Your Custom Quiz

In Duffy 2022 et al., on crotch suture techniques, which technique resulted in the highest **initial leakage pressure** during FEESA in dogs?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. SCCS produced the highest ILP at 47.6 mm Hg, significantly higher than all other techniques.
Incorrect. The correct answer is Simple continuous crotch suture (SCCS).
SCCS produced the highest ILP at 47.6 mm Hg, significantly higher than all other techniques.

🔍 Key Findings

  • Augmenting FEESA with two simple interrupted crotch sutures (TCS) or simple continuous crotch suture (SCCS) significantly increased initial leakage pressure (ILP) compared to no suture or a single suture (NCS, SICS).
  • SCCS had the highest ILP (47.6 mm Hg), followed by TCS (37.8 mm Hg), SICS (33.0 mm Hg), and NCS (27.1 mm Hg).
  • All crotch suture types increased maximal leakage pressure (MLP) compared to no crotch suture.
  • Leakage from the crotch occurred most commonly in NCS (67%) and SICS (50%), but only 8% with TCS and 0% with SCCS.
  • SCCS was the only technique where leakage never occurred at the crotch site.
  • SCCS had the highest MLP (100.6 mm Hg), supporting its use in clinical settings with high-risk patients.
  • Intraluminal pressures during leakage in NCS constructs were sometimes below normal physiologic pressures, emphasizing risk of leakage without crotch suture.
  • The transverse staple line never leaked in any group, indicating the crotch is the primary weak point.

Duffy

Veterinary Surgery

4

2022

Influence of crotch suture augmentation on leakage pressure and leakage location during functional end-to-end stapled anastomoses in dogs

2022-4-VS-duffy-1

Article Title: Influence of crotch suture augmentation on leakage pressure and leakage location during functional end-to-end stapled anastomoses in dogs

Journal: Veterinary Surgery

In Espinel Rupérez 2023 et al., in Arthroscopic-assisted hip toggle stabilization in cats, what percentage of joints experienced intraoperative complications?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. 5 out of 14 joints had complications, mainly related to femoral tunnel creation and toggle lodging.
Incorrect. The correct answer is 36%.
5 out of 14 joints had complications, mainly related to femoral tunnel creation and toggle lodging.

🔍 Key Findings

  • 14 joints from 7 cat cadavers underwent AA-HTS successfully.
  • Median surgical time: 46.5 min (29–144), including 7 min for arthroscopy and 40 min for toggle placement.
  • Intraoperative complications in 5/14 joints: 4 related to femoral tunnel creation, 1 toggle lodging.
  • Toggle passage through femoral tunnel was the most challenging step, mildly difficult in 6 joints.
  • Cartilage injury occurred in 10 joints, but all were minor (<10% of cartilage area).
  • 13 deviations from planned technique were identified (8 major, 5 minor), all involving femoral tunnel placement.
  • No neurovascular, intrapelvic, or major periarticular injuries occurred.
  • Authors conclude: AA-HTS is feasible in cats, but associated with high rates of minor iatrogenic cartilage damage, intra-op complications, and technique deviations.

Espinel Rupérez

Veterinary Surgery

7

2023

Arthroscopic-assisted hip toggle stabilization in cats: An ex vivo feasibility study

2023-7-VS-espinel-2

Article Title: Arthroscopic-assisted hip toggle stabilization in cats: An ex vivo feasibility study

Journal: Veterinary Surgery

In García 2025 et al., on TIAS shunt confirmation, what was the long-term clinical outcome in most dogs?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. 29/39 dogs had excellent long-term outcome, requiring no medications or diet changes.
Incorrect. The correct answer is Excellent outcome with no medication.
29/39 dogs had excellent long-term outcome, requiring no medications or diet changes.

🔍 Key Findings

  • 40 dogs with congenital EHPSS were surgically treated using intraoperative transsplenic injection of agitated saline (TIAS) to assess full temporary occlusion.
  • TIAS was successful in 38/40 dogs; the remaining 2 had additional shunting vessels not originally seen and required further identification/ligation.
  • No intraoperative or postoperative complications occurred.
  • TIAS allowed real-time confirmation of attenuation success using ultrasound-visible microbubbles.
  • Median postoperative bile acids were 5 μmol/L (preprandial) and 25 μmol/L (postprandial).
  • Long-term outcomes: 29/39 dogs had excellent, 10/39 had good outcomes; 3 dogs died unrelated to EHPSS.
  • Technique is presented as a safe, quick, low-cost, accessible intraoperative assessment alternative to IOMP or SP.

Garcia

Veterinary Surgery

2

2025

Use of intraoperative transsplenic injection of agitated saline to confirm temporary full attenuation of congenital extrahepatic portosystemic shunts in dogs

2025-2-VS-garcia-3

Article Title: Use of intraoperative transsplenic injection of agitated saline to confirm temporary full attenuation of congenital extrahepatic portosystemic shunts in dogs

Journal: Veterinary Surgery

In Folk 2025 et al., on vessel sealing device reuse, how many devices failed intraoperatively due to malfunction?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Only one device failed intraoperatively, and this occurred during its first activation.
Incorrect. The correct answer is 1 of 16.
Only one device failed intraoperatively, and this occurred during its first activation.

🔍 Key Findings

40 dogs underwent splenectomy using 16 bipolar vessel sealing devices (VSDs)
Devices were reused up to 4 times after handwashing and ethylene oxide (EtO) sterilization
Biologic debris was found in 100% of devices, specifically under the transection blade, even after a single use

  • Mostly scant (14/16) or mild (2/16) debris

No devices or debris yielded positive aerobic culture after EtO sterilization
EtO sterilization proved microbiologically effective despite visible residue
Perioperative failure rate: 1 device (malfunctioned during first activation)

Folk

Veterinary Surgery

3

2025

Incidence of residual biologic debris and contamination of reused bipolar vessel sealing devices after ethylene oxide sterilization following splenectomy

2025-3-VS-folk-5

Article Title: Incidence of residual biologic debris and contamination of reused bipolar vessel sealing devices after ethylene oxide sterilization following splenectomy

Journal: Veterinary Surgery

In Nicolas 2024 et al., what was a key advantage of the lateral scapular osteotomy approach versus dorsal or ventral routes?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. The approach offered good foramen access while preserving articular facets and minimizing spinal disruption:contentReference[oaicite:3]{index=3}
Incorrect. The correct answer is Avoided thoracic entry and preserved vertebral stability.
The approach offered good foramen access while preserving articular facets and minimizing spinal disruption:contentReference[oaicite:3]{index=3}

🔍 Key Findings Summary

  • The lateral approach via scapular osteotomy allowed safe access to the T1-2 foramen in a French Bulldog with foraminal disc extrusion.
  • A mini-hemilaminectomy was performed, preserving articular facets.
  • The dog had no neurologic deficits postoperatively, returned to ambulation within 24 hours, and was discharged in 3 days.
  • At 10 months, CT confirmed excellent scapular healing and no recurrence.
  • Double 2.4-mm locking plates provided stable fixation across the scapular spine.
  • The technique avoided thoracic entry or dorsal spine dissection, suggesting a less invasive alternative for select T1-2 foraminal cases.

Nicolas

Veterinary and Comparative Orthopedics and Traumatology

2

2024

Scapular Osteotomy for Lateral Access to a T1-2 Foraminal Disc Extrusion, Treated by Mini-Hemilaminectomy in a Dog

2024-2-VCOT-nicolas-4

Article Title: Scapular Osteotomy for Lateral Access to a T1-2 Foraminal Disc Extrusion, Treated by Mini-Hemilaminectomy in a Dog

Journal: Veterinary and Comparative Orthopedics and Traumatology

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?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
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 Haine 2022 et al., on outcomes in canine limb tumors, which scheme demonstrated greater interobserver agreement?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. The R scheme showed 83% agreement versus 68% with the ≤1 mm scheme.
Incorrect. The correct answer is The R classification scheme.
The R scheme showed 83% agreement versus 68% with the ≤1 mm scheme.

🔍 Key Findings

  • Fewer R1 margins (tumor on ink) were achieved in mast cell tumors (MCTs) when using 6–10 mm lateral margins versus 0–5 mm (7% vs. 55%; _P_ = .049).
  • For soft tissue sarcomas (STSs), no benefit was seen in margin completeness between 0–5 mm vs. 6–10 mm lateral margins (41% vs. 43% R1).
  • Overall R1 rates were 26% for MCTs and 42% for STSs following PNE.
  • R scheme (“tumor on ink” = R1) had better interobserver agreement (83%) compared to ≤1 mm margin criteria (68% agreement).
  • Complication rate was moderate (26%), but no surgeries required revision.
  • Local recurrence/metastasis occurred in 14% of dogs, with 60% of those having R1 margins.
  • Adjunctive therapy was considered clinically indicated in 46% of 0–5 mm margin cases vs. 24% of 6–10 mm cases.
  • Histologic grade and tumor size were not predictive of margin completeness.

Haine

Veterinary Surgery

7

2022

Incomplete histological margins following planned narrow excision of canine appendicular soft tissue sarcomas and mast cell tumors, using the residual tumor classification scheme

2022-7-VS-haine-1

Article Title: Incomplete histological margins following planned narrow excision of canine appendicular soft tissue sarcomas and mast cell tumors, using the residual tumor classification scheme

Journal: Veterinary Surgery

In Carvajal 2023 et al., on serum biomarkers post-THA, what is the clinical implication of stable CRP and SAA levels postoperatively?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Deviations from baseline in future cases could suggest infection.
Incorrect. The correct answer is It may help screen for PJIs.
Deviations from baseline in future cases could suggest infection.

🔍 Key Findings

  • C-reactive protein (CRP) and serum amyloid A (SAA) levels remained low at 3 and 6 months after uncomplicated THA in dogs.
  • No significant differences were observed in CRP or SAA between preoperative, 3-month, and 6-month time points.
  • Mean CRP values were 3.8 mg/L pre-op, 0.8 mg/L at 3 months, and 1.4 mg/L at 6 months.
  • Mean SAA values were 13.9 mg/L pre-op, 14.1 mg/L at 3 months, and 18.4 mg/L at 6 months.
  • All dogs recovered normally with no complications or persistent signs of inflammation at follow-up.
  • Study establishes baseline CRP and SAA levels for dogs post-THA, useful for comparison in suspected PJI.
  • These markers may help differentiate periprosthetic joint infection (PJI) if values deviate from baseline post-THA.
  • NSAID therapy was discontinued by 6 months in all dogs, possibly reflecting decreased inflammation.

Carvajal

Veterinary Surgery

1

2023

Serum acute-phase protein concentrations following uncomplicated total hip arthroplasty in dogs

2023-1-VS-carvajal-4

Article Title: Serum acute-phase protein concentrations following uncomplicated total hip arthroplasty in dogs

Journal: Veterinary Surgery

In Wood 2024 et al., on knot security and locking throws, which knot type had the highest failure load regardless of locking status?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Constrictor knots demonstrated the greatest load resistance with and without locking throws.
Incorrect. The correct answer is Constrictor knot.
Constrictor knots demonstrated the greatest load resistance with and without locking throws.

🔍 Key Findings

  • Adding a single locking throw significantly increased holding security for specific knots, including the surgeon's throw (p = .0001) and square throw (p = .0002).
  • For the Miller's throw (p = .166) and strangle throw (p = .808), no significant improvement was observed with a locking throw.
  • After locking throw addition, all five knots leaked at similar pressures (p = .5233), and these pressures exceeded physiologic arterial pressures.
  • Surgeon's throw without a locking throw had the lowest leak pressure (62.5 ± 46.2 mm Hg), below physiologic arterial values.
  • The square throw without locking also leaked below physiologic pressures (148.7 ± 109.4 mm Hg), though it outperformed the surgeon's throw.
  • Miller’s and strangle throws performed significantly better than square or surgeon’s throws without locking, achieving leak pressures >200 mm Hg.
  • All knots used 2-0 polyglyconate monofilament (Maxon); no comparisons across suture types or sizes were performed.
  • Authors concluded that correct tensioning and locking throw addition are key to safe vascular ligation. Miller’s, strangle, or slip knots are preferred for challenging surgical fields.

Wood

Veterinary Surgery

4

2024

Influence of a single locking throw on the in vitro holding security of five friction knots using two monofilament suture materials in a canine model

2024-4-VS-wood-1

Article Title: Influence of a single locking throw on the in vitro holding security of five friction knots using two monofilament suture materials in a canine model

Journal: Veterinary Surgery

In Sabol 2024 et al., what technique was recommended to reduce risk of implant misplacement?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. The authors highlighted 3D-printed guides as improving accuracy and minimizing breach risk:contentReference[oaicite:4]{index=4}
Incorrect. The correct answer is 3D-printed drill guides.
The authors highlighted 3D-printed guides as improving accuracy and minimizing breach risk:contentReference[oaicite:4]{index=4}

🔍 Key Findings Summary

  • Evaluated ideal dorsolateral implant trajectories in T1–T13 using CT in 30 dogs across five weight classes.
  • Corridor widths were narrowest in the mid-thoracic vertebrae (as little as 1.8 mm) and increased cranially and caudally.
  • Allowable deviation angles (ADA) were often very small (as little as ), indicating high risk for canal or thoracic structure breach.
  • Distances to critical structures (lungs, aorta, subclavian artery, azygos vein) were often <1 mm, even in large dogs.
  • Data suggest extreme caution and precision are needed for thoracic vertebral implant placement and support use of navigation or 3D-printed guides.

Sabol

Veterinary and Comparative Orthopedics and Traumatology

2

2024

Implantation Corridors in Canine Thoracic Vertebrae: A Morphometric Study in Dogs of Varying Sizes

2024-2-VCOT-sabol-5

Article Title: Implantation Corridors in Canine Thoracic Vertebrae: A Morphometric Study in Dogs of Varying Sizes

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.