Your Custom Quiz

In Danielski 2024 et al., on PUO effect on HIF, what percentage of elbows demonstrated subjective partial or complete healing on follow-up CT?

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Correct. Subjective healing was observed in 41 out of 51 elbows, amounting to 80.3% of the cases.
Incorrect. The correct answer is 80.3%.
Subjective healing was observed in 41 out of 51 elbows, amounting to 80.3% of the cases.

🔍 Key Findings Summary

  • Sample: 51 elbows from 35 spaniel dogs
  • Healing Rate: Subjective healing (complete or partial) in 80.3% of elbows; complete in 54.9%
  • Objective HU analysis: Mean HU increased from 640 (pre-op) to 835 (follow-up) (p = .001)
  • Age Effect: Dogs <14 months showed the greatest HU increase (+384 HU) and had wider fissures with less sclerosis
  • Complications:
    • Major: 5 dogs (6 limbs); 4 related to fissure healing (7.8%), 2 related to PUO healing (3.9%)
    • Minor: 3 cases (5.8%) due to IM pin migration
  • Sclerosis: Older dogs had more humeral condyle sclerosis, possibly limiting healing
  • PUO Effectiveness: Confirmed cranio-proximal displacement of anconeal process; aimed to relieve humero-anconeal incongruity
  • Control Comparison: Avoids complications associated with transcondylar screw (infection, breakage)

Danielski

Veterinary Surgery

2

2024

Influence of oblique proximal ulnar osteotomy on humeral intracondylar fissures in 35 spaniel breed dogs

2024-2-VS-danielski-1

Article Title: Influence of oblique proximal ulnar osteotomy on humeral intracondylar fissures in 35 spaniel breed dogs

Journal: Veterinary Surgery

In Chik 2024 et al., on cholangioscopy feasibility, what was one major advantage of disposable flexible endoscopes noted by the authors?

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Correct. The disposable endoscope setup cost (~$6,100) was far lower than traditional systems (~$75,000–100,000).
Incorrect. The correct answer is Significantly lower startup cost than standard systems.
The disposable endoscope setup cost (~$6,100) was far lower than traditional systems (~$75,000–100,000).

🔍 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-5

Article Title: Feasibility of open cholangioscopy with disposable flexible endoscopes

Journal: Veterinary Surgery

In Geier 2022 et al., on smoke evacuation in TPLO, which group had the highest maximum particle concentration during surgery?

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Correct. Maximum particle concentration in the non–smoke-evacuator group was 62,450 ppc vs. 10,100 in the SE group.
Incorrect. The correct answer is NSE group (62,450 ppc).
Maximum particle concentration in the non–smoke-evacuator group was 62,450 ppc vs. 10,100 in the SE group.

🔍 Key Findings

  • Use of smoke evacuators reduced ultrafine particle concentrations by 56.4% during approach to the proximal tibia for TPLO in dogs.
  • Mean intraoperative particle concentrations were significantly higher in surgeries without smoke evacuation (1352 ppc vs. 763 ppc, P < .0001).
  • Maximum particle concentrations were six times higher without smoke evacuation (62,450 ppc vs. 10,100 ppc, P < .0001).
  • Particle counts increased above baseline regardless of evacuator use, confirming electrosurgery contributes substantially to airborne particles.
  • Surgeons noted reduced odor and health concerns when using the smoke evacuator, despite initial visibility limitations due to pencil attachment.
  • Standard surgical masks do not protect against ultrafine particles, underscoring the importance of smoke mitigation systems.
  • The smoke-evacuation unit did not eliminate all ultrafine particles, suggesting optimization (e.g., higher power setting) may be beneficial.
  • This is the first clinical veterinary study to measure surgical smoke reduction using evacuators during TPLO.

Geier

Veterinary Surgery

5

2022

The effect of a smoke‐evacuation unit on ultrafine particle concentrations in the operating room during approach to the proximal tibia for tibial plateau-leveling osteotomy surgery in dogs

2022-5-VS-geier-3

Article Title: The effect of a smoke‐evacuation unit on ultrafine particle concentrations in the operating room during approach to the proximal tibia for tibial plateau-leveling osteotomy surgery in dogs

Journal: Veterinary Surgery

In Bush 2023 et al., on canine salivary gland carcinoma, which complication was most commonly associated with parotid gland excision?

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Correct. Facial nerve injury was exclusive to parotid sialoadenectomy cases in the study.
Incorrect. The correct answer is Facial nerve injury.
Facial nerve injury was exclusive to parotid sialoadenectomy cases in the study.

🔍 Key Findings

Source: Bush et al., 2023, Veterinary Surgery

  • Median survival time (MST) after surgery was 1886 days, which is significantly longer than previously reported.
  • Lymph node metastasis at surgery was a negative prognostic factor, reducing MST to 248 days (vs. 2340 days without nodal involvement).
  • Local recurrence occurred in 42% of dogs, with a median disease-free interval (DFI) of 191 days.
  • Metastatic disease occurred in 32% of dogs, most commonly to the lungs, with a median DFI of 299 days.
  • Histologic features (e.g., margin status, capsular, lymphatic, or vascular invasion) were not significantly correlated with recurrence or metastasis.
  • Facial nerve injury occurred in 9.7% perioperatively, especially after parotidectomy; intraoperative facial nerve transection led to long-term deficits.
  • Adjuvant therapies (chemotherapy, radiation, NSAIDs) did not significantly affect survival time.
  • Incisional biopsy was only 38% concordant with final excisional histology, suggesting limited reliability for definitive diagnosis.

Bush

Veterinary Surgery

3

2023

Outcomes and clinical features associated with surgically excised canine salivary gland carcinoma: A multi-institutional, retrospective, Veterinary Society of Surgical Oncology study

2023-3-VS-bush-4

Article Title: Outcomes and clinical features associated with surgically excised canine salivary gland carcinoma: A multi-institutional, retrospective, Veterinary Society of Surgical Oncology study

Journal: Veterinary Surgery

In Walker 2025 et al., on ventral slot guides, what was the impact on slot position variability when using the 3D guide?

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Correct. Use of the guide cut variability in slot position by more than half.
Incorrect. The correct answer is Reduced from 63% to 29%.
Use of the guide cut variability in slot position by more than half.

🔍 Key Findings

Design: Ex vivo cadaver study (n=8 dogs, 24 sites)
Comparison: Freehand vs. 3D-printed drill guide-assisted ventral slot (GAVS vs FHVS)
Findings:

  • GAVS produced slots not significantly different from planned dimensions (p = .722–.875)
  • FHVS produced significantly shorter slots than intended (p < .01)
  • No difference in surgical time (p = .071)
  • Shape ratio and slot divergence from midline were similar between groups (p > .4)
  • Use of guide significantly reduced variability in slot position (63% → 29%), shape (65% → 24%), and divergence (54% → 50%)

Conclusion: 3D-printed guides improved accuracy and consistency of ventral slot creation by novice surgeons; supports future evaluation in live dogs and small breeds

Walker

Veterinary Surgery

3

2025

Evaluation of a patient‐specific 3D‐printed guide for ventral slot surgery in dogs: An ex vivo study

2025-3-VS-walker-2

Article Title: Evaluation of a patient‐specific 3D‐printed guide for ventral slot surgery in dogs: An ex vivo study

Journal: Veterinary Surgery

In Schroeder 2022 et al., on fascial anatomy mapping, which fascial type is associated with periosteum and bony structures?

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Correct. Type IV fascia is associated with the periosteum and requires careful subperiosteal elevation or bone resection for clear margins.
Incorrect. The correct answer is D. Type IV.
Type IV fascia is associated with the periosteum and requires careful subperiosteal elevation or bone resection for clear margins.

🔍 Key Findings

  • Fascial planes in dogs were consistently classifiable into four surgical types:
  • Type I (discrete sheets), Type II (tightly adhered to thin muscle), Type III (tightly adhered to thick muscle), and Type IV (periosteum-associated).
  • Two junction types were identified: Type A (easily elevated) and Type B (higher risk of disruption).
  • Disruption-prone areas include the scapular spine (type IV fascia) and lateral thorax near the 13th rib, where rib resection may be needed to preserve margins.
  • The latissimus dorsi transition zones and fascial areas near the thoracic inlet and scapulohumeral joint were prone to fascial thinning or disruption.
  • Partial muscle resections or periosteal elevations may be required in areas with fragile fascia to maintain oncologic margins.
  • Dorsal spinous processes (T6–L6) showed type IV fascia; however, osteotomy may be needed in some dogs for clear margins.
  • Blended fascial transitions (e.g., rectus abdominis: type II cranially, type I caudally) necessitate intraoperative judgment on resection depth.
  • Cutaneous trunci may suffice as a deep margin for small, low-grade tumors in well-muscled dogs, but not reliably for high-grade or larger masses.

Schroeder

Veterinary Surgery

1

2022

Fascial plane mapping for superficial tumor resection in dogs. Part I: Neck and trunk

2022-1-VS-schroeder-5

Article Title: Fascial plane mapping for superficial tumor resection in dogs. Part I: Neck and trunk

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 Burkhardt 2024 et al., on coagulation testing in liver lobectomy, which liver tumor type was significantly associated with both PT and aPTT prolongation?

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Correct. Only hemangiosarcoma showed a significant association with both PT and aPTT prolongation (p < .001).
Incorrect. The correct answer is Hepatic hemangiosarcoma.
Only hemangiosarcoma showed a significant association with both PT and aPTT prolongation (p < .001).

🔍 Key Findings

  • 20.6% of dogs had a preoperative prolongation in PT or aPTT, but only 5.6% had both prolonged.
  • Hemangiosarcoma was the only tumor type significantly associated with both PT and aPTT prolongation (37.5% of hemangiosarcoma cases, p < .001).
  • Dogs with both PT and aPTT prolongations were 6.5× more likely to have emergency surgery (p < .001) and 2.5× more likely to have hemoabdomen (p = .0022).
  • 60% of dogs with both PT and aPTT prolongation required blood transfusion (p < .001).
  • Only 1.9% of all dogs had both PT and aPTT prolonged by >25%, suggesting limited clinical utility of routine PT/aPTT testing.
  • Platelet count <50,000/μL was rare (1.5%) and not associated with PT/aPTT changes or transfusions.
  • Routine PT/aPTT testing offers low diagnostic yield in elective liver lobectomy cases.
  • Authors recommend case-by-case PT/aPTT screening, especially when hemangiosarcoma or bleeding tendencies are suspected.

Burkhardt

Veterinary Surgery

7

2024

Evaluating preoperative coagulation panels in dogs undergoing liver lobectomy for primary liver tumors: A multi-institutional retrospective study

2024-7-VS-burkhardt-2

Article Title: Evaluating preoperative coagulation panels in dogs undergoing liver lobectomy for primary liver tumors: A multi-institutional retrospective study

Journal: Veterinary Surgery

In David 2024 et al., on single-port cryptorchidectomy, which location was chosen for laparoscopic port placement?

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Correct. A 12-mm cannula was placed cranial to the prepuce in the ventral midline.
Incorrect. The correct answer is Prepubic midline.
A 12-mm cannula was placed cranial to the prepuce in the ventral midline.

🔍 Key Findings

  • Single-port laparoscopic-assisted cryptorchidectomy (SP-LAC) was feasible in 13/14 dogs with abdominal cryptorchidism.
  • Median surgical time was 17 min for unilateral and 27 min for bilateral cryptorchidectomy.
  • All testes were successfully exteriorized through a 15-mm mini-celiotomy in most dogs; only 2 needed slight enlargement.
  • One major complication occurred (testicular artery hemorrhage, requiring conversion to open surgery).
  • Two minor complications involved trocar-related issues (splenic capsule laceration, capnoretroperitoneum).
  • No incisional complications were reported postoperatively; some dogs had mild dermatitis at the clipped site.
  • The technique requires only one surgeon and no advanced tools beyond a single-port endoscope.
  • Low-pressure capnoperitoneum (6 mmHg) was adequate for visualization in most cases.

David

Veterinary Surgery

3

2024

Single-port laparoscopic-assisted abdominal cryptorchidectomy in 14 dogs

2024-3-VS-david-4

Article Title: Single-port laparoscopic-assisted abdominal cryptorchidectomy in 14 dogs

Journal: Veterinary Surgery

In Cortez 2024 et al., on feline ectopic ureters, what was the postoperative urinary continence outcome in this cohort?

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Correct. The study found universal improvement in continence, with complete resolution in 11 of 12 cases.
Incorrect. The correct answer is All cats had improved continence, 11/12 had full resolution.
The study found universal improvement in continence, with complete resolution in 11 of 12 cases.

🔍 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-5

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

Journal: Veterinary Surgery

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