Your Custom Quiz

In Kalmukov 2022 et al., on cell salvage efficacy, what was a noted potential **benefit** of cell salvage over allogeneic transfusion in dogs?

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Correct. Cell salvage removes leukocytes, potentially reducing transfusion reactions.
Incorrect. The correct answer is Removal of leukocytes, reducing cytokine-mediated effects.
Cell salvage removes leukocytes, potentially reducing transfusion reactions.

🔍 Key Findings

  • Direct suction salvaged more red blood cell mass (rbcM) than swab washing: 88.43% vs 84.74% (p = .015)
  • Swab washing still achieved high recovery (84.74%), making it a viable adjunct when suction is not possible
  • No significant difference in post-salvage PCV between methods (~34% for Su and ~33.9% for Sw)
  • Total salvaged blood volume was significantly higher using direct suction (143 mL vs 139.8 mL; p < .001)
  • Leukocytes are removed during salvage, potentially lowering risk of cytokine-mediated transfusion reactions
  • Expired pRBCs were used, but device still achieved high RBC recovery, supporting clinical utility
  • Swab washing via manual agitation may cause more RBC destruction than direct suction
  • Cell salvage may avoid complications of allogeneic transfusions, like storage lesions and immunologic reactions

Kalmukov

Veterinary Surgery

8

2022

Ex vivo evaluation of a novel cell salvage device to recover canine erythrocytes

2022-8-VS-kalmukov-5

Article Title: Ex vivo evaluation of a novel cell salvage device to recover canine erythrocytes

Journal: Veterinary Surgery

In Davis 2025 et al., on modified anal sacculectomy, which feature differentiates the technique from prior closed methods?

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Correct. The technique involves tracking the duct for immediate sac identification, avoiding the need for packing or fundus dissection.
Incorrect. The correct answer is Following duct path to sac.
The technique involves tracking the duct for immediate sac identification, avoiding the need for packing or fundus dissection.

🔍 Key Findings

50 dogs underwent bilateral anal sacculectomy using a modified closed technique.
Intraoperative anal sac perforation occurred in 5 dogs (10%), with no postoperative complications in those dogs.
Postoperative complications (43 dogs with follow-up):

  • Grade 1 (e.g., scooting, inappropriate defecation): 14/43 (32%)
  • Grade 2 (medical treatment needed): 2/43 (5%)
  • Grade 3B (revision surgery): 2/43 (5%)

93% of grade 1 and 100% of grade 2–3B complications resolved by two weeks postop.
Technique highlights: direct duct tracking, no anal sac packing, minimal dissection.

Davis

Veterinary Surgery

2

2025

Modified closed sacculectomy in 50 dogs with non‐neoplastic anal sac disease

2025-2-VS-davis-4

Article Title: Modified closed sacculectomy in 50 dogs with non‐neoplastic anal sac disease

Journal: Veterinary Surgery

In Aertsens 2025 et al., on thoracic lift technique, what was the primary physiologic improvement observed in Cat 1 following lift device application?

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Correct. PaO₂ improved from 179.4 mmHg to 306.3 mmHg after thoracic lift was applied in Cat 1.
Incorrect. The correct answer is Improved oxygenation (PaO₂ increase).
PaO₂ improved from 179.4 mmHg to 306.3 mmHg after thoracic lift was applied in Cat 1.

🔍 Key Findings

Case 1: Chest wall lift improved oxygenation (PaO₂ increased from 179.4 to 306.3 mmHg) and enabled thoracoscopic-assisted lobectomy in a cat with pleural effusion and pulmonary carcinoma.
Case 2: Chest wall lift using a Steinmann pin allowed 3-port thoracoscopic lobectomy for a bronchial foreign body; no complications observed.
Both cats: Lift increased working space and eliminated need for thoracotomy; no device-related complications.
Pretied ligating loops (PLL) were effective for hilar vessel ligation—preferred over staplers or self-locking ligatures in feline thorax.
Conclusion: Thoracic lift is a novel, minimally invasive method enhancing thoracoscopic procedures in small patients, particularly cats.

Aertsens

Veterinary Surgery

4

2025

Chest wall lift for thoracoscopic lung lobectomy: Technique and results in two cats

2025-4-VS-aertsens-1

Article Title: Chest wall lift for thoracoscopic lung lobectomy: Technique and results in two cats

Journal: Veterinary Surgery

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

In Tani 2022 et al., on FCU tendon reconstruction, what type of fixation was used postoperatively to protect the repair?

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Correct. Type I ESF was used to immobilize the radius and metacarpals for 6 weeks to protect the repair.
Incorrect. The correct answer is Type I external skeletal fixator.
Type I ESF was used to immobilize the radius and metacarpals for 6 weeks to protect the repair.

🔍 Key Findings

  • Fascia lata autograft reconstruction of the FCU tendon successfully treated carpal hyperextension in both dogs.
  • Primary repair was not possible in one dog due to complete rupture; a fascia lata graft bridged the tendon gap.
  • In the second case, elongated tendon was corrected and reinforced with fascia lata to prevent recurrence.
  • Type I external skeletal fixation was used for 6 weeks to support tendon healing in both dogs.
  • Postoperative gait and range of motion returned to normal, with no recurrence at 36-month follow-up.
  • Ultrasonography aided diagnosis, revealing thinning and echogenic changes in the FCU tendon.
  • Histologic findings showed mild, nonspecific muscle changes, suggesting injury rather than a systemic disease.
  • No complications occurred, and fascia lata showed potential for biological integration and remodeling into tendon-like structure.

Tani

Veterinary Surgery

8

2022

Reconstruction of the flexor carpi ulnaris tendon with a fascia lata autograft in two dogs with carpal hyperextension

2022-8-VS-tani-2

Article Title: Reconstruction of the flexor carpi ulnaris tendon with a fascia lata autograft in two dogs with carpal hyperextension

Journal: Veterinary Surgery

In Horwood 2024 et al., on complications in luxoid hip dysplasia, what proportion of LH dogs had satisfactory outcomes following revision of major complications?

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Correct. 17 out of 18 LH dogs had satisfactory outcomes post-revision.
Incorrect. The correct answer is 94%.
17 out of 18 LH dogs had satisfactory outcomes post-revision.

🔍 Key Findings

  • Luxoid hip dysplasia (LH) was present in 8% of THA cases and significantly increased risk of major complications (p < .001).
  • Intraoperative fissures/fractures were 3x more likely in LH dogs vs non-LH (39% vs 16%, p = .001).
  • Dorsal luxation was more frequent in LH dogs (28% vs 4%, p = .019).
  • Acetabular cup placement with ALO >35° was associated with luxation in LH dogs.
  • Morphologic abnormalities (e.g., femoral valgus, lateralization/medialization of cortices) were common in LH and may complicate implantation.
  • Despite higher risk, 94% of LH dogs achieved satisfactory outcomes after appropriate revisions.
  • Younger age and lighter weight characterized LH dogs (mean age 14.7 months vs 40.9 months, p < .001).
  • All LH dogs were treated with cementless stems; prophylactic cerclage was rarely used.

Horwood

Veterinary Surgery

4

2024

Complications and outcomes of total hip arthroplasty in dogs with luxoid hip dysplasia: 18 cases (2010–2022)

2024-4-VS-horwood-5

Article Title: Complications and outcomes of total hip arthroplasty in dogs with luxoid hip dysplasia: 18 cases (2010–2022)

Journal: Veterinary Surgery

In Mazdarani 2025 et al., on simulated muscle loading, what design feature made Model 3 more favorable for research use over Model 1?

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Correct. Model 3 limited hip motion to flexion-extension, improving documentation.
Incorrect. The correct answer is Better radiographic reproducibility.
Model 3 limited hip motion to flexion-extension, improving documentation.

🔍 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-4

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

Journal: Veterinary Surgery

In Cortez 2024 et al., on feline ectopic ureters, what was the most common anatomical classification of ectopic ureters in cats?

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Correct. Eight cats had extramural ureters, supporting the finding that extramural presentation is more common in cats.
Incorrect. The correct answer is Extramural.
Eight cats had extramural ureters, supporting the finding that extramural presentation is more common in cats.

🔍 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-2

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

Journal: Veterinary Surgery

In Israel 2023 et al., on povidone-iodine lavage, which component best describes the composition and method of PrePIL?

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Correct. PrePIL involved a 0.35% povidone-iodine solution applied for 3 minutes using a low-pressure lavage.
Incorrect. The correct answer is 0.35% PI solution applied for 3 minutes.
PrePIL involved a 0.35% povidone-iodine solution applied for 3 minutes using a low-pressure lavage.

🔍 Key Findings

  • No infections (0/102) occurred in cases where preclosure povidone-iodine lavage (PrePIL) was used, compared to 21/2111 (0.99%) with saline lavage.
  • Break-even cost for PrePIL was calculated at $49.74, while the actual cost was only $2.07, confirming strong cost-effectiveness.
  • No adverse reactions or healing complications were reported in the 102 PrePIL cases.
  • The PrePIL protocol used 0.35% povidone-iodine for 3 minutes before closure, followed by sterile saline lavage.
  • Majority of THRs (97%) used cementless fixation (BFX) in PrePIL group; only 3 cases used CFX components.
  • Surgeries followed consistent perioperative antibiotic protocols, making PrePIL the only major protocol variable.
  • Antibiotics were not added to lavage, aligning with WHO and CDC guidelines for antimicrobial stewardship.
  • The infection reduction with PrePIL supports routine use in total hip replacement to reduce periprosthetic joint infections.

Israel

Veterinary Surgery

1

2023

Preclosure povidone‐iodine lavage in total hip replacement surgery: Infection outcomes and cost–benefit analysis

2023-1-VS-israel-3

Article Title: Preclosure povidone‐iodine lavage in total hip replacement surgery: Infection outcomes and cost–benefit analysis

Journal: Veterinary Surgery

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

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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

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