Your Custom Quiz

In Dobberstein 2024 et al., on liver biopsy forceps, what was the mean number of hepatic lobules retrieved with 5 mm forceps?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. The mean number of lobules with 5 mm forceps was 12.4, significantly higher than 4.9 from 3 mm forceps.
Incorrect. The correct answer is 12.4.
The mean number of lobules with 5 mm forceps was 12.4, significantly higher than 4.9 from 3 mm forceps.

🔍 Key Findings Summary

  • Subjects: 12 healthy colony cats, 68 total liver samples collected via laparoscopy
  • Biopsy instruments: 3 mm vs 5 mm Storz Blakesley cup forceps
  • Techniques: Twist (T), Pull (P), Twist + Pull (TP)
  • Results:
    • 5 mm forceps yielded significantly more hepatic lobules (mean 12.4 vs 4.9), portal triads (29.6 vs 19.0), weight, and histologic area (p < .01)
    • T and P techniques yielded more portal triads and lobules than TP (p = .003 and p = .015)
    • TP technique resulted in greater tissue crush vs T (p = .01)
    • Good diagnostic agreement between 3 mm and 5 mm samples only with TP (κ = 0.75)
    • All samples were of sufficient diagnostic quality, despite size or technique
  • Clinical implication: Both 3 mm and 5 mm forceps are viable; further studies are needed to confirm diagnostic accuracy of 3 mm samples

Dobberstein

Veterinary Surgery

2

2024

Comparison of the diagnostic yield of 3 and 5 mm laparoscopic liver biopsy forceps in cats

2024-2-VS-dobberstein-4

Article Title: Comparison of the diagnostic yield of 3 and 5 mm laparoscopic liver biopsy forceps in cats

Journal: Veterinary Surgery

In Monnet 2023 et al., on barbed vs conventional suture in vesicourethral anastomosis (VUA), which of the following best describes the leakage sites observed?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Leakage was seen ventrally or laterally between suture bites in both groups; no dorsal leakage was reported.
Incorrect. The correct answer is Leaks were lateral or ventral.
Leakage was seen ventrally or laterally between suture bites in both groups; no dorsal leakage was reported.

🔍 Key Findings

  • Leakage pressure was not significantly different between unidirectional barbed suture (UBS) and conventional (C) suture groups (p = .236).
  • UBS group had a 28% lower median leakage pressure than the C group (8.6 mmHg vs. 11.7 mmHg), suggesting higher biological risk of leakage.
  • UBS significantly reduced suturing time (median 12.7 vs. 17.3 minutes; p < .0002).
  • Fewer suture bites were needed in the UBS group (median 14 vs. 19; p = .012).
  • No suture breakage or urethral narrowing occurred in either group.
  • Leakage site distribution (ventral vs lateral) was similar between groups; no dorsal leaks noted.
  • Leakage occurred as low as 5 mmHg in UBS group, indicating potential for postoperative extravasation.
  • UBS may aid intracorporeal suturing in minimally invasive prostatectomy, but catheterization remains necessary postoperatively.

Monnet

Veterinary Surgery

5

2023

Influence of conventional versus unidirectional barbed suture on leakage pressures in canine vesicourethral anastomosis: An ex-vivo study

2023-5-VS-monnet-3

Article Title: Influence of conventional versus unidirectional barbed suture on leakage pressures in canine vesicourethral anastomosis: An ex-vivo study

Journal: Veterinary Surgery

In Cherzan 2023 et al., on subcutaneous mast cell tumors, what proportion of dogs with lymph node metastases developed tumor recurrence?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. 67% (8 of 12) of dogs with LN metastases experienced tumor recurrence.
Incorrect. The correct answer is 67%.
67% (8 of 12) of dogs with LN metastases experienced tumor recurrence.

🔍 Key Findings

  • Local recurrence occurred in 17.8% of dogs, and was associated with significantly decreased survival (551 vs 1722 days, p = .0038).
  • Lymph node metastasis occurred in 26.7% of dogs and was significantly associated with shorter disease-free interval (194 vs not reached, p = .0012) and lower survival (551 vs 1722 days, p = .043).
  • Mitotic index >7 was significantly associated with higher recurrence (80% vs 22.5%, p = .02), shorter DFI (139 vs not reached days, p < .001), and shorter survival (247 vs 1722 days, p = .05).
  • Infiltrative growth pattern was associated with shorter DFI (268 vs 1864 days, p = .011), but not with survival or recurrence.
  • Incomplete margins (≤1 mm) were not significantly associated with recurrence (p = .085), but did correlate with shorter DFI (p = .043).
  • Chemotherapy or radiation therapy was associated with shorter DFI and survival, likely due to selection bias for more aggressive disease.
  • Tumor size >3 cm was associated with decreased survival (p = .031), but not with recurrence or DFI.
  • Multinucleation and necrosis were not associated with prognosis outcomes.

Cherzan

Veterinary Surgery

4

2023

Factors affecting prognosis in canine subcutaneous mast cell tumors: 45 cases

2023-4-VS-cherzan-5

Article Title: Factors affecting prognosis in canine subcutaneous mast cell tumors: 45 cases

Journal: Veterinary Surgery

In Sherman 2023 et al., on minimally invasive ESF, what was the effect of intraoperative imaging on alignment?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Intraoperative imaging did not improve fracture alignment (P > .05 for all comparisons).
Incorrect. The correct answer is No effect on alignment.
Intraoperative imaging did not improve fracture alignment (P > .05 for all comparisons).

🔍 Key Findings

  • 55 cases (49 dogs, 6 cats) with nonarticular tibial fractures were treated using linear ESF with a minimally invasive approach
  • All fractures achieved radiographic union; no unacceptable outcomes were reported
  • 40% complication rate, mostly minor (82%), primarily pin-tract morbidity; major complications (7%) included osteomyelitis and refracture
  • Open fractures had significantly more major complications than closed ones (P = .019)
  • Use of intraoperative imaging (72% cases) reduced surgery time but did not improve alignment (P > .05)
  • Median surgery time: 74 min with imaging vs. 100 min without (P = .046)
  • TPA was lower than normal in both dogs and cats, but did not correlate with poor outcomes
  • 62% had full clinical recovery, and 38% had acceptable outcomes at fixator removal

Sherman

Veterinary Surgery

2

2023

Linear external skeletal fixation applied in minimally invasive fashion for stabilization of nonarticular tibial fractures in dogs and cats

2023-2-VS-sherman-2

Article Title: Linear external skeletal fixation applied in minimally invasive fashion for stabilization of nonarticular tibial fractures in dogs and cats

Journal: Veterinary Surgery

In Fidelis 2025 et al., on suture eyelet geometry, what was the **most common failure location** for sutures in anchors with embedded eyelets?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. All embedded eyelet anchor failures occurred at the suture knot, suggesting reduced suture wear.
Incorrect. The correct answer is Suture breakage at knot.
All embedded eyelet anchor failures occurred at the suture knot, suggesting reduced suture wear.

🔍 Key Findings

  • Raised eyelets caused more suture mid-section failures than embedded eyelets, suggesting wear or cutting against the anchor.
  • No significant effect of cyclic loading on failure load (Fmax) was found for any anchor group.
  • Anika anchor showed the least reduction in suture strength relative to the reference (eyebolt screw), indicating a favorable design.
  • All sutures failed via suture breakage, not anchor pullout, indicating suture fatigue was the primary failure mode.
  • Sutures in raised eyelets more often failed at the mid-section, while those in embedded eyelets failed at the knot.
  • IMEX and Jorvet anchors showed significantly reduced Fmax compared to eyebolt screws.
  • Loading direction and anchor design likely affect wear and ultimate failure, particularly in dynamic in vivo conditions.
  • Future designs should aim for embedded, smooth eyelets that can accommodate larger suture sizes without increasing wear.

Fidelis

Veterinary Surgery

6

2025

Effect of suture anchor type, eyelet configuration, and loading condition on suture failure: An in vitro study

2025-6-VS-fidelis-2

Article Title: Effect of suture anchor type, eyelet configuration, and loading condition on suture failure: An in vitro study

Journal: Veterinary Surgery

In Trommelmans 2026 et al., on DPO DARA change, how did the achieved acetabular ventroversion compare with the predetermined plate angle?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. The study demonstrated that actual acetabular ventroversion was consistently lower than the plate angle, with a loss of rotation of approximately 5–8 degrees.
Incorrect. The correct answer is It was consistently less than the plate angle.
The study demonstrated that actual acetabular ventroversion was consistently lower than the plate angle, with a loss of rotation of approximately 5–8 degrees.

🔍 Key Findings

  • Double pelvic osteotomy (DPO) significantly decreases dorsal acetabular rim angle (DARA), confirming improved acetabular ventroversion and femoral head coverage in dysplastic hips.
  • The achieved acetabular ventroversion is consistently less than the plate’s predetermined angle, indicating predictable loss of rotation during DPO.
  • Median reduction in DARA was 23.4°, 16.7°, and 15° with 30°, 25°, and 20° plates respectively, demonstrating that larger plates produce greater rotation but still less than intended.
  • Actual ventroversion achieved was ~5–8° less than the plate angle, with median losses of 6.6°, 8.3°, and 5° for 30°, 25°, and 20° plates.
  • Postoperative DARA decreased from ~16–18° preoperatively to approximately −4°, aligning with recommended postoperative acetabular slope targets.
  • Postoperative DARA remained stable on short-term (~48 days) and long-term (~386 days) CT follow-up, suggesting minimal remodeling after DPO.
  • Most acetabular rotation (~88%) occurs at the pelvic symphysis rather than through iliac torsion, explaining partial loss of rotation relative to plate angle.
  • CT-measured DARA provides a reliable surgical planning metric and may improve implant angle selection for DPO procedures.

Trommelmans

Veterinary and Comparative Orthopaedics and Traumatology

1

2026

Effect of Double Pelvic Osteotomy on Dorsal Acetabular Rim Angle Using Computed Tomography in 27 Dogs

2026-1-vcot-trommelmans-2

Article Title: Effect of Double Pelvic Osteotomy on Dorsal Acetabular Rim Angle Using Computed Tomography in 27 Dogs

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Cinti 2026 et al., on feline caudal axial flaps, what was the most common indication for performing the lateral caudal axial pattern flap in cats?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. The majority of defects reconstructed with this flap followed tumor excision (85.7%), making it the most common indication.
Incorrect. The correct answer is Tumor excision.
The majority of defects reconstructed with this flap followed tumor excision (85.7%), making it the most common indication.

🔍 Key Findings

  • The lateral caudal axial pattern flap was successfully used to reconstruct caudodorsal trunk defects in cats, most commonly following tumor excision (85.7%).
  • Mean flap length was 61.3% of tail length, aligning with canine recommendations of ~60–78% to reduce distal necrosis risk.
  • Postoperative complications occurred in 50% of cats, although many experienced more than one minor complication.
  • Most common complications were partial flap dehiscence, seroma, and edema (each 14.2%).
  • Uncomplicated healing occurred in 57.1% of cats, while the remaining 42.8% had only minor complications not requiring surgical revision.
  • No cats required revision surgery for complications, indicating acceptable clinical outcomes despite the moderate complication rate.
  • Seromas resolved spontaneously despite the routine use of active drains, suggesting they may be a relatively common but minor complication.
  • Local tumor control was achieved in 83.3% of cats undergoing tumor excision, with a median follow-up of 135 days.

Cinti

Veterinary Surgery

2

2026

Outcome and complications of lateral caudal axial pattern flap in 14 cats

2026-2-vs-cinti-1

Article Title: Outcome and complications of lateral caudal axial pattern flap in 14 cats

Journal: Veterinary Surgery

In Trefny 2025 et al., on locking plate biomechanics, how was strain distribution measured in the plates?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Strain was measured via 3D digital image correlation at predefined ROIs.
Incorrect. The correct answer is 3D digital image correlation.
Strain was measured via 3D digital image correlation at predefined ROIs.

🔍 Key Findings

  • Short working length constructs had significantly higher stiffness and lower strain than long constructs in compression bending (p = 0.0172).
  • In tension bending, short constructs also had higher precontact stiffness and lower strain, but this reversed after transcortical contact (~150 N).
  • Transcortical contact increased stiffness only in long constructs, producing a bilinear load-displacement curve.
  • Postcontact stiffness was higher in long constructs, but this may not reflect clinical benefit due to risks of high interfragmentary strain.
  • Short working length reduced strain at multiple ROIs under both loading conditions, including over fracture gap (Tables 1–3).
  • Increased working length promoted stress concentration and deformation, especially in compression bending.
  • In vitro benefits of long constructs (via contact stability) may not translate to healing, as repetitive loading could increase plate strain and bone resorption.
  • Plate strain was effectively mapped using 3D digital image correlation, confirming regional strain differences between configurations.

Trefny

Veterinary and Comparative Orthopaedics and Traumatology

3

2025

Effect of Plate Screw Configuration on Construct Stiffness and Plate Strain in a Synthetic Short Fragment Small Gap Fracture Model Stabilized with a 12-Hole 3.5-mm Locking Compression Plate

2025-3-VCOT-trefny-5

Article Title: Effect of Plate Screw Configuration on Construct Stiffness and Plate Strain in a Synthetic Short Fragment Small Gap Fracture Model Stabilized with a 12-Hole 3.5-mm Locking Compression Plate

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In McNamara 2022 et al., on transoral endoscopic arytenopexy, which of the following best describes the tissue fixation performed during TEA?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. TEA involved suturing arytenoid soft tissues (not cartilage) to pharyngeal wall across the piriform recess.
Incorrect. The correct answer is Suturing of arytenoid soft tissue to piriform recess.
TEA involved suturing arytenoid soft tissues (not cartilage) to pharyngeal wall across the piriform recess.

🔍 Key Findings

  • TEA significantly increased the rima glottis area (RGA) from a mean of 0.52 cm³ to 0.78 cm³ (p < .0001)
  • Mean RGA increased by 157%, equivalent to an 84% estimated decrease in airway resistance
  • LEGS (laryngeal epiglottic-glottic seal) remained intact in all cadavers post-procedure, indicating maintained airway protection
  • TEA was technically feasible in all 15 cadaveric dogs using a custom endoscopic gag port (EGP)
  • TEA avoids cervical dissection, potentially reducing surgical trauma and risks compared to UAL (unilateral arytenoid lateralization)
  • Compared to UAL, TEA showed slightly less RGA increase, but greater LEGS preservation, potentially reducing aspiration risk
  • No cartilage was included in sutures; arytenopexy involved soft tissue fixation to pharyngeal wall across the piriform recess
  • Cadaver model limitations include inability to assess functional outcomes like swallowing and respiratory motion impact

McNamara

Veterinary Surgery

7

2022

Description and evaluation of a novel transoral endoscopic arytenopexy in canine cadavers

2022-7-VS-mcnamara-3

Article Title: Description and evaluation of a novel transoral endoscopic arytenopexy in canine cadavers

Journal: Veterinary Surgery

In Longo 2022 et al., on CT-guided osteotomies, what was associated with a significantly increased risk of postoperative complications?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. 80% of complications occurred in cases receiving both FDO and TDO in the same limb.
Incorrect. The correct answer is Concurrent femoral and tibial osteotomies.
80% of complications occurred in cases receiving both FDO and TDO in the same limb.

🔍 Key Findings

  • 3D CT volume rendering and CAL measurement successfully guided correction of femoral and tibial torsion in dogs with patellar luxation (PL).
  • Physiological patellar tracking was restored in 100% (22/22) of cases after detorsional osteotomy.
  • 94% of dogs (17/18) had either full or acceptable functional outcomes post-surgery.
  • CAL-based correction was accurate in 19/22 cases, confirming reliability of the measurement technique.
  • Complication rate was 45%, with major complications in 2/22 cases—both involved combined femoral and tibial osteotomies.
  • Combined femoral and tibial osteotomies in the same limb were linked to a higher risk of complications and poorer outcomes.
  • Diaphyseal osteotomies offered more implant space, but metaphyseal locations were associated with faster bone healing.
  • Use of a TPLO jig or goniometer was not essential—CAL-based bone marking was sufficient in most cases.

Longo

Veterinary Surgery

7

2022

Three‐dimensional volume rendering planning, surgical treatment, and clinical outcomes for femoral and tibial detorsional osteotomies in dogs

2022-7-VS-longo-3

Article Title: Three‐dimensional volume rendering planning, surgical treatment, and clinical outcomes for femoral and tibial detorsional osteotomies in dogs

Journal: Veterinary Surgery

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.