Your Custom Quiz

In Knudsen 2024 et al., on CTA diagnosis, what was the maximum reported sensitivity of multidetector CTA for detecting meniscal lesions?

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Correct. Sensitivity reached 100% in second readings by some observers.
Incorrect. The correct answer is 100%.
Sensitivity reached 100% in second readings by some observers.

🔍 Key Findings

  • Multidetector CTA had high sensitivity (up to 100%) and specificity (up to 96%) for detecting medial meniscal tears in dogs.
  • Observer experience significantly influenced diagnostic accuracy, with more experienced observers showing higher agreement and better performance.
  • Training effect was evident, as less experienced observers improved between first and second readings.
  • Positive likelihood ratios ≥4.6 and negative likelihood ratios ≤0.08 were observed, suggesting CTA is clinically useful for confirming or ruling out meniscal injury.
  • CTA allowed identification of full and partial thickness lesions, with good visualization in sagittal, transverse, and frontal reconstructions.
  • Approximately 90% of menisci were correctly classified in second readings.
  • No adverse reactions were noted from the contrast injection; sedation was used instead of general anesthesia.
  • CTA was less invasive and potentially more cost-effective compared to arthroscopy, especially in settings without MRI access.

Knudsen

Veterinary Surgery

8

2024

Diagnosis of medial meniscal lesions in the canine stifle using multidetector computed tomographic positive-contrast arthrography

2024-8-VS-knudsen-1

Article Title: Diagnosis of medial meniscal lesions in the canine stifle using multidetector computed tomographic positive-contrast arthrography

Journal: Veterinary Surgery

In De Moya 2025 et al., on antebrachial deformity correction, which surgical maneuver was used to correct antebrachiocarpal incongruency?

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Correct. The radioulnar ligament was transected to allow mobility of the distal radial segment for angular correction and carpal congruity.
Incorrect. The correct answer is Radioulnar ligament transection.
The radioulnar ligament was transected to allow mobility of the distal radial segment for angular correction and carpal congruity.

🔍 Key Findings

  • CESF with distraction osteogenesis restored elbow congruity and normalized aLDRA in skeletally immature dogs with PCDRP.
  • Radial head subluxation was eliminated in all dogs, and elbow incongruity reduced significantly (from 6.1 mm to 0.3 mm, p <.01).
  • Mean radial lengthening of 22.6 mm (∼11% of normal length) was achieved, but only 80% of recorded distraction translated to length gain.
  • Major complications occurred in 2/12 dogs: one with permanent carpal contracture, one with radial fracture at wire tract.
  • Minor complications (e.g., carpal pain, restricted extension, synostosis, pin tract issues) were noted in 10/12 dogs but generally resolved.
  • Owner surveys (8/12 dogs) reported good to excellent long-term function, even up to 6 years post-op.
  • Radial valgus deformities were moderate (mean 15°) and less severe than deformities from ulnar physeal closure.
  • Surgical strategy included staged distraction, with radial or combined radius/ulna distraction guided by fluoroscopy and adjusted per case.

De Moya

Veterinary Surgery

6

2025

Treatment of antebrachial deformities secondary to premature closure of the distal radial physis using circular external skeletal fixation and distraction osteogenesis in skeletally immature dogs

2025-6-VS-demoya-5

Article Title: Treatment of antebrachial deformities secondary to premature closure of the distal radial physis using circular external skeletal fixation and distraction osteogenesis in skeletally immature dogs

Journal: Veterinary Surgery

In Karydas 2025 et al., on follow-up radiography, what was the clinical outcome in dogs with radiographic abnormalities but no clinical concerns?

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Correct. In 3.5% of dogs, radiographs showed K-wire migration without clinical signs, and no intervention was needed.
Incorrect. The correct answer is Required no treatment.
In 3.5% of dogs, radiographs showed K-wire migration without clinical signs, and no intervention was needed.

🔍 Key Findings

139 immature dogs with humeral condylar fractures (HCF) reviewed retrospectively.
Postoperative plan changed in 17% (23/139) of cases.
Key risk factors for plan change:

  • Owner concerns (OR: 7.6)
  • Analgesic use at follow-up (OR: 7.9)
  • Lameness (OR: 5.9)
  • Abnormal clinical exam (OR: 44.8)
  • Radiographic abnormalities (OR: 51.9)

No plan changes were based solely on radiographs when clinical signs were absent.
Supracondylar K-wire migration noted in 3.5% of dogs without affecting the clinical plan.
Authors conclude that routine follow-up radiographs offer limited value without concurrent clinical indicators.

Karydas

Veterinary Surgery

2

2025

Impact of postoperative radiography on the management of humeral condylar fractures in immature dogs

2025-2-VS-karydas-3

Article Title: Impact of postoperative radiography on the management of humeral condylar fractures in immature dogs

Journal: Veterinary Surgery

In Sadowitz 2023 et al., on screw angle & speed, what clinical recommendation is supported to reduce TCF risk?

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Correct. The authors recommend slow, coaxial screw insertion to minimize the risk of transcortical fractures.
Incorrect. The correct answer is Insert screws slowly and coaxially to the pilot hole.
The authors recommend slow, coaxial screw insertion to minimize the risk of transcortical fractures.

2023-8-VS-sadowitz-5

Article Title:

Journal:

In McClean 2025 et al., on shoulder arthrocentesis techniques, which of the following best summarizes the accuracy comparison between SA and ST techniques?

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Correct. SA was 50% accurate; ST was 44% — not statistically different (p = .8).
Incorrect. The correct answer is No significant difference in accuracy.
SA was 50% accurate; ST was 44% — not statistically different (p = .8).

🔍 Key Findings

  • Study Type: Cadaveric study using 36 paired canine shoulders (n = 18 per group: Subacromial [SA] and Supratubercular [ST])
  • Survey Results: 75% of clinicians preferred SA technique; 25% used ST
Accuracy Outcomes:
  • Complete accuracy: 50% (SA), 44% (ST) — no significant difference (p = .8)
  • Partial accuracy: 39% (SA), 50% (ST)
  • Complete miss: 11% (SA), 5.6% (ST)
Safety Outcomes (India Ink Assay for Iatrogenic Articular Cartilage Injury [IACI]):
  • Incidence of IACI:
    • SA: 50% (9/18 shoulders)
    • ST: 11% (2/18 shoulders) → statistically significant (p = .007)
  • Lesion depth: All ST lesions were partial-thickness; SA group had one full-thickness lesion (p = .027)
  • Location: Lesions found on glenoid and humeral head with even distribution in SA; only one each in ST
Clinical Implications:
  • Landmark-guided injections were ≤50% completely accurate, even by an experienced operator.
  • ST technique is safer with lower risk of cartilage damage, despite similar accuracy.
  • Findings support considering image-guided techniques to improve both safety and accuracy in clinical settings.

Mcclean

Veterinary Surgery

4

2025

Accuracy and safety of two landmark‐guided techniques for arthrocentesis and intra‐articular injection of the shoulder in dogs

2025-4-VS-mcclean-3

Article Title: Accuracy and safety of two landmark‐guided techniques for arthrocentesis and intra‐articular injection of the shoulder in dogs

Journal: Veterinary Surgery

In Levine 2025 et al., on thoracoscopic pericardiectomy, which approach avoided the need for one-lung ventilation?

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Correct. ILR enabled bilateral ventilation and avoided the need for OLV.
Incorrect. The correct answer is Intercostal in left lateral recumbency (ILR).
ILR enabled bilateral ventilation and avoided the need for OLV.

🔍 Key Findings

Study design: Randomized cadaveric comparison (n=20 dogs; ILR vs PDR)

Approaches:

  • ILR = Intercostal in Left Lateral Recumbency (no OLV required)
  • PDR = Paraxiphoid in Dorsal Recumbency (traditional)

Outcomes:

  • Pericardiectomy time was shorter for ILR (p = .045)
  • Pericardial fragment size was significantly larger in PDR group (p = .004; 23.21 cm² difference)
  • Visibility and cardiac exposure were superior in PDR group

Feasibility:

  • ILR approach was consistently successful in achieving partial pericardiectomy
  • Bilateral ventilation was adequate; no need for OLV

Clinical relevance:

  • ILR may improve efficiency when paired with TDL
  • PDR remains preferable for cases requiring maximal pericardial resection

Levine

Veterinary Surgery

1

2025

Intercostal thoracoscopic pericardiectomy in left lateral recumbency: A cadaveric study of feasibility, efficiency, and extent of pericardial resection

2025-1-VS-levine-2

Article Title: Intercostal thoracoscopic pericardiectomy in left lateral recumbency: A cadaveric study of feasibility, efficiency, and extent of pericardial resection

Journal: Veterinary Surgery

In Jeong 2025 et al., on contoured saw guide vs jig, what was a key outcome in terms of osteotomy *inclination* on cadaver limbs?

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Correct. The contoured guide significantly reduced osteotomy inclination deviation, improving perpendicularity (p = .008).
Incorrect. The correct answer is Contoured guide showed more accurate inclination angle (1.2° vs. 4.3°)..
The contoured guide significantly reduced osteotomy inclination deviation, improving perpendicularity (p = .008).

🔍 Key Findings

  • TPLO with the contoured saw guide achieved more accurate osteotomy angles for both inclination and torsion in bone models and cadaveric limbs (p < .05).
  • Medial cortical damage was significantly lower with the contoured guide (247 vs. 1866 pixels in bone models; p < .001).
  • No significant difference in eccentricity (distance between actual and intended osteotomy center) was found between groups.
  • Postoperative tibial plateau angle (TPA) was similar between groups (6.4° vs. 7.6°; p = .15), though both were slightly higher than the target of 6°.
  • Deviation in medial mechanical proximal tibial angle (mMPTA) showed no significant group difference; valgus deformity occurred in both.
  • Osteotomy and device application times were similar between the contoured guide and jig-assisted TPLO.
  • The contoured guide eliminated the need for proximal jig pin, potentially reducing intra-articular pin risk.
  • The guide's multiple pin fixation system improved stability and alignment, supporting safer osteotomy on curved tibial surfaces.

Jeong

Veterinary Surgery

7

2025

Evaluation of a contoured saw guide for tibial plateau leveling osteotomy in dogs

2025-7-VS-jeong-1

Article Title: Evaluation of a contoured saw guide for tibial plateau leveling osteotomy in dogs

Journal: Veterinary Surgery

In Thibault 2023 et al., on DPO for THR luxation, what angle of lateral opening (ALO) is associated with an increased risk of craniodorsal luxation in total hip replacements?

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Correct. An ALO greater than 60° is considered a risk factor for craniodorsal luxation, as supported by this and prior studies.
Incorrect. The correct answer is >60°.
An ALO greater than 60° is considered a risk factor for craniodorsal luxation, as supported by this and prior studies.

2023-8-VS-thibault-2

Article Title:

Journal:

In Scott 2023 et al., on thoracoscopic-assisted lung lobectomy, what was the **minimum bodyweight** of dogs in which the procedure was successfully performed?

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Correct. TA lung lobectomy was successfully performed in dogs as small as 3 kg, expanding MIS feasibility to smaller patients.
Incorrect. The correct answer is 3 kg.
TA lung lobectomy was successfully performed in dogs as small as 3 kg, expanding MIS feasibility to smaller patients.

🔍 Key Findings

  • TA lung lobectomy was feasible in dogs ≥3 kg, including those with lesions up to 10 cm.
  • 12 intraoperative complications (40%) occurred, with 6 dogs (20%) converted to open thoracotomy, mainly due to adhesions or inability to isolate lobes.
  • Postoperative complications occurred in 8 dogs (27%), most were mild (63%), and only 1 death (3%) was reported.
  • Median hospitalization was 47 hours; 29/30 dogs were discharged successfully.
  • One-lung ventilation (OLV) was attempted in 7 dogs but successfully maintained in only 4.
  • Linear staplers had shorter surgery times (median 57.5 min) than endoscopic staplers (80 min).
  • Histopathology confirmed neoplasia in 77% of cases, most commonly papillary and bronchioalveolar carcinoma.
  • TA lobectomy allows MIS in smaller dogs or with large lesions, avoiding need for full thoracotomy or complex anesthesia/stapling.

Scott

Veterinary Surgery

1

2023

Complications and outcomes of thoracoscopic-assisted lung lobectomy in dogs

2023-1-VS-scott-4

Article Title: Complications and outcomes of thoracoscopic-assisted lung lobectomy in dogs

Journal: Veterinary Surgery

In Giansetto 2022 et al., on preputial urethrostomy, what was the primary indication for performing the novel technique in all 4 dogs?

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Correct. Each dog presented with a traumatic or acquired urethral lesion not manageable by standard techniques.
Incorrect. The correct answer is Urethral rupture or stenosis.
Each dog presented with a traumatic or acquired urethral lesion not manageable by standard techniques.

🔍 Key Findings

  • Modified preputial urethrostomy without penile amputation was successfully performed in 4 male dogs with urethral stenosis or trauma.
  • The technique involved anastomosis of the pelvic urethra to the preputial mucosa via caudal celiotomy, avoiding perineal urethrostomy complications.
  • No cases of skin scalding or stoma stenosis were reported during short- and long-term follow-up.
  • Two dogs developed mild urinary incontinence, particularly when excited; one improved with phenylpropanolamine.
  • The approach preserved local anatomy, avoiding penile amputation, osteotomies, and preputial dissection.
  • Postoperative urinary catheterization was used to protect the anastomosis, although optimal duration remains debated.
  • Surgical access via the linea alba minimized tension at the anastomosis site and avoided complications from paramedian approaches.
  • This technique may serve as a viable alternative to prepubic urethrostomy, reducing urine-related skin complications and improving cosmetic outcome.

Giansetto

Veterinary Surgery

8

2022

Preputial urethrostomy with preservation of the local anatomy in 4 dogs

2022-8-VS-giansetto-3

Article Title: Preputial urethrostomy with preservation of the local anatomy in 4 dogs

Journal: Veterinary Surgery

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