Your Custom Quiz

In Banks 2023 et al., on TECA-LBO in brachycephalic dogs, which neurologic sign was most significantly more common in extreme brachycephalic breeds (EBBs) preoperatively?

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Correct. Facial nerve paresis occurred in 28.4% of EBBs compared to only 5.3% in other breeds (p = .001).
Incorrect. The correct answer is Facial nerve paresis.
Facial nerve paresis occurred in 28.4% of EBBs compared to only 5.3% in other breeds (p = .001).

🔍 Key Findings

  • Extreme brachycephalic breeds (EBBs) presented more acutely and at younger ages, most often with neurological signs compared to other breeds.
  • Preoperative signs such as facial nerve paresis, vestibular syndrome, and Horner’s syndrome were significantly more common in EBBs.
  • EBBs showed more severe imaging findings, including higher rates of otitis interna (46.3% vs. 8.5%) and brainstem changes (17.5% vs. 3%).
  • Intraoperative complications were more frequent in EBBs (11.1% vs. 5.3%), but this difference did not reach statistical significance (p = .078).
  • Perioperative complication rates did not differ significantly between EBBs and other breeds (23.5% vs. 29.3%).
  • Surgical time was significantly longer in EBBs (median 115 vs. 95 minutes; p = .011).
  • MRI or combined CT/MRI were more frequently used in EBBs, likely due to the higher prevalence of neurological signs.
  • Despite anatomical challenges, complication rates in EBBs were comparable, supporting TECA-LBO safety in these breeds.

Banks

Veterinary Surgery

5

2023

Influence of extreme brachycephalic conformation on perioperative complications associated with total ear canal ablation and lateral bulla osteotomy in 242 dogs (2010–2020)

2023-5-VS-banks-1

Article Title: Influence of extreme brachycephalic conformation on perioperative complications associated with total ear canal ablation and lateral bulla osteotomy in 242 dogs (2010–2020)

Journal: Veterinary Surgery

In Johnson 2026 et al., on long-term respiratory outcomes, how did owner perception correlate with objective respiratory findings?

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Correct. Many owners believed their dogs had no breathing issues despite persistent clinical signs and abnormal BOAS indices.
Incorrect. The correct answer is Poor or inconsistent correlation.
Many owners believed their dogs had no breathing issues despite persistent clinical signs and abnormal BOAS indices.

🔍 Key Findings

  • Long-term respiratory outcomes after BOAS surgery remained improved vs. preoperative values, with no significant decline over time.
  • Short-term and long-term Respiratory Functional Grades (RFGs) improved in 81% of dogs, with 34% improving by two grades.
  • BOAS indices improved significantly in both short- and long-term follow-ups (mean decrease ~23–25%), supporting sustained benefit.
  • No significant difference between short- and long-term BOAS indices (p = .623), indicating durability of surgical effects.
  • Obesity impacted outcomes — dogs with increased RFG at long-term follow-up were more likely to have gained weight.
  • Owner-reported outcomes poorly correlated with objective measures — some dogs classified as BOAS-affected were perceived by owners as “normal.”
  • Multilevel surgery was common, with palatoplasty, tonsillectomy, sacculectomy, and ala-vestibuloplasty most frequently performed.
  • Dogs undergoing revision airway surgery were excluded, possibly biasing long-term outcomes toward favorable results.

Johnson

Veterinary Surgery

1

2026

Comparison of short- and long-term objective respiratory outcomes after surgery for brachycephalic obstructive airway syndrome

2026-1-vs-johnson-4

Article Title: Comparison of short- and long-term objective respiratory outcomes after surgery for brachycephalic obstructive airway syndrome

Journal: Veterinary Surgery

In Latifi 2022 et al., on forelimb fascial mapping, which statement is TRUE regarding nerve transection during tumor resection?

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Correct. Cutaneous innervation is often redundant, and functional loss is limited if only superficial branches are transected.
Incorrect. The correct answer is Sensory loss from radial nerve transection is usually minimal due to overlapping innervation.
Cutaneous innervation is often redundant, and functional loss is limited if only superficial branches are transected.

🔍 Key Findings

  • Fascia was present over most of the canine forelimb, but key areas like the elbow, carpus, and manus lacked robust fascial planes for wide resection.
  • Type I fascia (discrete sheet) was primarily found in the antebrachium, with type IV (periosteal) fascia located at the olecranon, scapular spine, and accessory carpal bone.
  • Distal antebrachial fascia was thin and adherent, often blending with carpal structures and lacking reliable surgical planes.
  • Partial tenectomy or joint capsule resection was often required for wide excision in the distal limb, especially over the triceps tendon and carpus.
  • Nerve transections (e.g., superficial radial or ulnar branches) were commonly needed to maintain fascial margins, though often with minimal functional loss due to overlapping innervation.
  • Digital and metacarpal pads lacked clear deep fascial borders, making digit amputation necessary for oncologic margins in distal tumors.
  • Dissections revealed fascial junctions as either Type A (easily separable) or Type B (risk of disruption), guiding resection plane selection.
  • Findings provide a surgical map to guide preoperative planning for superficial tumor excision on the forelimb.

Latifi

Veterinary Surgery

1

2022

Fascial plane mapping for superficial tumor resection in dogs. Part II: Forelimb

2022-1-VS-latifi-4

Article Title: Fascial plane mapping for superficial tumor resection in dogs. Part II: Forelimb

Journal: Veterinary Surgery

In Low 2025 et al., on machine-learning outcomes in IVDE, which factor was associated with improved functional recovery?

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Correct. Fenestration was among the top predictive features associated with better recovery.
Incorrect. The correct answer is Fenestration performed.
Fenestration was among the top predictive features associated with better recovery.

🔍 Key Findings

The study included 162 deep-pain-negative dogs undergoing decompressive surgery (hemilaminectomy) for acute thoracolumbar intervertebral disc extrusion (IVDE).

Ambulatory recovery occurred in 53.1% of dogs (86/162).

The best performing machine-learning model was XGBoost, with an AUC of 0.9502 and accuracy of 89.1%, outperforming Ridge, AdaBoost, and Naive Bayes models.

Preoperative-only XGBoost models were less accurate, with AUC dropping to 0.8271 and accuracy to 71.9%.

Top predictive features (by SHAP analysis) included:

  1. T2-weighted to L2 spinal cord signal ratio (lower values predicted better outcome)
  2. Use of fenestration (presence associated with better recovery)
  3. Hospitalization duration
  4. Imaging modality used
  5. Duration of nonambulatory status

Machine learning provided better insight into prognostic factors than traditional statistical methods.

Low

Veterinary Surgery

4

2025

Machine-learning-based prediction of functional recovery in deep-pain-negative dogs after decompressive thoracolumbar hemilaminectomy for acute intervertebral disc extrusion

2025-4-VS-low-4

Article Title: Machine-learning-based prediction of functional recovery in deep-pain-negative dogs after decompressive thoracolumbar hemilaminectomy for acute intervertebral disc extrusion

Journal: Veterinary Surgery

In Haine 2022 et al., on outcomes in canine limb tumors, which scheme demonstrated greater interobserver agreement?

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Correct. The R scheme showed 83% agreement versus 68% with the ≤1 mm scheme.
Incorrect. The correct answer is The R classification scheme.
The R scheme showed 83% agreement versus 68% with the ≤1 mm scheme.

🔍 Key Findings

  • Fewer R1 margins (tumor on ink) were achieved in mast cell tumors (MCTs) when using 6–10 mm lateral margins versus 0–5 mm (7% vs. 55%; _P_ = .049).
  • For soft tissue sarcomas (STSs), no benefit was seen in margin completeness between 0–5 mm vs. 6–10 mm lateral margins (41% vs. 43% R1).
  • Overall R1 rates were 26% for MCTs and 42% for STSs following PNE.
  • R scheme (“tumor on ink” = R1) had better interobserver agreement (83%) compared to ≤1 mm margin criteria (68% agreement).
  • Complication rate was moderate (26%), but no surgeries required revision.
  • Local recurrence/metastasis occurred in 14% of dogs, with 60% of those having R1 margins.
  • Adjunctive therapy was considered clinically indicated in 46% of 0–5 mm margin cases vs. 24% of 6–10 mm cases.
  • Histologic grade and tumor size were not predictive of margin completeness.

Haine

Veterinary Surgery

7

2022

Incomplete histological margins following planned narrow excision of canine appendicular soft tissue sarcomas and mast cell tumors, using the residual tumor classification scheme

2022-7-VS-haine-1

Article Title: Incomplete histological margins following planned narrow excision of canine appendicular soft tissue sarcomas and mast cell tumors, using the residual tumor classification scheme

Journal: Veterinary Surgery

In De Moya 2023 et al., on femoral physeal/neck fracture repair, what was the most commonly reported complication of FGPP in this case series?

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Correct. Implant migration was reported in 2 of 5 complication cases, making it the most common.
Incorrect. The correct answer is Implant migration.
Implant migration was reported in 2 of 5 complication cases, making it the most common.

🔍 Key Findings

  • FGPP (fluoroscopic-guided percutaneous pinning) resulted in successful healing in 10/13 fractures, with good limb function.
  • Complications occurred in 5 of 11 cases, including intra-articular implants, malunion, implant failure/nonunion, and implant migration.
  • Cases with delayed surgery (>15 days) or radiographic remodeling were more likely to experience major complications.
  • Most fractures (10/13) were classified as Salter-Harris type I with mild displacement.
  • Median surgical time was 60 minutes, and no conversions to open surgery were needed.
  • Postoperative femoral neck resorption was minimal, suggesting possible benefits of the minimally invasive approach for preserving vascular supply.
  • One intra-articular pin led to progressive joint disease and required femoral head ostectomy.
  • FGPP appears best suited for acute, minimally displaced fractures in young dogs (<8 months) with planned elective explant to avoid growth disturbance.

De Moya

Veterinary Surgery

6

2023

Closed reduction and fluoroscopic‐guided percutaneous pinning of femoral capital physeal or neck fractures: Thirteen fractures in 11 dogs

2023-6-vs-demoya-3

Article Title: Closed reduction and fluoroscopic‐guided percutaneous pinning of femoral capital physeal or neck fractures: Thirteen fractures in 11 dogs

Journal: Veterinary Surgery

In Vandekerckhove 2024 et al., what was the main biomechanical interpretation of repeated stress testing on hip joints?

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Correct. Repeat stress radiographs showed no lasting change in LImax—indicating elastic behavior
Incorrect. The correct answer is Elastic deformation occurred.
Repeat stress radiographs showed no lasting change in LImax—indicating elastic behavior

🔍 Key Findings Summary

  • Used VMBDmD to quantify hip laxity under increasing force in cadaveric dogs (n=34).
  • 90% of hips reached ≥90% of LImax at 95.32 N, defining this force as sufficient for subluxation.
  • LImax was not significantly influenced by osteoarthritis, weight, sex, or limb side.
  • Position of device (lever length) influenced rate of laxity acquisition, not final LImax.
  • LI curves were repeatable across 5 sessions, indicating elastic—not plastic—deformation.

Vandekerckhove

Veterinary and Comparative Orthopedics and Traumatology

1

2024

Quantifying the Stress in Stress Radiographs to Determine Sufficient Laxity of the Coxofemoral Joint

2024-1-VCOT-vandekerckhove-3

Article Title: Quantifying the Stress in Stress Radiographs to Determine Sufficient Laxity of the Coxofemoral Joint

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Viitanen 2023 et al., on zygomatic sialoadenectomy, which structure posed a risk of injury during intraoral dissection of the zygomatic salivary gland?

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Correct. Blunt dissection during IOA needed care to avoid damaging the deep facial vein.
Incorrect. The correct answer is Deep facial vein.
Blunt dissection during IOA needed care to avoid damaging the deep facial vein.

🔍 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-5

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

Journal: Veterinary Surgery

In Caldeira 2025 et al., on femoral neck fixation, what role did the 3D-printed guide serve?

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Correct. The 3D-printed guide was used to position the guide wires for accurate screw placement
Incorrect. The correct answer is Assisted accurate Kirschner wire placement.
The 3D-printed guide was used to position the guide wires for accurate screw placement

🔍 Key Findings

Design: In vitro study on cadaveric femurs (n=21) with basilar femoral neck fractures stabilized using 2 vs 3 titanium cannulated screws.

Stiffness: Control > 3-screw > 2-screw (674 > 120 > 90 N/mm).

Yield Load: 3-screw (586 N) > 2-screw (303 N); both < intact femur (2692 N).

Displacement: No difference across groups.

Complication: 3-screw technique more demanding; higher risk of cortical perforation, especially with narrow femoral necks.

Failure Mode: Dislodgement of femoral head + screw shaft bending.

Conclusion: 3 screws = stronger construct than 2 screws. Clinical implications need further study.

Caldeira

Veterinary and Comparative Orthopedics and Traumatology

1

2025

In Vitro Biomechanical Study of Femoral Neck Fracture Fixation with Two or Three Cannulated Screws in Dogs

2025-1-VC-Caldeira-4

Article Title: In Vitro Biomechanical Study of Femoral Neck Fracture Fixation with Two or Three Cannulated Screws in Dogs

Journal: Veterinary and Comparative Orthopedics and Traumatology

In de Moya 2023 et al., on FGPP of femoral capital physeal/neck fractures, what was the median surgical time for FGPP procedures?

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Correct. Median surgery time was 60 minutes (range 45–75 min).
Incorrect. The correct answer is 60 minutes.
Median surgery time was 60 minutes (range 45–75 min).

🔍 Key Findings

  • 11 dogs, 13 fractures (mostly Salter-Harris type I) were repaired with FGPP using Kirschner wires.
  • 10/13 fractures achieved satisfactory healing with good limb function at ~43 days median follow-up.
  • Major complications occurred in 5 dogs: intra-articular pin placement, implant migration (2), implant failure with nonunion, and malunion.
  • 2 dogs presenting >15 days post-injury with radiographic remodeling were poor candidates → higher risk of nonunion/malunion.
  • Preoperative displacement was mostly mild (10/13 fractures); these had better outcomes than chronic or severely displaced cases.
  • Median surgical time: 60 minutes (range 45–75), all performed percutaneously without conversion to open.
  • Elective pin removal was performed in 5 cases; migration occurred with both short and long cut wires.
  • Femoral neck resorption (“apple-coring”) was rare (2/10 healed cases) and thought to be less frequent than after ORIF due to reduced vascular disruption.

de Moya

Veterinary Surgery

7

2023

Closed reduction and fluoroscopic-guided percutaneous pinning of femoral capital physeal or neck fractures: Thirteen fractures in 11 dogs

2023-7-VS-demoya-5

Article Title: Closed reduction and fluoroscopic-guided percutaneous pinning of femoral capital physeal or neck fractures: Thirteen fractures in 11 dogs

Journal: Veterinary Surgery

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