Your Custom Quiz

In McCagherty 2025 et al., on WID detection accuracy, how did image-guided swabs compare to non-guided swabs in bacterial yield?

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Correct. Paired swabs showed no statistical difference in species count or CFU yield.
Incorrect. The correct answer is No significant difference was found between groups.
Paired swabs showed no statistical difference in species count or CFU yield.

🔍 Key Findings

  • Bacterial fluorescence was detected in all wounds (17 dogs, 4 cats) using the point-of-care wound imaging device (WID).
  • The WID confirmed the presence of clinically relevant wound infection in all evaluated cases at the time of imaging.
  • No significant difference was found in bacterial yield or burden between image-guided and non-guided swabs (QBC and PCR; p > 0.05).
  • The WID helped guide wound debridement in some cases by localizing areas of fluorescence, especially in necrotic tissue.
  • Most infections were polymicrobial and dominated by anaerobes, highlighting the need for anaerobic culture inclusion.
  • PCR analysis showed low bacterial DNA yields, often complicated by host DNA contamination, limiting its utility.
  • The study did not evaluate sensitivity/specificity of WID, as only fluorescence-positive wounds were included.
  • Clinical utility of WID lies in immediate visual confirmation of infection, supporting timely antimicrobial treatment decisions.

McCagherty

Veterinary Surgery

6

2025

Diagnostic value of a point of care bacterial fluorescence imaging device for detecting wound infections in dogs and cats

2025-6-VS-mccagherty-2

Article Title: Diagnostic value of a point of care bacterial fluorescence imaging device for detecting wound infections in dogs and cats

Journal: Veterinary Surgery

In Heald 2022 et al., on PED wound therapy, what was the total time to clinical healing in the dog case after initiation of treatment?

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Correct. Although wound size decreased over 10 days, full healing was confirmed on day 67.
Incorrect. The correct answer is 67 days.
Although wound size decreased over 10 days, full healing was confirmed on day 67.

🔍 Key Findings

  • Electroceutical dressing (PED) promoted complete healing of chronic wounds in both a dog and a cat previously unresponsive to standard therapies.
  • Infection clearance occurred in both animals by the end of PED therapy, as shown by negative culture results.
  • In the dog, wound area reduced by ~4.2× over 10 days; healing completed by day 67 with no further antibiotic therapy.
  • In the cat, wound area reduced by ~2.5× over 17 days; healing completed by day 47 without systemic antibiotics.
  • PEDs function via direct current (DC) stimulation, believed to generate hypochlorous acid (HOCl) with antibacterial properties.
  • No side effects or adverse tissue reactions were observed in either case, supporting biocompatibility.
  • Multidrug-resistant organisms (e.g., S. pseudintermedius, S. canis, S. epidermidis) were eradicated by PED treatment.
  • PED therapy may reduce reliance on antibiotics and surgery, offering a novel adjunct for chronic, infected wounds.

Heald

Veterinary Surgery

3

2022

Electroceutical treatment of infected chronic wounds in a dog and a cat

2022-3-VS-heald-2

Article Title: Electroceutical treatment of infected chronic wounds in a dog and a cat

Journal: Veterinary Surgery

In Folk 2025 et al., on vessel sealing device reuse, how many devices had visible biologic debris after ethylene oxide sterilization?

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Correct. All 16 devices had visible residual biologic debris after EtO sterilization, especially under the transection blade.
Incorrect. The correct answer is 16 of 16.
All 16 devices had visible residual biologic debris after EtO sterilization, especially under the transection blade.

🔍 Key Findings

40 dogs underwent splenectomy using 16 bipolar vessel sealing devices (VSDs)
Devices were reused up to 4 times after handwashing and ethylene oxide (EtO) sterilization
Biologic debris was found in 100% of devices, specifically under the transection blade, even after a single use

  • Mostly scant (14/16) or mild (2/16) debris

No devices or debris yielded positive aerobic culture after EtO sterilization
EtO sterilization proved microbiologically effective despite visible residue
Perioperative failure rate: 1 device (malfunctioned during first activation)

Folk

Veterinary Surgery

3

2025

Incidence of residual biologic debris and contamination of reused bipolar vessel sealing devices after ethylene oxide sterilization following splenectomy

2025-3-VS-folk-2

Article Title: Incidence of residual biologic debris and contamination of reused bipolar vessel sealing devices after ethylene oxide sterilization following splenectomy

Journal: Veterinary Surgery

In Grimes 2022 et al., on PDA rupture risks, what factor was significantly associated with increased residual flow after PDA ligation?

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Correct. Residual flow was significantly more likely when rupture occurred and ligation was not achieved.
Incorrect. The correct answer is Residual flow after rupture without ligation.
Residual flow was significantly more likely when rupture occurred and ligation was not achieved.

🔍 Key Findings

  • Rupture occurred in 7.0% of dogs undergoing surgical PDA ligation (20/285).
  • Overall mortality was low (0.4%), with only one death occurring post-rupture.
  • Residual flow occurred in 9.4% of dogs; significantly more common in dogs with rupture.
  • Residual flow odds were not increased when ligation was successfully performed despite rupture.
  • No significant associations between rupture and age, weight, suture size, or dissection technique.
  • Jackson-Henderson and intrapericardial techniques were helpful in managing rupture or fibrosis.
  • Major complications (non-rupture) were rare (1.4%), including pulmonary artery ligation and cardiac arrest.
  • Surgeon preparedness (e.g., hemostatic tools, alternate techniques) was key to successful outcomes.

Grimes

Veterinary Surgery

4

2022

Surgical ligation of patent ductus arteriosus in dogs: Incidence and risk factors for rupture

2022-4-VS-grimes-2

Article Title: Surgical ligation of patent ductus arteriosus in dogs: Incidence and risk factors for rupture

Journal: Veterinary Surgery

In Larose 2024 et al., on laparoscopic liver biopsies in dogs, what was the key clinical implication of using a 3 mm CBF in small dogs for liver biopsy?

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Correct. Despite smaller samples, the 3 mm CBF yielded adequate tissue for diagnosis in most dogs.
Incorrect. The correct answer is It was sufficient for histologic diagnosis.
Despite smaller samples, the 3 mm CBF yielded adequate tissue for diagnosis in most dogs.

🔍 Key Findings

  • Histologic agreement between 3 mm and 5 mm biopsies was 90%, with a Gwet's AC1 of 0.81 (p < .0001).
  • 5 mm biopsies yielded significantly more portal triads and lobules than 3 mm samples (p = .0003 and p < .0001).
  • Crush artifacts were significantly higher in 3 mm samples (p = .035), though fragmentation scores were similar (p = .935).
  • Both forceps produced adequate samples for histopathology, copper quantification, and bacterial culture.
  • No hemorrhage requiring intervention occurred, and both sizes were deemed safe and minimally invasive.
  • Surface area ≥40 mm² strongly predicted ≥11 portal triads, a desirable threshold for reliable histopathology.
  • Use of 3 mm instruments was easier in small dogs (<12 kg), but more challenging in larger dogs due to shaft length.
  • Clinical diagnoses were unaffected by forceps size, even in the one discordant histologic pair.

Larose

Veterinary Surgery

4

2024

Comparing 3 mm and 5 mm laparoscopic liver biopsy samples in dogs

2024-4-VS-larose1-4

Article Title: Comparing 3 mm and 5 mm laparoscopic liver biopsy samples in dogs

Journal: Veterinary Surgery

In García 2025 et al., on TIAS shunt confirmation, what best describes the overall safety of the technique?

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Correct. TIAS was safe with only mild bleeding at the injection site in all dogs, which resolved quickly.
Incorrect. The correct answer is Minor splenic bleeding easily controlled.
TIAS was safe with only mild bleeding at the injection site in all dogs, which resolved quickly.

🔍 Key Findings

  • 40 dogs with congenital EHPSS were surgically treated using intraoperative transsplenic injection of agitated saline (TIAS) to assess full temporary occlusion.
  • TIAS was successful in 38/40 dogs; the remaining 2 had additional shunting vessels not originally seen and required further identification/ligation.
  • No intraoperative or postoperative complications occurred.
  • TIAS allowed real-time confirmation of attenuation success using ultrasound-visible microbubbles.
  • Median postoperative bile acids were 5 μmol/L (preprandial) and 25 μmol/L (postprandial).
  • Long-term outcomes: 29/39 dogs had excellent, 10/39 had good outcomes; 3 dogs died unrelated to EHPSS.
  • Technique is presented as a safe, quick, low-cost, accessible intraoperative assessment alternative to IOMP or SP.

Garcia

Veterinary Surgery

2

2025

Use of intraoperative transsplenic injection of agitated saline to confirm temporary full attenuation of congenital extrahepatic portosystemic shunts in dogs

2025-2-VS-garcia-5

Article Title: Use of intraoperative transsplenic injection of agitated saline to confirm temporary full attenuation of congenital extrahepatic portosystemic shunts in dogs

Journal: Veterinary Surgery

In Peterson 2022 et al., on crescent guide in TPLO, what was the primary benefit observed in novice surgeons using the crescent guide over other devices?

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Correct. Use of the crescent guide resulted in significantly less medial cortical damage compared to the radial guide and standard jig.
Incorrect. The correct answer is Reduced medial cortical damage.
Use of the crescent guide resulted in significantly less medial cortical damage compared to the radial guide and standard jig.

🔍 Key Findings

  • Crescent guide use resulted in significantly less medial cortical damage (mean 3.8 mm²) than the radial saw guide (35.7 mm²) and standard jig (51.3 mm²) in bone models.
  • No significant difference in osteotomy accuracy (distance of eccentricity, coronal or axial angulation) among crescent guide, radial guide, or standard jig in either bone models or cadavers.
  • Device application time was shortest with the crescent guide and longest for the radial saw guide.
  • Osteotomy time was fastest with the crescent guide compared to the radial saw guide (P = .015).
  • Participants rated the crescent guide easier to apply than both the radial saw guide (P < .005) and the standard jig (P = .015).
  • 5 of 6 novice participants preferred the crescent guide over the other devices for performing TPLO.
  • Subjective ease of osteotomy performance was higher with the crescent guide vs. radial guide (P < .001).
  • Crescent guide does not assist in fragment stabilization or plateau rotation unlike a standard TPLO jig.

Peterson

Veterinary Surgery

3

2022

Evaluation of a crescent saw guide for tibial plateau‐leveling osteotomy: An ex vivo study

2022-3-VS-peterson-1

Article Title: Evaluation of a crescent saw guide for tibial plateau‐leveling osteotomy: An ex vivo study

Journal: Veterinary Surgery

In Mazdarani 2022 et al., on CBLO and stifle biomechanics, what was the effect of adding **hamstring loading (29 N)** in CCLx or MMR limbs?

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Correct. Hamstring load reduced or delayed onset of CTT, enhancing stifle stability, especially following MMR.
Incorrect. The correct answer is It delayed or prevented CTT, improving stability.
Hamstring load reduced or delayed onset of CTT, enhancing stifle stability, especially following MMR.

🔍 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-3

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

In Bergen 2024 et al., on biliary stent use, what material was used for most BEMBS?

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Correct. MP35N cobalt alloy was the most commonly used stent material.
Incorrect. The correct answer is MP35N cobalt alloy.
MP35N cobalt alloy was the most commonly used stent material.

🔍 Key Findings Summary

  • Subjects: 11 animals (8 dogs, 3 cats)
  • Technique: Uncovered balloon-expandable metallic biliary stents (BEMBS)
  • Indications: Cholelithiasis, strictures, neoplasia, cholangiohepatitis, etc.
  • Success: Patency achieved in all animals surviving to discharge
  • Complications:
    • Short-term mortality: 2/11 (1 euthanized for SIRS, 1 unknown)
    • Long-term issues: cholangiohepatitis, choledocholithiasis, stent occlusion (in cats only)
  • Long-term patency:
    • Dogs: median 650.5 days
    • Cats: median 446 days
  • Stent removal possible even after >600 days in some cats
  • Clinical outcome: Viable alternative to plastic stents or cholecystoenterostomy

Bergen

Veterinary Surgery

2

2024

Clinical use of uncovered balloon‐expandable metallic biliary stents for treatment of extrahepatic biliary tract obstructions in cats and dogs: 11 cases (2012–2022)

2024-2-VS-bergen-2

Article Title: Clinical use of uncovered balloon‐expandable metallic biliary stents for treatment of extrahepatic biliary tract obstructions in cats and dogs: 11 cases (2012–2022)

Journal: Veterinary Surgery

In Araos 2024 et al., on helmet CPAP in brachycephalic postoperative dogs, what was the helmet CPAP treatment protocol in terms of pressure and duration?

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Correct. CPAP was delivered at 5 cmH₂O for 1 hour using a veterinary-specific helmet.
Incorrect. The correct answer is 5 cmH₂O for 1 hour.
CPAP was delivered at 5 cmH₂O for 1 hour using a veterinary-specific helmet.

🔍 Key Findings

  • CPAP at 5 cmH₂O via helmet significantly improved PaO₂/FiO₂ ratio in the early postoperative period of brachycephalic dogs, supporting enhanced pulmonary oxygen exchange (p = .04).
  • CPAP had no significant effect on SpO₂ (p = .9), PaCO₂ (p = .18), or rectal temperature (p = .5).
  • Helmet tolerance decreased over time, with 13 dogs withdrawn for intolerance (9 CPAP, 4 control) and 6 dogs withdrawn for airway compromise (5 control, 1 CPAP).
  • CPAP group maintained PaO₂/FiO₂ ratios near or above 400 mmHg, while control dogs showed consistently lower values.
  • Authors suggest PaO₂/FiO₂ is a more reliable oxygenation measure than SpO₂ for evaluating postoperative lung function.
  • The study found no cases of hyperthermia; temperatures normalized over time in both groups.
  • Arterial catheterization failed in several dogs, limiting blood gas analysis to a subset of the population.
  • Authors recommend further studies focused on BOAS patients and exploring longer-duration CPAP use to assess impact on critical outcomes like tracheostomy rates or hospitalization.

Araos

Veterinary Surgery

5

2024

Effect of continuous positive airway pressure helmet on respiratory function following laparoscopic surgery in healthy dogs

2024-5-VS-araos-2

Article Title: Effect of continuous positive airway pressure helmet on respiratory function following laparoscopic surgery in healthy dogs

Journal: Veterinary Surgery

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