Your Custom Quiz

In Cortez 2024 et al., on feline ectopic ureters, what was the most common postoperative complication following surgical correction of ectopic ureters?

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Correct. Although most cats improved, transient urinary incontinence was the most frequent complication noted.
Incorrect. The correct answer is Urinary incontinence.
Although most cats improved, transient urinary incontinence was the most frequent complication noted.

🔍 Key Findings

  • Ectopic ureters in cats are rare, but most are extramural and bilateral.
  • Surgical techniques used included ureteroneocystostomy (UNC), neoureterostomy (NU), nephroureterectomy, and cystoscopic laser ablation (CLA).
  • All cats showed improvement in urinary continence postoperatively, with 11/12 achieving complete resolution.
  • Major complications were rare; one cat developed uroabdomen requiring revision surgery.
  • Diagnostic imaging was effective, with abdominal ultrasound diagnosing 8/10 and CT 3/3 cases.
  • Short- and long-term complications included urethral spasms, UTIs, stranguria, and rectal prolapse; all were manageable.
  • CLA was successful in 2 cats and is noted as a first-time described technique in feline ectopic ureter cases.
  • Median postoperative follow-up was 340 days, supporting good long-term outcomes.

Cortez

Veterinary Surgery

6

2024

Presentation, diagnosis, and outcomes of cats undergoing surgical treatment of ectopic ureters

2024-6-VS-cortez-4

Article Title: Presentation, diagnosis, and outcomes of cats undergoing surgical treatment of ectopic ureters

Journal: Veterinary Surgery

In Guénégo 2025 et al., on AMA-based CCWO, which subgroup had the most consistent axis alignment postoperatively?

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Correct. Realignment of AA and MA was achieved more consistently in dogs with higher pre-op AMA.
Incorrect. The correct answer is Dogs with AMA > 2.4°.
Realignment of AA and MA was achieved more consistently in dogs with higher pre-op AMA.

🔍 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-5

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

In Dobberstein 2024 et al., on liver biopsy forceps, what was concluded about diagnostic suitability of 3 mm samples?

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Correct. The 3 mm samples were sufficient for histopathology, but diagnostic accuracy remains unknown.
Incorrect. The correct answer is Adequate but lower diagnostic accuracy.
The 3 mm samples were sufficient for histopathology, but diagnostic accuracy remains unknown.

🔍 Key Findings Summary

  • Subjects: 12 healthy colony cats, 68 total liver samples collected via laparoscopy
  • Biopsy instruments: 3 mm vs 5 mm Storz Blakesley cup forceps
  • Techniques: Twist (T), Pull (P), Twist + Pull (TP)
  • Results:
    • 5 mm forceps yielded significantly more hepatic lobules (mean 12.4 vs 4.9), portal triads (29.6 vs 19.0), weight, and histologic area (p < .01)
    • T and P techniques yielded more portal triads and lobules than TP (p = .003 and p = .015)
    • TP technique resulted in greater tissue crush vs T (p = .01)
    • Good diagnostic agreement between 3 mm and 5 mm samples only with TP (κ = 0.75)
    • All samples were of sufficient diagnostic quality, despite size or technique
  • Clinical implication: Both 3 mm and 5 mm forceps are viable; further studies are needed to confirm diagnostic accuracy of 3 mm samples

Dobberstein

Veterinary Surgery

2

2024

Comparison of the diagnostic yield of 3 and 5 mm laparoscopic liver biopsy forceps in cats

2024-2-VS-dobberstein-5

Article Title: Comparison of the diagnostic yield of 3 and 5 mm laparoscopic liver biopsy forceps in cats

Journal: Veterinary Surgery

In Sandberg 2024 et al., which joint was most affected by the tactical harness in all planes of motion?

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Correct. All planes of motion in the elbow showed significant alteration during both walk and trot when harness was worn:contentReference[oaicite:0]{index=0}
Incorrect. The correct answer is Elbow.
All planes of motion in the elbow showed significant alteration during both walk and trot when harness was worn:contentReference[oaicite:0]{index=0}

🔍 Key Findings Summary

  • Tactical harness use altered kinematics in all forelimb joints
  • Elbow most affected: increased extension, internal rotation, abduction at walk and trot
  • Carpus: reduced flexion, increased abduction at walk
  • Shoulder: least affected, but showed reduced flexion and increased abduction during walk
  • Only significant ROM increases:
    • Shoulder frontal plane (22%)
    • Elbow transverse plane (19%) at walk
  • Results suggest potential functional limitations from harness use during duty

Sandberg

Veterinary and Comparative Orthopedics and Traumatology

2

2024

Influence of Wearing a Tactical Harness on Three-Dimensional Thoracic Limb Kinematics

2024-2-VCOT-sandberg-1

Article Title: Influence of Wearing a Tactical Harness on Three-Dimensional Thoracic Limb Kinematics

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Longo 2022 et al., on CT-guided osteotomies, what was the primary method used to intraoperatively determine the amount of rotational correction needed for torsional deformities?

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Correct. CAL was computed from CT-based radius and torsion angle to quantify how much to rotate the bone.
Incorrect. The correct answer is Measurement of cortical arch length (CAL) via CT.
CAL was computed from CT-based radius and torsion angle to quantify how much to rotate the bone.

🔍 Key Findings

  • 3D CT volume rendering and CAL measurement successfully guided correction of femoral and tibial torsion in dogs with patellar luxation (PL).
  • Physiological patellar tracking was restored in 100% (22/22) of cases after detorsional osteotomy.
  • 94% of dogs (17/18) had either full or acceptable functional outcomes post-surgery.
  • CAL-based correction was accurate in 19/22 cases, confirming reliability of the measurement technique.
  • Complication rate was 45%, with major complications in 2/22 cases—both involved combined femoral and tibial osteotomies.
  • Combined femoral and tibial osteotomies in the same limb were linked to a higher risk of complications and poorer outcomes.
  • Diaphyseal osteotomies offered more implant space, but metaphyseal locations were associated with faster bone healing.
  • Use of a TPLO jig or goniometer was not essential—CAL-based bone marking was sufficient in most cases.

Longo

Veterinary Surgery

7

2022

Three‐dimensional volume rendering planning, surgical treatment, and clinical outcomes for femoral and tibial detorsional osteotomies in dogs

2022-7-VS-longo-1

Article Title: Three‐dimensional volume rendering planning, surgical treatment, and clinical outcomes for femoral and tibial detorsional osteotomies in dogs

Journal: Veterinary Surgery

In Cantatore 2022 et al., on transanal submucosal resection, what was the major complication rate following surgery?

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Correct. Only 1 of 93 dogs experienced a major complication requiring surgical revision.
Incorrect. The correct answer is 1.1%.
Only 1 of 93 dogs experienced a major complication requiring surgical revision.

🔍 Key Findings

  • Submucosal resection via a transanal approach was associated with a low rate (1.1%) of major complications and prolonged survival across benign and malignant rectal tumors.
  • Overall recurrence rate was 21.5%, with higher recurrence in malignant tumors: 28.6% (carcinomas) and 30.4% (carcinoma in situ) vs. 13.6% (adenomas).
  • Complications (P = .032) and incomplete margins (P = .023) were independently associated with increased recurrence risk.
  • Recurrence was the only factor associated with increased risk of tumor-related death (P = .046).
  • Repeat submucosal resection was successful in 60% of dogs with recurrence, indicating feasibility of this as a salvage approach.
  • 1-, 2-, and 5-year survival rates for carcinomas were 95%, 89%, and 73%, though overall survival was significantly longer for benign tumors (P = .001).
  • Preoperative diagnostics (FNA, biopsy) were often inconsistent with final histopathology – only 64.3% biopsy agreement.
  • Presurgical imaging was not consistently performed, limiting accurate staging in many dogs.

Cantatore

Veterinary Surgery

3

2022

Submucosal resection via a transanal approach for treatment of epithelial rectal tumors – a multicenter study

2022-3-VS-cantatore-3

Article Title: Submucosal resection via a transanal approach for treatment of epithelial rectal tumors – a multicenter study

Journal: Veterinary Surgery

In Mayhew 2023 et al., on BOAS surgery effects, what was a significant clinical benefit observed in owner-reported symptoms post-CMS?

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Correct. Owner-reported regurgitation improved post-CMS, especially related to eating and activity.
Incorrect. The correct answer is Reduced regurgitation after eating and during activity.
Owner-reported regurgitation improved post-CMS, especially related to eating and activity.

🔍 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-3

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 Raleigh 2022 et al., on pericardiectomy complications, what preoperative finding may serve as a warning sign for intraoperative VF?

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Correct. 7 of 16 dogs had arrhythmias (e.g., VPCs, VT, bradycardia) before VF occurred.
Incorrect. The correct answer is ECG-detected arrhythmias.
7 of 16 dogs had arrhythmias (e.g., VPCs, VT, bradycardia) before VF occurred.

🔍 Key Findings

  • Ventricular fibrillation (VF) occurred in 3% of pericardiectomy cases across reporting institutions.
  • 14 of 16 dogs (88%) that developed intraoperative VF died, indicating high mortality.
  • Electrosurgical devices were used in 15/16 dogs; VF onset coincided with their use in 8 dogs, suggesting a potential but unproven association.
  • Preoperative arrhythmias were seen in 7 dogs (e.g., VPCs, VT, bradycardia), possibly serving as early warning signs.
  • Thoracoscopic approach was used in 75% of cases; however, conversion to open surgery was required in 9/13 thoracoscopic procedures after VF onset.
  • Defibrillation was attempted in 13 dogs, but only 3 converted to sinus rhythm, and only 2 survived postoperatively.
  • VF may result from stray current or cardiac manipulation; bipolar energy devices were implicated despite lower theoretical risk.
  • Preventative strategies include judicious electrosurgery use, close ECG monitoring, rapid CPR preparedness, and preop cardiac risk assessment.

Raleigh

Veterinary Surgery

4

2022

The development of ventricular fibrillation as a complication of pericardiectomy in 16 dogs

2022-4-VS-raleigh-4

Article Title: The development of ventricular fibrillation as a complication of pericardiectomy in 16 dogs

Journal: Veterinary Surgery

In Duvieusart 2025 et al., on lung lobectomy approaches, what percentage of the lung was typically removed by weight across all techniques?

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Correct. There was no significant difference in lobectomy weight percentage; the mean was around 32%.
Incorrect. The correct answer is 30%–35%.
There was no significant difference in lobectomy weight percentage; the mean was around 32%.

🔍 Key Findings

  • Study Design: Canine cadaveric study comparing intercostal thoracotomy (ICT), median sternotomy (MS), and transdiaphragmatic with caudal median sternotomy (TDCM) for accessory lung lobectomy (ALL).
  • Main Outcomes:
    • Exposure Area: TDCM (193.5 cm²) > MS (106.5 cm²) > ICT (73.5 cm²) (p = .01).
    • TDCM provided significantly greater exposure than MS (p = .02) and ICT (p = .02); MS > ICT (p = .04).
    • Surgical Time: No significant difference (p = .06).
    • Lobe Excision (% by weight/surface area): No significant difference between groups (p = .4).
    • Staple Line Leak: Leak at ≤40 cmH₂O in 2/4 ICT, 0/4 MS, 0/4 TDCM (p = .09).
  • Complications:
    • 1/4 MS cases had iatrogenic damage to an adjacent lobe.
  • Technical Insights:
    • TDCM approach allowed immediate visualization of all three parts of the right pulmonary ligament.
    • The TDCM approach offers improved access without requiring en bloc removal with the right caudal lobe.
  • Conclusion: The TDCM approach provides improved exposure for ALL lobectomy with no increase in surgical time or complications relative to other approaches.

Duvieusart

Veterinary Surgery

1

2025

Comparison of three approaches for accessory lung lobectomy in the canine cadaveric model: Intercostal thoracotomy, median sternotomy, and a transdiaphragmatic approach combined with caudal median sternotomy

2025-1-VS-duvieusart-3

Article Title: Comparison of three approaches for accessory lung lobectomy in the canine cadaveric model: Intercostal thoracotomy, median sternotomy, and a transdiaphragmatic approach combined with caudal median sternotomy

Journal: Veterinary Surgery

In Burton 2025 et al., on antebrachial conformation, what is a proposed biomechanical consequence of increased PRUDA?

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Correct. Increased PRUDA may produce divergent force vectors during weightbearing, stressing the humeral condyle.
Incorrect. The correct answer is Increased distraction at the capitulotrochlear boundary.
Increased PRUDA may produce divergent force vectors during weightbearing, stressing the humeral condyle.

🔍 Key Findings

  • PRUDA (proximal radio-ulnar divergence angle) and UCORA (ulnar center of rotation of angulation) were significantly greater in Cocker Spaniels with HIF vs those without.
  • PRUDA (p < .001): Group 1 (HIF) vs Group 2 & 3.
  • UCORA (p = .036): Group 1 vs Group 3.
  • Other angles (MPRA, LDRA, PCRA, DCRA, torsion) showed no significant differences.
  • Increased PRUDA and UCORA may lead to divergent load vectors across the humeral condyle, potentially predisposing to stress fracture (HIF).
  • Measurement techniques using CT-based 3D reconstructions were reliable (intraobserver ICC > 0.84).

Burton

Veterinary Surgery

4

2025

Antebrachial conformation in Cocker Spaniels with and without humeral intracondylar fissure

2025-4-VS-burton-5

Article Title: Antebrachial conformation in Cocker Spaniels with and without humeral intracondylar fissure

Journal: Veterinary Surgery

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