Your Custom Quiz

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

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
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 Barrett 2023 et al., on complication grading systems, what was the **main limitation** in applying the aCD system to veterinary cases?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. The aCD system's reliability dropped when assessors misclassified these outcomes as complications.
Incorrect. The correct answer is Difficulty distinguishing sequelae and failure to cure from true complications.
The aCD system's reliability dropped when assessors misclassified these outcomes as complications.

🔍 Key Findings

  • Cook system had good reliability across all cases (ICC = 0.848), even when complications, sequelae, and failure-to-cure were included.
  • aCD system had excellent reliability when excluding sequelae/failure-to-cure cases (ICC = 0.975) but only moderate reliability when including them (ICC = 0.620).
  • Majority of complications (60–63%) were graded as Grade 3 in the aCD system, corresponding to surgical or anesthetic intervention.
  • Cook system classified most cases (78–81%) as major complications.
  • Assessors had difficulty distinguishing sequelae from Grade 1 complications, and failure-to-cure from Grades 1–2, reducing aCD reliability.
  • The aCD system offers more resolution (5 grades vs. 3) and less subjectivity through objective definitions.
  • Novel terminology (e.g., sequelae, failure to cure) in the aCD system may hinder its uptake without proper training.
  • Reclassifying expected events (e.g., swelling, bruising) as sequelae could significantly reduce reported complication rates in other studies.

Barrett

Veterinary Surgery

1

2023

Comparison of two postoperative complication grading systems after treatment of stifle and shoulder instability in 68 dogs

2023-1-VS-barrett-2

Article Title: Comparison of two postoperative complication grading systems after treatment of stifle and shoulder instability in 68 dogs

Journal: Veterinary Surgery

In Duffy 2022 et al., on crotch suture techniques, which group had the **lowest resistance to leakage**, sometimes leaking below physiologic pressures?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. NCS constructs sometimes leaked at <25 mm Hg, which is below normal canine peristaltic pressures.
Incorrect. The correct answer is No crotch suture (NCS).
NCS constructs sometimes leaked at <25 mm Hg, which is below normal canine peristaltic pressures.

🔍 Key Findings

  • Augmenting FEESA with two simple interrupted crotch sutures (TCS) or simple continuous crotch suture (SCCS) significantly increased initial leakage pressure (ILP) compared to no suture or a single suture (NCS, SICS).
  • SCCS had the highest ILP (47.6 mm Hg), followed by TCS (37.8 mm Hg), SICS (33.0 mm Hg), and NCS (27.1 mm Hg).
  • All crotch suture types increased maximal leakage pressure (MLP) compared to no crotch suture.
  • Leakage from the crotch occurred most commonly in NCS (67%) and SICS (50%), but only 8% with TCS and 0% with SCCS.
  • SCCS was the only technique where leakage never occurred at the crotch site.
  • SCCS had the highest MLP (100.6 mm Hg), supporting its use in clinical settings with high-risk patients.
  • Intraluminal pressures during leakage in NCS constructs were sometimes below normal physiologic pressures, emphasizing risk of leakage without crotch suture.
  • The transverse staple line never leaked in any group, indicating the crotch is the primary weak point.

Duffy

Veterinary Surgery

4

2022

Influence of crotch suture augmentation on leakage pressure and leakage location during functional end-to-end stapled anastomoses in dogs

2022-4-VS-duffy-3

Article Title: Influence of crotch suture augmentation on leakage pressure and leakage location during functional end-to-end stapled anastomoses in dogs

Journal: Veterinary Surgery

In Rodiño Tilve 2022 et al., on feline THR outcomes, what was the median postoperative FMPI-short form score?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. The FMPI-sf improved from 2.111 pre-op to 0.111 post-op (P < .001).
Incorrect. The correct answer is 0.111.
The FMPI-sf improved from 2.111 pre-op to 0.111 post-op (P < .001).

🔍 Key Findings

From “Long-term follow up of 44 cats undergoing total hip replacement” by Rodiño Tilve et al.

  • Slipped capital femoral epiphysis (SCFE) was the most common surgical indication (61%, 34/56 hips), primarily affecting young neutered male cats.
  • All THRs used cemented micro/nano BioMedtrix implants; most common femoral stem was size #3, and most common acetabular cup was 12 mm.
  • Postoperative complication rate was 19.6% (11/56) with 9 major complications (luxation most common), and no intraoperative complications reported.
  • All luxations occurred in hips implanted with femoral neck +0 mm length implants.
  • Second luxations were more common when revision used same implant size; use of larger implants reduced reluxation rates.
  • FMPI-sf score improved significantly from median 2.111 pre-op to 0.111 post-op (P < .001), indicating reduced pain and improved function.
  • Very high owner satisfaction: 91% (30/33) reported outcome as "very good."
  • No significant associations found between complications and variables like weight, sex, implant size, or surgical indication.

Rodiño Tilve

Veterinary Surgery

5

2022

Long‐term follow up of 44 cats undergoing total hip replacement: Cases from a feline hip registry (2010–2020)

2022-5-VS-rodino-4

Article Title: Long‐term follow up of 44 cats undergoing total hip replacement: Cases from a feline hip registry (2010–2020)

Journal: Veterinary Surgery

In Boullenger 2025 et al., on traumatic patellar luxation, what was the total proportion of cases experiencing severe complications?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Three of 14 animals (21.4%) had severe complications including FPS or capsular suture failure.
Incorrect. The correct answer is 21.4%.
Three of 14 animals (21.4%) had severe complications including FPS or capsular suture 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-4

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 Pfeil 2024 et al., on fluoroscopic pinning, how many cases showed pin migration?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. No cases of pin migration were reported in this cohort.
Incorrect. The correct answer is 0.
No cases of pin migration were reported in this cohort.

🔍 Key Findings

  • Fluoroscopically guided normograde metabone pinning (FGNMP) was used to treat 17 animals (15 dogs and 2 cats) with 57 metabone fractures, including various fracture configurations (short-oblique body, physeal, and comminuted).
  • All 57 fractures were stabilized using intramedullary pins via FGNMP. The study exclusively focused on pin fixation and did not include screws or combined fixation techniques.
  • Median surgical time was 54 minutes (range 26–99 min), indicating efficient procedural execution.
  • Radiographic bone union was achieved in all fractures, with a median time to union of 6 weeks (range 4–12 weeks). Union was confirmed in all initially non-united fractures on follow-up.
  • No major complications were reported. A single pressure sore at the olecranon resolved uneventfully, and no pin migration or osteomyelitis was observed.
  • Pin extensions were noted radiographically (e.g., 42% distal subchondral overextension), but were not associated with clinical problems.
  • Fluoroscopic guidance improved implant accuracy and preserved soft tissue, enabling effective fracture alignment and stabilization using this minimally invasive osteosynthesis (MIO) approach.
  • The authors concluded that FGNMP is an effective, safe, and minimally invasive method for a variety of metabone fracture types, yielding quick recovery, fast healing, and good to excellent long-term functional outcomes in all 17 cases.

Pfeil

Veterinary Surgery

5

2024

Outcomes of 15 dogs and two cats with metabone fractures treated with fluoroscopically guided normograde metabone pinning

2024-5-VS-pfeil-5

Article Title: Outcomes of 15 dogs and two cats with metabone fractures treated with fluoroscopically guided normograde metabone pinning

Journal: Veterinary Surgery

In Nicetto 2024 et al., what was the most common complication after TRP implantation?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Minor complications included grade 1 lameness from periarticular fibrosis; only one case had luxation recurrence.
Incorrect. The correct answer is Periarticular fibrosis.
Minor complications included grade 1 lameness from periarticular fibrosis; only one case had luxation recurrence.

🔍 Key Findings Summary

  • 48 dogs (60 stifles) underwent custom 3D-printed TRP implantation for patellar luxation
  • 24 treated with TRP alone; 36 with additional procedures (e.g., DFO, TTT)
  • Success rate: 59/60 corrected patellar tracking
  • Functional outcome: 57/60 full function, 2 acceptable, 1 unacceptable
  • Complication rate: 3 total (2 minor, 1 major recurrence)
  • TRP spares cartilage unlike trochleoplasty, offering implant-based ridge augmentation
  • No implant loosening or infection observed

Nicetto

Veterinary and Comparative Orthopedics and Traumatology

2

2024

Trochlear Ridge Prostheses for Reshaping Femoral Trochlear Ridges in Dogs with Patellar Luxation

2024-2-VCOT-nicetto-2

Article Title: Trochlear Ridge Prostheses for Reshaping Femoral Trochlear Ridges in Dogs with Patellar Luxation

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Duffy 2022 et al., on crotch suture techniques, why are two simple interrupted sutures (TCS) or SCCS considered superior to a single suture (SICS)?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. TCS and SCCS better distribute tension at the crotch, reducing leakage risk.
Incorrect. The correct answer is They improve tension distribution at the crotch.
TCS and SCCS better distribute tension at the crotch, reducing leakage risk.

🔍 Key Findings

  • Augmenting FEESA with two simple interrupted crotch sutures (TCS) or simple continuous crotch suture (SCCS) significantly increased initial leakage pressure (ILP) compared to no suture or a single suture (NCS, SICS).
  • SCCS had the highest ILP (47.6 mm Hg), followed by TCS (37.8 mm Hg), SICS (33.0 mm Hg), and NCS (27.1 mm Hg).
  • All crotch suture types increased maximal leakage pressure (MLP) compared to no crotch suture.
  • Leakage from the crotch occurred most commonly in NCS (67%) and SICS (50%), but only 8% with TCS and 0% with SCCS.
  • SCCS was the only technique where leakage never occurred at the crotch site.
  • SCCS had the highest MLP (100.6 mm Hg), supporting its use in clinical settings with high-risk patients.
  • Intraluminal pressures during leakage in NCS constructs were sometimes below normal physiologic pressures, emphasizing risk of leakage without crotch suture.
  • The transverse staple line never leaked in any group, indicating the crotch is the primary weak point.

Duffy

Veterinary Surgery

4

2022

Influence of crotch suture augmentation on leakage pressure and leakage location during functional end-to-end stapled anastomoses in dogs

2022-4-VS-duffy-5

Article Title: Influence of crotch suture augmentation on leakage pressure and leakage location during functional end-to-end stapled anastomoses in dogs

Journal: Veterinary Surgery

In Latifi 2024 et al., on fascial mapping in the canine hindlimb, what was the recommended surgical principle for distal limb resections where deep fascial margins are poor?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. This principle helps avoid unnecessary complexity and flap contamination when deep margins are not feasible.
Incorrect. The correct answer is If you can't go deep, don't go wide.
This principle helps avoid unnecessary complexity and flap contamination when deep margins are not feasible.

🔍 Key Findings

  • This anatomical study mapped fascial planes of the canine hindlimb and pelvis to aid superficial tumor resection.
  • Type I fascia (discrete sheets) was suitable for deep margins in fascia lata, lateral crus, and gluteal regions.
  • Areas with poor or absent fascia included the ischiorectal fossa, femoral triangle, stifle extensor mechanism, and pes.
  • Type IV fascia associated with periosteum (e.g., patella, tibial tuberosity) required partial ostectomy for inclusion in surgical margins.
  • Nerves at risk during deep dissection included obturator, superficial peroneal, and tibial nerves, particularly in regions with weak fascia.
  • In males, bulbospongiosus muscle could act as a fascial plane but dissection was challenging and potentially hemorrhagic.
  • In females, constrictor vulvae/vestibulae muscles were tightly associated with mucosa, limiting clean resection options.
  • Distal hindlimb resections often lacked a usable fascial plane, suggesting that amputation or adjuvant therapy may be more appropriate.

Latifi

Veterinary Surgery

3

2024

Fascial plane mapping for superficial tumor resection in dogs: Part III – Hindlimb and pelvis

2024-3-VS-latifi-5

Article Title: Fascial plane mapping for superficial tumor resection in dogs: Part III – Hindlimb and pelvis

Journal: Veterinary Surgery

In Cantatore 2022 et al., on transanal submucosal resection, which of the following was independently associated with increased recurrence risk following surgery?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Incomplete margins were independently associated with recurrence (P = .023).
Incorrect. The correct answer is Incomplete surgical margins.
Incomplete margins were independently associated with recurrence (P = .023).

🔍 Key Findings

  • Submucosal resection via a transanal approach was associated with a low rate (1.1%) of major complications and prolonged survival across benign and malignant rectal tumors.
  • Overall recurrence rate was 21.5%, with higher recurrence in malignant tumors: 28.6% (carcinomas) and 30.4% (carcinoma in situ) vs. 13.6% (adenomas).
  • Complications (P = .032) and incomplete margins (P = .023) were independently associated with increased recurrence risk.
  • Recurrence was the only factor associated with increased risk of tumor-related death (P = .046).
  • Repeat submucosal resection was successful in 60% of dogs with recurrence, indicating feasibility of this as a salvage approach.
  • 1-, 2-, and 5-year survival rates for carcinomas were 95%, 89%, and 73%, though overall survival was significantly longer for benign tumors (P = .001).
  • Preoperative diagnostics (FNA, biopsy) were often inconsistent with final histopathology – only 64.3% biopsy agreement.
  • Presurgical imaging was not consistently performed, limiting accurate staging in many dogs.

Cantatore

Veterinary Surgery

3

2022

Submucosal resection via a transanal approach for treatment of epithelial rectal tumors – a multicenter study

2022-3-VS-cantatore-2

Article Title: Submucosal resection via a transanal approach for treatment of epithelial rectal tumors – a multicenter study

Journal: Veterinary Surgery

Quiz Results

Previously Missed Questions
70%

You answered 7 out of 10 questions correctly

Question 1:

❌ Incorrect. You answered: Answer

Correct answer:

Rationale

Question 1:

✅ Correct! You answered: Answer

Rationale

Author: Journal Name - 2025

Article Title

Key Findings

Something off with this question?
Tell us what needs fixing—drop your note below.

You’re flagging: [question text]

Thanks for your feedback!
We’ll review your comment as soon as possible.
Oops! Something went wrong while submitting the form.