Your Custom Quiz

In Gomes 2025 et al., on subdural shunting for TL-AD, what was the significant long-term outcome of SDS placement compared to durotomy alone?

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Correct. 85.7% of dogs with SDS improved long-term vs. 41.7% with durotomy alone (p = 0.04).
Incorrect. The correct answer is Significantly improved long-term neurological recovery.
85.7% of dogs with SDS improved long-term vs. 41.7% with durotomy alone (p = 0.04).

🔍 Key Findings

  • Modified subdural shunt (SDS) placement was adapted from prior techniques using a hemilaminectomy approach and no suturing of the dura or shunt.
  • Dogs receiving SDS had significantly better long-term outcomes (85.7% improved) compared to those with durotomy alone (41.7%).
  • Recurrence rate was lower in the SDS group (14.3%) than control (41.7%), though not statistically significant.
  • Most recurrences occurred in Pugs (5/7), suggesting a breed predisposition.
  • Shunt size was limited to 25% of spinal cord diameter, typically 3–3.5 Fr.
  • CSF flow through the shunt was confirmed intraoperatively, supporting the role of SDS in maintaining flow and possibly preventing recurrence.
  • Immediate postoperative outcomes were not different between groups (≈42% deteriorated), but long-term recovery was better with SDS.
  • Steroid use pre-surgery did not correlate with improved outcome; fewer SDS dogs received steroids pre-op.

Gomes

Veterinary Surgery

5

2025

Post‐surgical outcome and recurrence rates in thoracolumbar arachnoid diverticula undergoing durotomy alone or alongside a modified technique of subdural shunt-placement in dogs

2025-5-VS-gomes-2

Article Title: Post‐surgical outcome and recurrence rates in thoracolumbar arachnoid diverticula undergoing durotomy alone or alongside a modified technique of subdural shunt-placement in dogs

Journal: Veterinary Surgery

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 Sanders 2024 et al., on feline anastomosis techniques, what was the observed mean jejunal mural thickness?

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Correct. Jejunal mural thickness averaged 2.28 ± 0.30 mm, the greatest among gastrointestinal segments measured.
Incorrect. The correct answer is 2.28 mm.
Jejunal mural thickness averaged 2.28 ± 0.30 mm, the greatest among gastrointestinal segments measured.

🔍 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-2

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

Journal: Veterinary Surgery

In Hertel 2025 et al., on portal venotomy for insulinoma, which postoperative complication was observed and medically managed?

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Correct. Moderate pancreatitis was the only notable postoperative complication and was managed conservatively.
Incorrect. The correct answer is Pancreatitis.
Moderate pancreatitis was the only notable postoperative complication and was managed conservatively.

🔍 Key Findings

  • Portal venotomy enabled successful en bloc resection of a pancreatic insulinoma and associated thrombus in the portal vein, a novel approach in veterinary literature.
  • Temporary portal vein occlusion (15 min) was well tolerated, causing only transient small intestinal congestion without lasting hemodynamic compromise.
  • No intraoperative hemorrhage occurred following vascular isolation and venotomy repair with 5–0 polypropylene in a simple continuous pattern.
  • Postoperative complications were minimal, with only moderate pancreatitis managed medically and no portal hypertension observed on follow-up imaging.
  • Histopathology confirmed insulinoma, with no initial metastasis; CT at 6 months revealed hepatic and peritoneal metastases but no local recurrence at the venotomy site.
  • Portal vein luminal stenosis occurred post-repair but was clinically insignificant.
  • Advanced CT imaging and 3D printed modeling significantly enhanced surgical planning and anatomical assessment.
  • Surgical excision achieved good short-term outcomes, and the dog was alive and euglycemic one year later despite metastatic disease.

Hertel

Veterinary Surgery

5

2025

Successful venotomy for portal tumor thrombus removal due to pancreatic carcinoma in a dog

2025-5-VS-hertel-3

Article Title: Successful venotomy for portal tumor thrombus removal due to pancreatic carcinoma in a dog

Journal: Veterinary Surgery

In Johnson 2022 et al., on PET implant outcomes, what fixation method was used for securing the implant to bone?

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Correct. This method was chosen for simplicity, adequate fixation, and prior validation in ex vivo testing.
Incorrect. The correct answer is Bi-cortical screws, spiked washers, and absorbable interference screws.
This method was chosen for simplicity, adequate fixation, and prior validation in ex vivo testing.

🔍 Key Findings

  • Only 2 of 10 PET implants were fully intact and functional at 6 months post-op.
  • Owner-reported function (LOAD scores) improved by 51.7% (p = .008) over 6 months.
  • Gait asymmetry improved by 86% (p = .002) postoperatively.
  • Implant failure occurred in the midbody of the PET device, suggesting fatigue as a failure mechanism.
  • One dog (10%) developed implant infection, necessitating implant removal.
  • Implant fixation method (screws + washers + interference screw) was mechanically adequate and technically simple.
  • Partially intact implants (4/10) still showed improved clinical outcomes, despite structural compromise.
  • Midbody tearing and lack of long-term integrity prohibit continued use of this PET implant in CCL repair.

Johnson

Veterinary Surgery

8

2022

Outcome of cranial cruciate ligament replacement with an enhanced polyethylene terephthalate implant in the dog: A pilot clinical trial

2022-8-VS-johnson-5

Article Title: Outcome of cranial cruciate ligament replacement with an enhanced polyethylene terephthalate implant in the dog: A pilot clinical trial

Journal: Veterinary Surgery

In Karydas 2025 et al., on follow-up radiography, what percent of postoperative plans were changed based on clinical and radiographic findings?

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Correct. Out of 139 cases, 23 (17%) experienced a postoperative plan change based on clinical and radiographic indicators.
Incorrect. The correct answer is 17%.
Out of 139 cases, 23 (17%) experienced a postoperative plan change based on clinical and radiographic indicators.

🔍 Key Findings

139 immature dogs with humeral condylar fractures (HCF) reviewed retrospectively.
Postoperative plan changed in 17% (23/139) of cases.
Key risk factors for plan change:

  • Owner concerns (OR: 7.6)
  • Analgesic use at follow-up (OR: 7.9)
  • Lameness (OR: 5.9)
  • Abnormal clinical exam (OR: 44.8)
  • Radiographic abnormalities (OR: 51.9)

No plan changes were based solely on radiographs when clinical signs were absent.
Supracondylar K-wire migration noted in 3.5% of dogs without affecting the clinical plan.
Authors conclude that routine follow-up radiographs offer limited value without concurrent clinical indicators.

Karydas

Veterinary Surgery

2

2025

Impact of postoperative radiography on the management of humeral condylar fractures in immature dogs

2025-2-VS-karydas-1

Article Title: Impact of postoperative radiography on the management of humeral condylar fractures in immature dogs

Journal: Veterinary Surgery

In Chik 2024 et al., on cholangioscopy feasibility, which factor most limited advancement of the 3.8 mm disposable endoscope into the common bile duct?

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Correct. Anatomical flexure and endoscope diameter prevented deeper passage beyond the junction.
Incorrect. The correct answer is Flexure between the cystic and common bile duct.
Anatomical flexure and endoscope diameter prevented deeper passage beyond the junction.

🔍 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-2

Article Title: Feasibility of open cholangioscopy with disposable flexible endoscopes

Journal: Veterinary Surgery

In Huerta 2025 et al., on leakage in canine lung lobectomy, how did PL-60 perform compared to PL-30 in terms of leakage pressure?

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Correct. PL-60 group had significantly higher median leakage pressure than PL-30 (18 vs 10 cm H₂O, p = .006).
Incorrect. The correct answer is PL-60 had higher pressure resistance.
PL-60 group had significantly higher median leakage pressure than PL-30 (18 vs 10 cm H₂O, p = .006).

🔍 Key Findings

PL-30 group (partial, TA30-V3 wedge):

  • 100% leaked
  • Median leakage pressure: 10 cm H₂O
  • Most failures from periphery of staple line

PL-60 group (partial, TA60-3.5):

  • 100% leaked
  • Median leakage pressure: 18 cm H₂O
  • Better than PL-30 (p = .006)

TL-30 group (total, TA30-V3):

  • Only 1 of 11 leaked (at 22 cm H₂O)
  • All others resisted pressures >50–65 cm H₂O
  • Significantly higher leakage pressure than both PL groups (p < .001)

Odds ratios (leakage vs TL-30):

  • PL-30: OR 437 at both 20 and 30 cm H₂O (p = .003)
  • PL-60: OR 437 at 20 cm H₂O and 133 at 30 cm H₂O (p = .003)

Recommendation: Prefer TL-30 when possible. If partial needed, PL-60 superior to PL-30, but all partials leaked at physiologic pressures.

Huerta

Veterinary Surgery

4

2025

Leakage pressures of partial and total lung lobectomies performed with thoracoabdominal staplers in cadaveric dogs

2025-4-VS-huerta-4

Article Title: Leakage pressures of partial and total lung lobectomies performed with thoracoabdominal staplers in cadaveric dogs

Journal: Veterinary Surgery

In Socha 2024 et al., what was the statistical significance of the difference in T2*L values between CrCL and CdCL?

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Correct. The study reported p = 0.03 for CrCL vs CdCL T2*L comparison, indicating statistical significance:contentReference[oaicite:1]{index=1}
Incorrect. The correct answer is p = 0.03.
The study reported p = 0.03 for CrCL vs CdCL T2*L comparison, indicating statistical significance:contentReference[oaicite:1]{index=1}

🔍 Key Findings Summary

  • Normative ultrashort echo time (UTE) MRI T2* values were established for:
    • Patellar ligament (PL): T2*L = 4.65 ms
    • Cranial cruciate ligament (CrCL): T2*L = 5.99 ms
    • Caudal cruciate ligament (CdCL): T2*L = 7.06 ms
  • Statistically significant differences in T2*L values were found between:
    • PL vs. CrCL (p = 0.03)
    • PL vs. CdCL (p = 0.0097)
    • CrCL vs. CdCL (p = 0.03)
  • No significant differences in short T2* (T2*S) values across ligaments.
  • Study highlights potential of UTE MRI to detect early ligament changes even without physical instability.
  • May guide early diagnosis in partial CrCL rupture where standard MRI is limited.

Socha

Veterinary and Comparative Orthopedics and Traumatology

2

2024

Ultrashort Echo Time Quantitative Magnetic Resonance Imaging of the Cruciate Ligaments in Normal Beagles

2024-2-VCOT-socha-2

Article Title: Ultrashort Echo Time Quantitative Magnetic Resonance Imaging of the Cruciate Ligaments in Normal Beagles

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Jones 2024 et al., on surgical technique mortality, which factor besides surgical technique was independently associated with increased mortality?

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Correct. Stage II or III laryngeal collapse had an OR of 4.6 for mortality (p = .002).
Incorrect. The correct answer is High-grade laryngeal collapse.
Stage II or III laryngeal collapse had an OR of 4.6 for mortality (p = .002).

🔍 Key Findings

  • Study compared 606 dogs (English Bulldogs, French Bulldogs, Pugs) undergoing partial staphylectomy via CO₂ laser, bipolar vessel sealing device (BVSD), or conventional incision.
  • Mortality rate: 4.0% (24/606).
  • BVSD was associated with significantly increased perioperative mortality compared to other methods (OR = 6.0, 95% CI: 1.3–28.4, p = .023).
  • High-grade laryngeal collapse (stage II or III) independently increased mortality risk (OR = 4.6, 95% CI: 1.8–11.8, p = .002).
  • No difference in mortality between CO₂ laser and conventional incision techniques.
  • CO₂ laser and conventional techniques had similar complication rates.

Jones

Veterinary Surgery

1

2024

Comparison of mortality of brachycephalic dogs undergoing partial staphylectomy using conventional incisional, carbon dioxide laser, or bipolar vessel sealing device

2024-1-VS-jones-3

Article Title: Comparison of mortality of brachycephalic dogs undergoing partial staphylectomy using conventional incisional, carbon dioxide laser, or bipolar vessel sealing device

Journal: Veterinary Surgery

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