Your Custom Quiz

In Von Pfeil 2024 et al., on acute ulnar shortening in dogs, which postoperative complication was reported in the study?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Only 2 minor complications were reported: one screw loosening and one superficial infection.
Incorrect. The correct answer is Screw loosening and superficial infection in 1 each.
Only 2 minor complications were reported: one screw loosening and one superficial infection.

🔍 Key Findings

  • All dogs (11/11) showed improved radiohumeral articulation postoperatively, confirmed arthroscopically.
  • Median shortening: radioulnar (3.2 mm), humeroradial (1.8 mm), humeroulnar (1.2 mm).
  • Median lameness score improved from 2/4 to 1/4 by final follow-up.
  • Bone healing achieved in a median of 8 weeks (range: 4–14 weeks).
  • No major complications; minor issues included 1 screw loosening and 1 superficial infection.
  • Subjective function was graded full in 4 dogs, acceptable in 7.
  • Arthroscopy enabled accurate dynamic joint assessment, preferred over static radiographs.
  • Use of both orthopedic wire and plating provided secure fixation and improved outcomes.

Von Pfeil

Veterinary Surgery

3

2024

Outcomes of 11 dogs with short radius syndrome treated with acute arthroscopically assisted ulnar shortening

2024-3-VS-pfeil-5

Article Title: Outcomes of 11 dogs with short radius syndrome treated with acute arthroscopically assisted ulnar shortening

Journal: Veterinary Surgery

In Smith 2024 et al., on ergonomics and preferences in veterinary laparoscopy, which subgroup of surgeons experienced significantly greater difficulty with endoscopic staplers?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Left-handed users reported more difficulty due to right-hand-dominant designs.
Incorrect. The correct answer is Left-handed surgeons.
Left-handed users reported more difficulty due to right-hand-dominant designs.

🔍 Key Findings

  • Surgeons with smaller glove sizes experienced more difficulty using laparoscopic instruments, especially endoscopic staplers, cup biopsy forceps, and vessel sealing devices.
  • Endoscopic stapler was rated the most difficult instrument, with a median difficulty score of 4/10 and 25% usage difficulty.
  • Female surgeons reported significantly more difficulty with several instruments due to smaller glove size.
  • Reusable instruments were preferred over disposable ones for all tasks.
  • Pistol grips were preferred for grasping/retracting and fine dissection, while axial grips were preferred for suturing/knot tying.
  • Articulating handles were consistently associated with increased reported difficulty, especially with scissors and cup biopsy forceps.
  • Left-handed surgeons had more difficulty operating endoscopic staplers, suggesting limited design inclusivity.
  • Surgeons in academic settings reported more difficulty with laparoscopic maneuvers than those in private practice.

Smith

Veterinary Surgery

3

2024

Variables affecting surgeons’ use of, and preferences for, instrumentation in veterinary laparoscopy

2024-3-VS-smith-5

Article Title: Variables affecting surgeons’ use of, and preferences for, instrumentation in veterinary laparoscopy

Journal: Veterinary Surgery

In Scott 2025 et al., on acetabular cup revision, what revision approach was used in all cases?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. In all 9 dogs, cups were revised to larger-diameter BFX cups for new osseointegration.
Incorrect. The correct answer is Cup replacement using a larger press-fit cup.
In all 9 dogs, cups were revised to larger-diameter BFX cups for new osseointegration.

🔍 Key Findings

Population: 9 dogs underwent revision of osteointegrated acetabular cups after total hip arthroplasty (THA)

Revision Indications:

  • 7 luxations (5 ventral, 2 craniodorsal)
  • 1 femoral stem fracture
  • 1 aseptic stem loosening

Implants:

  • 8 BFX cups, 1 Helica; all revised to BFX
  • 7/9 required a larger cup than original

Cup removal: Required sectioning with a high-speed burr and modular osteotome; removal fragments extracted

Complications:

  • 1 recurrent luxation
  • 1 low-grade infection with possible metallic debris-associated osteolysis
  • 2 femoral fissures managed intraoperatively

Outcomes:

  • Good to excellent function in 6/6 dogs available at median 621 days
  • Minimal complications with success in re-osteointegration of new cup

Clinical takeaway: Revision of stable, ingrown cups is feasible and offers an alternative to pelvic osteotomies; typically requires upsizing

Scott

Veterinary Surgery

3

2025

Revision of osteointegrated acetabular cup prostheses in nine dogs

2025-3-VS-scott-3

Article Title: Revision of osteointegrated acetabular cup prostheses in nine dogs

Journal: Veterinary Surgery

In Aertsens 2025 et al., on thoracic lift technique, which device was used to create the chest wall lift in the second cat?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. A bent 2 mm Steinmann pin was inserted at the 8th intercostal space and suspended to elevate the thoracic wall in Cat 2.
Incorrect. The correct answer is Bent Steinmann pin.
A bent 2 mm Steinmann pin was inserted at the 8th intercostal space and suspended to elevate the thoracic wall in Cat 2.

🔍 Key Findings

Case 1: Chest wall lift improved oxygenation (PaO₂ increased from 179.4 to 306.3 mmHg) and enabled thoracoscopic-assisted lobectomy in a cat with pleural effusion and pulmonary carcinoma.
Case 2: Chest wall lift using a Steinmann pin allowed 3-port thoracoscopic lobectomy for a bronchial foreign body; no complications observed.
Both cats: Lift increased working space and eliminated need for thoracotomy; no device-related complications.
Pretied ligating loops (PLL) were effective for hilar vessel ligation—preferred over staplers or self-locking ligatures in feline thorax.
Conclusion: Thoracic lift is a novel, minimally invasive method enhancing thoracoscopic procedures in small patients, particularly cats.

Aertsens

Veterinary Surgery

4

2025

Chest wall lift for thoracoscopic lung lobectomy: Technique and results in two cats

2025-4-VS-aertsens-2

Article Title: Chest wall lift for thoracoscopic lung lobectomy: Technique and results in two cats

Journal: Veterinary Surgery

In Bush 2023 et al., on canine salivary gland carcinoma, what was the median survival time (MST) for dogs undergoing surgery?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Surgically treated dogs had an MST of 1886 days, significantly longer than previously reported.
Incorrect. The correct answer is 1886 days.
Surgically treated dogs had an MST of 1886 days, significantly longer than previously reported.

🔍 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-1

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 Whitney 2022 et al., on CBLO fixation strength, regarding biomechanical testing of CBLO constructs, what was the main mode of failure in constructs using only a plate and pin?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Plate-only constructs failed by tuberosity displacement followed by fracture at the most cranial screw.
Incorrect. The correct answer is Displacement of tibial tuberosity then fracture at cranial screw.
Plate-only constructs failed by tuberosity displacement followed by fracture at the most cranial screw.

🔍 Key Findings

  • CBLO fixation with both a headless compression screw (HCS) and tension band (TB) showed the highest yield and ultimate loads compared to other configurations
  • HCSTB constructs had significantly higher yield load (1212 N) and ultimate load (1388 N) than Plate alone (788 N, 774 N), HCS alone (907 N, 927 N), or TB alone (1016 N, 1076 N)
  • No difference in construct stiffness was detected among the four fixation methods tested
  • All constructs ultimately failed by bone fracture—location of failure differed by construct type (e.g., through HCS hole or cranial screw hole)
  • TB and HCSTB groups showed failure via progressive TB stretching and cranial osteotomy widening, while Plate and HCS failed more abruptly
  • All constructs withstood forces exceeding expected quadriceps load in vivo (170–325 N), suggesting all methods can resist physiological loading, but HCSTB provides greater safety margin
  • HCS alone was not significantly stronger than Plate or TB alone, questioning its standalone superiority
  • Study supports using TB and HCS together for optimal construct strength, but clinical studies are needed to validate implant fatigue, healing, and failure rates

Whitney

Veterinary Surgery

1

2022

Ex vivo biomechanical comparison of four Center of Rotation Angulation Based Leveling Osteotomy fixation methods

2022-1-VS-whitney-2

Article Title: Ex vivo biomechanical comparison of four Center of Rotation Angulation Based Leveling Osteotomy fixation methods

Journal: Veterinary Surgery

In Poggi 2025 et al., on laparoscopic cholecystectomy in cats, which of the following was a reported postoperative complication leading to death?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. EHBDO developed postoperatively in one cat with cholelithiasis and led to death within 3 days.
Incorrect. The correct answer is Extrahepatic biliary duct obstruction.
EHBDO developed postoperatively in one cat with cholelithiasis and led to death within 3 days.

🔍 Key Findings

  • Laparoscopic cholecystectomy (LC) was successfully performed in all 22 cats without conversion to open surgery.
  • Complication rate was low: 3 cats had postoperative complications (1 seroma, 1 vomiting, 1 EHBDO and death).
  • Median operating time was 41 minutes; median hospitalization was 3 days.
  • No cases required conversion to open laparotomy, even in cats as small as 2.5 kg.
  • Common devices used: Hemoclips or Hem-o-lok for cystic duct ligation; Ligasure, harmonic scalpel, or j-hook for dissection.
  • Most common indications: cholelithiasis (9/22) and cholecystitis (10/22), with one biliary mucocele and one adenoma.
  • Histopathology confirmed diagnosis in all cases; concurrent liver or intestinal biopsies were performed in some cats.
  • Postoperative AUS and bloodwork were routine and important for detecting early signs of EHBDO.

Poggi

Veterinary Surgery

5

2025

Laparoscopic cholecystectomy in 22 cats (2018–2024)

2025-5-VS-poggi-2

Article Title: Laparoscopic cholecystectomy in 22 cats (2018–2024)

Journal: Veterinary Surgery

In Korchek 2025 et al., on fracture gap risk, which implant variable was NOT significantly associated with implant failure in multivariable analysis?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. None of these implant-related variables showed a significant independent association with implant failure in multivariable analysis.
Incorrect. The correct answer is All of the above.
None of these implant-related variables showed a significant independent association with implant failure in multivariable analysis.

🔍 Key Findings

80 toy breed dogs with surgically repaired transverse radius/ulna fractures were analyzed.
Fracture gap in the caudal cortex was present in 46% of cases.
Implant failure rate:

  • 27% in cases with fracture gap
  • 2% in cases without fracture gap

Fracture gap significantly associated with implant failure:

  • OR = 23.0, 95% CI: 2.7–197.9, p = 0.004

Absence of external coaptation also associated with increased implant failure risk:

  • OR = 10.1, 95% CI: 1.1–89.6, p = 0.04

Prolonged external coaptation (>1 week) linked to non-implant complications (skin wounds, osteopenia, osteomyelitis):

  • OR = 5.4, p = 0.04

Plate thickness, type, open screw holes, and working length were not statistically significant predictors of implant failure after multivariable analysis.

Korchek

Veterinary Surgery

2

2025

Association of fracture gap with implant failure in radius and ulna fractures in toy breed dogs—A multicenter retrospective cohort study

2025-2-VS-korchek-3

Article Title: Association of fracture gap with implant failure in radius and ulna fractures in toy breed dogs—A multicenter retrospective cohort study

Journal: Veterinary Surgery

In Glenn 2024 et al., on client-based SSI surveillance, what percentage of SSIs required revision surgery?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Revision surgery was needed in 21 of 62 SSIs, amounting to 33.9%.
Incorrect. The correct answer is 33.9%.
Revision surgery was needed in 21 of 62 SSIs, amounting to 33.9%.

🔍 Key Findings

  • Algorithm 3 had the highest overall accuracy (95.5%) in diagnosing SSIs from client questionnaires.
  • Active surveillance identified 19.4% more SSIs compared to passive surveillance alone.
  • SSI rate was 8.22% across 754 surgeries; 33.9% of SSIs required revision surgery.
  • Client-based responses were 37.9% more frequent than those from referring veterinarians.
  • Deep/implant SSIs could be missed if not associated with visible wound healing problems.
  • Two late SSIs (after 90 days) occurred, both linked to implant surgeries.
  • Algorithm 1 was the most sensitive (87.1%) but less specific; useful for screening.
  • Algorithm 2 had the highest specificity (97.9%); useful as a “rule-in” diagnostic method.

Glenn

Veterinary Surgery

8

2024

Evaluation of a client questionnaire at diagnosing surgical site infections in an active surveillance system

2024-8-VS-glenn-4

Article Title: Evaluation of a client questionnaire at diagnosing surgical site infections in an active surveillance system

Journal: Veterinary Surgery

In Baldo Clemot 2026 et al., on dynamic MRI in DLSS, how much did the protrusion-to-relative canal ratio (PRCR) reduce on average in the flexed position?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. PRCR reduced by approximately 49.3%, rounded to 50%, indicating significant decompression in flexion.
Incorrect. The correct answer is 50%.
PRCR reduced by approximately 49.3%, rounded to 50%, indicating significant decompression in flexion.

🔍 Key Findings

  • Flexed MRI reduced IVD protrusion, foraminal stenosis, and VBLF significantly compared to neutral position.
  • No dogs had persistent cauda equina compression or foraminal occlusion in the flexed position.
  • Protrusion decreased by ~50% in flexion (PRCR and PACR reductions of 49.3% and 53.1%, respectively).
  • Degree of IVD protrusion correlated with IVD degeneration but not spondylosis.
  • Spondylosis did not limit flexion or affect decompression response.
  • Complete vertebral canal occlusion resolved in all cases when LSJ was flexed.
  • Indirect decompression via distraction may negate the need for laminectomy/discectomy, unless placing an IVD spacer.
  • Findings question the routine use of decompressive surgery with distraction-stabilization in DLSS when good flexion is achieved.

Baldo Clemot

Veterinary Surgery

1

2026

Dynamic magnetic resonance imaging of the lumbosacral spine in neutral and flexed position for presurgical assessment of clinically affected dogs with degenerative lumbosacral stenosis

2026-1-VS-baldo-clemot-4

Article Title: Dynamic magnetic resonance imaging of the lumbosacral spine in neutral and flexed position for presurgical assessment of clinically affected dogs with degenerative lumbosacral stenosis

Journal: Veterinary Surgery

Quiz Results

Previously Missed Questions
70%

You answered 7 out of 10 questions correctly

Question 1:

❌ Incorrect. You answered: Answer

Correct answer:

Rationale

Question 1:

✅ Correct! You answered: Answer

Rationale

Author: Journal Name - 2025

Article Title

Key Findings

Something off with this question?
Tell us what needs fixing—drop your note below.

You’re flagging: [question text]

Thanks for your feedback!
We’ll review your comment as soon as possible.
Oops! Something went wrong while submitting the form.