Your Custom Quiz

In Poggi 2025 et al., on laparoscopic cholecystectomy in cats, which instrument was most frequently used for gallbladder dissection?

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Correct. Ligasure was used in 14 of 22 cats, making it the most common device for gallbladder dissection.
Incorrect. The correct answer is Ligasure.
Ligasure was used in 14 of 22 cats, making it the most common device for gallbladder dissection.

🔍 Key Findings

  • Laparoscopic cholecystectomy (LC) was successfully performed in all 22 cats without conversion to open surgery.
  • Complication rate was low: 3 cats had postoperative complications (1 seroma, 1 vomiting, 1 EHBDO and death).
  • Median operating time was 41 minutes; median hospitalization was 3 days.
  • No cases required conversion to open laparotomy, even in cats as small as 2.5 kg.
  • Common devices used: Hemoclips or Hem-o-lok for cystic duct ligation; Ligasure, harmonic scalpel, or j-hook for dissection.
  • Most common indications: cholelithiasis (9/22) and cholecystitis (10/22), with one biliary mucocele and one adenoma.
  • Histopathology confirmed diagnosis in all cases; concurrent liver or intestinal biopsies were performed in some cats.
  • Postoperative AUS and bloodwork were routine and important for detecting early signs of EHBDO.

Poggi

Veterinary Surgery

5

2025

Laparoscopic cholecystectomy in 22 cats (2018–2024)

2025-5-VS-poggi-4

Article Title: Laparoscopic cholecystectomy in 22 cats (2018–2024)

Journal: Veterinary Surgery

In Lampart 2023 et al., on manual laxity testing, which test showed the greatest interobserver variability in compressive force applied?

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Correct. CD showed poor interobserver agreement for force application (ICC = 0.44), likely due to examiner experience and hand positioning.
Incorrect. The correct answer is Cranial drawer test.
CD showed poor interobserver agreement for force application (ICC = 0.44), likely due to examiner experience and hand positioning.

🔍 Key Findings

  • Cranial drawer (CD), tibial compression (TCT), and tibial pivot compression test (TPCT) showed 100% sensitivity and specificity in differentiating intact from CCL-deficient stifles in this ex vivo model.
  • TPCT elicited the highest cranial tibial translation (CTT) and internal tibial rotation, though differences in rotation did not reach statistical significance.
  • Inter- and intraobserver agreement for CTT was excellent across all tests (ICC >0.9).
  • Rotation and force application had greater variability, particularly with less experienced observers and during CD.
  • Forces applied during CD were significantly higher in intact limbs and correlated with observer experience.
  • Subjective CTT estimates strongly correlated with objective kinematic measurements (r = 0.895), with a median absolute error of 1.31 mm.
  • TPCT may be particularly useful for assessing rotational instability, mimicking the pivot-shift test used in human ACL exams.
  • Study supports development of a grading system for manual laxity testing, especially in acute CCLR cases.

Lampart

Veterinary Surgery

5

2023

Evaluation of the accuracy and intra‐ and interobserver reliability of three manual laxity tests for canine cranial cruciate ligament rupture—An ex vivo kinetic and kinematic study

2023-5-VS-lampart-4

Article Title: Evaluation of the accuracy and intra‐ and interobserver reliability of three manual laxity tests for canine cranial cruciate ligament rupture—An ex vivo kinetic and kinematic study

Journal: Veterinary Surgery

In Banks 2024 et al., what patient factor was associated with higher preoperative and postoperative TPAs?

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Correct. Small dogs had significantly higher pre- and postoperative TPAs than large dogs.
Incorrect. The correct answer is Small body size.
Small dogs had significantly higher pre- and postoperative TPAs than large dogs.

🔍 Key Findings Summary

  • Study Design: Retrospective study of 100 radiographs using in silico and clinical data
  • Mean preoperative TPA: 28.6°, higher in small dogs than large (p = .02)
  • Mean planned TPA (in silico): 7.6°, not achieving 5° target (p < .01)
  • Median postoperative TPA: 5.5° overall; higher in small dogs (7°) vs large (4.5°) (p = .06)
  • Postoperative ostectomy position: More distal than recommended; average = 8.6 mm
  • Increased distalizationgreater under-correction of TPA (p = .01)
  • Most accurate correction occurred when ostectomy was ≤7.5 mm from patellar tendon
  • Wedge angle categories (TPA-Pre minus 5–2°) were used based on pre-op TPA

Banks

Veterinary Surgery

1

2024

A mismatch of planning and achieved tibial plateau angle in cranial closing wedge surgery: An in silico and clinical evaluation of 100 cases

2024-1-VS-banks-4

Article Title: A mismatch of planning and achieved tibial plateau angle in cranial closing wedge surgery: An in silico and clinical evaluation of 100 cases

Journal: Veterinary Surgery

In Schneider 2025 et al., on axillary LN extirpation, what percentage of removed axillary lymph nodes contained tumor-related pathology?

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Correct. This includes overt metastasis, early metastasis (HN2), and premetastatic disease (HN1) found on histopathology.
Incorrect. The correct answer is 56%.
This includes overt metastasis, early metastasis (HN2), and premetastatic disease (HN1) found on histopathology.

🔍 Key Findings

  • Lateral approach to ALN extirpation was successful in 100% of cases (44 dogs, 48 ALNs) with consistent anatomical landmarks (costochondral junction of rib 1 and caudal scapular edge).
  • Median time for ALN removal was 16.6 minutes, highlighting a fast and efficient dissection method.
  • No intraoperative complications were recorded (e.g., hemorrhage or inability to find the lymph node).
  • Postoperative complications occurred in 18% of cases, including seromas (n=2), wound dehiscence (n=4), lameness (n=1), and discomfort (n=1).
  • Histopathology revealed 56% of ALNs had tumor-related pathology, including overt metastases, early metastasis (HN2), or premetastatic changes (HN1).
  • Normal-sized ALNs (<2 cm) still harbored metastases in 22% of cases, emphasizing the unreliability of size as a staging criterion.
  • False negatives in cytology occurred in 4 cases, underlining the limitations of cytologic evaluation for staging.
  • The technique was reproducible without specialized tools, suggesting wide applicability in general and referral practice.

Schneider

Veterinary Surgery

6

2025

Axillary lymph node removal for staging cancer; description of a lateral approach and application in 44 tumor-bearing dogs

2025-6-VS-schneider-2

Article Title: Axillary lymph node removal for staging cancer; description of a lateral approach and application in 44 tumor-bearing dogs

Journal: Veterinary Surgery

In Spies 2024 et al., on EHPSS in large dogs, what proportion of surviving surgically treated dogs were completely weaned off medical management?

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Correct. Of the 40 surviving dogs who underwent attenuation, 15 were weaned off all medications.
Incorrect. The correct answer is 37.5%.
Of the 40 surviving dogs who underwent attenuation, 15 were weaned off all medications.

🔍 Key Findings

  • 63 dogs ≥15 kg with single EHPSS were reviewed.
  • Most common breeds: Golden Retriever (28.6%), mixed breed (20.6%).
  • Most common shunt types: splenocaval (25.4%) and portocaval (25.4%).
  • 45 dogs received surgical attenuation; 18 were medically managed.
  • 6.7% (3/45) of surgically treated dogs died due to shunt-related complications; 22.2% (4/18) of medically managed dogs died.
  • Hypoplastic portal vein was noted in 52.9% of dogs where portal anatomy was described.
  • 37.5% of surviving attenuated dogs were weaned off all medical management.
  • Attenuated dogs had higher 1-, 2-, and 5-year survival rates (89%, 77%, 77%) than nonattenuated dogs (82%, 49%, 24%).

Spies

Veterinary Surgery

2

2024

Clinical presentation and short‐term outcomes of dogs ≥15 kg with extrahepatic portosystemic shunts

2024-2-VS-spies-4

Article Title: Clinical presentation and short‐term outcomes of dogs ≥15 kg with extrahepatic portosystemic shunts

Journal: Veterinary Surgery

In Sandoval 2024 et al., on lung lobectomy technique outcomes, what was the most common intraoperative complication?

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Correct. Hemorrhage occurred in 11.8% of lobectomies and was the most frequently observed intraoperative issue.
Incorrect. The correct answer is Intraoperative hemorrhage.
Hemorrhage occurred in 11.8% of lobectomies and was the most frequently observed intraoperative issue.

🔍 Key Findings

  • Intra- and postoperative complications occurred only in stapled lobectomies, but the difference was not statistically significant (intra: p = .069, post: p = .112).
  • Intraoperative hemorrhage was the most common complication (11.8%), followed by air leakage (2%).
  • All self-ligating loop (SLL) lobectomies had zero complications (n=18), though the sample was small.
  • Postoperative complications included 4 catastrophic events (cardiopulmonary arrest), all in stapled cases.
  • Lung lobectomy technique was not associated with duration of chest tube use, hospitalization, or survival (p > .05).
  • 94.3% of patients survived to discharge (82/87).
  • SLLs are lower-cost and may be more feasible for thoracoscopic/minimally invasive approaches due to smaller port size (5mm vs. 12mm for staplers).
  • A future superiority study would need ≥103 lobectomies per group to assess differences in complication rates.

Sandoval

Veterinary Surgery

7

2024

Short‐term outcomes of dogs and cats undergoing lung lobectomy using either a self-ligating loop or a thoracoabdominal stapler

2024-7-VS-sandoval-2

Article Title: Short‐term outcomes of dogs and cats undergoing lung lobectomy using either a self-ligating loop or a thoracoabdominal stapler

Journal: Veterinary Surgery

In Alvarez 2022 et al., on rehabilitation modalities, which statement best reflects the findings on photobiomodulation (PBM)?

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Correct. Only one of three PBM studies (Rogatko et al.) showed improved PVF; others showed no significant benefit despite low RoB.
Incorrect. The correct answer is Only one PBM study showed improved objective outcomes.
Only one of three PBM studies (Rogatko et al.) showed improved PVF; others showed no significant benefit despite low RoB.

🔍 Key Findings

  • Exercise-based rehabilitation showed benefits in 6 of 7 studies, including increased peak vertical force (PVF) and reduced lameness, though most had high risk of bias (RoB).
  • Cold compression therapy (CCT) had 2 high-quality (Level II, low RoB) studies showing improvements in pain scores, range of motion, and swelling, supporting its clinical use.
  • Extracorporeal shockwave therapy (ESWT) was supported by 2 Level II studies; only one had low RoB, showing short-term benefits in patellar ligament thickness and PVF, but no long-term benefit on bone healing.
  • Photobiomodulation (PBM) had mixed results across 3 Level II studies (all low RoB); only 1 showed positive impact on PVF, limiting its recommendation.
  • Low-intensity pulsed ultrasound (LIPUS) showed no significant impact on gait analysis or bone healing in a Level II, low RoB study.
  • Electrical muscle stimulation (EMS) improved lameness and thigh circumference in one Level III study, but had high-moderate RoB and involved experimentally-induced CCL rupture, limiting clinical relevance.
  • No modality beyond exercise and CCT had consistent or strong evidence for efficacy in post-TPLO or extracapsular repair rehabilitation.
  • The absence of standardized protocols, small sample sizes, and inconsistent outcome measures limited the generalizability of findings.

Alvarez

Veterinary Surgery

2

2022

Systematic review of postoperative rehabilitation interventions after cranial cruciate ligament surgery in dogs

2022-2-VS-alvarez-4

Article Title: Systematic review of postoperative rehabilitation interventions after cranial cruciate ligament surgery in dogs

Journal: Veterinary Surgery

In İnal 2025 et al., on supracutaneous locking plates, which complication was most frequently encountered?

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Correct. Screw tract discharge was the most common minor complication, particularly at proximal screws.
Incorrect. The correct answer is Minor screw tract discharge.
Screw tract discharge was the most common minor complication, particularly at proximal screws.

🔍 Key Findings

  • Supracutaneous locking plates (SLPs) were successfully used to manage 33 diaphyseal fractures (radial–ulnar and tibial) in 30 cats and dogs.
  • Median fracture healing time was 50.5 days (range: 27–88), with most patients regaining limb use within days postoperatively.
  • CT-based metrics (callus area, HU, and 3D bone volume) increased significantly during healing (p < 0.05), validating CT as a quantitative tool for assessing healing.
  • Complications were minimal: minor in 15/33 (e.g., screw tract discharge, edema), and major in 3/33 (e.g., implant failure, delayed union, nonunion).
  • Minimally invasive osteosynthesis required longer surgery times than closed reduction (p < 0.05), but both techniques were viable.
  • SLPs enabled successful bilateral fracture management without inter-plate interference due to their compact design.
  • Screw orientation challenges were noted in cats, especially with cranial application to the radius due to narrow anatomy.
  • Polyaxial locking screws were used safely and did not dislodge, allowing for angular insertion (≤10°) to avoid neurovascular structures.

İnal

Veterinary and Comparative Orthopaedics and Traumatology

5

2025

Minimally Invasive Radial–Ulnar and Tibial Fracture Management with Supracutaneous Locking Plates in Dogs and Cats

2025-5-VCOT-inal-3

Article Title: Minimally Invasive Radial–Ulnar and Tibial Fracture Management with Supracutaneous Locking Plates in Dogs and Cats

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Low 2025 et al., on machine-learning outcomes in IVDE, what proportion of deep-pain-negative dogs recovered ambulation after decompressive surgery?

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Correct. Ambulation recovery occurred in 86 out of 162 dogs, a 53.1% success rate.
Incorrect. The correct answer is 53.1%.
Ambulation recovery occurred in 86 out of 162 dogs, a 53.1% success rate.

🔍 Key Findings

The study included 162 deep-pain-negative dogs undergoing decompressive surgery (hemilaminectomy) for acute thoracolumbar intervertebral disc extrusion (IVDE).

Ambulatory recovery occurred in 53.1% of dogs (86/162).

The best performing machine-learning model was XGBoost, with an AUC of 0.9502 and accuracy of 89.1%, outperforming Ridge, AdaBoost, and Naive Bayes models.

Preoperative-only XGBoost models were less accurate, with AUC dropping to 0.8271 and accuracy to 71.9%.

Top predictive features (by SHAP analysis) included:

  1. T2-weighted to L2 spinal cord signal ratio (lower values predicted better outcome)
  2. Use of fenestration (presence associated with better recovery)
  3. Hospitalization duration
  4. Imaging modality used
  5. Duration of nonambulatory status

Machine learning provided better insight into prognostic factors than traditional statistical methods.

Low

Veterinary Surgery

4

2025

Machine-learning-based prediction of functional recovery in deep-pain-negative dogs after decompressive thoracolumbar hemilaminectomy for acute intervertebral disc extrusion

2025-4-VS-low-1

Article Title: Machine-learning-based prediction of functional recovery in deep-pain-negative dogs after decompressive thoracolumbar hemilaminectomy for acute intervertebral disc extrusion

Journal: Veterinary Surgery

In Klever 2024 et al., which statement about evaluating Norberg angle on laterally tilted radiographs is correct?

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Correct. Though values may counterbalance, averaging should not be used clinically
Incorrect. The correct answer is Norberg angles may balance but averaging is not advised.
Though values may counterbalance, averaging should not be used clinically

🔍 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-3

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

Journal: Veterinary and Comparative Orthopedics and Traumatology

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