Your Custom Quiz

In Wylie 2025 et al., on femoral implant accuracy, what is true regarding the simplified pivot shift grading system introduced in the study?

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Correct. The simplified system uses 2 grades: grade 1 = glide, grade 2 = clunk, aiding intraoperative assessment of rotational instability.
Incorrect. The correct answer is It differentiates between “glide” and “clunk” types of instability.
The simplified system uses 2 grades: grade 1 = glide, grade 2 = clunk, aiding intraoperative assessment of rotational instability.

🔍 Key Findings

  • Accurate femoral isometric placement was achieved in 63% of cases, significantly more with SwiveLock (78.6%) than FASTak (38.9%).
  • Inaccurate placement was associated with increased internal tibial rotation at follow-up (p = .009), suggesting potential implant failure.
  • Pivot shift grade improved in 90.9% of stifles postoperatively, regardless of implant positioning accuracy.
  • SwiveLock implants had a faster learning curve and higher placement accuracy than FASTak.
  • Higher patient weight was linked to more accurate implant placement (p = .012), likely due to easier anatomical landmark identification.
  • No correlation found between implant type or positioning accuracy and final pivot shift grade at 6 weeks.
  • Minor and major complications were low and not significantly different between implant types.
  • A simplified 2-grade pivot shift system was proposed for clinical use (Grade 1: glide, Grade 2: clunk), aiding intraoperative decision-making.

Wylie

Veterinary Surgery

7

2025

Evaluation of femoral isometric placement accuracy of internal brace implants and its impact on stifle stability in the management of pivot shift phenomenon following TPLO

2025-7-VS-wylie-5

Article Title: Evaluation of femoral isometric placement accuracy of internal brace implants and its impact on stifle stability in the management of pivot shift phenomenon following TPLO

Journal: Veterinary Surgery

In Spies 2024 et al., on EHPSS in large dogs, what proportion of surviving surgically treated dogs were completely weaned off medical management?

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Correct. Of the 40 surviving dogs who underwent attenuation, 15 were weaned off all medications.
Incorrect. The correct answer is 37.5%.
Of the 40 surviving dogs who underwent attenuation, 15 were weaned off all medications.

🔍 Key Findings

  • 63 dogs ≥15 kg with single EHPSS were reviewed.
  • Most common breeds: Golden Retriever (28.6%), mixed breed (20.6%).
  • Most common shunt types: splenocaval (25.4%) and portocaval (25.4%).
  • 45 dogs received surgical attenuation; 18 were medically managed.
  • 6.7% (3/45) of surgically treated dogs died due to shunt-related complications; 22.2% (4/18) of medically managed dogs died.
  • Hypoplastic portal vein was noted in 52.9% of dogs where portal anatomy was described.
  • 37.5% of surviving attenuated dogs were weaned off all medical management.
  • Attenuated dogs had higher 1-, 2-, and 5-year survival rates (89%, 77%, 77%) than nonattenuated dogs (82%, 49%, 24%).

Spies

Veterinary Surgery

2

2024

Clinical presentation and short‐term outcomes of dogs ≥15 kg with extrahepatic portosystemic shunts

2024-2-VS-spies-4

Article Title: Clinical presentation and short‐term outcomes of dogs ≥15 kg with extrahepatic portosystemic shunts

Journal: Veterinary Surgery

In Allaith 2023 et al., on THR outcomes, which implant system was used most frequently across the 10-year registry period?

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Correct. Kyon implants were used in 46% of THRs, making them the most frequently used implant system in the registry.
Incorrect. The correct answer is Kyon.
Kyon implants were used in 46% of THRs, making them the most frequently used implant system in the registry.

🔍 Key Findings

From Allaith et al., 2023 – Outcomes from a multiuser canine hip replacement registry

  • 2375 total hip replacements were analyzed across 1852 dogs, making this the largest multiuser canine THR dataset to date.
  • Most common indications for THR were hip dysplasia (51%) and osteoarthritis (34%).
  • Implants used included Kyon (46%), BioMedtrix CFX (22%), Hybrid (11%), BFX (9%), and Helica (4.5%).
  • Veterinary-reported complication rate was 8.5%, while owner-reported was 23%, with moderate agreement (k=0.44).
  • Most common complications: Luxation, femoral fracture, and aseptic loosening.
  • BioMedtrix BFX and Helica implants had a higher risk of complications when used after femoral head and neck excision (P = .031).
  • Postoperative LOAD scores significantly improved vs preoperative (21 → 11; P < .0001), supporting improved mobility.
  • Owner satisfaction was high, with 88% rating outcome as very good or good.

Allaith

Veterinary Surgery

2

2023

Outcomes and complications reported from a multiuser canine hip replacement registry over a 10-year period

2023-2-VS-allaith-5

Article Title: Outcomes and complications reported from a multiuser canine hip replacement registry over a 10-year period

Journal: Veterinary Surgery

In Buote 2023 et al., on laparoscopic sleeve gastrectomy in cats, which of the following was true regarding live patient outcomes after LVSG?

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Correct. Live cats had no GI or healing complications; staple lines were not oversewn.
Incorrect. The correct answer is No complications were reported.
Live cats had no GI or healing complications; staple lines were not oversewn.

🔍 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-buote2-5

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

Journal: Veterinary Surgery

In David 2024 et al., on single-port cryptorchidectomy, what was the most severe complication reported?

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Correct. Testicular artery hemorrhage required conversion in one case.
Incorrect. The correct answer is Conversion to open surgery due to hemorrhage.
Testicular artery hemorrhage required conversion in one case.

🔍 Key Findings

  • Single-port laparoscopic-assisted cryptorchidectomy (SP-LAC) was feasible in 13/14 dogs with abdominal cryptorchidism.
  • Median surgical time was 17 min for unilateral and 27 min for bilateral cryptorchidectomy.
  • All testes were successfully exteriorized through a 15-mm mini-celiotomy in most dogs; only 2 needed slight enlargement.
  • One major complication occurred (testicular artery hemorrhage, requiring conversion to open surgery).
  • Two minor complications involved trocar-related issues (splenic capsule laceration, capnoretroperitoneum).
  • No incisional complications were reported postoperatively; some dogs had mild dermatitis at the clipped site.
  • The technique requires only one surgeon and no advanced tools beyond a single-port endoscope.
  • Low-pressure capnoperitoneum (6 mmHg) was adequate for visualization in most cases.

David

Veterinary Surgery

3

2024

Single-port laparoscopic-assisted abdominal cryptorchidectomy in 14 dogs

2024-3-VS-david-3

Article Title: Single-port laparoscopic-assisted abdominal cryptorchidectomy in 14 dogs

Journal: Veterinary Surgery

In Otero Balda 2025 et al., on Short-term outcomes after feline cPSS surgery, what proportion of cats with postattenuation seizures (PAS) survived to 30 days?

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Correct. Only half of the cats that developed PAS survived 30 days, compared to 78% overall.
Incorrect. The correct answer is 50%.
Only half of the cats that developed PAS survived 30 days, compared to 78% overall.

🔍 Key Findings

  • 78% of cats that developed postattenuation neurologic signs (PANS) after congenital portosystemic shunt (cPSS) surgery survived to 30 days.
  • Postattenuation seizures (PAS) were associated with significantly decreased 30-day survival (50% vs. 78%; OR: 0.015, p = .005).
  • Treatment of PANS with propofol was a negative prognostic factor (OR: 0.112, p = .0008).
  • Generalized PAS accounted for most seizure cases and were more frequently fatal than focal or unknown-type seizures.
  • Pretreatment with levetiracetam (LEV1 protocol) showed a trend toward improved survival (100% vs. 60.6% in untreated cats), though not statistically significant (p = .06).
  • Shunt morphology, method of attenuation, and study period (early vs. late) were not significantly associated with 30-day survival.
  • Electrolyte, glucose, and ammonia abnormalities were not strongly linked to survival outcomes in this study.
  • Majority of PAS-related deaths were due to uncontrolled generalized seizures or euthanasia because of severity.

Otero Balda

Veterinary Surgery

5

2025

Prognostic factors for short‐term survival of cats that experienced postattenuation neurologic signs after surgical attenuation of single congenital portosystemic shunts

2025-5-VS-otero-3

Article Title: Prognostic factors for short‐term survival of cats that experienced postattenuation neurologic signs after surgical attenuation of single congenital portosystemic shunts

Journal: Veterinary Surgery

In Viljoen 2022 et al., on surgical hand prep protocols, what factor significantly influenced post-surgical contamination risk?

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Correct. Perforation of the thumb glove was a statistically significant factor contributing to higher CFU levels.
Incorrect. The correct answer is Glove perforation in the thumb.
Perforation of the thumb glove was a statistically significant factor contributing to higher CFU levels.

🔍 Key Findings

  • Pre-ABHR hand preparation lowered CFUs at 120 minutes post-gloving compared to ABHR alone (P = .001)
  • pH-neutral soap followed by ABHR outperformed ABHR alone despite being nonmedicated (P = .001)
  • CHX and BAC prewashes showed better immediate CFU reduction post-preparation than pHN (P = .012)
  • No significant difference in total log10 CFU reduction across all four groups over the full surgical period (P = .362)
  • Glove perforation in the thumb was a significant contamination factor (P = .036)
  • All dogs recovered without surgical site infections, though SSI incidence was not a primary outcome
  • Neutralizer validation lacking, so CHX results interpreted cautiously
  • Study supports a 1-minute hand wash with pH-neutral soap prior to ABHR as effective and safe

Viljoen

Veterinary Surgery

3

2022

Comparative antimicrobial efficacy of 4 surgical hand‐preparation procedures prior to application of an alcohol-based hand rub in veterinary students

2022-3-VS-viljoen-3

Article Title: Comparative antimicrobial efficacy of 4 surgical hand‐preparation procedures prior to application of an alcohol-based hand rub in veterinary students

Journal: Veterinary Surgery

In Dalton 2023 et al., on acetabular fracture repair, what was the maximum fracture gap observed postoperatively in the cadaver study?

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Correct. All fracture repairs in cadavers showed <2 mm gaps, meeting the target accuracy of reduction.
Incorrect. The correct answer is <2 mm.
All fracture repairs in cadavers showed <2 mm gaps, meeting the target accuracy of reduction.

🔍 Key Findings

  • Minimally invasive repair of acetabular fractures using precontoured plates on 3D-printed models is feasible and technically reproducible in dogs.
  • All cadavers had fracture gaps <2 mm and step defects <1 mm, indicating accurate reduction.
  • Sciatic nerve injury was minimal or absent in all cases, supporting potential neuroprotection from indirect approaches.
  • Pelvic angulation was maintained <5°, confirming preservation of alignment post-reduction.
  • Surgical time averaged ~46 minutes in cadavers for both approaches and repair.
  • Clinical case showed good radiographic healing by 8 weeks and full union by 3 months, with early weight-bearing post-op.
  • Use of locking screws improved reduction fidelity, particularly across a broad plate span.
  • 3D printing accelerated surgical planning, though its necessity remains debated due to the availability and cost concerns.

Dalton

Veterinary Surgery

6

2023

Minimally invasive repair of acetabular fractures in dogs: Ex vivo feasibility study and case report

2023-6-VS-dalton-3

Article Title: Minimally invasive repair of acetabular fractures in dogs: Ex vivo feasibility study and case report

Journal: Veterinary Surgery

In Kurogochi 2025 et al., on cardioplegia in mitral repair, how did the number of cardioplegia doses differ between groups?

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Correct. mDN group needed fewer total doses (median 2.5 vs 4, p = 0.040).
Incorrect. The correct answer is Control group required fewer doses.
mDN group needed fewer total doses (median 2.5 vs 4, p = 0.040).

🔍 Key Findings

  • No significant difference in cardiac troponin I levels 12h post-op between mDN and St. Thomas cardioplegia groups (p = 0.478)
  • Sinus rhythm returned faster in the mDN group after aortic cross-clamp removal (median 60s vs 362s, p = 0.027)
  • Lower serum potassium at cross-clamp removal in the mDN group (median 4.5 mEq/L vs 5.4, p = 0.005)
  • Fewer doses needed in the mDN group (median 2.5 vs 4.0, p = 0.040)
  • Higher total crystalloid volume used in mDN group (23.6 vs 12.6 mL/kg, p < 0.001)
  • No difference in survival (700-day survival 90% in both groups, p = 0.958)
  • No difference in hospitalization duration (median 6 days for both, p = 0.789)
  • Echocardiographic remodeling similar between groups at 24h post-op

Kurogochi

Veterinary Surgery

7

2025

Saline‐based modified del Nido cardioplegia versus multidose St. Thomas cardioplegia in canine mitral valve repair: A randomized controlled trial

2025-7-VS-kurogochi-3

Article Title: Saline‐based modified del Nido cardioplegia versus multidose St. Thomas cardioplegia in canine mitral valve repair: A randomized controlled trial

Journal: Veterinary Surgery

In Walker 2025 et al., on ventral slot guides, what slot dimension was significantly more accurate with guide use?

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Correct. Guided slots were significantly closer to the intended length compared to freehand (p < .01 vs p = .722).
Incorrect. The correct answer is Slot length.
Guided slots were significantly closer to the intended length compared to freehand (p < .01 vs p = .722).

🔍 Key Findings

Design: Ex vivo cadaver study (n=8 dogs, 24 sites)
Comparison: Freehand vs. 3D-printed drill guide-assisted ventral slot (GAVS vs FHVS)
Findings:

  • GAVS produced slots not significantly different from planned dimensions (p = .722–.875)
  • FHVS produced significantly shorter slots than intended (p < .01)
  • No difference in surgical time (p = .071)
  • Shape ratio and slot divergence from midline were similar between groups (p > .4)
  • Use of guide significantly reduced variability in slot position (63% → 29%), shape (65% → 24%), and divergence (54% → 50%)

Conclusion: 3D-printed guides improved accuracy and consistency of ventral slot creation by novice surgeons; supports future evaluation in live dogs and small breeds

Walker

Veterinary Surgery

3

2025

Evaluation of a patient‐specific 3D‐printed guide for ventral slot surgery in dogs: An ex vivo study

2025-3-VS-walker-1

Article Title: Evaluation of a patient‐specific 3D‐printed guide for ventral slot surgery in dogs: An ex vivo study

Journal: Veterinary Surgery

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