Your Custom Quiz

In Jones 2024 et al., on elbow OA cysts, what best describes the presence of SBCs in radiographic OA grade 0 elbows?

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Correct. SBCs were absent in elbows without radiographic signs of OA (grade 0).
Incorrect. The correct answer is No SBCs were detected.
SBCs were absent in elbows without radiographic signs of OA (grade 0).

🔍 Key Findings Summary

  • Sample: 38 Labrador Retrievers (76 elbows)
  • SBCs (subchondral bone cysts):
    • Not found in elbows without OA
  • Increased number and size with OA severity:
    • Grade 1: median 3 SBCs
    • Grade 2: 9 SBCs
    • Grade 3: 20 SBCs (p < .001)
    • Larger SBCs in more severe OA (OR = 1.056, p = .012)
  • Locations: 62% humerus, 28% ulna, 10% radius
  • Sex and Age Effects:
    • Older dogs had larger SBCs (p = .013)
    • Female dogs had smaller SBCs (p = .002)
    • SBC number unrelated to age or sex

Jones

Veterinary Surgery

2

2024

Evaluation of subchondral bone cysts in canine elbows with radiographic osteoarthritis secondary to elbow dysplasia

2024-2-VS-jones-3

Article Title: Evaluation of subchondral bone cysts in canine elbows with radiographic osteoarthritis secondary to elbow dysplasia

Journal: Veterinary Surgery

In Clarke 2022 et al., on nasopharyngeal collapse severity, what was the statistical outcome of comparing pre- and postoperative collapse measurements?

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Correct. The comparison yielded a p-value of .0505, suggesting a trend but not statistical significance.
Incorrect. The correct answer is Mild improvement, not statistically significant (p = .0505).
The comparison yielded a p-value of .0505, suggesting a trend but not statistical significance.

🔍 Key Findings

  • Nasopharyngeal collapse was significantly more severe in brachycephalic dogs (median 65%) than in nonbrachycephalic controls (median 10%) (p = .0001).
  • Postoperative fluoroscopy showed no significant improvement in nasopharyngeal collapse (p = .0505), despite reported clinical improvement.
  • 70% of brachycephalic dogs had ≥50% collapse; 26% had 100% collapse preoperatively.
  • All owners of surgical cases reported clinical improvement, including reduced respiratory noise and improved exercise tolerance.
  • Surgical techniques used included combinations of alaplasty, staphylectomy, sacculectomy, and tonsillectomy.
  • Improvement in nasopharyngeal dimensions was variable, with some dogs improving ≥45%, some worsening, and one dog showing a 100% increase post-op.
  • Pharyngeal collapse may not be solely anatomical; neuromuscular dysfunction (e.g., reduced pharyngeal dilator muscle function) may contribute.
  • Current surgical techniques may not address functional airway abnormalities, suggesting a need for multimodal or targeted interventions.

Clarke

Veterinary Surgery

6

2022

Severity of nasopharyngeal collapse before and after corrective upper airway surgery in brachycephalic dogs

2022-6-VS-clarke-3

Article Title: Severity of nasopharyngeal collapse before and after corrective upper airway surgery in brachycephalic dogs

Journal: Veterinary Surgery

In Von Pfeil 2024 et al., on acute ulnar shortening in dogs, what was the median time to radiographic bone healing?

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Correct. Median bone healing time was 8 weeks, with a range of 4–14 weeks.
Incorrect. The correct answer is 8 weeks.
Median bone healing time was 8 weeks, with a range of 4–14 weeks.

🔍 Key Findings

  • All dogs (11/11) showed improved radiohumeral articulation postoperatively, confirmed arthroscopically.
  • Median shortening: radioulnar (3.2 mm), humeroradial (1.8 mm), humeroulnar (1.2 mm).
  • Median lameness score improved from 2/4 to 1/4 by final follow-up.
  • Bone healing achieved in a median of 8 weeks (range: 4–14 weeks).
  • No major complications; minor issues included 1 screw loosening and 1 superficial infection.
  • Subjective function was graded full in 4 dogs, acceptable in 7.
  • Arthroscopy enabled accurate dynamic joint assessment, preferred over static radiographs.
  • Use of both orthopedic wire and plating provided secure fixation and improved outcomes.

Von Pfeil

Veterinary Surgery

3

2024

Outcomes of 11 dogs with short radius syndrome treated with acute arthroscopically assisted ulnar shortening

2024-3-VS-pfeil-1

Article Title: Outcomes of 11 dogs with short radius syndrome treated with acute arthroscopically assisted ulnar shortening

Journal: Veterinary Surgery

In Mullen 2024 et al., on NIRF for GDV, which region showed significantly lower fluorescence intensity in nonviable gastric tissue?

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Correct. Fundic fluorescence was significantly reduced in nonviable tissue (4.33%) vs viable GDV cases (38.17%).
Incorrect. The correct answer is Fundus.
Fundic fluorescence was significantly reduced in nonviable tissue (4.33%) vs viable GDV cases (38.17%).

🔍 Key Findings

  • NIRF altered surgical strategy in 3 of 20 GDV dogs, identifying necrosis not appreciated subjectively.
  • Fundic fluorescence <10% indicated histologically confirmed gastric necrosis.
  • In 1 dog, NIRF revealed nonviability despite the surgeon’s impression of viability.
  • Staple line fluorescence resembled viable tissue in the only stapled gastrectomy, suggesting preservation of perfusion.
  • GDV dogs (even “viable”) showed lower fluorescence vs. healthy controls, indicating subclinical vascular compromise.
  • Histology confirmed full-thickness necrosis in all 4 dogs with NIRF-defined nonviability.
  • Pre-op lactate was significantly higher in nonviable GDV dogs (8.55 vs 4.89 mmol/L, p=0.03).
  • No complications were reported from ICG use; imaging was safe and repeatable.

Mullen

Veterinary Surgery

4

2024

Use of real-time near-infrared fluorescence to assess gastric viability in dogs with gastric dilatation volvulus: A case-control study

2024-4-VS-mullen-1

Article Title: Use of real-time near-infrared fluorescence to assess gastric viability in dogs with gastric dilatation volvulus: A case-control study

Journal: Veterinary Surgery

In Wang 2025 et al., on TPLO osteotomy alignment, what was a potential **advantage of using intraoperative fluoroscopy** in challenging cases?

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Correct. Intraoperative fluoroscopy allowed dynamic limb repositioning and real-time targeting of the intercondylar eminence to improve alignment.
Incorrect. The correct answer is Provides real-time adjustment for precise osteotomy alignment.
Intraoperative fluoroscopy allowed dynamic limb repositioning and real-time targeting of the intercondylar eminence to improve alignment.

🔍 Key Findings

  • Fluoroscopy-guided osteotomy placement achieved a median postoperative TPA of (range: 0–4.5°), showing excellent accuracy.
  • The D1 measurement (from patellar ligament insertion to osteotomy exit) was more reproducible and accurate intraoperatively than D2.
  • Median R1 value (D1-based) matched the intended 21 mm radius with only 0.5 mm deviation, while R2 deviated by 2.5 mm.
  • Real-time fluoroscopy allowed dynamic limb positioning and reduced osteotomy placement variability.
  • Intraoperative fluoroscopy reduced reliance on preoperative planning, especially in cases with difficult anatomy or positioning.
  • Radiation exposure was minimal (avg. 3 images per case) and within safe limits using standard protection protocols.
  • Study standardized to 21 mm blades and excluded dogs with developmental orthopedic conditions to reduce confounders.
  • Targeting a lower postoperative TPA (3°) may reduce meniscal load and cranio-caudal instability, though long-term outcomes require further study.

Wang

Veterinary Surgery

7

2025

Accuracy of fluoroscopy-guided osteotomy placement in TPLO: Postoperative tibial plateau angle and preoperative planning evaluation

2025-7-VS-wang-4

Article Title: Accuracy of fluoroscopy-guided osteotomy placement in TPLO: Postoperative tibial plateau angle and preoperative planning evaluation

Journal: Veterinary Surgery

In Boullenger 2025 et al., on traumatic patellar luxation, what was a proposed strategy to improve FPS outcomes in large or active dogs?

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Correct. The study suggests alternative isometric anchoring techniques (e.g. femoral condyle bone tunnel) may reduce FPS failure.
Incorrect. The correct answer is Use femoral condyle bone tunnel instead of fabella.
The study suggests alternative isometric anchoring techniques (e.g. femoral condyle bone tunnel) may reduce FPS failure.

🔍 Key Findings

  • Patients: 16 (11 dogs, 5 cats); 6.1% of canine and 23.8% of feline PL cases were traumatic.
  • Most common luxation direction: Medial (81.3%).
  • Surgery: All had capsular imbrication; 75% had fabello-patellar suture (FPS).
  • Short-term results (13/16 cases):
    • 77% had no lameness by 2 months.
    • 85% had no PL recurrence.
    • 3 severe complications: capsulorrhaphy tear, FPS fabellar tear, septic arthritis.
  • Long-term results (13/16 cases):
    • 85% lameness-free.
    • 77% full function; 23% acceptable.
    • 0 reluxations reported by owners.

Boullenger

Veterinary and Comparative Orthopedics and Traumatology

1

2025

Clinical Presentation, Surgical Treatment, and Outcome of Traumatic Patellar Luxation in 11 Dogs and 5 Cats: A Single-Centre Retrospective Study between 2011 and 2022

2025-1-VC-boullenger-5

Article Title: Clinical Presentation, Surgical Treatment, and Outcome of Traumatic Patellar Luxation in 11 Dogs and 5 Cats: A Single-Centre Retrospective Study between 2011 and 2022

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Downey 2023 et al., on thoracoscopic lobectomy, what was the long-term outcome for dogs that survived to discharge?

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Correct. One dog had persistent cough due to cardiac disease; others had no recurrence over a median 24 months.
Incorrect. The correct answer is One had mild persistent cough, others had no recurrence.
One dog had persistent cough due to cardiac disease; others had no recurrence over a median 24 months.

🔍 Key Findings

  • Thoracoscopic (TL) or thoracoscopic-assisted (TAL) lobectomy was successfully performed in 12 dogs with non-neoplastic pulmonary consolidation (PC).
  • 44% (4/9) of TL cases were converted to open thoracotomy due to adhesions or poor visualization—higher than rates for neoplastic lobectomies.
  • OLV was successful in 7/9 TL dogs; unsuccessful attempts were managed with intermittent ventilation, mostly in brachycephalic breeds.
  • Median hospital stay was 3 days; 91.7% (11/12) survived to discharge, and 100% of survivors showed no recurrence at median 24-month follow-up.
  • Complications were mostly minor: pneumothorax (2), minor hemorrhage (3), dehiscence (1), and 1 fatality due to BOAS complications.
  • Histopathology showed infectious pneumonia in 10 dogs, and in 4 cases, foreign body migration was suspected as the underlying cause.
  • Median surgical time for TL was 90 minutes; conversion correlated with longer symptom duration (median 90 vs. 7 days).
  • Postoperative recovery was excellent in all surviving dogs, with one case of persistent cough attributed to concurrent heart disease.

Downey

Veterinary Surgery

7

2023

Evaluation of long‐term outcome after lung lobectomy for canine non‐neoplastic pulmonary consolidation via thoracoscopic or thoracoscopic‐assisted surgery in 12 dogs

2023-7-VS-downey-5

Article Title: Evaluation of long‐term outcome after lung lobectomy for canine non‐neoplastic pulmonary consolidation via thoracoscopic or thoracoscopic‐assisted surgery in 12 dogs

Journal: Veterinary Surgery

In McCarthy 2022 et al., on 3D drill guide accuracy, how did CT and 3D analysis compare in assessing drill angles?

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Correct. A correlation coefficient of r = 0.77 indicated good agreement.
Incorrect. The correct answer is Strong correlation existed between CT and 3D analysis.
A correlation coefficient of r = 0.77 indicated good agreement.

🔍 Key Findings

  • 3D-printed drill guides (3D-GDT) significantly reduced craniocaudal and dorsoventral drilling angle deviation compared to free-hand drilling technique (FHDT), with statistical significance (p < .0001 and p = .01 respectively).
  • No sacral corridor breaches occurred with 3D-GDT, whereas FHDT resulted in 20% drill exit incidences (3/15 cases).
  • 3D-GDT had lower deviation from optimal drill trajectory at end points in all axes: craniocaudal (1.84 ± 1.6 mm vs. 4.18 ± 2.4 mm), dorsoventral (1.11 ± 1.0 mm vs. 2.4 ± 1.5 mm), and 3D linear (2.47 ± 1.4 mm vs. 5.35 ± 2.2 mm), all statistically significant.
  • Strong correlation (r = 0.77) between CT and 3D software measurements validated method reliability.
  • 3D guide trajectories showed consistent proximity to the optimal trajectory, especially at drill endpoints, indicating reduced variability in execution.
  • 3D-GDT was developed using open-source software and inexpensive materials, supporting future clinical application.
  • Major errors in FHDT occurred primarily at the drill endpoint, underscoring the challenge of maintaining optimal angulation during free-hand drilling.
  • The sacral corridor was recharacterized as pyramidal (not quadrilateral), with implications for safer implant placement.

McCarthy

Veterinary Surgery

1

2022

Accuracy of a drilling with a custom 3D printed guide or free‐hand technique in canine experimental sacroiliac luxations

2022-1-VS-mccarthy-4

Article Title: Accuracy of a drilling with a custom 3D printed guide or free‐hand technique in canine experimental sacroiliac luxations

Journal: Veterinary Surgery

In Glenn 2024 et al., on overall diagnostic performance, which algorithm had the highest accuracy?

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Correct. Algorithm 3 had the highest overall accuracy (95.5%), balancing sensitivity and specificity.
Incorrect. The correct answer is Algorithm 3.
Algorithm 3 had the highest overall accuracy (95.5%), balancing sensitivity and specificity.

🔍 Key Findings Summary

  • Population: 754 soft tissue or orthopedic procedures in dogs and cats
  • SSI Rate: 62/754 (8.2%)
  • Algorithms Evaluated:
    • Algorithm 1: Highest sensitivity (87.1%) → best for "rule-out"
    • Algorithm 2: Highest specificity (97.9%) → best for "rule-in"
    • Algorithm 3: Highest overall accuracy (95.5%)
  • Active vs. Passive Surveillance:
    • Active surveillance detected 12 additional SSIs (19.4%) missed by passive
    • Active surveillance increased detection rate by 24%
  • Timing: Most SSIs occurred within 30 days; late infections (after 90 days) were rare and implant-related
  • Conclusion: Client questionnaires are a valid and scalable tool for SSI detection; active surveillance improves outcomes

Glenn

Veterinary Surgery

1

2024

Evaluation of a client questionnaire at diagnosing surgical site infections in an active surveillance system

2024-1-VS-glenn-4

Article Title: Evaluation of a client questionnaire at diagnosing surgical site infections in an active surveillance system

Journal: Veterinary Surgery

In Antonakakis 2022 et al., on telovelar tumor resection, what histologic feature supported a diagnosis of choroid plexus carcinoma?

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Correct. The tumor exhibited moderate atypia and a mitotic index of 9 per 10 HPFs, suggestive of carcinoma.
Incorrect. The correct answer is High mitotic index (9/10 HPF).
The tumor exhibited moderate atypia and a mitotic index of 9 per 10 HPFs, suggestive of carcinoma.

🔍 Key Findings

  • Telovelar approach enabled complete resection of a fourth ventricle choroid plexus tumor in a dog without postoperative complications.
  • Postoperative MRI confirmed gross total tumor removal, and the dog remained neurologically normal 28 months post-surgery.
  • The tela choroidea was used as a surgical landmark and incised to allow atraumatic access to the tumor.
  • Cerebellum was spared using this technique, minimizing risk of cerebellar injury (e.g., cerebellar mutism).
  • No hemorrhagic complications were noted during surgery due to dissection through avascular planes.
  • Histopathology favored choroid plexus carcinoma based on mitotic index (9/10 HPFs), though definitive diagnosis remained pending.
  • The case highlights the utility of telovelar over transvermian approach, given its minimally traumatic nature and improved exposure.
  • Survival beyond 2 years without adjunctive therapy suggests surgical excision alone may be curative in select cases.

Antonakakis

Veterinary Surgery

8

2022

Use of a telovelar approach for complete resection of a choroid plexus tumor in a dog

2022-8-VS-antonakakis-4

Article Title: Use of a telovelar approach for complete resection of a choroid plexus tumor in a dog

Journal: Veterinary Surgery

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