Your Custom Quiz

In Evers 2023 et al., on medial meniscal tear detection, which aspect of the procedure was significantly more difficult using NA compared to SA?

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Correct. The caudal horn of the lateral meniscus was significantly harder to probe with NA (*P* = .0017).
Incorrect. The correct answer is Meniscal probing of the lateral horn.
The caudal horn of the lateral meniscus was significantly harder to probe with NA (*P* = .0017).

🔍 Key Findings

  • Needle arthroscopy (NA) had 95% sensitivity and 100% specificity for diagnosing medial meniscal tears in dogs with CCLR.
  • NA missed 1 medial and 1 lateral meniscal tear, both nondisplaced and stable.
  • Visibility of all meniscal horns was significantly lower with NA compared to standard arthroscopy (SA) (P < .005 for all horns).
  • Probing the caudal horn of the lateral meniscus was significantly more difficult with NA (P = .0017), though medial horn probing was similar.
  • Mean NA procedure time was 8 ± 3 minutes, significantly shorter than SA (15 ± 9 min, P = .0041).
  • No increase in lameness observed after NA, indicating minimal procedural morbidity.
  • NA was performed under sedation in most dogs, though 10/26 required additional chemical restraint or short anesthesia.
  • NA was most accurate for displaced vertical longitudinal tears, with all 14 correctly identified; one stable tear and a lateral tear were missed.

Evers

Veterinary Surgery

6

2023

Accuracy of needle arthroscopy for the diagnosis of medial meniscal tears in dogs with cranial cruciate ligament rupture

2023-6-VS-evers-2

Article Title: Accuracy of needle arthroscopy for the diagnosis of medial meniscal tears in dogs with cranial cruciate ligament rupture

Journal: Veterinary Surgery

In Cruciani 2022 et al., on feline pancreaticoduodenostomy, what complication did *not* occur during the follow-up period?

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Correct. The cat showed no signs of pancreatitis or pancreatic insufficiency; weight gain was observed.
Incorrect. The correct answer is All of the above.
The cat showed no signs of pancreatitis or pancreatic insufficiency; weight gain was observed.

🔍 Key Findings

  • Left pancreaticoduodenostomy successfully restored digestive continuity after right lobe and body pancreatectomy in a cat.
  • No clinical signs of exocrine or endocrine insufficiency were observed postoperatively up to 225 days.
  • Histopathology confirmed chronic pancreatitis with abscess formation and reactive lymphadenopathy.
  • No postoperative pancreatitis developed, based on imaging and normal feline pancreatic lipase levels.
  • Progressive focal ampulla-like dilation of the pancreatic duct occurred near the anastomosis without clinical signs.
  • The cat maintained weight and improved clinically for several months post-op, indicating satisfactory outcomes.
  • Surgical technique involved end-to-side anastomosis between the left pancreatic duct and duodenum.
  • Ultimately, the cat was euthanized due to disseminated carcinoma, presumed unrelated to the pancreatic surgery.

Cruciani

Veterinary Surgery

8

2022

Left pancreaticoduodenostomy after removal of the right lobe and the head of the pancreas in a cat

2022-8-VS-cruciani-4

Article Title: Left pancreaticoduodenostomy after removal of the right lobe and the head of the pancreas in a cat

Journal: Veterinary Surgery

In Mazdarani 2025 et al., on simulated muscle loading, which model showed the lowest muscle force ratios (quadriceps:gastrocnemius)?

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Correct. Model 2 consistently showed lower ratios compared to others (p = .007).
Incorrect. The correct answer is Model 2 (rigid femoral fixation).
Model 2 consistently showed lower ratios compared to others (p = .007).

🔍 Key Findings

  • Simulated quadriceps and gastrocnemius forces increased proportionally with axial load in all three femoral fixation models.
  • Model 2 (rigid fixation) resulted in subphysiologic quadriceps forces and abnormally high gastrocnemius forces, reducing model fidelity.
  • Models 1 and 3 (with hip mobility) produced more physiologic quadriceps and force ratios, especially under 30–40% bodyweight loads.
  • Force ratios were significantly lower in rigid fixation (Model 2) compared to hip-mobile models (p = .007), suggesting model design affects simulated muscle coordination.
  • Joint angles (stifle and hock) remained within acceptable limits, though slight flexion occurred with increasing load.
  • Relative foot position differed by ~3.9 mm between models 2 and 3, with model 2 showing a more caudal position.
  • Model 3 preserved benefits of hip mobility while allowing radiographic documentation, making it a preferred setup for future studies.
  • The study suggests that models used in feline stifle stabilization research may underestimate physiologic forces, especially with rigid fixation designs.

Mazdarani

Veterinary Surgery

5

2025

Proximal femoral fixation method and axial load affect simulated muscle forces in an ex vivo feline limb press

2025-5-VS-mazdarani-2

Article Title: Proximal femoral fixation method and axial load affect simulated muscle forces in an ex vivo feline limb press

Journal: Veterinary Surgery

In Fracka 2025 et al., on cementless knee replacement, what did histology confirm about the implant-bone interface?

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Correct. Histology revealed robust osseointegration and new bone growth into porous surfaces of both components【57†Veterinary Surgery†L1-L20】
Incorrect. The correct answer is Extensive osseointegration with new bone formation.
Histology revealed robust osseointegration and new bone growth into porous surfaces of both components【57†Veterinary Surgery†L1-L20】

🔍 Key Findings

Subject: 7-year-old Labrador underwent cementless total knee replacement (TKR) due to severe stifle OA.

Clinical function:

  • Improved ROM from 90° pre-op to 120° post-op.
  • Weight-bearing increased from toe-touching to 70% bodyweight by 6 weeks post-op.
  • No visible lameness by 14 weeks.

Implant performance:

  • No complications at any follow-up points.
  • No osteolysis, loosening, or metallosis at 6-year necropsy.

Wear evaluation:

  • Mild UHMWPE insert wear, localized to caudal edges.

Histologic findings:

  • Robust osseointegration at implant-bone interface.
  • Fibrous tissue only in areas lacking porous coating.

Conclusion:

  • Cementless TKR demonstrated excellent 6-year survival and functional outcomes.
  • Support for considering early surgical intervention in severe stifle OA.

Fracka

Veterinary Surgery

3

2025

Long‐term clinical outcomes and retrieval analysis of a cementless total knee replacement in a dog

2025-3-VS-fracka-4

Article Title: Long‐term clinical outcomes and retrieval analysis of a cementless total knee replacement in a dog

Journal: Veterinary Surgery

In Williams 2024 et al., on local anesthetic protocol, what was the standard volume used per side for the maxillary nerve block?

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Correct. Each side received 0.5 mL regardless of patient size; this standardization was applied to both groups.
Incorrect. The correct answer is 0.5 mL.
Each side received 0.5 mL regardless of patient size; this standardization was applied to both groups.

🔍 Key Findings Summary

  • Design: Prospective, randomized, double-blinded controlled trial
  • Population: 32 brachycephalic dogs undergoing cut-and-sew sharp staphylectomy
  • Groups: Adrenaline + lidocaine (Group A) vs. Lidocaine only (Group NA)
  • Main Findings:
    • Total hemorrhage significantly lower in Group A (median 1.82 g) vs Group NA (7.95 g); p = .013
    • Normalized hemorrhage significantly lower in Group A; p = .021
    • Surgeon-assigned hemorrhage scores significantly lower in Group A; p = .029
    • No adverse effects (tachycardia, hypertension, arrhythmia, etc.) noted from adrenaline use
    • Breed effect: English Bulldogs bled more overall even after normalization
  • Clinical Implication: Adrenaline in nerve blocks reduces hemorrhage without added risk

Williams

Veterinary Surgery

1

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

2024-1-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 Low 2025 et al., on gonadectomy and CrCLD, what was the quality of evidence rated using the GRADE framework?

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Correct. The authors rated the overall certainty in the evidence as "moderate" due to risks of bias and inconsistency, despite large sample size and robust statistics.
Incorrect. The correct answer is Moderate.
The authors rated the overall certainty in the evidence as "moderate" due to risks of bias and inconsistency, despite large sample size and robust statistics.

🔍 Key Findings

Increased risk with gonadectomy:

  • Pooled OR for CrCLD:
    • Females: 2.29 (95% CI: 1.77–2.95)
    • Males: 2.12 (95% CI: 1.67–2.69)

Early gonadectomy (≤1 year) further increased risk:

  • OR vs >1 year:
    • Females: 3.39
    • Males: 3.13

Late gonadectomy (>1 year) had no significant difference vs intact dogs.

Breed-specific findings:

  • Female Labradors: No increased CrCLD risk from gonadectomy (OR = 1.19; 95% CI: 0.54–2.64)
  • Male Labradors: Increased risk persisted (OR = 2.13; 95% CI: 1.53–2.98)

Study type: Systematic review + meta-analysis of 24 observational studies (n = 1.85 million dogs)

Low

Veterinary Surgery

2

2025

The association between gonadectomy and timing of gonadectomy, and the risk of canine cranial cruciate ligament disease: A systematic review and meta-analysis

2025-2-VS-low-4

Article Title: The association between gonadectomy and timing of gonadectomy, and the risk of canine cranial cruciate ligament disease: A systematic review and meta-analysis

Journal: Veterinary Surgery

In Low 2025 et al., on machine-learning outcomes in IVDE, what proportion of deep-pain-negative dogs recovered ambulation after decompressive surgery?

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Correct. Ambulation recovery occurred in 86 out of 162 dogs, a 53.1% success rate.
Incorrect. The correct answer is 53.1%.
Ambulation recovery occurred in 86 out of 162 dogs, a 53.1% success rate.

🔍 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-1

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 Mayhew 2023 et al., on BOAS surgery effects, what long-term clinical outcome was reported at the median 36.5-month follow-up?

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Correct. At final follow-up, some dogs still required medical management and one required additional surgery.
Incorrect. The correct answer is One dog underwent further surgery, some remained on meds.
At final follow-up, some dogs still required medical management and one required additional surgery.

🔍 Key Findings

  • Owner-reported regurgitation improved after CMS, especially post-eating and during activity (P = .012 and P = .002)
  • No significant improvement in VFSS measures of SHH or GER postoperatively (P > .05 for all comparisons)
  • Laryngeal ventriculectomy and soft palate resection were performed in all dogs, alaplasty in 14/16
  • Aspiration pneumonia occurred in 1 dog immediately post-op and resolved with treatment
  • Post-op esophagoscopy results varied, with persistent esophagitis in some cases
  • Clinical response was variable, with ~25–30% of dogs being “non-responders” based on owner scoring
  • 13/16 dogs showed partial or full clinical improvement, despite no change in objective SHH/GER indicators
  • Final follow-up at median 36.5 months showed some dogs still on medical therapy; one underwent further surgery

Mayhew

Veterinary Surgery

2

2023

Effect of conventional multilevel brachycephalic obstructive airway syndrome surgery on clinical and videofluoroscopic evidence of hiatal herniation and gastroesophageal reflux in dogs

2023-2-VS-mayhew-5

Article Title: Effect of conventional multilevel brachycephalic obstructive airway syndrome surgery on clinical and videofluoroscopic evidence of hiatal herniation and gastroesophageal reflux in dogs

Journal: Veterinary Surgery

In Price 2024 et al., on left-sided TD ligation in dogs, how many clinical cases showed a single thoracic duct branch at the proposed surgical site?

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Correct. 10 of 13 clinical lymphangiograms showed a single branch at the fourth intercostal space.
Incorrect. The correct answer is 10 out of 13.
10 of 13 clinical lymphangiograms showed a single branch at the fourth intercostal space.

🔍 Key Findings

  • Left fourth intercostal thoracotomy allowed successful thoracic duct (TD) ligation in 9/10 canine cadavers.
  • 10/13 clinical cases had a single TD branch at the left fourth intercostal space, indicating lower anatomical complexity.
  • All TD branches at this site were lateral to the esophagus, simplifying surgical access.
  • Unilateral subphrenic pericardiectomy was successfully performed via the same incision in 10/10 cadavers.
  • Fewer TD branches at the fourth intercostal space than traditional caudal sites may reduce the risk of missed collaterals.
  • In contrast, traditional caudal TD ligation sites had up to 5 branches, requiring broader dissection.
  • No cadaver had right-sided TD branches, reducing surgical complexity at the studied location.
  • Contrast-confirmed ligation was effective in 90% (9/10) cadavers on CT imaging.

Price

Veterinary Surgery

3

2024

Evaluation of thoracic duct ligation and unilateral subphrenic pericardiectomy via a left fourth intercostal approach in normal canine cadavers

2024-3-VS-price-4

Article Title: Evaluation of thoracic duct ligation and unilateral subphrenic pericardiectomy via a left fourth intercostal approach in normal canine cadavers

Journal: Veterinary Surgery

In Longo 2023 et al., on CT trochlear measurements, what FTGA threshold was proposed for recommending trochleoplasty in small breed dogs?

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Correct. FTGA >134° was associated with MPL in small breeds, suggesting shallowness that may warrant trochleoplasty.
Incorrect. The correct answer is >134°.
FTGA >134° was associated with MPL in small breeds, suggesting shallowness that may warrant trochleoplasty.

🔍 Key Findings

  • Dogs with MPL had significantly shallower femoral trochlear grooves compared to controls, based on CT-measured femoral trochlear groove angle (FTGA).
  • FTGA >134° in small breeds (SB) and >128° in medium/large breeds (MLB) were associated with MPL and can serve as surgical thresholds for considering trochleoplasty.
  • FTA and FTRIA measurements were less reliable, showing lower sensitivity/specificity than FTGA.
  • Inter-rater reliability for FTGA was excellent (ICC > 0.9), supporting its use in clinical decision-making.
  • FTGA differed significantly between SB and MLB dogs, suggesting anatomical variation influences MPL predisposition.
  • Dogs with MPL but with FTGA below threshold may not benefit from trochleoplasty, supporting individualized surgical planning.
  • CT provides more precise and reproducible evaluation of trochlear morphology than radiography or ultrasound.
  • The study introduces a CT protocol using P25 and P50 reference points for consistent FTGA measurement.

Longo

Veterinary Surgery

3

2023

Computed tomographic measurements of the femoral trochlea in dogs with and without medial patellar luxation

2023-3-VS-longo-2

Article Title: Computed tomographic measurements of the femoral trochlea in dogs with and without medial patellar luxation

Journal: Veterinary Surgery

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