Your Custom Quiz

In Janas 2024 et al., on ARC outcomes in cats, what percentage of cats with long-term follow-up had a good or excellent outcome?

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Correct. 16 of 18 cats with long-term follow-up had good or excellent outcomes.
Incorrect. The correct answer is 89%.
16 of 18 cats with long-term follow-up had good or excellent outcomes.

🔍 Key Findings:

  • Study design: Retrospective, 20 cats with congenital EHPSS treated with ameroid ring constrictor (ARC).
  • Perioperative complication rate: 25% (5/20), including seizures, blindness, ascites, and one death.
  • Short-term outcomes (18 cats):
    • Excellent: 14
    • Good: 2
    • Poor: 2
  • Long-term outcomes (18 cats):
    • Excellent: 15
    • Good: 1
    • Poor: 2
  • Persistent seizures: Noted in some cats despite normal bile acids and CBC/chemistry.
  • Preoperative blindness resolved in most cats.
  • Mean follow-up duration: Median 8 years.

Janas

Veterinary Surgery

2

2024

Clinical outcomes for 20 cats with congenital extrahepatic portosystemic shunts treated with ameroid constrictor ring attenuation (2002–2020)

2024-2-VS-janas-4

Article Title: Clinical outcomes for 20 cats with congenital extrahepatic portosystemic shunts treated with ameroid constrictor ring attenuation (2002–2020)

Journal: Veterinary Surgery

In Kimura 2025 et al., on mini-THA in <4 kg dogs, which intraoperative tool improved acetabular and femoral positioning?

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Correct. Fluoroscopy allowed accurate implant placement in cases with femoral sclerosis or acetabular deformation:contentReference[oaicite:2]{index=2}.
Incorrect. The correct answer is Fluoroscopy.
Fluoroscopy allowed accurate implant placement in cases with femoral sclerosis or acetabular deformation:contentReference[oaicite:2]{index=2}.

🔍 Key Findings

  • Zurich mini-cementless THA was successful in 9/10 hips in dogs <4 kg, with no lameness at 52 weeks in completed cases.
  • Helsinki Chronic Pain Index significantly improved from a mean of 19.8 to 2.3 at 52 weeks (p = 0.0141).
  • Fluoroscopy improved implant positioning, especially in LCPD and HD cases, aiding in accurate reaming and alignment.
  • Intraoperative complications occurred in 2/10 cases, including acetabular fractures; one case required discontinuation.
  • Prophylactic bicortical screws and reinforcement plates were used in cases with rotational instability or cortical compromise and were effective in preventing loosening/fractures.
  • Medial patellar luxation improved postoperatively in one dog, though recurrence was noted later without surgical correction.
  • No stem or implant loosening or fracture occurred over a mean follow-up of 24.4 months.
  • CT is recommended in preoperative planning, particularly in luxoid hip dysplasia cases with uncertain bone stock.

Kimura

Veterinary Surgery

6

2025

Long‐term outcomes of 10 dogs weighing less than 4 kg after Zurich mini‐cementless total hip arthroplasty

2025-6-VS-kimura-3

Article Title: Long‐term outcomes of 10 dogs weighing less than 4 kg after Zurich mini‐cementless total hip arthroplasty

Journal: Veterinary Surgery

In Lampart 2023 et al., on manual laxity testing, which test showed the greatest interobserver variability in compressive force applied?

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Correct. CD showed poor interobserver agreement for force application (ICC = 0.44), likely due to examiner experience and hand positioning.
Incorrect. The correct answer is Cranial drawer test.
CD showed poor interobserver agreement for force application (ICC = 0.44), likely due to examiner experience and hand positioning.

🔍 Key Findings

  • Cranial drawer (CD), tibial compression (TCT), and tibial pivot compression test (TPCT) showed 100% sensitivity and specificity in differentiating intact from CCL-deficient stifles in this ex vivo model.
  • TPCT elicited the highest cranial tibial translation (CTT) and internal tibial rotation, though differences in rotation did not reach statistical significance.
  • Inter- and intraobserver agreement for CTT was excellent across all tests (ICC >0.9).
  • Rotation and force application had greater variability, particularly with less experienced observers and during CD.
  • Forces applied during CD were significantly higher in intact limbs and correlated with observer experience.
  • Subjective CTT estimates strongly correlated with objective kinematic measurements (r = 0.895), with a median absolute error of 1.31 mm.
  • TPCT may be particularly useful for assessing rotational instability, mimicking the pivot-shift test used in human ACL exams.
  • Study supports development of a grading system for manual laxity testing, especially in acute CCLR cases.

Lampart

Veterinary Surgery

5

2023

Evaluation of the accuracy and intra‐ and interobserver reliability of three manual laxity tests for canine cranial cruciate ligament rupture—An ex vivo kinetic and kinematic study

2023-5-VS-lampart-4

Article Title: Evaluation of the accuracy and intra‐ and interobserver reliability of three manual laxity tests for canine cranial cruciate ligament rupture—An ex vivo kinetic and kinematic study

Journal: Veterinary Surgery

In Santos 2025 et al., on feline MPL morphology, what is the clinical implication regarding femoral or tibial corrective osteotomies?

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Correct. Differences in aLDFA and TTA were statistically significant but clinically small; osteotomy not routinely recommended.
Incorrect. The correct answer is Femoral and tibial angular correction generally not indicated.
Differences in aLDFA and TTA were statistically significant but clinically small; osteotomy not routinely recommended.

🔍 Key Findings

Sample: 21 cats (10 control, 11 affected); 14 normal limbs vs 18 with MPL (MPL II: 7, MPL III: 11).

Significantly different CT measurements in MPL vs control:

  • aLDFA: MPL II > control and MPL III (p = 0.014)
  • FTW: MPL III > control (p = 0.021)
  • FTD: control > MPL II and III (p < 0.001)
  • TTA: MPL II and III had increased external tibial torsion vs control (p < 0.001)
  • fPL and PV: MPL III cats had longer and more voluminous patellae

No significant differences in AA, mMPTA, TTD, fPW, aPH.
Patella width exceeded trochlear width in all groups.
Authors suggest femoral and tibial angular correction may not be indicated in most feline MPL II–III cases.
Soft tissue techniques and trochleoplasty warrant further investigation.
CT method: Intraobserver ICC good in 64%, interobserver poor in 36% of metrics.

Santos

Veterinary and Comparative Orthopedics and Traumatology

1

2025

Computed Tomographic Measurement Method for Morphoanatomical Comparison of Femur, Tibia, and Patella in Cats with and without Medial Patellar Luxation

2025-1-VC-santos-5

Article Title: Computed Tomographic Measurement Method for Morphoanatomical Comparison of Femur, Tibia, and Patella in Cats with and without Medial Patellar Luxation

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Knudsen 2024 et al., on CTA diagnostic accuracy, what was the combined sensitivity and specificity range in the second reading?

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Correct. The article reported sums of sensitivity and specificity of approximately 1.8 in the second reading, indicating clinically useful performance.
Incorrect. The correct answer is 1.6–1.9.
The article reported sums of sensitivity and specificity of approximately 1.8 in the second reading, indicating clinically useful performance.

🔍 Key Findings Summary

  • Study Design: Prospective case series of 52 scans from 44 dogs with CCL injury.
  • Main Technique: 16-slice CTA; evaluated by 3 observers with varying experience; validated against surgical mini-medial arthrotomy findings.
  • Diagnostic Metrics (Reading 2):
    • Sensitivity: 1.00 (Observers 1 & 2), 0.93 (Observer 3)
    • Specificity: 0.78–0.91
    • Positive Likelihood Ratio: Up to 10.71
    • Negative Likelihood Ratio: As low as 0.08
    • Accuracy: 90%+ for all in Reading 2
  • Observer Effect: Significant improvement between first and second reading for less experienced observers (p < 0.05); learning curve evident.
  • Meniscal lesions found:
    • 9/12 in suspected late meniscal injury cases
    • 19/40 in newly diagnosed CCL cases
    • Most common = bucket handle tears
  • Conclusion: Multidetector CTA is a clinically useful, non-invasive tool for identifying medial meniscal lesions in dogs with CCL disease.

Knudsen

Veterinary Surgery

1

2024

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

2024-1-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 Lemmon 2025 et al., on synovitis severity scoring, what was concluded about the impact of bucket handle meniscal tears on synovitis severity?

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Correct. Meniscal tears were not significantly associated with synovitis grade.
Incorrect. The correct answer is They had no significant effect.
Meniscal tears were not significantly associated with synovitis grade.

🔍 Key Findings

Synovitis was present in 100% of canine stifles with CCL disease (n = 163).

The most frequent severity score was 3/5 (55.2%), followed by 4/5 (24.5%).

Higher synovitis scores were significantly associated with:

  • Higher median cartilage scores (p = .042, OR = 2.1 per unit increase)
  • Longer duration of clinical signs (p < .001, OR = 1.27 per month)

Bodyweight (p = .083) and sex (p = .17) were not statistically significant in multivariable analysis.

Bucket handle meniscal tears were not associated with synovitis severity.

Clinical implication: Earlier intervention may help reduce synovitis and slow OA progression.

Lemmon

Veterinary Surgery

3

2025

Arthroscopic synovitis severity scoring in canine stifles with cranial cruciate ligament disease

2025-3-VS-lemmon-4

Article Title: Arthroscopic synovitis severity scoring in canine stifles with cranial cruciate ligament disease

Journal: Veterinary Surgery

In Cola 2024 et al., on laparotomy-assisted endoscopy, how did LAER affect the need for postoperative analgesia compared to traditional enterotomy?

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Correct. LAER patients had a shorter duration of analgesia (median 36 h vs 48 h, p < .001).
Incorrect. The correct answer is LAER reduced analgesia duration.
LAER patients had a shorter duration of analgesia (median 36 h vs 48 h, p < .001).

🔍 Key Findings

  • LAER was effective (partial or complete) in 35/40 cases, regardless of FB location or type.
  • Intestinal wall damage significantly increased the likelihood of conversion to enterotomy (p = .043).
  • LAER led to significantly shorter hospitalization (median 48 h vs 72 h; p = .006).
  • Patients in the LAER group required less postoperative analgesia (median 36 h vs 48 h; p < .001).
  • Faster return to spontaneous feeding was seen in LAER group (median 24 h vs 36 h; p = .012).
  • No significant difference in complication rate or postoperative ileus between LAER and enterotomy groups.
  • Sharp, linear, or multiple FBs did not significantly affect LAER effectiveness.
  • Conversion to surgery was required in 5/40 LAER attempts, mostly due to immovable FBs or intestinal damage.

Cola

Veterinary Surgery

7

2024

Laparotomy‐assisted endoscopic removal of gastrointestinal foreign bodies: Evaluation of this technique and postoperative recovery in dogs and cats

2024-7-VS-cola-3

Article Title: Laparotomy‐assisted endoscopic removal of gastrointestinal foreign bodies: Evaluation of this technique and postoperative recovery in dogs and cats

Journal: Veterinary Surgery

In Zann 2023 et al., In Long-term outcomes after proximal humeral OC debridement in dogs, how did kinetic gait analysis compare affected and unaffected limbs?

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Correct. Kinetic data showed no significant differences, despite mild lameness noted clinically.
Incorrect. The correct answer is No significant differences in PVF or VI.
Kinetic data showed no significant differences, despite mild lameness noted clinically.

🔍 Key Findings

  • 20 dogs (26 shoulders) evaluated at mean 3.5 years post-surgery after arthroscopic or open debridement.
  • Ipsilateral muscle atrophy and decreased range of motion (↓ extension, ↓ flexion) in affected limbs compared to contralateral healthy shoulders.
  • All treated shoulders developed osteoarthritis, confirmed radiographically, by CT, and arthroscopically.
  • Moderate to severe synovitis was present in all shoulders; lesions showed patchy, incomplete cartilage infilling even up to 8.9 years post-op.
  • Kinetic gait analysis showed no significant differences in PVF/VI between affected and unaffected limbs, despite mild lameness clinically.
  • Owners reported good to very good mobility (median LOAD = 6), often underestimating clinical lameness.
  • CT detected larger lesion dimensions than radiographs (wider, deeper defects).
  • Despite progression of OA, surgical debridement was associated with satisfactory long-term function, though not prevention of degenerative changes.

Zann

Veterinary Surgery

7

2023

Long-term outcome of dogs treated by surgical debridement of proximal humeral osteochondrosis

2023-7-VS-zann-5

Article Title: Long-term outcome of dogs treated by surgical debridement of proximal humeral osteochondrosis

Journal: Veterinary Surgery

In Thomsen 2024 et al., on CT accuracy for liver tumors, what level of inter-rater agreement (kappa) was reported for liver division localization?

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Correct. Kappa values were as high as 0.885, indicating excellent agreement among radiologists for division-level localization.
Incorrect. The correct answer is Excellent.
Kappa values were as high as 0.885, indicating excellent agreement among radiologists for division-level localization.

🔍 Key Findings

  • CT localization of liver masses was more accurate by division (88%) than by lobe (74.3%)
  • Inter-radiologist agreement was excellent for division (kappa up to 0.885) and only moderate–good for lobe
  • Quadrate and right lateral lobes had significantly lower localization accuracy compared to left lateral or medial lobes
  • CT localization of the left division was most accurate (90.1%) compared to central (77.1%) and right (88.3%)
  • Portal and hepatic venous phases were equally helpful for localization (each ~30–38% usefulness)
  • No significant associations found between histopathologic diagnosis and localization accuracy
  • Lobe-level CT localization should be interpreted with caution, especially for the quadrate and right lateral lobes
  • Radiologist experience likely influenced accuracy, with the most experienced radiologist performing best

Thomsen

Veterinary Surgery

7

2024

Computed tomography scan accuracy for the prediction of lobe and division of liver tumors by four board-certified radiologists

2024-7-VS-thomsen-4

Article Title: Computed tomography scan accuracy for the prediction of lobe and division of liver tumors by four board-certified radiologists

Journal: Veterinary Surgery

In Fidelis 2025 et al., on suture eyelet geometry, what effect did **cyclic loading** have on maximum failure load (Fmax)?

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Correct. Cyclic loading did not significantly alter failure load in any anchor-suture group.
Incorrect. The correct answer is No effect of cyclic loading on Fmax.
Cyclic loading did not significantly alter failure load in any anchor-suture group.

🔍 Key Findings

  • Raised eyelets caused more suture mid-section failures than embedded eyelets, suggesting wear or cutting against the anchor.
  • No significant effect of cyclic loading on failure load (Fmax) was found for any anchor group.
  • Anika anchor showed the least reduction in suture strength relative to the reference (eyebolt screw), indicating a favorable design.
  • All sutures failed via suture breakage, not anchor pullout, indicating suture fatigue was the primary failure mode.
  • Sutures in raised eyelets more often failed at the mid-section, while those in embedded eyelets failed at the knot.
  • IMEX and Jorvet anchors showed significantly reduced Fmax compared to eyebolt screws.
  • Loading direction and anchor design likely affect wear and ultimate failure, particularly in dynamic in vivo conditions.
  • Future designs should aim for embedded, smooth eyelets that can accommodate larger suture sizes without increasing wear.

Fidelis

Veterinary Surgery

6

2025

Effect of suture anchor type, eyelet configuration, and loading condition on suture failure: An in vitro study

2025-6-VS-fidelis-4

Article Title: Effect of suture anchor type, eyelet configuration, and loading condition on suture failure: An in vitro study

Journal: Veterinary Surgery

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