Your Custom Quiz

In Bilmont 2025 et al., on cup version comparison, what best explains the clinical significance of open face version?

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Correct. Open face version determines the alignment between the femoral neck and acetabular cup, influencing luxation risk.
Incorrect. The correct answer is It reflects impingement-free motion range.
Open face version determines the alignment between the femoral neck and acetabular cup, influencing luxation risk.

🔍 Key Findings

  • Open face version was significantly greater than truncated face version by 14°–22° (p <.001).
  • Open face version increased linearly with inclination and pelvic extension, while truncated face version remained largely stable.
  • Truncated face version is an unreliable surrogate for open face version.
  • Accurate interpretation of cup version should include both truncated face version and inclination.
  • Canine 3D pelvic model and CT-based simulation used for all measurements.

Bilmont

Veterinary Surgery

1

2025

Assessment of BFX cup version in a three-dimensional model simulating the ventrodorsal radiographic view

2025-1-VS-bilmont-3

Article Title: Assessment of BFX cup version in a three-dimensional model simulating the ventrodorsal radiographic view

Journal: Veterinary Surgery

In Gibson 2026 et al., on laparoscopic gastropexy instrumentation, which statement best describes intraoperative and postoperative adverse events in the 17 dogs?

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Correct. Two grade 2 intraoperative adverse events occurred because of failure of the SLI device requiring replacement. All dogs completed TLG, and no postoperative complications were reported.
Incorrect. The correct answer is Two grade 2 adverse events resulted from SLI device failure requiring replacement, and no postoperative complications occurred.
Two grade 2 intraoperative adverse events occurred because of failure of the SLI device requiring replacement. All dogs completed TLG, and no postoperative complications were reported.

🔍 Key Findings

  • Standard laparoscopic instrumentation (SLI) was faster: median suture-line time was 6 min (5–10) with SLI versus 8 min (6–11) with the articulating needle driver (ALI); ALI added a modeled mean 1.9 min per suture line (p < .0001).
  • ALI increased surgeon mental workload: NASA-TLX scores were significantly higher with ALI for mental demand, perceived performance, effort, and frustration.
  • Objective technical performance favored SLI: mean global rating checklist scores were 17.7 for SLI versus 15.24 for ALI (p < .0001), although inter-rater agreement was only moderate-to-low (r = .36).
  • No ergonomic advantage was demonstrated: shoulder, neck, back, wrist, forearm, and hand scores did not differ significantly between ALI and SLI.
  • Both instruments successfully permitted TLG: all 17 client-owned dogs completed the procedure without conversion, supporting the feasibility of ALI despite inferior measured performance.
  • Adverse events were uncommon and unrelated to ALI: two grade 2 intraoperative events occurred because of SLI device failure requiring replacement, and no postoperative complications were reported.
  • A learning-curve effect may explain ALI performance: the surgeon was proficient with SLI but had no prior clinical ALI experience before the trial; the authors caution against interpreting the initial performance disadvantage as definitive evidence against ALI.
  • Clinical benefit may depend on the procedure: investigators subjectively appreciated ALI's increased dexterity but noted reduced perceived needle-grasping strength; the device may prove more advantageous in difficult suturing orientations than routine TLG.

Gibson

Veterinary Surgery

6

2026

Comparison between a laparoscopic articulating needle driver with standard laparoscopic instrumentation for total laparoscopic gastropexy in dogs

2026-6-vs-gibson-4

Article Title: Comparison between a laparoscopic articulating needle driver with standard laparoscopic instrumentation for total laparoscopic gastropexy in dogs

Journal: Veterinary Surgery

In Sunlight 2022 et al., on Protein C monitoring, what was the most common reason for requiring a second PTCE procedure?

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Correct. This was the most frequent finding at repeat venography in dogs needing second procedures.
Incorrect. The correct answer is Compression and contraction of previously placed coils.
This was the most frequent finding at repeat venography in dogs needing second procedures.

🔍 Key Findings

  • Postoperative Protein C (PC) activity increased in 78.7% of dogs, and was significantly higher in dogs with excellent clinical outcomes.
  • Complete acute shunt occlusion resulted in higher postoperative PC activity (96.3%) and better ultimate clinical outcomes than incomplete occlusion.
  • Preoperative PC was not predictive of clinical status, but postoperative PC was associated with improved outcomes.
  • Standard biochemical markers (HCT, MCV, ALB, BUN) also improved postoperatively, especially in dogs with excellent clinical outcomes.
  • Dogs requiring a second procedure had significantly lower postoperative PC (43.5%) than those not requiring further intervention (78.5%).
  • Repeat procedures improved PC and BUN values, with PC increasing significantly after second intervention (to 69.8%).
  • PC normalization (within reference interval) occurred in 87.5% of dogs with excellent clinical status, compared to only 12.5% in those with poor status.
  • Clinical outcome classification (excellent/fair/poor) correlated with biochemical normalization and lack of need for diet/medications.

Sunlight

Veterinary Surgery

1

2022

Protein C and comparative biochemical changes in dogs treated with percutaneous transvenous coil embolization of congenital intrahepatic portosystemic shunts

2022-1-VS-sunlight-4

Article Title: Protein C and comparative biochemical changes in dogs treated with percutaneous transvenous coil embolization of congenital intrahepatic portosystemic shunts

Journal: Veterinary Surgery

In Philips 2025 et al., on radiographic IAIP detection, what was the reported sensitivity and specificity of radiography?

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Correct. Radiography showed high sensitivity (97.2%) but moderate specificity (67.6%) in this study.
Incorrect. The correct answer is 97.2% sensitivity, 67.6% specificity.
Radiography showed high sensitivity (97.2%) but moderate specificity (67.6%) in this study.

🔍 Key Findings

Overall accuracy of radiography to detect IAIP: 77.9%

Sensitivity: 97.2%
Specificity: 67.6%

False positive rate: 32.4% of non-penetrating implants were misclassified as penetrating

Implants directed toward the lateral tibial condyle had higher misclassification (23.8%) than medial (8.3%)

Most accurate detection: Implants placed 2 mm into the joint (97.2% correct classification)

Least agreement: For implants placed at 0 mm (subchondral level), especially lateral (AC1 = 0.48)

No palpable abnormalities (e.g., crepitus) observed during ROM for any group

No significant difference in detection by specialty field or reviewer qualification

Suggests radiographic misclassification risk and supports considering CT/fluoroscopy in equivocal cases

Philips

Veterinary Surgery

3

2025

Detection of intra‐articular implant penetration of the canine stifle with radiography: A cadaveric study

2025-3-VS-philips-3

Article Title: Detection of intra‐articular implant penetration of the canine stifle with radiography: A cadaveric study

Journal: Veterinary Surgery

In McCagherty 2025 et al., on WID detection accuracy, what was the main type of bacterial population detected in most wound infections?

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Correct. Most wounds were polymicrobial and dominated by anaerobic species.
Incorrect. The correct answer is Polymicrobial with anaerobic predominance.
Most wounds were polymicrobial and dominated by anaerobic species.

🔍 Key Findings

  • Bacterial fluorescence was detected in all wounds (17 dogs, 4 cats) using the point-of-care wound imaging device (WID).
  • The WID confirmed the presence of clinically relevant wound infection in all evaluated cases at the time of imaging.
  • No significant difference was found in bacterial yield or burden between image-guided and non-guided swabs (QBC and PCR; p > 0.05).
  • The WID helped guide wound debridement in some cases by localizing areas of fluorescence, especially in necrotic tissue.
  • Most infections were polymicrobial and dominated by anaerobes, highlighting the need for anaerobic culture inclusion.
  • PCR analysis showed low bacterial DNA yields, often complicated by host DNA contamination, limiting its utility.
  • The study did not evaluate sensitivity/specificity of WID, as only fluorescence-positive wounds were included.
  • Clinical utility of WID lies in immediate visual confirmation of infection, supporting timely antimicrobial treatment decisions.

McCagherty

Veterinary Surgery

6

2025

Diagnostic value of a point of care bacterial fluorescence imaging device for detecting wound infections in dogs and cats

2025-6-VS-mccagherty-5

Article Title: Diagnostic value of a point of care bacterial fluorescence imaging device for detecting wound infections in dogs and cats

Journal: Veterinary Surgery

In Wilson 2025 et al., on acetabular measurement accuracy, what factor significantly reduced measurement accuracy across all methods?

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Correct. Higher OA severity was associated with greater prediction error (p < .05).
Incorrect. The correct answer is Osteoarthritis severity.
Higher OA severity was associated with greater prediction error (p < .05).

🔍 Key Findings

Study population: 73 hips from 60 dogs undergoing cementless THR.
Methods evaluated:

  • ACVD/ACOLL (acetabular circle on VD or OLL view)
  • ALVD/ALOLL (acetabular line)
  • FHCVD/FHCOLL/FHCCCHB (femoral head circle)
Findings:
  • Intraobserver repeatability and interobserver consistency were excellent for ACVD and ACOLL.
  • FHC methods consistently underestimated actual cup size by 2.4–3.6 mm.
  • AC and AL methods had low bias (±0.5 mm) and better predictive value.
  • OA severity negatively affected the accuracy of all measurements (p < .05).
  • Highest predictive accuracy was ~49% using ACVD with rounding down protocol.

Wilson

Veterinary Surgery

1

2025

Evaluation of three acetabular measurement methods for total hip replacement in dogs

2025-1-VS-wilson-3

Article Title: Evaluation of three acetabular measurement methods for total hip replacement in dogs

Journal: Veterinary Surgery

In Low 2024 et al., which factor was significantly associated with reduced postoperative complications?

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Correct. Age was inversely associated with complication risk (p = 0.0051, OR = 0.61):contentReference[oaicite:1]{index=1}
Incorrect. The correct answer is Older age at surgery.
Age was inversely associated with complication risk (p = 0.0051, OR = 0.61):contentReference[oaicite:1]{index=1}

🔍 Key Findings Summary

  • 47 dogs (57 elbows) underwent TCS placement for HIF
  • Overall complication rate = 17.5%
    • Minor: seromas (7 elbows)
    • Major: septic arthritis (3 elbows) — all resolved with antibiotics
  • No screw failures, medial epicondylar fractures, or catastrophic outcomes noted
  • Long-term follow-up in 41 dogs (50 elbows):
    • 90% full function, 10% acceptable function
    • Mean follow-up = ~2.5 years
  • Increased age was significantly protective (p = 0.0051; OR = 0.61)
  • TCS placement method (freehand, guide, aiming device) significantly impacted screw angulation but not complication rate
  • Outcome not affected by presence of complications

Low

Veterinary and Comparative Orthopedics and Traumatology

4

2024

Long-Term Outcome and Complications after Transcondylar Screw Placement for Canine Humeral Intracondylar Fissure

2024-4-VCOT-low-2

Article Title: Long-Term Outcome and Complications after Transcondylar Screw Placement for Canine Humeral Intracondylar Fissure

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Chik 2024 et al., on cholangioscopy feasibility, what was the key limitation of using standard biopsy forceps through the disposable flexible endoscope?

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Correct. The 1.2 mm working channel could not accommodate standard radial jaw biopsy forceps.
Incorrect. The correct answer is Working channel diameter was too small.
The 1.2 mm working channel could not accommodate standard radial jaw biopsy forceps.

🔍 Key Findings

  • Open transcholecystic cholangioscopy was feasible using a 3.8 mm disposable flexible endoscope in all 8 canine cadavers.
  • Visualization was consistently achieved up to the junction of the hepatic ducts, common bile duct, and cystic duct.
  • Advancement past the junction was limited by the endoscope diameter (3.8 mm) and anatomical flexure.
  • The 1.9 mm flexible ureteroscope could visualize the entire biliary tree, including the major duodenal papilla, in a large dog (43.8 kg).
  • Endoscopic tools (e.g., 3 Fr grasping forceps) could be passed through the working channel only after removing the irrigation line.
  • Standard biopsy forceps were incompatible with the disposable endoscope's 1.2 mm working channel.
  • Cadaver study showed no rupture, but clinical extrapolation is limited due to lack of diseased tissue.
  • Disposable endoscope setup cost (~$6,100) was significantly lower than traditional endoscopy systems (~$75,000–100,000), improving accessibility.

Chik

Veterinary Surgery

7

2024

Feasibility of open cholangioscopy with disposable flexible endoscopes

2024-7-VS-chik-4

Article Title: Feasibility of open cholangioscopy with disposable flexible endoscopes

Journal: Veterinary Surgery

In Trefny 2025 et al., on plate length and stiffness, what was the measured effect of plate length on plate strain?

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Correct. Strain was significantly lower for 12-hole than 6-hole plates at all ROIs.
Incorrect. The correct answer is 12-hole plates had the lowest strain.
Strain was significantly lower for 12-hole than 6-hole plates at all ROIs.

🔍 Key Findings

  • 12-hole LCPs (80% plate–bone ratio) showed significantly higher construct stiffness than 6-, 8-, or 10-hole plates in both compression and tension bending.
  • Strain on the plate was significantly lower in 12-hole vs 6-hole plates at all regions of interest (ROIs), especially around the fracture gap.
  • No incremental increases in stiffness or decreases in strain were observed between 6-, 8-, and 10-hole plates—only when comparing to 12-hole plates.
  • Bone model strain adjacent to the plate end was significantly lower for 10- and 12-hole plates vs 6-hole plates under both loading conditions.
  • The threshold effect suggests biomechanical benefits only emerge beyond a plate–bone ratio of ~80%.
  • Working length increased from 9.4 mm (6-hole) to 13 mm (others), potentially influencing strain/stiffness differences.
  • Four-point bending was used, as it replicates the most biomechanically relevant force on plated long bones.
  • Clinical implication: Longer plates may reduce plate strain and peri-implant bone strain, potentially lowering risk of fatigue failure or stress risers.

Trefny

Veterinary and Comparative Orthopaedics and Traumatology

2

2025

Effect of Plate Length on Construct Stiffness and Strain in a Synthetic Short-Fragment Fracture Gap Model Stabilized with a 3.5-mm Locking Compression Plate

2025-2-VCOT-trefny-2

Article Title: Effect of Plate Length on Construct Stiffness and Strain in a Synthetic Short-Fragment Fracture Gap Model Stabilized with a 3.5-mm Locking Compression Plate

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Kuvaldina 2023 et al., on endoscopic axillary lymphadenectomy, what was a key benefit of the minimally invasive approach compared to open surgery?

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Correct. The study highlighted better identification of vessels and nerves using endoscopy, enhancing safety.
Incorrect. The correct answer is Improved visualization of surgical landmarks and vascular structures.
The study highlighted better identification of vessels and nerves using endoscopy, enhancing safety.

🔍 Key Findings

  • Endoscopic excisional biopsy of axillary lymph nodes was successfully performed in cadavers and clinical dogs with minimal complications.
  • The technique used a SILS port and CO₂ insufflation through a small incision between the latissimus dorsi and superficial pectorals.
  • In 4 cadavers (6 limbs), mean time to remove axillary nodes was 33 minutes, and single nodes were found in 5/6 limbs.
  • In 3 clinical dogs, the procedure was successful in 2 cases; 1 required conversion to open surgery due to difficulty manipulating the node.
  • Accessory axillary nodes were successfully excised when present, located adherent to deep latissimus dorsi.
  • No cases developed lymphedema, pneumothorax, or major complications postoperatively.
  • Subjective benefits included better visualization, reduced dissection, and less postoperative morbidity than open techniques.
  • Study suggests MIS lymphadenectomy may improve staging accuracy and reduce complications, though larger studies are needed.

Kuvaldina

Veterinary Surgery

6

2023

Development of a minimally invasive endoscopic technique for excisional biopsy of the axillary lymph nodes in dogs

2023-6-VS-kuvaldina-1

Article Title: Development of a minimally invasive endoscopic technique for excisional biopsy of the axillary lymph nodes in dogs

Journal: Veterinary Surgery

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