Your Custom Quiz

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

In Davis 2025 et al., on modified anal sacculectomy, what was the resolution rate of minor postoperative complications?

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Correct. 13 of 14 dogs with grade 1 complications resolved by 2-week follow-up (93%).
Incorrect. The correct answer is 93%.
13 of 14 dogs with grade 1 complications resolved by 2-week follow-up (93%).

🔍 Key Findings

50 dogs underwent bilateral anal sacculectomy using a modified closed technique.
Intraoperative anal sac perforation occurred in 5 dogs (10%), with no postoperative complications in those dogs.
Postoperative complications (43 dogs with follow-up):

  • Grade 1 (e.g., scooting, inappropriate defecation): 14/43 (32%)
  • Grade 2 (medical treatment needed): 2/43 (5%)
  • Grade 3B (revision surgery): 2/43 (5%)

93% of grade 1 and 100% of grade 2–3B complications resolved by two weeks postop.
Technique highlights: direct duct tracking, no anal sac packing, minimal dissection.

Davis

Veterinary Surgery

2

2025

Modified closed sacculectomy in 50 dogs with non‐neoplastic anal sac disease

2025-2-VS-davis-2

Article Title: Modified closed sacculectomy in 50 dogs with non‐neoplastic anal sac disease

Journal: Veterinary Surgery

In Bounds 2023 et al., on feline hip arthroscopy, which limb positioning provided optimal joint visualization?

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Correct. This positioning maximized joint space and visualization in all hips.
Incorrect. The correct answer is Neutral duction with 90° extension and traction.
This positioning maximized joint space and visualization in all hips.

2023-8-VS-bounds-1

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Journal:

In Gant 2025 et al., on skin prep and SSI, which method was associated with increased SSI risk?

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Correct. Glutaraldehyde use was associated with a 2.38× increased risk of SSI (p = .055).
Incorrect. The correct answer is Glutaraldehyde sterilization.
Glutaraldehyde use was associated with a 2.38× increased risk of SSI (p = .055).

🔍 Key Findings

  • No statistically significant difference in overall SSI rates: 9.2% (chlorhexidine) vs. 7.38% (iodophor) (p = .25).
  • Significant drape lift occurred in 13.2% of cases; those with lift had 2.72× increased risk of SSI (p = .026).
  • Increased body weight was a statistically significant risk factor for SSI (p = .008): each 1 kg increased SSI risk by 3%.
  • Use of glutaraldehyde was associated with a 2.38× increased risk of SSI (p = .055, approaching significance).
  • No difference in SSI rates based on surgeon training level or surgical classification (clean, clean-contaminated, contaminated).

Gant

Veterinary Surgery

3

2025

Influence of skin preparation on surgical site infection and lift of adhesive surgical drapes

2025-3-VS-gant-4

Article Title: Influence of skin preparation on surgical site infection and lift of adhesive surgical drapes

Journal: Veterinary Surgery

In Evers 2023 et al., on needle arthroscopy for meniscal tears, which type of meniscal tear was most accurately detected using needle arthroscopy?

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Correct. All 14 displaced vertical longitudinal tears were correctly identified by needle arthroscopy.
Incorrect. The correct answer is Vertical longitudinal, displaced.
All 14 displaced vertical longitudinal tears were correctly identified by needle arthroscopy.

🔍 Key Findings

  • Needle arthroscopy (NA) had 95% sensitivity and 100% specificity for diagnosing medial meniscal tears in dogs with CCLR.
  • NA missed 1 medial and 1 lateral meniscal tear, both nondisplaced and stable.
  • Visibility of all meniscal horns was significantly lower with NA compared to standard arthroscopy (SA) (P < .005 for all horns).
  • Probing the caudal horn of the lateral meniscus was significantly more difficult with NA (P = .0017), though medial horn probing was similar.
  • Mean NA procedure time was 8 ± 3 minutes, significantly shorter than SA (15 ± 9 min, P = .0041).
  • No increase in lameness observed after NA, indicating minimal procedural morbidity.
  • NA was performed under sedation in most dogs, though 10/26 required additional chemical restraint or short anesthesia.
  • NA was most accurate for displaced vertical longitudinal tears, with all 14 correctly identified; one stable tear and a lateral tear were missed.

Evers

Veterinary Surgery

6

2023

Accuracy of needle arthroscopy for the diagnosis of medial meniscal tears in dogs with cranial cruciate ligament rupture

2023-6-VS-evers-2

Article Title: Accuracy of needle arthroscopy for the diagnosis of medial meniscal tears in dogs with cranial cruciate ligament rupture

Journal: Veterinary Surgery

In Mullen 2024 et al., on NIRF for GDV, how did near-infrared imaging alter the surgical plan in affected dogs?

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Correct. NIRF identified additional nonviable tissue and altered the surgeon’s planned margins in 3 of 20 GDV dogs.
Incorrect. The correct answer is It changed resection margins in 3/20 dogs.
NIRF identified additional nonviable tissue and altered the surgeon’s planned margins in 3 of 20 GDV dogs.

🔍 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-2

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 Bush 2023 et al., on canine salivary gland carcinoma, what was the median survival time (MST) for dogs undergoing surgery?

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Correct. Surgically treated dogs had an MST of 1886 days, significantly longer than previously reported.
Incorrect. The correct answer is 1886 days.
Surgically treated dogs had an MST of 1886 days, significantly longer than previously reported.

🔍 Key Findings

Source: Bush et al., 2023, Veterinary Surgery

  • Median survival time (MST) after surgery was 1886 days, which is significantly longer than previously reported.
  • Lymph node metastasis at surgery was a negative prognostic factor, reducing MST to 248 days (vs. 2340 days without nodal involvement).
  • Local recurrence occurred in 42% of dogs, with a median disease-free interval (DFI) of 191 days.
  • Metastatic disease occurred in 32% of dogs, most commonly to the lungs, with a median DFI of 299 days.
  • Histologic features (e.g., margin status, capsular, lymphatic, or vascular invasion) were not significantly correlated with recurrence or metastasis.
  • Facial nerve injury occurred in 9.7% perioperatively, especially after parotidectomy; intraoperative facial nerve transection led to long-term deficits.
  • Adjuvant therapies (chemotherapy, radiation, NSAIDs) did not significantly affect survival time.
  • Incisional biopsy was only 38% concordant with final excisional histology, suggesting limited reliability for definitive diagnosis.

Bush

Veterinary Surgery

3

2023

Outcomes and clinical features associated with surgically excised canine salivary gland carcinoma: A multi-institutional, retrospective, Veterinary Society of Surgical Oncology study

2023-3-VS-bush-1

Article Title: Outcomes and clinical features associated with surgically excised canine salivary gland carcinoma: A multi-institutional, retrospective, Veterinary Society of Surgical Oncology study

Journal: Veterinary Surgery

In Larose 2024 et al., on laparoscopic liver biopsies in dogs, what was the key clinical implication of using a 3 mm CBF in small dogs for liver biopsy?

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Correct. Despite smaller samples, the 3 mm CBF yielded adequate tissue for diagnosis in most dogs.
Incorrect. The correct answer is It was sufficient for histologic diagnosis.
Despite smaller samples, the 3 mm CBF yielded adequate tissue for diagnosis in most dogs.

🔍 Key Findings

  • Histologic agreement between 3 mm and 5 mm biopsies was 90%, with a Gwet's AC1 of 0.81 (p < .0001).
  • 5 mm biopsies yielded significantly more portal triads and lobules than 3 mm samples (p = .0003 and p < .0001).
  • Crush artifacts were significantly higher in 3 mm samples (p = .035), though fragmentation scores were similar (p = .935).
  • Both forceps produced adequate samples for histopathology, copper quantification, and bacterial culture.
  • No hemorrhage requiring intervention occurred, and both sizes were deemed safe and minimally invasive.
  • Surface area ≥40 mm² strongly predicted ≥11 portal triads, a desirable threshold for reliable histopathology.
  • Use of 3 mm instruments was easier in small dogs (<12 kg), but more challenging in larger dogs due to shaft length.
  • Clinical diagnoses were unaffected by forceps size, even in the one discordant histologic pair.

Larose

Veterinary Surgery

4

2024

Comparing 3 mm and 5 mm laparoscopic liver biopsy samples in dogs

2024-4-VS-larose1-4

Article Title: Comparing 3 mm and 5 mm laparoscopic liver biopsy samples in dogs

Journal: Veterinary Surgery

In Klever 2024 et al., what effect does a dorsoventral projection have on Norberg angle measurements?

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Correct. Dorsoventral projection increased Norberg angle by 3.2–5.8%, potentially overestimating joint congruity
Incorrect. The correct answer is Increases angle by 3–6%.
Dorsoventral projection increased Norberg angle by 3.2–5.8%, potentially overestimating joint congruity

🔍 Key Findings

  • Dorsoventral radiographs artificially increase Norberg angle values by 3.2–5.8% and should be excluded.
  • Lateral pelvic tilt >2° causes asymmetric changes in Norberg angle; >3° results in significant side-specific changes.
  • Cranioventral-to-caudodorsal tilt >10° results in obvious radiographic tilt, but changes Norberg angle by only ~2%.
  • Tilted but subjectively acceptable images have minor impact and may still be usable for screening.
  • Norberg angle readings differed consistently between left/right hips — possibly due to operator handedness.

Klever

Veterinary and Comparative Orthopedics and Traumatology

1

2024

Influence of Femoral Position and Pelvic Projection on Norberg Angle Measurements

2024-1-VCOT-klever-1

Article Title: Influence of Femoral Position and Pelvic Projection on Norberg Angle Measurements

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Gomes 2025 et al., on subdural shunting for TL-AD, which breed was overrepresented among cases that recurred?

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Correct. 5 of 7 recurrence cases were Pugs, consistent with prior literature showing breed predisposition.
Incorrect. The correct answer is Pug.
5 of 7 recurrence cases were Pugs, consistent with prior literature showing breed predisposition.

🔍 Key Findings

  • Modified subdural shunt (SDS) placement was adapted from prior techniques using a hemilaminectomy approach and no suturing of the dura or shunt.
  • Dogs receiving SDS had significantly better long-term outcomes (85.7% improved) compared to those with durotomy alone (41.7%).
  • Recurrence rate was lower in the SDS group (14.3%) than control (41.7%), though not statistically significant.
  • Most recurrences occurred in Pugs (5/7), suggesting a breed predisposition.
  • Shunt size was limited to 25% of spinal cord diameter, typically 3–3.5 Fr.
  • CSF flow through the shunt was confirmed intraoperatively, supporting the role of SDS in maintaining flow and possibly preventing recurrence.
  • Immediate postoperative outcomes were not different between groups (≈42% deteriorated), but long-term recovery was better with SDS.
  • Steroid use pre-surgery did not correlate with improved outcome; fewer SDS dogs received steroids pre-op.

Gomes

Veterinary Surgery

5

2025

Post‐surgical outcome and recurrence rates in thoracolumbar arachnoid diverticula undergoing durotomy alone or alongside a modified technique of subdural shunt-placement in dogs

2025-5-VS-gomes-5

Article Title: Post‐surgical outcome and recurrence rates in thoracolumbar arachnoid diverticula undergoing durotomy alone or alongside a modified technique of subdural shunt-placement in dogs

Journal: Veterinary Surgery

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