Your Custom Quiz

In Nash 2024 et al., on adverse effects, what clinical outcome was reported in all 35 dogs during the pH monitoring period?

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Correct. No expelled regurgitation occurred in any dog despite confirmed GER events.
Incorrect. The correct answer is No productive regurgitation.
No expelled regurgitation occurred in any dog despite confirmed GER events.

🔍 Key Findings Summary

  • Population: 35 nonbrachycephalic dogs undergoing orthopedic procedures (TPLO)
  • Study design: Prospective observational using transnasal Digitrapper dual-sensor pH probe after short TIVA
  • Upper reference limits:
    • Distal GER events per hour: 2.4
    • Proximal GER events per hour: 0.4
    • Cumulative distal acid exposure: 2.3%
    • Cumulative proximal acid exposure: 0%
  • Median values (normal):
    • Distal GER events per hour: 0.3
    • Proximal GER events per hour: 0
  • Proximal GER observed in 12/31 dogs
  • No regurgitation observed in any dog
  • No major adverse events with probe use
  • Clinical implication: These parameters provide a reference for assessing excessive GER in future canine surgical cases

Nash

Veterinary Surgery

1

2024

Esophageal pH‐monitoring in nonbrachycephalic dogs; a reference

2024-1-VS-nash-4

Article Title: Esophageal pH‐monitoring in nonbrachycephalic dogs; a reference

Journal: Veterinary Surgery

In Scott 2025 et al., on acetabular cup revision, what was a notable complication observed postoperatively in some cases?

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Correct. One case had low-grade infection and osteolysis potentially linked to metal debris.
Incorrect. The correct answer is Osteolysis possibly associated with metallic debris.
One case had low-grade infection and osteolysis potentially linked to metal debris.

🔍 Key Findings

Population: 9 dogs underwent revision of osteointegrated acetabular cups after total hip arthroplasty (THA)

Revision Indications:

  • 7 luxations (5 ventral, 2 craniodorsal)
  • 1 femoral stem fracture
  • 1 aseptic stem loosening

Implants:

  • 8 BFX cups, 1 Helica; all revised to BFX
  • 7/9 required a larger cup than original

Cup removal: Required sectioning with a high-speed burr and modular osteotome; removal fragments extracted

Complications:

  • 1 recurrent luxation
  • 1 low-grade infection with possible metallic debris-associated osteolysis
  • 2 femoral fissures managed intraoperatively

Outcomes:

  • Good to excellent function in 6/6 dogs available at median 621 days
  • Minimal complications with success in re-osteointegration of new cup

Clinical takeaway: Revision of stable, ingrown cups is feasible and offers an alternative to pelvic osteotomies; typically requires upsizing

Scott

Veterinary Surgery

3

2025

Revision of osteointegrated acetabular cup prostheses in nine dogs

2025-3-VS-scott-4

Article Title: Revision of osteointegrated acetabular cup prostheses in nine dogs

Journal: Veterinary Surgery

In Bergen 2024 et al., on biliary stent use, what was the reason for stent removal in one cat?

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Correct. Stent removal was necessary due to choledocholiths adhering to the mesh.
Incorrect. The correct answer is Recurrent choledocholithiasis.
Stent removal was necessary due to choledocholiths adhering to the mesh.

🔍 Key Findings Summary

  • Subjects: 11 animals (8 dogs, 3 cats)
  • Technique: Uncovered balloon-expandable metallic biliary stents (BEMBS)
  • Indications: Cholelithiasis, strictures, neoplasia, cholangiohepatitis, etc.
  • Success: Patency achieved in all animals surviving to discharge
  • Complications:
    • Short-term mortality: 2/11 (1 euthanized for SIRS, 1 unknown)
    • Long-term issues: cholangiohepatitis, choledocholithiasis, stent occlusion (in cats only)
  • Long-term patency:
    • Dogs: median 650.5 days
    • Cats: median 446 days
  • Stent removal possible even after >600 days in some cats
  • Clinical outcome: Viable alternative to plastic stents or cholecystoenterostomy

Bergen

Veterinary Surgery

2

2024

Clinical use of uncovered balloon‐expandable metallic biliary stents for treatment of extrahepatic biliary tract obstructions in cats and dogs: 11 cases (2012–2022)

2024-2-VS-bergen-5

Article Title: Clinical use of uncovered balloon‐expandable metallic biliary stents for treatment of extrahepatic biliary tract obstructions in cats and dogs: 11 cases (2012–2022)

Journal: Veterinary Surgery

In Miller 2024 et al., on leak testing in cooled feline intestine, where did most leaks initiate in both groups?

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Correct. Suture hole was the most common site of initial leakage in both groups.
Incorrect. The correct answer is Suture hole.
Suture hole was the most common site of initial leakage in both groups.

🔍 Key Findings

  • No difference in initial leak pressure (ILP) or maximum intraluminal pressure (MIP) between cooled (17–29 h) and fresh enterotomy constructs.
  • Wall thickness of duodenum and jejunum did not differ between fresh and cooled samples.
  • Leak locations (suture holes vs clamp sites) were similar between groups; not statistically different.
  • Volume of infusion did not influence ILP or MIP outcomes.
  • Mean ILP values: Control = 600 mmHg (maxed), Fresh = 200 mmHg, Cooled = 131 mmHg; CE vs FE difference was not significant.
  • Intraluminal diameter was largest in the ileum, followed by jejunum and duodenum.
  • Cadaveric intestine cooled ≤29h may be reliably used in ex vivo feline leak pressure studies.
  • First report of gross small intestinal lengths by region in cats—useful for resection planning.

Miller

Veterinary Surgery

5

2024

Cooled feline intestine and fresh intestine did not differ in enterotomy leak pressure testing or in gross wall thickness measurement

2024-5-VS-miller-5

Article Title: Cooled feline intestine and fresh intestine did not differ in enterotomy leak pressure testing or in gross wall thickness measurement

Journal: Veterinary Surgery

In Jourdain 2024 et al., on fluoroscopic fixation of feline SIL, what was the long-term owner-reported satisfaction outcome?

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Correct. Owner-reported outcomes were excellent; all cats scored 10/10 except one that had prior amputation.
Incorrect. The correct answer is All but one scored 10/10.
Owner-reported outcomes were excellent; all cats scored 10/10 except one that had prior amputation.

🔍 Key Findings

  • Minimally invasive fluoroscopic technique yielded median reduction of 94.1% immediately postoperative.
  • Screw purchase ≥60% in sacral body achieved in 82% of cases, with median purchase of 73.3%.
  • One screw exited caudally; no dorsal, ventral, or cranial exits reported.
  • At 7-week follow-up, reduction and purchase slightly declined but remained effective (p = .008 and p = .013).
  • No screw loosening observed, even in suboptimal reductions or purchases.
  • Pelvic canal width and symmetry (PCDR and HCWR) were restored and maintained.
  • Excellent long-term function: FMPI ≥0.98 in 9 of 10 cats; owners reported 10/10 satisfaction.
  • Fluoroscopy enabled accurate screw placement and minimized tissue trauma, contributing to rapid recovery.

Jourdain

Veterinary Surgery

4

2024

Fluoroscopically-assisted closed reduction and percutaneous fixation of sacroiliac luxations in cats using 2.4 mm headless cannulated compression screws: Description, evaluation and clinical outcome

2024-4-VS-jourdain-5

Article Title: Fluoroscopically-assisted closed reduction and percutaneous fixation of sacroiliac luxations in cats using 2.4 mm headless cannulated compression screws: Description, evaluation and clinical outcome

Journal: Veterinary Surgery

In Evers 2022 et al., on bone-to-tendon plate fixation, which complication prompted the second surgery?

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Correct. Skin pressure necrosis occurred at the proximal edge of the tendon plate, prompting plate revision.
Incorrect. The correct answer is Skin ulceration over the plate.
Skin pressure necrosis occurred at the proximal edge of the tendon plate, prompting plate revision.

🔍 Key Findings

  • Bone-to-tendon plate fixation allowed successful stabilization of a highly comminuted calcaneus fracture in a dog with fragments too small for traditional fixation.
  • The plate was sutured to the common calcaneal tendon using a figure-of-8 pattern, bypassing the need for screw fixation into small proximal fragments.
  • Radiographic union was achieved by 17 weeks, though considered delayed, with the dog returning to normal function by 36 weeks post-op.
  • A second surgery was required to replace the tendon-anchored plate with a calcaneus-only plate due to skin ulceration and implant prominence.
  • Implant-associated infection was suspected; cultures confirmed Staphylococcus pseudintermedius, managed with doxycycline and clindamycin.
  • Use of human placental matrix (hPM) and both autogenous and allogenic bone grafts supported healing, though their specific contribution remains uncertain.
  • Postoperative complications included delayed union and skin ulceration, emphasizing challenges of implant design and soft tissue management.
  • This is the first report of using a bone-to-tendon plate for a calcaneus fracture in dogs and demonstrates its potential in cases where traditional methods are not viable.

Evers

Veterinary Surgery

5

2022

Use of a bone‐to‐tendon plate to stabilize a comminuted calcaneus fracture in a dog

2022-5-VS-evers-2

Article Title: Use of a bone‐to‐tendon plate to stabilize a comminuted calcaneus fracture in a dog

Journal: Veterinary Surgery

In Kurogochi 2025 et al., on cardioplegia in mitral repair, what difference was found in serum potassium at cross-clamp removal?

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Correct. Potassium at cross-clamp removal was higher in control group (5.4 vs 4.5 mEq/L, p = 0.005).
Incorrect. The correct answer is Potassium was higher in control group.
Potassium at cross-clamp removal was higher in control group (5.4 vs 4.5 mEq/L, p = 0.005).

🔍 Key Findings

  • No significant difference in cardiac troponin I levels 12h post-op between mDN and St. Thomas cardioplegia groups (p = 0.478)
  • Sinus rhythm returned faster in the mDN group after aortic cross-clamp removal (median 60s vs 362s, p = 0.027)
  • Lower serum potassium at cross-clamp removal in the mDN group (median 4.5 mEq/L vs 5.4, p = 0.005)
  • Fewer doses needed in the mDN group (median 2.5 vs 4.0, p = 0.040)
  • Higher total crystalloid volume used in mDN group (23.6 vs 12.6 mL/kg, p < 0.001)
  • No difference in survival (700-day survival 90% in both groups, p = 0.958)
  • No difference in hospitalization duration (median 6 days for both, p = 0.789)
  • Echocardiographic remodeling similar between groups at 24h post-op

Kurogochi

Veterinary Surgery

7

2025

Saline‐based modified del Nido cardioplegia versus multidose St. Thomas cardioplegia in canine mitral valve repair: A randomized controlled trial

2025-7-VS-kurogochi-4

Article Title: Saline‐based modified del Nido cardioplegia versus multidose St. Thomas cardioplegia in canine mitral valve repair: A randomized controlled trial

Journal: Veterinary Surgery

In Schmutterer 2024 et al., on stifle flexion angle effects, at which angle was the contact force ratio (CFR) significantly lowest?

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Correct. CFR was significantly lower at 145° compared to both 125° and 135° flexion angles (p < 0.001)
Incorrect. The correct answer is 145°.
CFR was significantly lower at 145° compared to both 125° and 135° flexion angles (p < 0.001)

🔍 Key Findings Summary

  • Biomechanical study on 14 hindlimbs from Retrievers (cadaveric)
  • Three stifle flexion angles tested: 125°, 135°, and 145°
  • Contact Force Ratio (CFR) was significantly higher at 125° and 135° than at 145° (p < 0.001)
  • Center of force shifted caudally with increasing flexion — especially in medial meniscus
  • Lateral meniscus peak pressure was significantly higher at 125° than 145° (p = 0.049)
  • Mean pressures on lateral meniscus decreased with extension, while medial meniscus pressure remained constant
  • Relevance: Helps interpret meniscal load in early cruciate disease and in surgical modeling

Schmutterer

Veterinary and Comparative Orthopedics and Traumatology

3

2024

Evaluation of Meniscal Load and Load Distribution in the Sound Canine Stifle at Different Angles of Flexion

2024-3-VCOT-schmutterer-1

Article Title: Evaluation of Meniscal Load and Load Distribution in the Sound Canine Stifle at Different Angles of Flexion

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Carrera 2024 et al., what was the average time to radiographic bone healing following early MPL surgery?

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Correct. Mean time to healing was 55 ± 24 days, consistent across osteotomy techniques:contentReference[oaicite:2]{index=2}
Incorrect. The correct answer is 55 days.
Mean time to healing was 55 ± 24 days, consistent across osteotomy techniques:contentReference[oaicite:2]{index=2}

🔍 Key Findings Summary

  • 5 juvenile dogs (mean age 7.2 months) with grade III–IV MPL were treated surgically.
  • Most had femoral varus + external tibial torsion; some had shallow trochlear grooves.
  • Distal femoral osteotomy was performed in 4/5 dogs; Tibial tuberosity transposition (TTT) in 3/5; Sulcoplasty in 2/5.
  • Mean time to weight bearing: 9.8 ± 5.5 days; healing: 55 ± 24 days
  • No reluxations, and final radiographic values for aLDFA and torsion were maintained at 1 year.
  • One complication due to domestic trauma, not surgical failure.
  • Early surgery appeared to preserve alignment and prevent deformity progression.

Carrera

Veterinary and Comparative Orthopedics and Traumatology

2

2024

Early Surgical Management of Medial Patellar Luxation in Juvenile Dogs

2024-2-VCOT-carrera-3

Article Title: Early Surgical Management of Medial Patellar Luxation in Juvenile Dogs

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Peng 2025 et al., on study design, … how were the final RFG scores determined for each dog?

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Correct. This approach captures the most severe respiratory dysfunction encountered during evaluation.
Incorrect. The correct answer is Highest grade observed in any category or stage.
This approach captures the most severe respiratory dysfunction encountered during evaluation.

🔍 Key Findings

  • Remote respiratory function grading (RFG) had poor to moderate reliability compared to in-person assessment.
  • Expert graders had higher agreement with in-person scores than novices (Cohen’s kappa 0.37–0.48 vs. 0.21–0.47).
  • Interobserver agreement was moderate among experts (Fleiss’ kappa = 0.59) and poor among novices (Fleiss’ kappa = 0.39).
  • Remote recordings suffered from background noise, short clip durations, and technical limitations of electronic stethoscope recordings.
  • Final RFG scores were based on the highest grade across categories (respiratory noise, inspiratory effort, dyspnea/cyanosis/syncope).
  • Clinical impact: Only in-person grading reliably supports decisions for surgical intervention or breeding restrictions.

Peng

Veterinary Surgery

3

2025

Comparison of remote and in-person respiratory function grading of brachycephalic dogs

2025-3-VS-peng1-5

Article Title: Comparison of remote and in-person respiratory function grading of brachycephalic dogs

Journal: Veterinary Surgery

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