Your Custom Quiz

In Enright 2022 et al., on adrenalectomy outcomes, what was the median survival time of dogs that survived to discharge?

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Correct. Dogs surviving to discharge had a median survival time of 1169 days (3.2 years).
Incorrect. The correct answer is 1169 days.
Dogs surviving to discharge had a median survival time of 1169 days (3.2 years).

🔍 Key Findings

  • 83% of dogs survived to discharge after adrenalectomy for pheochromocytoma.
  • Median survival time post-discharge was 1169 days (3.2 years).
  • Preoperative alpha-blocker therapy (e.g., phenoxybenzamine) was not associated with improved survival.
  • Dogs receiving alpha-blockers had higher intraoperative systolic BP, with median values 170 mmHg vs. 142 mmHg in non-treated dogs (P = .01).
  • Intraoperative arrhythmias occurred in 30% of cases, with no difference between dogs receiving alpha-blockers and those not.
  • Histologic vascular invasion occurred in ~70% of tumors.
  • Tumor recurrence was suspected in 3 dogs, and metastasis in 8 dogs, though not histologically confirmed in most cases.
  • Postoperative complications included refractory hypotension, acute kidney injury, and hypertension persisting >48 hours in 10 dogs.

Enright

Veterinary Surgery

3

2022

Short‐ and long‐term survival after adrenalectomy in 53 dogs with pheochromocytomas with or without alpha‐blocker therapy

2022-3-VS-enright-4

Article Title: Short‐ and long‐term survival after adrenalectomy in 53 dogs with pheochromocytomas with or without alpha‐blocker therapy

Journal: Veterinary Surgery

In Parker 2023 et al., on Locoregional analgesia in TPLO, what was the most frequently cited additive to bupivacaine in peripheral nerve blocks?

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Correct. Dexmedetomidine was the most commonly selected additive for PNB, used by 85% of those adding any agent.
Incorrect. The correct answer is Dexmedetomidine.
Dexmedetomidine was the most commonly selected additive for PNB, used by 85% of those adding any agent.

🔍 Key Findings

  • Peripheral nerve block (PNB) was preferred by 79% of anesthesiologists; lumbosacral epidural (LE) by 21%; PI <1%.
  • Time since board-certification significantly influenced preference: PNB favored by newer diplomates, LE favored by more senior ones (p < .001).
  • Employment sector mattered: PNB was preferred more in private practice, LE more in academia (p = .003).
  • PNB perceived as more effective, with 78% reporting 81–100% effectiveness; compared to 55% for LE.
  • PNB associated with fewer adverse effects (75%) than LE (4%) and PI (21%).
  • PNB required less rescue analgesia intraoperatively (57%) and postoperatively (54%) than LE or PI.
  • LE preferred for bilateral TPLOs and in smaller dogs; PNB for larger dogs, due to motor function preservation.
  • Dexmedetomidine was the most common additive to PNB; bupivacaine-only was most used for PNB.

Parker

Veterinary Surgery

4

2023

Pelvic limb anesthesia and analgesia in dogs undergoing tibial plateau leveling osteotomy (TPLO): A survey of board-certified anesthesiologists

2023-4-VS-parker-3

Article Title: Pelvic limb anesthesia and analgesia in dogs undergoing tibial plateau leveling osteotomy (TPLO): A survey of board-certified anesthesiologists

Journal: Veterinary Surgery

In Farrell 2022 et al., on checklist reliability in OVH simulation, what was the generalizability (G) coefficient for the 40-item checklist instrument used in the study?

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Correct. The G-coefficient for the checklist was 0.85, indicating good reliability for moderate-stakes exams.
Incorrect. The correct answer is 0.85.
The G-coefficient for the checklist was 0.85, indicating good reliability for moderate-stakes exams.

🔍 Key Findings

  • 39 of 40 checklist items for simulated OVH surgical assessment had good content validity (CVI = 0.81)
  • Only 1 of 6 items from the OSATS GRS (respect for tissue) met inclusion criteria (CVI = 0.80)
  • Checklist showed strong reliability (G-coefficient = 0.85) for moderate-stakes exams
  • Modified OSATS GRS showed acceptable reliability (G-coefficient = 0.79)
  • Two raters needed for acceptable reliability in high-stakes exams when using the checklist
  • Minimal interrater bias found; variance largely due to interaction among student, rater, and item
  • Digital recordings were a reliable method of evaluating surgical performance
  • Study supports using checklist over OSATS GRS for assessing preclinical students on simulated models

Farrell

Veterinary Surgery

5

2022

Evaluating validity evidence for 2 instruments developed to assess students' surgical skills in a simulated environment

2022-5-VS-farrell-1

Article Title: Evaluating validity evidence for 2 instruments developed to assess students' surgical skills in a simulated environment

Journal: Veterinary Surgery

In Suematsu 2026 et al., on W-shaped tracheal collapse, what was the 36-month survival rate for dogs with WTC after CETP placement?

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Correct. WTC dogs had a 36-month survival of 90.9%, slightly higher than TTC but not statistically different.
Incorrect. The correct answer is 90.9%.
WTC dogs had a 36-month survival of 90.9%, slightly higher than TTC but not statistically different.

🔍 Key Findings

  • Dogs with W-shaped tracheal collapse (WTC) had significantly more stridor and labored breathing preoperatively than those with traditional collapse (TTC) (p < .0001 and p = .0419).
  • WTC dogs were 12.1× more likely to require preoperative oxygen support than TTC dogs.
  • All dogs (TTC and WTC) survived to discharge after CETP placement; no intraoperative deaths occurred.
  • Postoperative laryngeal paralysis occurred in 5 dogs (7.2%), with similar rates between TTC and WTC groups.
  • Recurrent tracheal collapse occurred in 3 dogs (1 TTC, 2 WTC), all requiring additional stenting.
  • 36-month survival was 75.7% (TTC) and 90.9% (WTC), not statistically different.
  • Multivariate analysis showed Yorkshire Terriers (HR = 19.3) and older age (HR = 1.35 per year) were significantly associated with reduced survival.
  • CETP was safe and effective for WTC, despite more severe preoperative signs, offering a viable alternative to stenting.

Suematsu

Veterinary Surgery

1

2026

Long‐term outcomes of dogs with W‐shaped or traditional tracheal collapse treated with a continuous extraluminal tracheal prosthesis: A retrospective study

2026-1-vs-suematsu-3

Article Title: Long‐term outcomes of dogs with W‐shaped or traditional tracheal collapse treated with a continuous extraluminal tracheal prosthesis: A retrospective study

Journal: Veterinary Surgery

In De Moya 2025 et al., on antebrachial deformity correction, what was the mean total radial lengthening achieved after distraction osteogenesis?

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Correct. Mean lengthening was 22.6 mm, representing ~11% increase compared to the contralateral radius.
Incorrect. The correct answer is 22.6 mm.
Mean lengthening was 22.6 mm, representing ~11% increase compared to the contralateral radius.

🔍 Key Findings

  • CESF with distraction osteogenesis restored elbow congruity and normalized aLDRA in skeletally immature dogs with PCDRP.
  • Radial head subluxation was eliminated in all dogs, and elbow incongruity reduced significantly (from 6.1 mm to 0.3 mm, p <.01).
  • Mean radial lengthening of 22.6 mm (∼11% of normal length) was achieved, but only 80% of recorded distraction translated to length gain.
  • Major complications occurred in 2/12 dogs: one with permanent carpal contracture, one with radial fracture at wire tract.
  • Minor complications (e.g., carpal pain, restricted extension, synostosis, pin tract issues) were noted in 10/12 dogs but generally resolved.
  • Owner surveys (8/12 dogs) reported good to excellent long-term function, even up to 6 years post-op.
  • Radial valgus deformities were moderate (mean 15°) and less severe than deformities from ulnar physeal closure.
  • Surgical strategy included staged distraction, with radial or combined radius/ulna distraction guided by fluoroscopy and adjusted per case.

De Moya

Veterinary Surgery

6

2025

Treatment of antebrachial deformities secondary to premature closure of the distal radial physis using circular external skeletal fixation and distraction osteogenesis in skeletally immature dogs

2025-6-VS-demoya-4

Article Title: Treatment of antebrachial deformities secondary to premature closure of the distal radial physis using circular external skeletal fixation and distraction osteogenesis in skeletally immature dogs

Journal: Veterinary Surgery

In Caldeira 2025 et al., on femoral neck fixation, what complication was more likely with the three-screw construct?

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Correct. The three-screw placement had higher risk of cortical bone wall perforation, especially with narrow femoral necks
Incorrect. The correct answer is Increased risk of cortical perforation.
The three-screw placement had higher risk of cortical bone wall perforation, especially with narrow femoral necks

🔍 Key Findings

Design: In vitro study on cadaveric femurs (n=21) with basilar femoral neck fractures stabilized using 2 vs 3 titanium cannulated screws.

Stiffness: Control > 3-screw > 2-screw (674 > 120 > 90 N/mm).

Yield Load: 3-screw (586 N) > 2-screw (303 N); both < intact femur (2692 N).

Displacement: No difference across groups.

Complication: 3-screw technique more demanding; higher risk of cortical perforation, especially with narrow femoral necks.

Failure Mode: Dislodgement of femoral head + screw shaft bending.

Conclusion: 3 screws = stronger construct than 2 screws. Clinical implications need further study.

Caldeira

Veterinary and Comparative Orthopedics and Traumatology

1

2025

In Vitro Biomechanical Study of Femoral Neck Fracture Fixation with Two or Three Cannulated Screws in Dogs

2025-1-VC-Caldeira-3

Article Title: In Vitro Biomechanical Study of Femoral Neck Fracture Fixation with Two or Three Cannulated Screws in Dogs

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Trommelmans 2026 et al., on DPO DARA change, what was the approximate median postoperative DARA following double pelvic osteotomy?

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Correct. Postoperative DARA values were approximately −4 degrees, which aligns with recommended targets of 0 to −5 degrees for improved hip stability.
Incorrect. The correct answer is Approximately 0 to −5 degrees.
Postoperative DARA values were approximately −4 degrees, which aligns with recommended targets of 0 to −5 degrees for improved hip stability.

🔍 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-4

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 Sanders 2024 et al., on feline anastomosis techniques, where was leakage most commonly observed in skin-stapled constructs?

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Correct. In skin-stapled constructs, 8/10 leaks originated at staple holes, with 2 additional from the cut edge.
Incorrect. The correct answer is Staple holes.
In skin-stapled constructs, 8/10 leaks originated at staple holes, with 2 additional from the cut edge.

🔍 Key Findings Summary

  • ILP and MIP: No significant differences in leak pressure between HSA, FEESA, and SS techniques (p > .05).
  • Construct Time:
    • FEESA (no oversew) fastest: 79 ± 30 s
    • HSA-SI slowest: 397 ± 70 s (p < .001)
  • Tissue Thickness:
    • Jejunum thickest: 2.28 ± 0.30 mm
    • Stomach thinnest: 1.66 ± 0.28 mm
  • Staple Malformation: Noted in 2 FEESA-O constructs, vertical staple line.
  • Leak Locations:
    • HSA: All leaked from suture bites
    • FEESA: Leaks from vertical and horizontal staple lines
    • SS: Mostly from staple holes

Sanders

Veterinary Surgery

2

2024

Gastrointestinal thickness, duration, and leak pressure of five intestinal anastomosis techniques in cats

2024-2-VS-sanders-4

Article Title: Gastrointestinal thickness, duration, and leak pressure of five intestinal anastomosis techniques in cats

Journal: Veterinary Surgery

In Drudi 2022 et al., on CAL vs TAL outcomes, which technique resulted in a significantly greater increase in rima glottidis area at both postoperative time points?

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Correct. CAL showed a greater rima glottidis area increase than TAL at both immediate and 15-day assessments.
Incorrect. The correct answer is Cricoarytenoid lateralization (CAL).
CAL showed a greater rima glottidis area increase than TAL at both immediate and 15-day assessments.

🔍 Key Findings

  • Cricoarytenoid lateralization (CAL) resulted in a significantly greater increase in rima glottidis area at both immediate (205%) and 15-day (199%) time points compared to thyroarytenoid lateralization (TAL) (152% and 127%, respectively).
  • TAL group showed a significant reduction in rima glottidis area between immediate and 15-day postoperative measurements (P < .05), while CAL group had no significant reduction over time.
  • No dogs in either group showed postoperative complications, including aspiration pneumonia, at the 15-day follow-up.
  • All dogs showed improved clinical signs, including decreased stridor and increased exercise tolerance by day 15.
  • CAL produced more stable postoperative glottic area, potentially due to preserved anatomical tension, whereas TAL might experience tension loss due to thyroid cartilage repositioning.
  • Both procedures were technically effective and performed under the same protocol by a single board-certified surgeon.
  • Endoscopic image analysis was used to quantify rima glottidis area, demonstrating a reliable objective method for surgical outcome assessment.
  • Clinical outcome did not differ between groups, despite CAL showing a larger rima glottidis area.

Drudi

Veterinary Surgery

3

2022

Comparison of immediate and short‐term outcomes of cricoarytenoid and thyroarytenoid lateralization in dogs with idiopathic laryngeal paralysis

2022-3-VS-drudi-1

Article Title: Comparison of immediate and short‐term outcomes of cricoarytenoid and thyroarytenoid lateralization in dogs with idiopathic laryngeal paralysis

Journal: Veterinary Surgery

In Woelfel 2022 et al., on cervical locked facets, what was the most consistent outcome in dogs with follow-up?

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Correct. 8/8 dogs with outcome data regained ambulation, whether treated surgically or medically.
Incorrect. The correct answer is Functional recovery in most dogs regardless of treatment.
8/8 dogs with outcome data regained ambulation, whether treated surgically or medically.

🔍 Key Findings

  • Locked facet injuries in dogs involved unilateral dorsal displacement of the cranial articular process of the caudal vertebra, most commonly at C5/6 or C6/7.
  • All affected dogs were small/toy breeds, typically following trauma (most often attacks by larger dogs).
  • Neurologic severity ranged from ambulatory tetraparesis to tetraplegia, often with thoracic limb deficits more severe than pelvic limbs — suggesting a central cord syndrome-like pattern.
  • CT and MRI revealed axial rotation, subluxation, and articular process displacement; MRI showed T2 hyperintensity, nerve root impingement, and soft tissue changes.
  • Surgical treatment included ventral fixation with screws, pins, and PMMA, and one case required dorsal facetectomy for reduction.
  • Medical management, including external coaptation or rest, also resulted in functional recovery in select cases.
  • All dogs with follow-up data (8/8) had functional recovery, with nonambulatory dogs regaining ambulation in a median of 4 weeks.
  • No consistent differences in outcome were observed between surgical and nonsurgical management, suggesting locked facets may be biomechanically stable.

Woelfel

Veterinary Surgery

1

2022

Subaxial cervical articular process subluxation and dislocation: Cervical locked facet injuries in dogs

2022-1-VS-woelfel-5

Article Title: Subaxial cervical articular process subluxation and dislocation: Cervical locked facet injuries in dogs

Journal: Veterinary Surgery

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