Your Custom Quiz

In Tobias 2025 et al., on frontal sinus mucoceles, what was a common minor postoperative complication seen in some dogs?

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Correct. Minor complications included transient swelling or nasal discharge; no major intraoperative issues were reported.
Incorrect. The correct answer is Swelling and nasal discharge.
Minor complications included transient swelling or nasal discharge; no major intraoperative issues were reported.

🔍 Key Findings

  • Frontal sinus mucoceles occurred in young dogs, often linked to prior skull trauma by 10 months of age.
  • All dogs presented with expansile, fluid-filled lesions causing facial swelling; CT showed multicentric bone erosion, including the frontal bone and cribriform plate.
  • Surgical options included frontal sinusotomy with either sinus lining ablation or re-establishment of nasofrontal drainage, with or without stenting.
  • Nasofrontal stenting led to long-term resolution in most dogs, although recurrence occurred in 4/8 dogs, requiring revision surgery in 3.
  • Complications were minor and included swelling or nasal discharge; no intraoperative complications were reported.
  • Histology confirmed sterile mucoceles with neutrophilic inflammation and mucin, and cultures were negative in all cases.
  • Guaifenesin was used postoperatively in several cases to reduce mucus viscosity; its benefit is unproven in dogs but may support drainage.

Tobias

Veterinary Surgery

6

2025

Clinical findings and outcomes of eight dogs with surgically treated frontal sinus mucoceles

2025-6-VS-tobias-4

Article Title: Clinical findings and outcomes of eight dogs with surgically treated frontal sinus mucoceles

Journal: Veterinary Surgery

In González Montaño 2023 et al., on traumatic pulmonary pseudocysts (TPP), which imaging modality identified TPPs in all cases?

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Correct. CT identified all TPPs, while radiographs only detected them in 64% of cases.
Incorrect. The correct answer is CT.
CT identified all TPPs, while radiographs only detected them in 64% of cases.

🔍 Key Findings

  • Traumatic pulmonary pseudocysts (TPP) were diagnosed in 11 patients (9 dogs, 2 cats) using CT after blunt trauma.
  • TPPs were identified on radiographs in 64% of cases that were CT-confirmed, highlighting the superior sensitivity of CT.
  • Most cases (7/10) were managed conservatively, with complete recovery and no TPP-related mortality.
  • Thoracic surgery (lung lobectomy) was performed in 3 dogs, due to persistent pneumothorax or large TPP with perceived risk of complications.
  • All pneumothorax cases were managed with thoracostomy tubes, and chest drains were used in 73% of cases.
  • Pneumothorax was present in 100% of patients, often bilateral, and pulmonary contusions were reported in 73%.
  • One cat was euthanized due to unrelated maxillofacial trauma; no deaths were attributed to TPP itself.
  • Long-term follow-up (median 768 days) revealed only 1 case with possible TPP-related pneumonia; others had no complications.

González Montaño

Veterinary Surgery

4

2023

Traumatic pulmonary pseudocysts in nine dogs and two cats

2023-4-VS-gonzalezmontano-1

Article Title: Traumatic pulmonary pseudocysts in nine dogs and two cats

Journal: Veterinary Surgery

In Isono 2025 et al., on tibial malalignment in MPL, which of the following was TRUE regarding the correlation findings?

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Correct. PTMTA had a strong positive correlation with TTA (r = 0.733) and CRA (r = 0.643).
Incorrect. The correct answer is PTMTA had a correlation coefficient of 0.733 with TTA.
PTMTA had a strong positive correlation with TTA (r = 0.733) and CRA (r = 0.643).

🔍 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-5

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

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In Miller 2024 et al., on intestinal obstruction and catheter technique in cats, which of the following was TRUE regarding intestinal dehiscence?

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Correct. Only two dehiscence cases were reported, both in cats with DFBOs, and were not statistically different across FBO types.
Incorrect. The correct answer is Occurred in only 2 cats, both with DFBO.
Only two dehiscence cases were reported, both in cats with DFBOs, and were not statistically different across FBO types.

🔍 Key Findings

  • Cats with linear (LFBO) and discrete (DFBO) small intestinal obstructions had similar survival (98.2% vs. 97%, p = 1.0).
  • Postoperative complications were not significantly different between LFBO and DFBO cases (p = .1386).
  • Intestinal dehiscence was rare (only 2 cats), both in DFBOs, with no statistical difference between groups.
  • Red rubber catheter technique (RRCT) successfully removed LFBOs in 83% (20/24) of attempts.
  • All failed RRCTs occurred in cats with perforations or tissue nonviability.
  • Cats with failed RRCTs had longer clinical signs pre-surgery (median 6.5 vs. 2.0 days).
  • Surgical time was longer in LFBO cats (median 77 min vs. 58 min, p = .0018).
  • Preoperative septic peritonitis was rare (4/169 cats), but occurred only in linear or mixed FBO cases.

Miller

Veterinary Surgery

7

2024

Linear and discrete foreign body small intestinal obstruction outcomes, complication risk factors, and single incision red rubber catheter technique success in cats

2024-7-VS-miller-3

Article Title: Linear and discrete foreign body small intestinal obstruction outcomes, complication risk factors, and single incision red rubber catheter technique success in cats

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?

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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 Marshall 2022 et al., on fracture healing outcomes, what was the **prevalence of non-union** among the 461 fractures reviewed?

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Correct. The authors reported non-union in 21 of 461 fractures (4.6%).
Incorrect. The correct answer is 4.6%.
The authors reported non-union in 21 of 461 fractures (4.6%).

🔍 Key Findings

  • Delayed union occurred in 13.9% of fractures; non-union in 4.6%; mal-union in 0.7%
  • Major implant failure increased odds of delayed or non-union by 12.9×
  • Surgical site infection increased risk 3.2×; bone grafting (any type) was also associated (OR 3.3)
  • Comminuted fractures had 4.2× greater odds of delayed or non-union
  • Older age increased risk, with odds increasing by 21% per year
  • Radius and ulna fractures in toy breeds were not high risk, contrary to historical belief
  • Most non-unions required revision surgery with rhBMP-2 or autograft to achieve union
  • Ilium fractures showed 0% delayed/non-union — possibly due to robust muscle envelope

Marshall

Veterinary Surgery

7

2022

Delayed union, non-union and mal-union in 442 dogs

2022-7-VS-marshall-3

Article Title: Delayed union, non-union and mal-union in 442 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 Huerta 2025 et al., on leakage in canine lung lobectomy, what was the most common site of staple line failure in partial lobectomies?

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Correct. Most leaks in partial lobectomy specimens occurred at the peripheral edge of the staple line.
Incorrect. The correct answer is Peripheral edge.
Most leaks in partial lobectomy specimens occurred at the peripheral edge of the staple line.

🔍 Key Findings

PL-30 group (partial, TA30-V3 wedge):

  • 100% leaked
  • Median leakage pressure: 10 cm H₂O
  • Most failures from periphery of staple line

PL-60 group (partial, TA60-3.5):

  • 100% leaked
  • Median leakage pressure: 18 cm H₂O
  • Better than PL-30 (p = .006)

TL-30 group (total, TA30-V3):

  • Only 1 of 11 leaked (at 22 cm H₂O)
  • All others resisted pressures >50–65 cm H₂O
  • Significantly higher leakage pressure than both PL groups (p < .001)

Odds ratios (leakage vs TL-30):

  • PL-30: OR 437 at both 20 and 30 cm H₂O (p = .003)
  • PL-60: OR 437 at 20 cm H₂O and 133 at 30 cm H₂O (p = .003)

Recommendation: Prefer TL-30 when possible. If partial needed, PL-60 superior to PL-30, but all partials leaked at physiologic pressures.

Huerta

Veterinary Surgery

4

2025

Leakage pressures of partial and total lung lobectomies performed with thoracoabdominal staplers in cadaveric dogs

2025-4-VS-huerta-3

Article Title: Leakage pressures of partial and total lung lobectomies performed with thoracoabdominal staplers in cadaveric dogs

Journal: Veterinary Surgery

In Neal 2023 et al., on transcondylar screw placement, which method had lower screw eccentricity on the humeral condyle?

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Correct. Fluoroscopy achieved significantly better screw centering on the condyle (3.1 mm vs 4.2 mm, p = .0017).
Incorrect. The correct answer is Fluoroscopy.
Fluoroscopy achieved significantly better screw centering on the condyle (3.1 mm vs 4.2 mm, p = .0017).

🔍 Key Findings

  • Aiming device provided comparable trajectory accuracy to fluoroscopy, especially in right limbs (1.9° vs. 3.4°, p = .0128).
  • Eccentricity (deviation from condylar center) was lower with fluoroscopy (3.1 mm vs 4.2 mm, p = .0017), making fluoroscopy more precise.
  • Odds of joint infringement were 8× higher with the aiming device, though not statistically significant (p = .0575).
  • Residents had greater screw trajectory deviation than diplomates (p = .0366), highlighting impact of experience.
  • Aiming device procedures took less time than fluoroscopy in some scenarios, particularly for right limbs with right-handed surgeons.
  • Fluoroscopic procedures had more pin/drill attempts, increasing risk of glove puncture and potential aseptic breaks.
  • Mean deviation angles in both groups (<3.5°) were within acceptable range to avoid intracondylar fracture gap.
  • Cadaver model used large-breed, healthy adult dogs, not small-breed immature dogs, limiting generalizability.

Neal

Veterinary Surgery

4

2023

The effect of an aiming device on the accuracy of humeral transcondylar screw placement

2023-4-VS-neal-2

Article Title: The effect of an aiming device on the accuracy of humeral transcondylar screw placement

Journal: Veterinary Surgery

In Paul 2024 et al., on postoperative analgesia with BLIS vs fentanyl in amputation, at which time point did BLIS show significantly lower pain scores?

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Correct. BLIS pain scores were significantly lower at 6 h; equivalence was not shown at this time point.
Incorrect. The correct answer is 6 hours.
BLIS pain scores were significantly lower at 6 h; equivalence was not shown at this time point.

🔍 Key Findings

  • BLIS (bupivacaine liposome injectable solution) provided equivalent analgesia to fentanyl CRI based on CMPS-SF scores at all time points except 6h, where BLIS was superior
  • Fewer adverse effects (nausea, vomiting, sedation) were noted in the BLIS group
  • BLIS dogs ate sooner postoperatively (median 6h vs 9h in control)
  • Sedation occurred in 2/20 dogs in BLIS group vs 10/20 in fentanyl group
  • Vomiting occurred in 0/20 BLIS dogs vs 4/20 in fentanyl group
  • Rescue analgesia rates were similar (5 BLIS vs 4 fentanyl group), confirming noninferiority
  • Owner-reported VAS scores were lower for BLIS on day 1 a.m. and p.m. despite variability
  • Results suggest BLIS could reduce opioid reliance post-amputation

Paul

Veterinary Surgery

6

2024

Comparison of bupivacaine liposome injectable solution and fentanyl for postoperative analgesia in dogs undergoing limb amputation

2024-6-VS-paul-1

Article Title: Comparison of bupivacaine liposome injectable solution and fentanyl for postoperative analgesia in dogs undergoing limb amputation

Journal: Veterinary Surgery

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