Your Custom Quiz

In McLean 2024 et al., why might ECA not have correlated with rock-back in this study?

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Correct. Unlike biomechanical gap models, clinical compression may resist rotational forces from ECA:contentReference[oaicite:4]{index=4}
Incorrect. The correct answer is Compression across osteotomy reduced interfragmentary motion.
Unlike biomechanical gap models, clinical compression may resist rotational forces from ECA:contentReference[oaicite:4]{index=4}

🔍 Key Findings Summary

  • 95 TPLO procedures reviewed retrospectively with follow-up radiographs
  • Rock-back defined as increase in tibial plateau angle (TPA) ≥2° from immediate post-op to recheck
  • 21% of stifles (20/95) experienced rock-back
  • Mean ΔTPA among rock-back cases = 3.2° ± 2.6°
  • No implant failures or tibial tuberosity fractures were reported in these cases
  • Plate inclination and exit cut angle (ECA) were not associated with increased risk of rock-back (p = 0.4 and 0.2)
  • Authors hypothesize that compression across osteotomy in vivo may mitigate torsional effects from ECA, unlike in gap-model studies
  • Emphasizes that rock-back is relatively common, even with well-placed implants

Mclean

Veterinary and Comparative Orthopedics and Traumatology

6

2024

Effect of Plate Inclination and Osteotomy Positioning on Rock-back following Tibial Plateau Levelling Osteotomy in Dogs

2024-6-VCOT-mclean-5

Article Title: Effect of Plate Inclination and Osteotomy Positioning on Rock-back following Tibial Plateau Levelling Osteotomy in Dogs

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Marturello 2023 et al., on 3D-printed humeral models, what general trend was observed regarding the size of the printed models?

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Correct. Models tended to slightly underestimate actual bone size due to printing or processing factors.
Incorrect. The correct answer is They were generally smaller.
Models tended to slightly underestimate actual bone size due to printing or processing factors.

🔍 Key Findings

  • 3D-printed models using desktop printers (FDM, LFS) showed submillimetric accuracy, comparable to or better than industrial-grade PJP printers.
  • Bone size had a greater effect on print accuracy than printer type, especially in proximal humerus regions.
  • The humeral condyle region showed the greatest model accuracy, with mean differences under 0.5 mm, regardless of printer.
  • Models tended to be slightly smaller than cadaveric bones, potentially due to systematic underestimation during printing.
  • FDM printer provided the highest accuracy at the humeral condyle in medium-sized bones (+0.09 mm).
  • LFS printer produced prints faster and more reliably than FDM, although both had comparable dimensional accuracy.
  • Statistically significant differences existed, but all were submillimetric and unlikely to impact surgical outcomes.
  • Desktop printers are suitable for surgical planning, including plate pre-contouring and patient-specific instrumentation.

Marturello

Veterinary Surgery

1

2023

Accuracy of anatomic 3‐dimensionally printed canine humeral models

2023-1-VS-marturello-3

Article Title: Accuracy of anatomic 3‐dimensionally printed canine humeral models

Journal: Veterinary Surgery

In Bae 2025 et al., on SI screw orientation, how much greater was peak torque in RhRSI compared to RhLSI?

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Correct. RhRSI had 67.55 N cm vs 28.14 N cm for RhLSI, approximately 2.4-fold difference (p < .01).
Incorrect. The correct answer is About 240% greater.
RhRSI had 67.55 N cm vs 28.14 N cm for RhLSI, approximately 2.4-fold difference (p < .01).

🔍 Key Findings

  • Ex vivo study using 24 canine cadaver pelves to test screw thread direction in SI luxation.
  • Four groups: RhRSI, RhLSI, LhRSI, LhLSI.
  • Right-handed screws on right side (RhRSI) had 313% higher torque and 274% higher load vs left side (p < .01).
  • Left-handed screws on left side (LhLSI) had 198% higher torque and 195% higher load vs right side (p < .03).
  • All failures occurred due to rotation, with no screw breakage or fractures.
  • Body weight and moment arm were similar across groups.
  • Clinical implication: Use of screw matching handedness to luxation side improves stability.

Bae

Veterinary Surgery

2

2025

Effect of thread direction on rotational stability in lag​-screw fixation of sacroiliac luxation: An ex vivo cadaveric study in small-breed dogs

2025-2-VS-bae-3

Article Title: Effect of thread direction on rotational stability in lag​-screw fixation of sacroiliac luxation: An ex vivo cadaveric study in small-breed dogs

Journal: Veterinary Surgery

In Cortez 2024 et al., on feline ectopic ureters, what was the most common postoperative complication following surgical correction of ectopic ureters?

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Correct. Although most cats improved, transient urinary incontinence was the most frequent complication noted.
Incorrect. The correct answer is Urinary incontinence.
Although most cats improved, transient urinary incontinence was the most frequent complication noted.

🔍 Key Findings

  • Ectopic ureters in cats are rare, but most are extramural and bilateral.
  • Surgical techniques used included ureteroneocystostomy (UNC), neoureterostomy (NU), nephroureterectomy, and cystoscopic laser ablation (CLA).
  • All cats showed improvement in urinary continence postoperatively, with 11/12 achieving complete resolution.
  • Major complications were rare; one cat developed uroabdomen requiring revision surgery.
  • Diagnostic imaging was effective, with abdominal ultrasound diagnosing 8/10 and CT 3/3 cases.
  • Short- and long-term complications included urethral spasms, UTIs, stranguria, and rectal prolapse; all were manageable.
  • CLA was successful in 2 cats and is noted as a first-time described technique in feline ectopic ureter cases.
  • Median postoperative follow-up was 340 days, supporting good long-term outcomes.

Cortez

Veterinary Surgery

6

2024

Presentation, diagnosis, and outcomes of cats undergoing surgical treatment of ectopic ureters

2024-6-VS-cortez-4

Article Title: Presentation, diagnosis, and outcomes of cats undergoing surgical treatment of ectopic ureters

Journal: Veterinary Surgery

In Dalton 2023 et al., In Minimally invasive acetabular fracture repair in dogs, what was the clinical outcome of the Chihuahua case treated with minimally invasive acetabular repair?

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Correct. The clinical case achieved rapid functional recovery and bone union, despite one screw fracture without consequence.
Incorrect. The correct answer is Weight-bearing within 24 hours and radiographic union at 3 months.
The clinical case achieved rapid functional recovery and bone union, despite one screw fracture without consequence.

🔍 Key Findings

  • Feasibility study in 5 canine cadavers plus 1 clinical case (Chihuahua, 5.5 kg).
  • Technique used two small approaches (caudal and craniolateral) connected with an epiperiosteal tunnel.
  • Plates were precontoured on mirrored 3D-printed hemipelves to improve fit and reduce intraoperative bending.
  • Cadaver outcomes: fracture gap <2 mm, step defect <1 mm, pelvic angulation <5°.
  • Sciatic nerve injury was minimal: 1/5 cadavers had a mild indentation; others had no gross injury.
  • Median total surgical time: ~46 minutes in cadavers; incisions ~5 cm.
  • Clinical Chihuahua case: weight-bearing within 24 hrs, radiographic union at 3 months; one screw fractured but no adverse effect.
  • Authors conclude: MIAF with 3D printing is feasible and accurate, but requires further evaluation before routine use.

Dalton

Veterinary Surgery

7

2023

Minimally invasive repair of acetabular fractures in dogs: Ex vivo feasibility study and case report

2023-7-VS-dalton-5

Article Title: Minimally invasive repair of acetabular fractures in dogs: Ex vivo feasibility study and case report

Journal: Veterinary Surgery

In Mihara 2024 et al., on mitral valve repair in dogs, what postoperative change supported improved forward flow?

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Correct. Forward stroke volume index significantly increased from 1.5 to 2.3 mL/kg.
Incorrect. The correct answer is Increased stroke volume index.
Forward stroke volume index significantly increased from 1.5 to 2.3 mL/kg.

🔍 Key Findings

  • Mitral valve plasty (MVP) in dogs with MMVD significantly reduced regurgitant volume and fraction, and normalized LA:Ao ratio, indicating reversal of volume overload.
  • MVP altered mitral valve geometry, with reduced annular dimensions and increased coaptation length, enhancing valve competence.
  • Postoperative LA:Ao ratio dropped from 2.2 to 1.2, consistent with improved left atrial pressure and size.
  • Forward stroke volume index and cardiac index increased at 3 months, reflecting improved hemodynamic function despite reduced fractional shortening.
  • Three dogs (3.9%) died postoperatively, highlighting a 96.1% survival rate within 3 months.
  • The repair technique involved artificial chordal replacement and annuloplasty; no cleft closure or leaflet suturing was used.
  • Color Doppler echocardiography confirmed substantial reduction in mitral regurgitation postoperatively in most dogs.

Mihara

Veterinary Surgery

3

2024

Effects of mitral valve repair on valvular geometry and hemodynamics in dogs with myxomatous mitral valve disease

2024-3-VS-mihara-5

Article Title: Effects of mitral valve repair on valvular geometry and hemodynamics in dogs with myxomatous mitral valve disease

Journal: Veterinary Surgery

In Miller 2024 et al., on staple vs. hand-sewn feline GI techniques, which construct had equivalent leak pressure to hand-sewn anastomosis but with significantly reduced completion time?

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Correct. SSA had similar leak resistance to HSA but took ~50% less time to complete.
Incorrect. The correct answer is Skin staple anastomosis (SSA).
SSA had similar leak resistance to HSA but took ~50% less time to complete.

🔍 Key Findings

  • Skin staple anastomosis (SSA) had comparable leak pressures to hand-sewn anastomosis (HSA) but required half the time to complete.
  • Skin staple enterotomy (SSE) had significantly lower leak pressures than hand-sewn enterotomy (HSE) and failed in 12/20 constructs during pressure testing.
  • HSE constructs took 8× longer to complete than SSE, but had much higher intraluminal pressure tolerance.
  • All SSE constructs leaked from the center, with 35% leaking immediately and 60% showing catastrophic failure.
  • SSA leakage occurred at the center in 40% of constructs, likely due to a learning curve in early samples.
  • All constructs had higher pressures than normal physiologic intestinal pressure (4.0 mmHg ±2.0), except some SSEs with immediate leaks.
  • Authors recommend SSA as a viable alternative with appropriate training but do not recommend SSE using the tested technique in live cats.
  • Staple size and placement technique are key factors; smaller or more precisely placed staples may reduce leak risk.

Miller

Veterinary Surgery

4

2024

Performance time and leak pressure of hand-sewn and skin staple intestinal anastomoses and enterotomies in cadaveric cats

2024-4-VS-miller-3

Article Title: Performance time and leak pressure of hand-sewn and skin staple intestinal anastomoses and enterotomies in cadaveric cats

Journal: Veterinary Surgery

In Brisimi 2022 et al., on tracheal anastomosis tension, what suture pattern and material was used for the anastomoses?

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Correct. The study used 2-0 polypropylene in a simple continuous pattern with 4 mm spacing.
Incorrect. The correct answer is Simple continuous with polypropylene.
The study used 2-0 polypropylene in a simple continuous pattern with 4 mm spacing.

🔍 Key Findings

  • Tracheal anastomoses in immature dogs failed at significantly lower distraction forces (44.91 ± 59.03 N) than in adults (149.31 ± 45.36 N; _P_ = .007).
  • Immature tracheae tolerated significantly more elongation before failure (39.75 ± 5.45%) than adult tracheae (30.57 ± 7.19%; _P_ = .0012).
  • All constructs failed by suture tearing through the annular ligament, primarily near the dorsal tracheal ring.
  • Overlapping of tracheal ends was seen in 50% of specimens across both age groups, suggesting limitations in tissue apposition with the chosen technique.
  • Simple continuous pattern using 2-0 polypropylene was used; this pattern provides superior tensile strength compared to simple interrupted, but apposition may be suboptimal.
  • Tracheal elasticity in immature dogs may allow longer resections, but the lower tensile strength necessitates reinforcement.
  • Annular ligament-cartilage technique with 4-mm suture spacing showed variable results; smaller bites and nylon suture may improve outcomes.
  • Ex vivo setup using frozen-thawed tracheae is a limitation, but prior studies support comparability with fresh tissue.

Brisimi

Veterinary Surgery

5

2022

Influence of age on resistance to distraction after tracheal anastomoses in dogs: An ex vivo study

2022-5-VS-brisimi-5

Article Title: Influence of age on resistance to distraction after tracheal anastomoses in dogs: An ex vivo study

Journal: Veterinary Surgery

In Hawker 2024 et al., on checklist attitudes, which implementation strategy was most commonly associated with SSC success?

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Correct. Ongoing SSC modification was reported by 67.9% as a key strategy to improve uptake.
Incorrect. The correct answer is Modification based on staff feedback.
Ongoing SSC modification was reported by 67.9% as a key strategy to improve uptake.

🔍 Key Findings

  • 67.9% of respondents reported using SSCs, with most indicating frequent use (64% used in every surgery).
  • 78.7% agreed SSCs reduce complications, and 89.6% believed SSCs improve communication.
  • Respondents not using SSCs were more likely to view them as a waste of time (p < .001).
  • Forgetfulness (39.6%) and time constraints (36.5%) were leading reasons for checklist noncompletion.
  • Only 23.3% had SSC training during surgical residency, with newer diplomates more likely to have had exposure (p < .001).
  • Key strategies to improve uptake included: staff feedback modifications (67.9%), formal designation of initiator (48.6%), and training (52.2%).
  • Surgeons and OR staff were most commonly identified as noncompliant team members.
  • SSC use was more frequent in small animal practices, and mandating SSCs by management was favored but not always effective alone.

Hawker

Veterinary Surgery

5

2024

Attitudes towards surgical safety checklists among American College of Veterinary Surgeons diplomates

2024-5-VS-hawker-3

Article Title: Attitudes towards surgical safety checklists among American College of Veterinary Surgeons diplomates

Journal: Veterinary Surgery

In McClean 2025 et al., on shoulder arthrocentesis techniques, which of the following best summarizes the accuracy comparison between SA and ST techniques?

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Correct. SA was 50% accurate; ST was 44% — not statistically different (p = .8).
Incorrect. The correct answer is No significant difference in accuracy.
SA was 50% accurate; ST was 44% — not statistically different (p = .8).

🔍 Key Findings

  • Study Type: Cadaveric study using 36 paired canine shoulders (n = 18 per group: Subacromial [SA] and Supratubercular [ST])
  • Survey Results: 75% of clinicians preferred SA technique; 25% used ST
Accuracy Outcomes:
  • Complete accuracy: 50% (SA), 44% (ST) — no significant difference (p = .8)
  • Partial accuracy: 39% (SA), 50% (ST)
  • Complete miss: 11% (SA), 5.6% (ST)
Safety Outcomes (India Ink Assay for Iatrogenic Articular Cartilage Injury [IACI]):
  • Incidence of IACI:
    • SA: 50% (9/18 shoulders)
    • ST: 11% (2/18 shoulders) → statistically significant (p = .007)
  • Lesion depth: All ST lesions were partial-thickness; SA group had one full-thickness lesion (p = .027)
  • Location: Lesions found on glenoid and humeral head with even distribution in SA; only one each in ST
Clinical Implications:
  • Landmark-guided injections were ≤50% completely accurate, even by an experienced operator.
  • ST technique is safer with lower risk of cartilage damage, despite similar accuracy.
  • Findings support considering image-guided techniques to improve both safety and accuracy in clinical settings.

Mcclean

Veterinary Surgery

4

2025

Accuracy and safety of two landmark‐guided techniques for arthrocentesis and intra‐articular injection of the shoulder in dogs

2025-4-VS-mcclean-3

Article Title: Accuracy and safety of two landmark‐guided techniques for arthrocentesis and intra‐articular injection of the shoulder in dogs

Journal: Veterinary Surgery

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