Quiz Question

In Poggi 2024 et al., on laparoscopic resection of pancreatic masses in dogs, what was the maximum tumor size among resected pancreatic masses?

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Correct. The largest resected tumor measured 65 mm in diameter.
Incorrect. The correct answer is 65 mm.
The largest resected tumor measured 65 mm in diameter.

🔍 Key Findings

  • Laparoscopic pancreatic mass resection (LPMR) was successfully performed in all 12 dogs, with no conversion to open laparotomy required.
  • Median operative time was 69 minutes (range 35–100 min); 11/12 dogs were discharged within 48 hours, and one was discharged after 7 days.
  • No major intraoperative complications occurred; minor complications included mild bleeding (2/12) and cannula malfunction (1/12).
  • All dogs survived the procedure and were discharged.
  • Histopathology confirmed neoplasia in all dogs: 9 insulinomas and 3 pancreatic carcinomas; all tumors were completely excised with clear margins.
  • No recurrences were reported; 3 dogs died of unrelated causes, and 9 were still alive at the time of reporting.
  • No postoperative hypoglycemia was observed; 1 dog had transient hyperglycemia, and minor complications included vomiting, idiopathic seizures, and pancreatitis, all of which resolved.
  • Authors concluded that LPMR is a safe, effective, and minimally invasive alternative to open surgery for selected distal pancreatic masses in dogs.

Poggi

Veterinary Surgery

5

2024

Laparoscopic resection of pancreatic masses in 12 dogs

2024-5-VS-poggi-5

Article Title: Laparoscopic resection of pancreatic masses in 12 dogs

Journal: Veterinary Surgery

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In McClean 2025 et al., on shoulder arthrocentesis techniques, what percentage of injections using the subacromial (SA) approach were completely accurate?

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Correct. SA injections were completely accurate in 50% of shoulders.
Incorrect. The correct answer is 50%.
SA injections were completely accurate in 50% of shoulders.

🔍 Key Findings

  • Study Type: Cadaveric study using 36 paired canine shoulders (n = 18 per group: Subacromial [SA] and Supratubercular [ST])
  • Survey Results: 75% of clinicians preferred SA technique; 25% used ST
Accuracy Outcomes:
  • Complete accuracy: 50% (SA), 44% (ST) — no significant difference (p = .8)
  • Partial accuracy: 39% (SA), 50% (ST)
  • Complete miss: 11% (SA), 5.6% (ST)
Safety Outcomes (India Ink Assay for Iatrogenic Articular Cartilage Injury [IACI]):
  • Incidence of IACI:
    • SA: 50% (9/18 shoulders)
    • ST: 11% (2/18 shoulders) → statistically significant (p = .007)
  • Lesion depth: All ST lesions were partial-thickness; SA group had one full-thickness lesion (p = .027)
  • Location: Lesions found on glenoid and humeral head with even distribution in SA; only one each in ST
Clinical Implications:
  • Landmark-guided injections were ≤50% completely accurate, even by an experienced operator.
  • ST technique is safer with lower risk of cartilage damage, despite similar accuracy.
  • Findings support considering image-guided techniques to improve both safety and accuracy in clinical settings.

Mcclean

Veterinary Surgery

4

2025

Accuracy and safety of two landmark‐guided techniques for arthrocentesis and intra‐articular injection of the shoulder in dogs

2025-4-VS-mcclean-1

Article Title: Accuracy and safety of two landmark‐guided techniques for arthrocentesis and intra‐articular injection of the shoulder in dogs

Journal: Veterinary Surgery

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In Crystal 2024 et al., on elbow osteotomies, which location of osteotomy provided better reduction of medial elbow pressure?

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Correct. More distal osteotomies (75%) significantly reduced medial elbow load more than mid-humeral ones (adjustment value 8.06, p = 0.026).
Incorrect. The correct answer is 75% humeral length.
More distal osteotomies (75%) significantly reduced medial elbow load more than mid-humeral ones (adjustment value 8.06, p = 0.026).

🔍 Key Findings Summary

  • Ex vivo cadaver study using 5 paired canine thoracic limbs
  • Compared medial opening wedge osteotomy (MOWO) and external rotational osteotomy (ERO) of the humerus
  • Measured pressure changes in the medial compartment using thin-film sensors
  • ERO significantly reduced peak pressure and pressure distribution in the medial elbow compartment (p < 0.05)
  • MOWO showed no significant pressure reduction relative to native state
  • Combined MOWO + ERO did not significantly improve over ERO alone
  • Findings support the biomechanical rationale for ERO as a surgical strategy to offload the medial compartment in cases like medial compartment disease (MCD)

Crystal

Veterinary and Comparative Orthopedics and Traumatology

4

2024

Effect of Medial Opening Wedge and External Rotational Humeral Osteotomies on Medial Elbow Compartment Pressure: An Ex Vivo Study

2024-4-VCOT-crystal-2

Article Title: Effect of Medial Opening Wedge and External Rotational Humeral Osteotomies on Medial Elbow Compartment Pressure: An Ex Vivo Study

Journal: Veterinary and Comparative Orthopedics and Traumatology

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In Kang 2024 et al., on sacroiliac fixation strength, which statement best describes screw placement accuracy in both groups?

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Correct. CT confirmed safe placement in all dogs; no breaches of spinal canal or sacral foramen
Incorrect. The correct answer is All screws stayed within sacral body.
CT confirmed safe placement in all dogs; no breaches of spinal canal or sacral foramen

🔍 Key Findings Summary

  • 20 cats with pelvic fractures treated using locking plates with only cortical screws
  • 28 fractures stabilized (ilium: 17, acetabulum: 6, ischium: 3, pubis: 2)
  • Implants: Primarily 1.5/2.0 mm LCPs or String-of-Pearls plates
  • Major complications in 2/20 cases (10%): sciatic entrapment, malunion requiring THA
  • Minor complications in 2/20 cases (10%): plate impingement, transient lameness
  • Clinical union in all cats by 8 weeks; all cats returned to full function
  • Authors conclude cortical screws alone can provide adequate fixation in feline pelvic fractures if screw purchase and bone quality are sufficient

Kang

Veterinary and Comparative Orthopedics and Traumatology

1

2024

Biomechanical Comparison of Double 2.3-mm Headless Cannulated Self-Compression Screws and Single 3.5-mm Cortical Screw in Lag Fashion in a Canine Sacroiliac Luxation Model

2024-1-VCOT-kang-4

Article Title: Biomechanical Comparison of Double 2.3-mm Headless Cannulated Self-Compression Screws and Single 3.5-mm Cortical Screw in Lag Fashion in a Canine Sacroiliac Luxation Model

Journal: Veterinary and Comparative Orthopedics and Traumatology

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In Gleason 2023 et al., on ala vestibuloplasty in cats, what percentage of cats with hiatal hernias had resolution following ala vestibuloplasty?

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Correct. Hiatal hernias resolved in 75% of affected cats on follow-up CT.
Incorrect. The correct answer is 75%.
Hiatal hernias resolved in 75% of affected cats on follow-up CT.

🔍 Key Findings

  • Ala vestibuloplasty significantly reduced normalized pulmonary transit time (nPTT) (mean 5.43 → 3.89 sec; p <.001), suggesting improved cardiopulmonary function.
  • Clinical respiratory signs improved, including reduced snoring, sneezing, nasal discharge, and open-mouth breathing (all p <.01).
  • Activity tolerance increased, with less dyspnea during activity and longer time to onset of dyspnea (p <.005).
  • Paradoxical sternal motion resolved in all affected cats after surgery.
  • Hiatal hernias resolved in 75% of affected cats on follow-up CT.
  • No serious complications occurred, with only mild, self-limiting epistaxis and hypersalivation in a few cases.
  • Aberrant turbinates were detected on CT in all cats, though only 1 showed obstructive CATs endoscopically.
  • Total clinical severity scores improved significantly postoperatively (median reduction of 30 points; p <.001).

Gleason

Veterinary Surgery

4

2023

Ala vestibuloplasty improves cardiopulmonary and activity‐related parameters in brachycephalic cats

2023-4-VS-gleason-3

Article Title: Ala vestibuloplasty improves cardiopulmonary and activity‐related parameters in brachycephalic cats

Journal: Veterinary Surgery

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In Karydas 2025 et al., on follow-up radiography, what is the recommended role of follow-up imaging in the absence of clinical signs?

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Correct. Routine radiographs were not justified without owner concerns or clinical abnormalities.
Incorrect. The correct answer is Not recommended unless clinical signs present.
Routine radiographs were not justified without owner concerns or clinical abnormalities.

🔍 Key Findings

139 immature dogs with humeral condylar fractures (HCF) reviewed retrospectively.
Postoperative plan changed in 17% (23/139) of cases.
Key risk factors for plan change:

  • Owner concerns (OR: 7.6)
  • Analgesic use at follow-up (OR: 7.9)
  • Lameness (OR: 5.9)
  • Abnormal clinical exam (OR: 44.8)
  • Radiographic abnormalities (OR: 51.9)

No plan changes were based solely on radiographs when clinical signs were absent.
Supracondylar K-wire migration noted in 3.5% of dogs without affecting the clinical plan.
Authors conclude that routine follow-up radiographs offer limited value without concurrent clinical indicators.

Karydas

Veterinary Surgery

2

2025

Impact of postoperative radiography on the management of humeral condylar fractures in immature dogs

2025-2-VS-karydas-5

Article Title: Impact of postoperative radiography on the management of humeral condylar fractures in immature dogs

Journal: Veterinary Surgery

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In Nagahiro 2023 et al., on quadriceps-femoral mismatch, what was the primary clinical implication of a reduced QML/FL ratio in dogs with MPL?

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Correct. A low QML/FL may indicate the need to shorten the femur surgically to match quadriceps tension and improve patellar alignment.
Incorrect. The correct answer is It suggests a candidate for femoral shortening ostectomy.
A low QML/FL may indicate the need to shorten the femur surgically to match quadriceps tension and improve patellar alignment.

🔍 Key Findings

  • Quadriceps muscle length/femoral length ratio (QML/FL) was significantly lower in dogs with grade IV MPL than grades I–III (p ≤ .002).
  • Shortened QML was associated with increased femoral torsion angle (FTA) and increased aLDFA, indicating correlation with femoral deformity.
  • QML/FL increased with age, possibly due to muscular development or reduced deformity in older dogs (p = .004).
  • Grade IV MPL dogs had QML/FL < 0.87, the lower normal limit based on healthy beagles, suggesting clinically significant muscle shortening.
  • PLL/PL ratio (used to diagnose patella alta) was not associated with QML/FL or MPL severity in small breeds.
  • QML/FL can help preoperatively identify candidates for femoral shortening ostectomy, improving femoropatellar alignment.
  • Multivariate regression model confirmed QML/FL is independently influenced by age, FTA, and aLDFA (R² = 0.45).
  • CT-based 3D measurements enabled objective, noninvasive quantification of femoral and muscle alignment parameters.

Nagahiro

Veterinary Surgery

4

2023

Evaluation of the quadriceps muscle length to femoral length ratio in small breed dogs with medial patellar luxation

2023-4-VS-nagahiro-2

Article Title: Evaluation of the quadriceps muscle length to femoral length ratio in small breed dogs with medial patellar luxation

Journal: Veterinary Surgery

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In Clarke 2022 et al., on nasopharyngeal collapse severity, which median percentage collapse was found in brachycephalic dogs preoperatively?

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Correct. Median preoperative nasopharyngeal collapse in brachycephalic dogs was 65%, significantly higher than in controls.
Incorrect. The correct answer is 65%.
Median preoperative nasopharyngeal collapse in brachycephalic dogs was 65%, significantly higher than in controls.

🔍 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-1

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

Journal: Veterinary Surgery

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In Kang 2023 et al., on 3DEP accuracy, what percentage of slots were classified as “Type I” (ideal safety profile)?

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Correct. Type I slots represented 27 out of 30 total, equating to 90% of all slots.
Incorrect. The correct answer is 90%.
Type I slots represented 27 out of 30 total, equating to 90% of all slots.

2023-8-VS-kang-2

Article Title:

Journal:

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In Scharpf 2024 et al., which statement best reflects the authors' conclusion on subtotal coronoidectomy?

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Correct. Authors concluded that despite improvement in vertical and propulsive forces, braking forces and SIs remained impaired at 26 weeks:contentReference[oaicite:5]{index=5}
Incorrect. The correct answer is It improves force metrics but braking deficits persist.
Authors concluded that despite improvement in vertical and propulsive forces, braking forces and SIs remained impaired at 26 weeks:contentReference[oaicite:5]{index=5}

🔍 Key Findings Summary

  • Subtotal coronoidectomy improved vertical and propulsive forces, but braking forces remained subnormal at 26 weeks.
  • No significant benefit was seen from ACP vs placebo at any timepoint across all force parameters or lameness scores.
  • Force plate analysis was more sensitive than visual lameness scoring.
  • Braking force (%FY+) was best at detecting persistent lameness, and SI < 0.9 persisted in most dogs at 26 weeks.
  • Outcome less favorable than historically reported — challenges status of subtotal coronoidectomy as “gold standard” for MCD.

Scharpf

Veterinary and Comparative Orthopedics and Traumatology

2

2024

Assessment of Arthroscopic Subtotal Coronoidectomy in Treating Medial Coronoid Disease and Effect of Concurrent Autologous Conditioned Plasma in Dogs Using Force Plate Analysis

2024-2-VCOT-scharpf-5

Article Title: Assessment of Arthroscopic Subtotal Coronoidectomy in Treating Medial Coronoid Disease and Effect of Concurrent Autologous Conditioned Plasma in Dogs Using Force Plate Analysis

Journal: Veterinary and Comparative Orthopedics and Traumatology

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Quiz Results

Topic: Imaging & Decision-Making
70%

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