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In Knudsen 2024 et al., on CTA diagnosis, what was the observed **negative likelihood ratio (NLR)** of CTA for meniscal lesion detection in second readings?

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Correct. A low NLR (≤0.1) suggests CTA is effective for ruling out lesions.
Incorrect. The correct answer is 0.08.
A low NLR (≤0.1) suggests CTA is effective for ruling out lesions.

🔍 Key Findings

  • Multidetector CTA had high sensitivity (up to 100%) and specificity (up to 96%) for detecting medial meniscal tears in dogs.
  • Observer experience significantly influenced diagnostic accuracy, with more experienced observers showing higher agreement and better performance.
  • Training effect was evident, as less experienced observers improved between first and second readings.
  • Positive likelihood ratios ≥4.6 and negative likelihood ratios ≤0.08 were observed, suggesting CTA is clinically useful for confirming or ruling out meniscal injury.
  • CTA allowed identification of full and partial thickness lesions, with good visualization in sagittal, transverse, and frontal reconstructions.
  • Approximately 90% of menisci were correctly classified in second readings.
  • No adverse reactions were noted from the contrast injection; sedation was used instead of general anesthesia.
  • CTA was less invasive and potentially more cost-effective compared to arthroscopy, especially in settings without MRI access.

Knudsen

Veterinary Surgery

8

2024

Diagnosis of medial meniscal lesions in the canine stifle using multidetector computed tomographic positive-contrast arthrography

2024-8-VS-knudsen-4

Article Title: Diagnosis of medial meniscal lesions in the canine stifle using multidetector computed tomographic positive-contrast arthrography

Journal: Veterinary Surgery

In Williams 2024 et al., on cardiovascular safety, what perioperative effect was observed with adrenaline in the nerve block?

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Correct. No cardiovascular instability (tachycardia, arrhythmias, hypertension) was observed with adrenaline use in the nerve block.
Incorrect. The correct answer is No significant adverse effects.
No cardiovascular instability (tachycardia, arrhythmias, hypertension) was observed with adrenaline use in the nerve block.

🔍 Key Findings Summary

  • Design: Prospective, randomized, double-blinded controlled trial
  • Population: 32 brachycephalic dogs undergoing cut-and-sew sharp staphylectomy
  • Groups: Adrenaline + lidocaine (Group A) vs. Lidocaine only (Group NA)
  • Main Findings:
    • Total hemorrhage significantly lower in Group A (median 1.82 g) vs Group NA (7.95 g); p = .013
    • Normalized hemorrhage significantly lower in Group A; p = .021
    • Surgeon-assigned hemorrhage scores significantly lower in Group A; p = .029
    • No adverse effects (tachycardia, hypertension, arrhythmia, etc.) noted from adrenaline use
    • Breed effect: English Bulldogs bled more overall even after normalization
  • Clinical Implication: Adrenaline in nerve blocks reduces hemorrhage without added risk

Williams

Veterinary Surgery

1

2024

Evaluation of the addition of adrenaline in a bilateral maxillary nerve block to reduce hemorrhage in dogs undergoing sharp staphylectomy for brachycephalic obstructive airway syndrome. A prospective, randomized study

2024-1-VS-williams-3

Article Title: Evaluation of the addition of adrenaline in a bilateral maxillary nerve block to reduce hemorrhage in dogs undergoing sharp staphylectomy for brachycephalic obstructive airway syndrome. A prospective, randomized study

Journal: Veterinary Surgery

In Smith 2025 et al., on ergonomic injury risk, which of the following was NOT significantly associated with musculoskeletal disorder prevalence?

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Correct. No association was found between dominant hand and WRMD prevalence (p = .434).
Incorrect. The correct answer is Dominant hand.
No association was found between dominant hand and WRMD prevalence (p = .434).

🔍 Key Findings

140 laparoscopic surgeons surveyed; 37% reported at least one musculoskeletal disorder.
Women had significantly higher odds of reporting WRMD (OR = 2.59, p = .011).
Smaller glove size significantly associated with WRMD (p = .001), shoulder tendonitis (p = .01), and neck strain (p = .001).
Most common injuries: Neck strain (35%), shoulder tendonitis (31%).
WRMD was associated with greater difficulty using:

  • Rotating cup biopsy forceps (p < .001)
  • Vessel sealing device and endo stapler (especially in those with shoulder injuries)

No significant association with surgeon age, dominant hand, height, weight, or case volume.

Smith

Veterinary Surgery

2

2025

Variables associated with the prevalence of self-reported work-related musculoskeletal disorders in veterinary laparoscopic surgeons

2025-2-VS-smith-5

Article Title: Variables associated with the prevalence of self-reported work-related musculoskeletal disorders in veterinary laparoscopic surgeons

Journal: Veterinary Surgery

In Banks 2024 et al., on CCWO planning accuracy, which **group based on preoperative TPA** was closest to the 5° TPA target postoperatively?

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Correct. Dogs with preoperative TPA >35° (eTPA) were closest to achieving the 5° goal.
Incorrect. The correct answer is >35°.
Dogs with preoperative TPA >35° (eTPA) were closest to achieving the 5° goal.

🔍 Key Findings

  • Oxley's modified CCWO did not achieve the target TPA of 5° in most cases, even with planning.
  • Mean planned TPA was 7.6°, higher than target, and consistent across dog sizes.
  • Postoperative TPAs were significantly higher in small dogs (median 7°) than in large dogs (median 4.5°).
  • Distalization >7.5 mm of the osteotomy from the patellar tendon led to increased under-correction of TPA.
  • Only dogs with preoperative TPA >35° achieved post-planning TPAs close to the 5° target.
  • Postoperative osteotomy positions were generally more distal than recommended (8.6 mm median).
  • Virtual plate fit was appropriate for all dogs at 5 mm or 7.5 mm positions, suggesting no need for excessive distalization.
  • Excessive correction leading to negative TPAs occurred in some cases, risking caudal cruciate ligament strain.

Banks

Veterinary Surgery

8

2024

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

2024-8-VS-banks-2

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 Pfeil 2024 et al., on fluoroscopic pinning, what was the median time to radiographic bone union?

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Correct. Median healing time was 6 weeks, with a range of 4–12 weeks.
Incorrect. The correct answer is 6 weeks.
Median healing time was 6 weeks, with a range of 4–12 weeks.

🔍 Key Findings

  • Fluoroscopically guided normograde metabone pinning (FGNMP) was used to treat 17 animals (15 dogs and 2 cats) with 57 metabone fractures, including various fracture configurations (short-oblique body, physeal, and comminuted).
  • All 57 fractures were stabilized using intramedullary pins via FGNMP. The study exclusively focused on pin fixation and did not include screws or combined fixation techniques.
  • Median surgical time was 54 minutes (range 26–99 min), indicating efficient procedural execution.
  • Radiographic bone union was achieved in all fractures, with a median time to union of 6 weeks (range 4–12 weeks). Union was confirmed in all initially non-united fractures on follow-up.
  • No major complications were reported. A single pressure sore at the olecranon resolved uneventfully, and no pin migration or osteomyelitis was observed.
  • Pin extensions were noted radiographically (e.g., 42% distal subchondral overextension), but were not associated with clinical problems.
  • Fluoroscopic guidance improved implant accuracy and preserved soft tissue, enabling effective fracture alignment and stabilization using this minimally invasive osteosynthesis (MIO) approach.
  • The authors concluded that FGNMP is an effective, safe, and minimally invasive method for a variety of metabone fracture types, yielding quick recovery, fast healing, and good to excellent long-term functional outcomes in all 17 cases.

Pfeil

Veterinary Surgery

5

2024

Outcomes of 15 dogs and two cats with metabone fractures treated with fluoroscopically guided normograde metabone pinning

2024-5-VS-pfeil-2

Article Title: Outcomes of 15 dogs and two cats with metabone fractures treated with fluoroscopically guided normograde metabone pinning

Journal: Veterinary Surgery

In Danielski 2025 et al., on PUO complication reduction, which statement best describes the **healing outcome**?

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Correct. Radiographic healing was confirmed in 92/93 limbs, with only one delayed case.
Incorrect. The correct answer is 98.9% of limbs achieved healing by 6 weeks.
Radiographic healing was confirmed in 92/93 limbs, with only one delayed case.

🔍 Key Findings

  • Combined intramedullary (IM) pin and rhBMP-2 use resulted in a low complication rate (7.4%) after proximal ulnar osteotomy (PUO).
  • Major complications occurred in 5.3% of cases (4 infections, 1 pin breakage with ulnar tilt requiring revision).
  • Minor complications occurred in 2.1% of cases (seroma, delayed union).
  • No cases of non-union were observed; 98.9% of limbs achieved radiographic healing by 6 weeks.
  • IM pin breakage was noted in 11.8% of limbs but did not affect healing outcomes.
  • Chondrodystrophic breeds made up 64.8% of the cohort and tolerated the procedure well.
  • Compared to prior studies, complication rates were substantially reduced with this technique (prior major: 13.9%; this study: 5.3%).
  • The use of rhBMP-2 likely enhanced early bone healing and provided biologic support, particularly important in breeds at higher risk of complications.

Danielski

Veterinary Surgery

6

2025

Impact of intramedullary pinning and recombinant human bone morphogenetic protein‐2 on postoperative complications after proximal ulnar osteotomy in dogs

2025-6-VS-danielski-3

Article Title: Impact of intramedullary pinning and recombinant human bone morphogenetic protein‐2 on postoperative complications after proximal ulnar osteotomy in dogs

Journal: Veterinary Surgery

In Klever 2024 et al., what effect does a dorsoventral projection have on Norberg angle measurements?

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Correct. Dorsoventral projection increased Norberg angle by 3.2–5.8%, potentially overestimating joint congruity
Incorrect. The correct answer is Increases angle by 3–6%.
Dorsoventral projection increased Norberg angle by 3.2–5.8%, potentially overestimating joint congruity

🔍 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-1

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

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Katz 2022 et al., on meniscal flounce sign, which meniscal tear type was observed in stifles that retained a positive flounce sign?

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Correct. Radial tears did not abolish the flounce sign, likely due to minimal fiber disruption.
Incorrect. The correct answer is Radial tear.
Radial tears did not abolish the flounce sign, likely due to minimal fiber disruption.

🔍 Key Findings

  • A positive meniscal flounce sign was associated with normal menisci in 95.5% of cases, demonstrating strong predictive value.
  • Absence of the meniscal flounce sign was associated with meniscal tears in 92.7% of cases.
  • Overall diagnostic accuracy of the flounce sign was 94.6%, with 96.6% sensitivity and 90.5% specificity.
  • Most tears in flounce-negative stifles were bucket-handle tears (73.8%), while radial tears were present in some flounce-positive stifles.
  • Radial tears did not consistently eliminate the flounce sign, suggesting they may not disrupt meniscal fiber tension sufficiently.
  • All procedures were arthroscopically performed, with probing and visualization of the medial meniscus' caudal pole.
  • Flounce sign should complement, not replace, probing—especially as some tear types (e.g., radial) may not abolish the sign.
  • Limb positioning and joint distraction may affect flounce visibility, introducing minor observer variability.

Katz

Veterinary Surgery

2

2022

The significance of the meniscal flounce sign in canine stifle arthroscopy

2022-2-VS-katz-2

Article Title: The significance of the meniscal flounce sign in canine stifle arthroscopy

Journal: Veterinary Surgery

In Marshall 2022 et al., on fracture healing outcomes, what was the **prevalence of non-union** among the 461 fractures reviewed?

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Correct. The authors reported non-union in 21 of 461 fractures (4.6%).
Incorrect. The correct answer is 4.6%.
The authors reported non-union in 21 of 461 fractures (4.6%).

🔍 Key Findings

  • Delayed union occurred in 13.9% of fractures; non-union in 4.6%; mal-union in 0.7%
  • Major implant failure increased odds of delayed or non-union by 12.9×
  • Surgical site infection increased risk 3.2×; bone grafting (any type) was also associated (OR 3.3)
  • Comminuted fractures had 4.2× greater odds of delayed or non-union
  • Older age increased risk, with odds increasing by 21% per year
  • Radius and ulna fractures in toy breeds were not high risk, contrary to historical belief
  • Most non-unions required revision surgery with rhBMP-2 or autograft to achieve union
  • Ilium fractures showed 0% delayed/non-union — possibly due to robust muscle envelope

Marshall

Veterinary Surgery

7

2022

Delayed union, non-union and mal-union in 442 dogs

2022-7-VS-marshall-3

Article Title: Delayed union, non-union and mal-union in 442 dogs

Journal: Veterinary Surgery

In Anderson 2025 et al., on liver hemostatic agents, what was reported postoperatively regarding complications from sponge use?

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Correct. No adverse events or complications related to sponge type were reported postoperatively.
Incorrect. The correct answer is No complications attributed to sponge use.
No adverse events or complications related to sponge type were reported postoperatively.

🔍 Key Findings

  • Study Design: Prospective, randomized clinical trial of 45 dogs undergoing liver biopsy or lobectomy.
  • Groups:
    • Adhesive gelatin sponge (AG) group (n=22)
    • Plain collagen sponge (PC) group (n=23)
  • Main Results:
    • At 5 minutes post-application, 10/20 PC dogs were still bleeding vs. 2/20 AG dogs (p = 0.0138).
    • AG had significantly better adhesion scores (median 2 vs. 1, p < 0.001).
    • Sponge dislodgement: 5/23 in PC group, 0/22 in AG group (p = 0.042).
    • Time to 50% hemostasis: AG = 2 min, PC = 4 min 49 sec.
  • Complications: No adverse events related to either sponge.
  • Conclusion: Adhesive gelatin sponges offered superior intraoperative adhesion and hemostatic control during canine liver surgery compared to collagen sponges.

Anderson

Veterinary Surgery

2

2025

A randomized comparison of an adhesive gelatin sponge and a plain collagen sponge for hemostatic control during canine liver surgery

2025-2-VS-anderson1-5

Article Title: A randomized comparison of an adhesive gelatin sponge and a plain collagen sponge for hemostatic control during canine liver surgery

Journal: Veterinary Surgery

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