Your Custom Quiz

In Vodnarek 2024 et al., on method comparison, which statement is true regarding the **anatomically adjusted method**?

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Correct. The anatomically adjusted method measured LMin/LMax at the rostral tip of the epiglottis.
Incorrect. The correct answer is It used the epiglottis as a landmark.
The anatomically adjusted method measured LMin/LMax at the rostral tip of the epiglottis.

🔍 Key Findings

  • Study population: 36 brachycephalic dogs (20 French bulldogs, 16 pugs).
  • Objective: Compare intra- and interobserver reliability for fluoroscopic measurement of nasopharyngeal collapse using two methods:
    • Functional method
    • Anatomically adjusted method
  • Key measurements: Minimum (LMin), maximum (LMax) dorsoventral height, and dynamic change ratio (ΔL).
  • Outcomes:
    • Intraobserver agreement for ΔL was higher with the functional method (ICC 0.751 vs. 0.576).
    • Observer 1 (radiologist) showed excellent repeatability (>0.9 ICC).
    • Agreement for grading collapse was only moderate (κ ~0.49–0.53), worse than ΔL-based agreement.
    • ΔL ≥ 0.5 to <1 = partial collapse; ΔL = 1 = complete collapse.

Vodnarek

Veterinary Surgery

1

2024

Reliability of fluoroscopic examination of nasopharyngeal dorsoventral dimension change in pugs and French bulldogs

2024-1-VS-vodnarek-5

Article Title: Reliability of fluoroscopic examination of nasopharyngeal dorsoventral dimension change in pugs and French bulldogs

Journal: Veterinary Surgery

In Isono 2025 et al., on tibial malalignment in MPL, what clinical advantage does PTMTA provide over TTA in preoperative assessment?

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Correct. Unlike TTA, PTMTA can be visually estimated during palpation, improving clinical utility.
Incorrect. The correct answer is It can be assessed visually during palpation.
Unlike TTA, PTMTA can be visually estimated during palpation, improving clinical utility.

🔍 Key Findings

  • Proximal Tibia Metatarsal Angle (PTMTA) was significantly increased in dogs with grade 3 and 4 MPL, making it a useful marker for severity.
  • PTMTA strongly correlated with Tibial Torsion Angle (TTA) (r = 0.733) and Crural Rotation Angle (CRA) (r = 0.643), integrating multiple morphological deformities.
  • Grade 4 MPL cases showed significant internal tibial torsion, increased mMPTA, and decreased MDTT/PTW—indicating both rotation and medial displacement.
  • DTMTA was significantly more negative in grade 4, indicating a consistent pattern of internal foot rotation with disease severity.
  • PTMTA can be visually assessed during palpation, offering preoperative utility without CT.
  • Among toy poodles, PTMTA showed significant differences even between grades 3 and normal, suggesting breed-specific severity patterns.
  • Corrective osteotomy may need to address tibial as well as femoral deformities in severe MPL cases with high PTMTA.
  • Younger dogs with grade 4 MPL had more severe deformities, possibly due to early onset or developmental progression.

Isono

Veterinary and Comparative Orthopaedics and Traumatology

4

2025

Tibial Torsion Malalignment in Small Dogs with Medial Patellar Luxation

2025-4-VCOT-isono-3

Article Title: Tibial Torsion Malalignment in Small Dogs with Medial Patellar Luxation

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Thibault 2023 et al., on DPO for THR luxation, which factor was most associated with poor outcomes after DPO for THR luxation?

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Correct. Luxoid hips were disproportionately represented among dogs that reluxated or failed after DPO, likely due to soft tissue instability.
Incorrect. The correct answer is Luxoid hips prior to THR.
Luxoid hips were disproportionately represented among dogs that reluxated or failed after DPO, likely due to soft tissue instability.

🔍 Key Findings

  • Double pelvic osteotomy (DPO) reduced angle of lateral opening (ALO) by a median of 11° (p ≤ .001).
  • Despite ALO correction, THR reluxation occurred in 5/11 dogs, often within 7 days post-DPO.
  • Post-DPO ALO remained elevated (median 56°), with only 2 dogs achieving the recommended 35–45° range.
  • Explantation was required in 7/11 dogs (5 aseptic loosenings, 2 infections), suggesting poor long-term implant survival.
  • Dogs with luxoid hips were more likely to fail, even with corrected ALO, emphasizing soft tissue instability as a risk factor.
  • Compared to TPO (23° correction), DPO yielded a smaller ALO correction, possibly due to older dog population and less elastic pelvis.
  • No ventral luxation occurred post-DPO, unlike in TPO studies, likely due to more conservative ALO reduction.
  • Authors do not recommend routine DPO for THR luxation due to high complication and failure rates.

Thibault

Veterinary Surgery

8

2023

Poor success rates with double pelvic osteotomy for craniodorsal luxation of total hip prosthesis in 11 dogs

2023-8-VS-thibault-4

Article Title: Poor success rates with double pelvic osteotomy for craniodorsal luxation of total hip prosthesis in 11 dogs

Journal: Veterinary Surgery

In Miller 2024 et al., on staple vs. hand-sewn feline GI techniques, which construct had equivalent leak pressure to hand-sewn anastomosis but with significantly reduced completion time?

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Correct. SSA had similar leak resistance to HSA but took ~50% less time to complete.
Incorrect. The correct answer is Skin staple anastomosis (SSA).
SSA had similar leak resistance to HSA but took ~50% less time to complete.

🔍 Key Findings

  • Skin staple anastomosis (SSA) had comparable leak pressures to hand-sewn anastomosis (HSA) but required half the time to complete.
  • Skin staple enterotomy (SSE) had significantly lower leak pressures than hand-sewn enterotomy (HSE) and failed in 12/20 constructs during pressure testing.
  • HSE constructs took 8× longer to complete than SSE, but had much higher intraluminal pressure tolerance.
  • All SSE constructs leaked from the center, with 35% leaking immediately and 60% showing catastrophic failure.
  • SSA leakage occurred at the center in 40% of constructs, likely due to a learning curve in early samples.
  • All constructs had higher pressures than normal physiologic intestinal pressure (4.0 mmHg ±2.0), except some SSEs with immediate leaks.
  • Authors recommend SSA as a viable alternative with appropriate training but do not recommend SSE using the tested technique in live cats.
  • Staple size and placement technique are key factors; smaller or more precisely placed staples may reduce leak risk.

Miller

Veterinary Surgery

4

2024

Performance time and leak pressure of hand-sewn and skin staple intestinal anastomoses and enterotomies in cadaveric cats

2024-4-VS-miller-3

Article Title: Performance time and leak pressure of hand-sewn and skin staple intestinal anastomoses and enterotomies in cadaveric cats

Journal: Veterinary Surgery

In Song 2024 et al., on CT vs cystoscopy for ectopic ureters in dogs, what proportion of dogs were misclassified for CLA candidacy based on CT findings alone?

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Correct. 26% of cases were misclassified for CLA based on CT, underlining its limitations for treatment planning.
Incorrect. The correct answer is 26%.
26% of cases were misclassified for CLA based on CT, underlining its limitations for treatment planning.

🔍 Key Findings

  • CT correctly identified ectopic ureters in 91% of dogs, but missed 50% of normal ureters, limiting its negative predictive value.
  • Sensitivity for intramural ectopic ureters was 65%, while specificity was 71%, indicating moderate diagnostic performance.
  • Sensitivity for extramural ectopic ureters was only 29%, despite a high specificity of 97%.
  • CT was inaccurate in predicting ureteral orifice location, with sensitivity ranging from 0% to 76% depending on the site.
  • 26% of dogs were misclassified for cystoscopic laser ablation (CLA) eligibility based on CT findings alone.
  • Overall CT accuracy for CLA candidacy was 74%, but a significant minority would have been inappropriately treated.
  • Multivariate analysis found no predictive factors (e.g., colon distension, body weight) for when CT would be incorrect.
  • Authors recommend confirmatory cystoscopy to verify CT findings prior to treatment planning.

Song

Veterinary Surgery

3

2024

Receiver operating characteristics of computed tomography (CT) compared to cystoscopy in diagnosis of canine ectopic ureters: Thirty-five cases

2024-3-VS-song-4

Article Title: Receiver operating characteristics of computed tomography (CT) compared to cystoscopy in diagnosis of canine ectopic ureters: Thirty-five cases

Journal: Veterinary Surgery

In Loh 2024 et al., on treatment outcomes for CvHL in dogs, which nonsurgical method had the highest success rate?

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Correct. Hobbles achieved a 61.8% success rate, the highest among nonsurgical treatments.
Incorrect. The correct answer is Hobbles.
Hobbles achieved a 61.8% success rate, the highest among nonsurgical treatments.

🔍 Key Findings

  • Low-trauma events caused 82.9% of CvHL cases; Poodles and poodle-crosses represented 49.4% of cases.
  • Success rate of hobbles (61.8%) was significantly higher than closed reduction alone (10.3%) or Ehmer sling (18.5%).
  • Multivariate analysis found hobbles 7.62x more likely to succeed vs. closed reduction (p = .001).
  • Specialist surgeons had higher success with nonsurgical management (OR: 2.68; p = .047).
  • Older age associated with better outcomes (OR: 1.15 per year; p < .0005).
  • Ehmer sling is not recommended due to high failure and complication rates (60.6%).
  • Toggle rod stabilization had a high surgical success rate (88.2%) with low complication.
  • No link was found between CvHL and hip dysplasia or OA in most cases (only 2/108 showed OA).

Loh

Veterinary Surgery

4

2024

Caudoventral hip luxation in 160 dogs (2003–2023): A multicenter retrospective case series

2024-4-VS-loh-1

Article Title: Caudoventral hip luxation in 160 dogs (2003–2023): A multicenter retrospective case series

Journal: Veterinary Surgery

In Anderson 2025 et al., on liver hemostatic agents, how did the AG sponge perform compared to the PC sponge in terms of adhesion?

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Correct. Median adhesion scores were 2 (AG) vs. 1 (PC) with p < .001, and 0/22 AG vs. 6/23 PC scored zero adhesion.
Incorrect. The correct answer is The AG sponge had significantly better adhesion.
Median adhesion scores were 2 (AG) vs. 1 (PC) with p < .001, and 0/22 AG vs. 6/23 PC scored zero adhesion.

🔍 Key Findings

  • Study Design: Prospective, randomized clinical trial of 45 dogs undergoing liver biopsy or lobectomy.
  • Groups:
    • Adhesive gelatin sponge (AG) group (n=22)
    • Plain collagen sponge (PC) group (n=23)
  • Main Results:
    • At 5 minutes post-application, 10/20 PC dogs were still bleeding vs. 2/20 AG dogs (p = 0.0138).
    • AG had significantly better adhesion scores (median 2 vs. 1, p < 0.001).
    • Sponge dislodgement: 5/23 in PC group, 0/22 in AG group (p = 0.042).
    • Time to 50% hemostasis: AG = 2 min, PC = 4 min 49 sec.
  • Complications: No adverse events related to either sponge.
  • Conclusion: Adhesive gelatin sponges offered superior intraoperative adhesion and hemostatic control during canine liver surgery compared to collagen sponges.

Anderson

Veterinary Surgery

2

2025

A randomized comparison of an adhesive gelatin sponge and a plain collagen sponge for hemostatic control during canine liver surgery

2025-2-VS-anderson1-2

Article Title: A randomized comparison of an adhesive gelatin sponge and a plain collagen sponge for hemostatic control during canine liver surgery

Journal: Veterinary Surgery

In Lemmon 2025 et al., on synovitis severity scoring, what was the most common synovitis severity score observed during arthroscopy?

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Correct. Score 3/5 was the most frequently observed severity grade, present in 55.2% of joints.
Incorrect. The correct answer is 3/5.
Score 3/5 was the most frequently observed severity grade, present in 55.2% of joints.

🔍 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-1

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

Journal: Veterinary Surgery

In Brockman 2025 et al., on canine mitral valve repair outcomes, which of the following best explains the improvement in short-term outcomes over time?

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Correct. The authors emphasize team structure, standardization, and deliberate practice as key contributors to outcome improvement.
Incorrect. The correct answer is Structured multidisciplinary team and procedural consistency.
The authors emphasize team structure, standardization, and deliberate practice as key contributors to outcome improvement.

🔍 Key Findings

  • Overall survival to discharge: 107 of 132 dogs (81%)
  • Quartile improvement: Survival increased steadily from 67% in Q1 to 91% in Q4
    • Q1: 22/33 survived
    • Q2: 27/33
    • Q3: 28/33
    • Q4: 30/33
  • Statistical significance: Higher operative rank significantly associated with improved survival (p < .05)
  • Median cross clamp time (XCT): 73 min (range 40–165), but increased again in Q4
  • Fatalities (n=25) were often due to:
    • Failure to wean from CPB
    • Intracranial vascular events (stroke)
    • Intrathoracic hemorrhage
  • Breed representation: CKCS (23.5%), Chihuahua (22%), Crossbreeds (21%)
  • Stages of MMVD: Stage C (67%), Stage D (27%), Stage B2 (6%)
  • Emphasis on deliberate multidisciplinary teamwork for outcome improvement
  • Highlights importance of technical and non-technical team skills, procedural standardization, and consistent personnel

Brockman

Veterinary Surgery

4

2025

Improvement in short‐term outcome over time, in a single center embarking on a canine mitral valve repair program using a structured multidisciplinary approach

2025-4-VS-brockman-5

Article Title: Improvement in short‐term outcome over time, in a single center embarking on a canine mitral valve repair program using a structured multidisciplinary approach

Journal: Veterinary Surgery

In Oramas 2025 et al., on laparoscopic liver lobectomy, how many right lateral liver lobectomies were successfully performed?

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Correct. All 13 cadavers underwent successful right lateral lobectomy regardless of weight.
Incorrect. The correct answer is 13.
All 13 cadavers underwent successful right lateral lobectomy regardless of weight.

🔍 Key Findings

  • 13 cadaver dogs underwent laparoscopic right lateral liver lobectomy in sternal recumbency using a transdiaphragmatic intrathoracic trocar (ITT).
  • All lobectomies were successful, regardless of dog size.
  • Median total surgical time: 35.5 min; median lobectomy time: 18.5 min.
  • ITT port enhanced visualization and access to hilus.
  • No correlation between body weight and hilus access (p = .78).
  • Stronger correlation between liver lobe weight and lobectomy time (r = .73, p = .004).
  • Complication in 3/13 cases: Loss of insufflation due to balloon-tip port failure and pneumothorax.
  • Recommendation: Use a new balloon trocar per case in clinical applications to prevent failure.

Oramas

Veterinary Surgery

4

2025

Evaluation of sternal recumbency for laparoscopic right lateral liver lobectomy through a transdiaphragmatic port in a canine cadaveric population

2025-4-VS-oramas-4

Article Title: Evaluation of sternal recumbency for laparoscopic right lateral liver lobectomy through a transdiaphragmatic port in a canine cadaveric population

Journal: Veterinary Surgery

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