Quiz Question

In Anderson 2025 et al., on liver hemostatic agents, how did the AG sponge perform compared to the PC sponge in terms of adhesion?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Median adhesion scores were 2 (AG) vs. 1 (PC) with p < .001, and 0/22 AG vs. 6/23 PC scored zero adhesion.
Incorrect. The correct answer is The AG sponge had significantly better adhesion.
Median adhesion scores were 2 (AG) vs. 1 (PC) with p < .001, and 0/22 AG vs. 6/23 PC scored zero adhesion.

🔍 Key Findings

  • Study Design: Prospective, randomized clinical trial of 45 dogs undergoing liver biopsy or lobectomy.
  • Groups:
    • Adhesive gelatin sponge (AG) group (n=22)
    • Plain collagen sponge (PC) group (n=23)
  • Main Results:
    • At 5 minutes post-application, 10/20 PC dogs were still bleeding vs. 2/20 AG dogs (p = 0.0138).
    • AG had significantly better adhesion scores (median 2 vs. 1, p < 0.001).
    • Sponge dislodgement: 5/23 in PC group, 0/22 in AG group (p = 0.042).
    • Time to 50% hemostasis: AG = 2 min, PC = 4 min 49 sec.
  • Complications: No adverse events related to either sponge.
  • Conclusion: Adhesive gelatin sponges offered superior intraoperative adhesion and hemostatic control during canine liver surgery compared to collagen sponges.

Anderson

Veterinary Surgery

2

2025

A randomized comparison of an adhesive gelatin sponge and a plain collagen sponge for hemostatic control during canine liver surgery

2025-2-VS-anderson1-2

Article Title: A randomized comparison of an adhesive gelatin sponge and a plain collagen sponge for hemostatic control during canine liver surgery

Journal: Veterinary Surgery

How "Board-worthy" is this question?

🔥100% would expect this on the real thing

🤔Useful, but not core exam material

🗑️Not relevant or too off-base

Thanks for the feedback!
We'll keep fine-tuning the question vault.
Oops — didn’t go through.
Mind trying that again?

In Latifi 2022 et al., on forelimb fascial mapping, why is complete fascial excision often not feasible in the manus region?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Fascia in the manus is thin, adherent, and blends with joint structures, limiting clean dissection.
Incorrect. The correct answer is Fascial planes blend into ligaments and joint capsule.
Fascia in the manus is thin, adherent, and blends with joint structures, limiting clean dissection.

🔍 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-5

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

Journal: Veterinary Surgery

How "Board-worthy" is this question?

🔥100% would expect this on the real thing

🤔Useful, but not core exam material

🗑️Not relevant or too off-base

Thanks for the feedback!
We'll keep fine-tuning the question vault.
Oops — didn’t go through.
Mind trying that again?

In Rodiño Tilve 2022 et al., on feline THR outcomes, what was the most common indication for surgery?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. SCFE was the most common indication, present in 34 of 56 THRs.
Incorrect. The correct answer is Slipped capital femoral epiphysis.
SCFE was the most common indication, present in 34 of 56 THRs.

🔍 Key Findings

From “Long-term follow up of 44 cats undergoing total hip replacement” by Rodiño Tilve et al.

  • Slipped capital femoral epiphysis (SCFE) was the most common surgical indication (61%, 34/56 hips), primarily affecting young neutered male cats.
  • All THRs used cemented micro/nano BioMedtrix implants; most common femoral stem was size #3, and most common acetabular cup was 12 mm.
  • Postoperative complication rate was 19.6% (11/56) with 9 major complications (luxation most common), and no intraoperative complications reported.
  • All luxations occurred in hips implanted with femoral neck +0 mm length implants.
  • Second luxations were more common when revision used same implant size; use of larger implants reduced reluxation rates.
  • FMPI-sf score improved significantly from median 2.111 pre-op to 0.111 post-op (P < .001), indicating reduced pain and improved function.
  • Very high owner satisfaction: 91% (30/33) reported outcome as "very good."
  • No significant associations found between complications and variables like weight, sex, implant size, or surgical indication.

Rodiño Tilve

Veterinary Surgery

5

2022

Long‐term follow up of 44 cats undergoing total hip replacement: Cases from a feline hip registry (2010–2020)

2022-5-VS-rodino-1

Article Title: Long‐term follow up of 44 cats undergoing total hip replacement: Cases from a feline hip registry (2010–2020)

Journal: Veterinary Surgery

How "Board-worthy" is this question?

🔥100% would expect this on the real thing

🤔Useful, but not core exam material

🗑️Not relevant or too off-base

Thanks for the feedback!
We'll keep fine-tuning the question vault.
Oops — didn’t go through.
Mind trying that again?

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?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
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

How "Board-worthy" is this question?

🔥100% would expect this on the real thing

🤔Useful, but not core exam material

🗑️Not relevant or too off-base

Thanks for the feedback!
We'll keep fine-tuning the question vault.
Oops — didn’t go through.
Mind trying that again?

In Guénégo 2025 et al., on AMA-based CCWO, which combination was key to minimizing SSIs in AMA-based CCWO?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Use of RJB and postop antibiotics was associated with a low SSI rate.
Incorrect. The correct answer is Robert Jones bandage and antibiotics.
Use of RJB and postop antibiotics was associated with a low SSI rate.

🔍 Key Findings

  • AMA-based CCWO realigned the anatomical and mechanical axes in 82% of dogs >50 kg, with postoperative AMA angle of 0° in most cases.
  • Surgical site infection (SSI) rate was only 0.5%, markedly lower than TPLO-reported rates in similar populations (up to 37.5%).
  • All osteotomies achieved Grade 4 healing by 8 weeks, with no implant failures.
  • AMA-based planning based on preoperative AMA and TPA allowed for better correction of proximal tibial angulation compared to TPLO in large dogs.
  • Use of a double locking plate (DLP) fixation and Robert Jones bandage (RJB) contributed to improved mechanical stability and infection prevention.
  • Dogs with AMA angle >3.4° (hyper-CCAPT) were 38% of the cohort, supporting AMA as a critical metric in planning.
  • Postoperative alignment of the AA and MA was more consistently achieved when preoperative AMA was >2.4°, confirming suitability of AMA-based CCWO for severe angulation.
  • Most infections in TPLOs occur within 15 days, but RJB plus antibiotics in this study appeared protective, suggesting benefit for early-phase SSI prevention.

Guénégo

Veterinary and Comparative Orthopaedics and Traumatology

3

2025

Modified Cranial Closing Wedge Osteotomy (AMA-Based CCWO) to Treat Cranial Cruciate Ligament Deficient Stifle in 204 Dogs Over 50 Kg

2025-3-VCOT-guenego-3

Article Title: Modified Cranial Closing Wedge Osteotomy (AMA-Based CCWO) to Treat Cranial Cruciate Ligament Deficient Stifle in 204 Dogs Over 50 Kg

Journal: Veterinary and Comparative Orthopaedics and Traumatology

How "Board-worthy" is this question?

🔥100% would expect this on the real thing

🤔Useful, but not core exam material

🗑️Not relevant or too off-base

Thanks for the feedback!
We'll keep fine-tuning the question vault.
Oops — didn’t go through.
Mind trying that again?

In Chik 2024 et al., on cholangioscopy feasibility, what was the most distal biliary region consistently visualized using the 3.8 mm disposable flexible endoscope?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. In all eight cadavers, visualization was achievable up to the junction of the hepatic ducts, common bile duct, and cystic duct.
Incorrect. The correct answer is Confluence of hepatic ducts and cystic duct.
In all eight cadavers, visualization was achievable up to the junction of the hepatic ducts, common bile duct, and cystic duct.

🔍 Key Findings

  • Open transcholecystic cholangioscopy was feasible using a 3.8 mm disposable flexible endoscope in all 8 canine cadavers.
  • Visualization was consistently achieved up to the junction of the hepatic ducts, common bile duct, and cystic duct.
  • Advancement past the junction was limited by the endoscope diameter (3.8 mm) and anatomical flexure.
  • The 1.9 mm flexible ureteroscope could visualize the entire biliary tree, including the major duodenal papilla, in a large dog (43.8 kg).
  • Endoscopic tools (e.g., 3 Fr grasping forceps) could be passed through the working channel only after removing the irrigation line.
  • Standard biopsy forceps were incompatible with the disposable endoscope's 1.2 mm working channel.
  • Cadaver study showed no rupture, but clinical extrapolation is limited due to lack of diseased tissue.
  • Disposable endoscope setup cost (~$6,100) was significantly lower than traditional endoscopy systems (~$75,000–100,000), improving accessibility.

Chik

Veterinary Surgery

7

2024

Feasibility of open cholangioscopy with disposable flexible endoscopes

2024-7-VS-chik-1

Article Title: Feasibility of open cholangioscopy with disposable flexible endoscopes

Journal: Veterinary Surgery

How "Board-worthy" is this question?

🔥100% would expect this on the real thing

🤔Useful, but not core exam material

🗑️Not relevant or too off-base

Thanks for the feedback!
We'll keep fine-tuning the question vault.
Oops — didn’t go through.
Mind trying that again?

In Huerta 2025 et al., on leakage in canine lung lobectomy, which group had the lowest median leakage pressure?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. The PL-30 group had the lowest median leakage pressure at 10 cm H₂O.
Incorrect. The correct answer is PL-30.
The PL-30 group had the lowest median leakage pressure at 10 cm H₂O.

🔍 Key Findings

PL-30 group (partial, TA30-V3 wedge):

  • 100% leaked
  • Median leakage pressure: 10 cm H₂O
  • Most failures from periphery of staple line

PL-60 group (partial, TA60-3.5):

  • 100% leaked
  • Median leakage pressure: 18 cm H₂O
  • Better than PL-30 (p = .006)

TL-30 group (total, TA30-V3):

  • Only 1 of 11 leaked (at 22 cm H₂O)
  • All others resisted pressures >50–65 cm H₂O
  • Significantly higher leakage pressure than both PL groups (p < .001)

Odds ratios (leakage vs TL-30):

  • PL-30: OR 437 at both 20 and 30 cm H₂O (p = .003)
  • PL-60: OR 437 at 20 cm H₂O and 133 at 30 cm H₂O (p = .003)

Recommendation: Prefer TL-30 when possible. If partial needed, PL-60 superior to PL-30, but all partials leaked at physiologic pressures.

Huerta

Veterinary Surgery

4

2025

Leakage pressures of partial and total lung lobectomies performed with thoracoabdominal staplers in cadaveric dogs

2025-4-VS-huerta-2

Article Title: Leakage pressures of partial and total lung lobectomies performed with thoracoabdominal staplers in cadaveric dogs

Journal: Veterinary Surgery

How "Board-worthy" is this question?

🔥100% would expect this on the real thing

🤔Useful, but not core exam material

🗑️Not relevant or too off-base

Thanks for the feedback!
We'll keep fine-tuning the question vault.
Oops — didn’t go through.
Mind trying that again?

In Mazdarani 2022 et al., on CBLO and stifle biomechanics, which statement best describes the **patellar ligament angle (PTA)** after CBLO?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. CBLO resulted in a parallel but lower PTA curve, indicating effective flexion induced by the osteotomy.
Incorrect. The correct answer is PTA was consistently lower than intact, mimicking flexion.
CBLO resulted in a parallel but lower PTA curve, indicating effective flexion induced by the osteotomy.

🔍 Key Findings

  • CBLO reduced tibial plateau angle (TPA) from a mean of 28.1° to 9.7°, aligning with its goal of flattening the tibial slope.
  • CBLO eliminated cranial tibial translation (CTT) following CCL transection and meniscal release at all angles except 140° without hamstring load.
  • Hamstring loading (20% quadriceps load) significantly reduced or delayed the onset of CTT, improving stifle stability.
  • Medial meniscus was confirmed as a secondary stabilizer; its release (MMR) caused more CTT than CCLx alone.
  • PTA (patellar tendon angle) increased with joint extension; CBLO shifted the PTA curve lower and parallel to intact values, suggesting effective flexion of the joint.
  • Combined CBLO and hamstring loading resulted in the most stable joints, especially from 50° to 135° joint angles.
  • Residual CTT occurred in CBLO-only limbs at higher extension angles (e.g., 140°), but hamstring load mitigated this.
  • Stifle stability post-CBLO is multifactorial, depending on joint angle, meniscal integrity, and hamstring activation.

Mazdarani

Veterinary Surgery

6

2022

Effect of center of rotation of angulation‐based leveling osteotomy on ex vivo stifle joint stability following cranial cruciate ligament transection and medial meniscal release with and without a hamstring load

2022-6-VS-mazdarani-5

Article Title: Effect of center of rotation of angulation‐based leveling osteotomy on ex vivo stifle joint stability following cranial cruciate ligament transection and medial meniscal release with and without a hamstring load

Journal: Veterinary Surgery

How "Board-worthy" is this question?

🔥100% would expect this on the real thing

🤔Useful, but not core exam material

🗑️Not relevant or too off-base

Thanks for the feedback!
We'll keep fine-tuning the question vault.
Oops — didn’t go through.
Mind trying that again?

In Lomas 2025 et al., on hybrid THR in cats, which component combination was used in all cases?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. All cats received a CFX cemented femoral stem and a 12 mm BFX cementless acetabular cup.
Incorrect. The correct answer is Cemented femoral stem and cementless acetabular cup.
All cats received a CFX cemented femoral stem and a 12 mm BFX cementless acetabular cup.

🔍 Key Findings

  • Hybrid THR in cats showed no major complications across 17 hips in 15 cats, including 2 bilateral cases.
  • Postoperative radiographs confirmed stable implant positioning with no loosening, migration, or dislocation in follow-up imaging.
  • Mean owner satisfaction was high, with a mean short-form feline musculoskeletal pain index (sf-FMPI) score of 2/36 at a mean follow-up of 438 days.
  • SCFE (slipped capital femoral epiphysis) was the most common indication, seen in 13/17 hips.
  • Partial tenotomy of rectus femoris origin resolved intraoperative medial patella luxation in 3 cases—no cats required surgical correction later.
  • A micro BFX cup allowed for increased acetabular offset, possibly reducing luxation risk even when using a +0 femoral head offset.
  • Hybrid THR was successfully used as a revision for failed CFX THR due to recurrent luxation—implants remained stable post-revision.
  • Use of oversized cups (12 mm) with shallow seating or medial breach still resulted in stable outcomes, suggesting good implant fixation even with reduced bone stock.

Lomas

Veterinary Surgery

6

2025

Medium‐term outcomes of hybrid total hip arthroplasty in cats: Cemented femoral stem and cementless acetabular cup in 17 hips (2020–2023)

2025-6-VS-lomas-4

Article Title: Medium‐term outcomes of hybrid total hip arthroplasty in cats: Cemented femoral stem and cementless acetabular cup in 17 hips (2020–2023)

Journal: Veterinary Surgery

How "Board-worthy" is this question?

🔥100% would expect this on the real thing

🤔Useful, but not core exam material

🗑️Not relevant or too off-base

Thanks for the feedback!
We'll keep fine-tuning the question vault.
Oops — didn’t go through.
Mind trying that again?

In Carrera 2024 et al., which technique was used to correct high external tibial torsion in one patient?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. This was required for correction of a 47° tibial torsion, not amenable to TTT:contentReference[oaicite:1]{index=1}
Incorrect. The correct answer is Proximal tibial derotation osteotomy.
This was required for correction of a 47° tibial torsion, not amenable to TTT:contentReference[oaicite:1]{index=1}

🔍 Key Findings Summary

  • 5 juvenile dogs (mean age 7.2 months) with grade III–IV MPL were treated surgically.
  • Most had femoral varus + external tibial torsion; some had shallow trochlear grooves.
  • Distal femoral osteotomy was performed in 4/5 dogs; Tibial tuberosity transposition (TTT) in 3/5; Sulcoplasty in 2/5.
  • Mean time to weight bearing: 9.8 ± 5.5 days; healing: 55 ± 24 days
  • No reluxations, and final radiographic values for aLDFA and torsion were maintained at 1 year.
  • One complication due to domestic trauma, not surgical failure.
  • Early surgery appeared to preserve alignment and prevent deformity progression.

Carrera

Veterinary and Comparative Orthopedics and Traumatology

2

2024

Early Surgical Management of Medial Patellar Luxation in Juvenile Dogs

2024-2-VCOT-carrera-2

Article Title: Early Surgical Management of Medial Patellar Luxation in Juvenile Dogs

Journal: Veterinary and Comparative Orthopedics and Traumatology

How "Board-worthy" is this question?

🔥100% would expect this on the real thing

🤔Useful, but not core exam material

🗑️Not relevant or too off-base

Thanks for the feedback!
We'll keep fine-tuning the question vault.
Oops — didn’t go through.
Mind trying that again?

Quiz Results

Topic: Surgical Techniques & Planning
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.