.

Sample: 40 tibiae from client-owned dogs with MPL (primarily small-breed).

Repeatability (intraobserver):

  • New method: ICC = 0.99 → excellent agreement

Reproducibility (interobserver):

  • New method: ICC = 0.83 → high agreement
  • Traditional method: ICC = 0.52 → moderate agreement

Torsion angle measurements:

  • New method avg: 16.00° ± 8.77
  • Traditional method avg: 8.76° ± 4.92

Conclusion: The new method is more repeatable, reproducible, and provides higher torsion values than the traditional Aper method, especially reliable for small-breed dogs.

Ferreira

Veterinary Surgery

3

2025

Repeatability and reproducibility of a tomographic method for measuring tibial torsion in dogs with medial patellar luxation

2025-3-VS-ferreira-1

Article Title: Repeatability and reproducibility of a tomographic method for measuring tibial torsion in dogs with medial patellar luxation

Journal: Veterinary Surgery

In Crystal 2024 et al., on elbow osteotomies, which variable most significantly predicted reduced medial elbow load?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Osteotomy angle had the greatest impact (1.08 unit decrease per 1° angle; p = 0.0002).
Incorrect. The correct answer is Osteotomy angle.
Osteotomy angle had the greatest impact (1.08 unit decrease per 1° angle; p = 0.0002).

🔍 Key Findings Summary

  • Ex vivo cadaver study using 5 paired canine thoracic limbs
  • Compared medial opening wedge osteotomy (MOWO) and external rotational osteotomy (ERO) of the humerus
  • Measured pressure changes in the medial compartment using thin-film sensors
  • ERO significantly reduced peak pressure and pressure distribution in the medial elbow compartment (p < 0.05)
  • MOWO showed no significant pressure reduction relative to native state
  • Combined MOWO + ERO did not significantly improve over ERO alone
  • Findings support the biomechanical rationale for ERO as a surgical strategy to offload the medial compartment in cases like medial compartment disease (MCD)

Crystal

Veterinary and Comparative Orthopedics and Traumatology

4

2024

Effect of Medial Opening Wedge and External Rotational Humeral Osteotomies on Medial Elbow Compartment Pressure: An Ex Vivo Study

2024-4-VCOT-crystal-5

Article Title: Effect of Medial Opening Wedge and External Rotational Humeral Osteotomies on Medial Elbow Compartment Pressure: An Ex Vivo Study

Journal: Veterinary and Comparative Orthopedics and Traumatology

Quiz Results

Previously Missed Questions
70%

You answered 7 out of 10 questions correctly

Question 1:

❌ Incorrect. You answered: Answer

Correct answer:

Rationale

Question 1:

✅ Correct! You answered: Answer

Rationale

Author: Journal Name - 2025

Article Title

Key Findings

Something off with this question?
Tell us what needs fixing—drop your note below.

You’re flagging: [question text]

Thanks for your feedback!
We’ll review your comment as soon as possible.
Oops! Something went wrong while submitting the form.