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In Williams 2024 et al., on adrenaline use in maxillary nerve blocks, which breed showed significantly higher **normalized hemorrhage** despite adrenaline use?

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Correct. Even after adjusting for weight, English bulldogs bled more (p = .048).
Incorrect. The correct answer is English Bulldog.
Even after adjusting for weight, English bulldogs bled more (p = .048).

🔍 Key Findings

  • The addition of adrenaline (0.00198%) to bilateral maxillary nerve blocks significantly reduced intraoperative hemorrhage in dogs undergoing sharp staphylectomy (median reduction: 77.1%).
  • Normalized hemorrhage (g/kg) and total hemorrhage (g) were significantly lower in the adrenaline group (p = .021 and p = .013, respectively).
  • Surgeon-assessed hemorrhage scores were also significantly lower in the adrenaline group (median 2 vs. 3; p = .029), indicating improved surgical visibility.
  • No adverse effects (e.g. tachycardia, arrhythmia, or hypertension) were observed with adrenaline administration.
  • A standardized intraoral approach to the maxillary nerve block was used with 0.5 mL per side regardless of dog size.
  • Breed effect observed: English Bulldogs had higher normalized hemorrhage, possibly due to anatomical variation or underdosing relative to size.
  • Adrenaline may also prolong local anesthetic action and reduce blood aspiration risks, though this was not directly measured.
  • The study supports the routine inclusion of adrenaline in maxillary nerve blocks for staphylectomy in BOAS patients to improve surgical field and reduce bleeding.

Williams

Veterinary Surgery

8

2024

Evaluation of the addition of adrenaline in a bilateral maxillary nerve block to reduce hemorrhage in dogs undergoing sharp staphylectomy for brachycephalic obstructive airway syndrome. A prospective, randomized study

2024-8-VS-williams-5

Article Title: Evaluation of the addition of adrenaline in a bilateral maxillary nerve block to reduce hemorrhage in dogs undergoing sharp staphylectomy for brachycephalic obstructive airway syndrome. A prospective, randomized study

Journal: Veterinary Surgery

In Morgera 2022 et al., on stifle surgery draping methods, which draping technique was found to significantly reduce infection-inflammation?

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Correct. The study found no significant difference in infection-inflammation rates between the two draping techniques.
Incorrect. The correct answer is No significant difference.
The study found no significant difference in infection-inflammation rates between the two draping techniques.

🔍 Key Findings

  • No significant difference in infection-inflammation rates between single-layer Kraton drapes and traditional double-layer draping at both 21 days and 6 months postop.
  • Infection-inflammation occurred in 4.56% (36/789) of cases; equally distributed across draping techniques.
  • Tibial tuberosity advancement (TTA) was the most common procedure (61%).
  • Kraton drape features an elastic fenestration that seals without adhesives or towel clamps, offering ecological and workflow advantages.
  • Mean anesthesia duration was similar between groups (~73.8 min), suggesting draping method did not impact overall surgical time.
  • Culture confirmation of infection was low (14 dogs), showing reliance on clinical criteria for diagnosis.
  • Potential benefits of single-layer draping include reduced waste, no need for towel clamps, and ease of use without increased risk.
  • Limitations included subjective follow-up (nearly 30% indirect via phone/images) and antimicrobial usage in all cases.

Morgera

Veterinary Surgery

3

2022

Surgical site infection‐inflammation in dogs draped with a single‐layer Kraton elastic seal extremity drape for stifle surgery

2022-3-VS-morgera-2

Article Title: Surgical site infection‐inflammation in dogs draped with a single‐layer Kraton elastic seal extremity drape for stifle surgery

Journal: Veterinary Surgery

In Viitanen 2023 et al., on zygomatic sialoadenectomy, which dog conformation was associated with higher difficulty in complete gland removal using IOA?

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Correct. In brachycephalic cadavers, remnant gland tissue remained after IOA, likely due to anatomy.
Incorrect. The correct answer is Brachycephalic.
In brachycephalic cadavers, remnant gland tissue remained after IOA, likely due to anatomy.

🔍 Key Findings

  • Intraoral approach (IOA) reduced surgical time compared to lateral orbitotomy (median: 42.0 vs 65.7 minutes, p = .005)
  • Ease of closure (Stage III) was better with IOA (p < .001), though gland removal (Stage II) was easier with LOA (p = .039)
  • Complete gland removal was achieved in 8/10 IOA vs 10/10 LOA cases in cadaveric study
  • All 3 clinical cases had uneventful recoveries post-IOA, including one carcinoma, with no intra- or short-term postoperative complications
  • LOA had superior surgical exposure, but was more invasive and time-consuming
  • IOA posed greater difficulty in complete gland removal in brachycephalic dogs, with remnant tissue noted in 2/10 cadavers
  • IOA avoids osteotomy, reducing potential complications like delayed union and postoperative pain
  • Cosmetic outcomes and healing were better with IOA, and no E-collar was required postoperatively

Viitanen

Veterinary Surgery

2

2023

Intraoral approach for zygomatic sialoadenectomy in dogs: An anatomical study and three clinical cases

2023-2-VS-viitanen-4

Article Title: Intraoral approach for zygomatic sialoadenectomy in dogs: An anatomical study and three clinical cases

Journal: Veterinary Surgery

In Saitoh 2025 et al., on CTS stabilization, what method was commonly used in addition to CTS?

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Correct. All dogs received postoperative external coaptation alongside CTS.
Incorrect. The correct answer is External coaptation.
All dogs received postoperative external coaptation alongside CTS.

🔍 Key Findings

Study population: 12 dogs with medial or lateral tarsocrural joint instability (TCI), including 5 working farm dogs.
Procedure: Temporary immobilization using a calcaneotibial screw (CTS) combined with external coaptation (EC).
Stabilization techniques:

  • 3 dogs = primary ligamentous repair
  • 8 dogs = synthetic ligament reconstruction
  • 2 dogs = malleolar fracture repair

Follow-up: Median 31 months (range 4–66); 10 owners completed outcome survey.
Outcomes:

  • All 10 dogs had improved or resolved lameness.
  • All 5 farm dogs returned to work (most at full or substantial capacity).
  • Complication rate: 4 distinct events in 3 dogs (1 major = CTS breakage; 3 minor = bandage-related soft tissue injuries).

Conclusion: CTS + EC provided effective immobilization with low complication rate, and functional outcomes were favorable even in active dogs.

Saitoh

Veterinary Surgery

1

2025

Retrospective evaluation of postoperative joint immobilization using a temporary calcaneotibial screw for medial or lateral tarsocrural joint instability in dogs

2025-1-VS-saitoh-3

Article Title: Retrospective evaluation of postoperative joint immobilization using a temporary calcaneotibial screw for medial or lateral tarsocrural joint instability in dogs

Journal: Veterinary Surgery

In Marti 2024 et al., on surgical outcomes in feline sialoceles, which salivary glands were most frequently involved?

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Correct. These two glands were identified in the majority of cases as the affected source, consistent with previous canine literature.
Incorrect. The correct answer is Mandibular and sublingual.
These two glands were identified in the majority of cases as the affected source, consistent with previous canine literature.

🔍 Key Findings

  • Mandibular and sublingual glands were the most commonly involved salivary glands in feline sialoceles.
  • Left-sided lesions were more prevalent (71%) among affected cats.
  • Ranulae were present in over half (57%) of cases, highlighting the importance of thorough oral exams.
  • Surgical approaches included lateral, ventral, intraoral, or combinations thereof, with no recurrences reported.
  • Marsupialization alone (without gland removal) resolved clinical signs in 4/21 cats, with no short-term recurrence noted.
  • Complications occurred in 5/21 cats (24%), including incisional swelling and one case of feline oral pain syndrome.
  • One cat experienced iatrogenic injury from misidentification of the mandibular lymph node as the gland.
  • Median follow-up time beyond 30 days was 822 days (range: 90–1205), with no long-term recurrences or contralateral lesions observed.

Marti

Veterinary Surgery

7

2024

Outcomes of surgically treated sialoceles in 21 cats: A multi‐institutional retrospective study (2010–2021)

2024-7-VS-marti-1

Article Title: Outcomes of surgically treated sialoceles in 21 cats: A multi‐institutional retrospective study (2010–2021)

Journal: Veterinary Surgery

In Buote 2023 et al., on laparoscopic sleeve gastrectomy in cats, what was the mean percentage of stomach weight resected in the cadaveric LVSG procedures?

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Correct. The average resected portion by weight was 27.6% in cadaveric models.
Incorrect. The correct answer is 27.6%.
The average resected portion by weight was 27.6% in cadaveric models.

🔍 Key Findings

  • LVSG was feasible in 9/10 feline cadavers and both live cats, with no intra- or postoperative complications in live cases.
  • Two cadavers developed suspected stenosis due to staple lines too close to the lesser curvature; avoided with orogastric tube placement in later cases.
  • No evidence of gastric leakage in any cadavers (8/10 tested) or live patients after methylene blue leak tests.
  • Mean surgical time was ~110 min cadavers / 115 min live, and 27.6% of stomach mass was resected.
  • Both live cats recovered uneventfully, lost 21–24% body weight over 3 months, and had no GI complications at 6-month follow-up.
  • Orogastric tube and tension on the greater curvature were critical to avoid staple line misplacement or stenosis.
  • No oversew of the staple line was needed, and unreinforced staples showed no leakage in live patients.
  • Future studies needed to assess metabolic outcomes and ideal staple sizing and closure techniques.

Buote

Veterinary Surgery

6

2023

Laparoscopic vertical sleeve gastrectomy in felines: A cadaveric feasibility study and experimental case series in two cats

2023-6-VS-buote2-3

Article Title: Laparoscopic vertical sleeve gastrectomy in felines: A cadaveric feasibility study and experimental case series in two cats

Journal: Veterinary Surgery

In Clarke 2022 et al., on nasopharyngeal collapse severity, what explanation was proposed for lack of improvement in some dogs after surgery?

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Correct. Neuromuscular dysfunction was suggested as a possible reason why some dogs did not show improved nasopharyngeal patency post-op.
Incorrect. The correct answer is Inadequate airway dilator muscle function.
Neuromuscular dysfunction was suggested as a possible reason why some dogs did not show improved nasopharyngeal patency post-op.

🔍 Key Findings

  • Nasopharyngeal collapse was significantly more severe in brachycephalic dogs (median 65%) than in nonbrachycephalic controls (median 10%) (p = .0001).
  • Postoperative fluoroscopy showed no significant improvement in nasopharyngeal collapse (p = .0505), despite reported clinical improvement.
  • 70% of brachycephalic dogs had ≥50% collapse; 26% had 100% collapse preoperatively.
  • All owners of surgical cases reported clinical improvement, including reduced respiratory noise and improved exercise tolerance.
  • Surgical techniques used included combinations of alaplasty, staphylectomy, sacculectomy, and tonsillectomy.
  • Improvement in nasopharyngeal dimensions was variable, with some dogs improving ≥45%, some worsening, and one dog showing a 100% increase post-op.
  • Pharyngeal collapse may not be solely anatomical; neuromuscular dysfunction (e.g., reduced pharyngeal dilator muscle function) may contribute.
  • Current surgical techniques may not address functional airway abnormalities, suggesting a need for multimodal or targeted interventions.

Clarke

Veterinary Surgery

6

2022

Severity of nasopharyngeal collapse before and after corrective upper airway surgery in brachycephalic dogs

2022-6-VS-clarke-5

Article Title: Severity of nasopharyngeal collapse before and after corrective upper airway surgery in brachycephalic dogs

Journal: Veterinary Surgery

In Schneider 2025 et al., on axillary LN extirpation, what was the reported median dissection time for ALN removal alone?

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Correct. Median "skin-to-skin" dissection time was 16.6 minutes, demonstrating the efficiency of this approach.
Incorrect. The correct answer is 16.6 minutes.
Median "skin-to-skin" dissection time was 16.6 minutes, demonstrating the efficiency of this approach.

🔍 Key Findings

  • Lateral approach to ALN extirpation was successful in 100% of cases (44 dogs, 48 ALNs) with consistent anatomical landmarks (costochondral junction of rib 1 and caudal scapular edge).
  • Median time for ALN removal was 16.6 minutes, highlighting a fast and efficient dissection method.
  • No intraoperative complications were recorded (e.g., hemorrhage or inability to find the lymph node).
  • Postoperative complications occurred in 18% of cases, including seromas (n=2), wound dehiscence (n=4), lameness (n=1), and discomfort (n=1).
  • Histopathology revealed 56% of ALNs had tumor-related pathology, including overt metastases, early metastasis (HN2), or premetastatic changes (HN1).
  • Normal-sized ALNs (<2 cm) still harbored metastases in 22% of cases, emphasizing the unreliability of size as a staging criterion.
  • False negatives in cytology occurred in 4 cases, underlining the limitations of cytologic evaluation for staging.
  • The technique was reproducible without specialized tools, suggesting wide applicability in general and referral practice.

Schneider

Veterinary Surgery

6

2025

Axillary lymph node removal for staging cancer; description of a lateral approach and application in 44 tumor-bearing dogs

2025-6-VS-schneider-3

Article Title: Axillary lymph node removal for staging cancer; description of a lateral approach and application in 44 tumor-bearing dogs

Journal: Veterinary Surgery

In Sherman 2023 et al., on minimally invasive ESF, what was the most common minor complication?

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Correct. 82% of complications were minor; pin-tract morbidity was most common.
Incorrect. The correct answer is Pin-tract morbidity.
82% of complications were minor; pin-tract morbidity was most common.

🔍 Key Findings

  • 55 cases (49 dogs, 6 cats) with nonarticular tibial fractures were treated using linear ESF with a minimally invasive approach
  • All fractures achieved radiographic union; no unacceptable outcomes were reported
  • 40% complication rate, mostly minor (82%), primarily pin-tract morbidity; major complications (7%) included osteomyelitis and refracture
  • Open fractures had significantly more major complications than closed ones (P = .019)
  • Use of intraoperative imaging (72% cases) reduced surgery time but did not improve alignment (P > .05)
  • Median surgery time: 74 min with imaging vs. 100 min without (P = .046)
  • TPA was lower than normal in both dogs and cats, but did not correlate with poor outcomes
  • 62% had full clinical recovery, and 38% had acceptable outcomes at fixator removal

Sherman

Veterinary Surgery

2

2023

Linear external skeletal fixation applied in minimally invasive fashion for stabilization of nonarticular tibial fractures in dogs and cats

2023-2-VS-sherman-4

Article Title: Linear external skeletal fixation applied in minimally invasive fashion for stabilization of nonarticular tibial fractures in dogs and cats

Journal: Veterinary Surgery

In Nash 2024 et al., on esophageal pH monitoring, how did proximal GER characteristics in nonbrachycephalic dogs compare to those in brachycephalic dogs?

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Correct. Brachycephalic dogs had significantly higher and longer-duration GER, highlighting their risk for complications like aspiration.
Incorrect. The correct answer is Proximal GER was less frequent and shorter in nonbrachycephalic dogs.
Brachycephalic dogs had significantly higher and longer-duration GER, highlighting their risk for complications like aspiration.

🔍 Key Findings

  • Esophageal pH-monitoring was well tolerated in all 35 nonbrachycephalic dogs, with no major adverse events reported.
  • Distal GER occurred in 80% of dogs, but events were typically brief and non-productive; proximal GER occurred in only 39%.
  • Upper reference limits for GER were 2.4 events/hour (distal) and 0.4 events/hour (proximal).
  • Cumulative acid exposure was minimal: upper limits were 2.3% (distal) and 0% (proximal).
  • Comparison with brachycephalic dogs shows significantly higher GER frequency and duration, validating the diagnostic utility of pH monitoring.
  • Transnasal probe placement under light anesthesia was safe and less morbid compared to percutaneous or conscious techniques.
  • No expelled or productive regurgitation occurred, despite some GER events, indicating efficient esophageal clearance in healthy dogs.
  • Diet and fasting duration may affect GER, but these were not controlled variables in this study.

Nash

Veterinary Surgery

8

2024

Esophageal pH‐monitoring in nonbrachycephalic dogs: A reference

2024-8-VS-nash-5

Article Title: Esophageal pH‐monitoring in nonbrachycephalic dogs: A reference

Journal: Veterinary Surgery

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