Your Custom Quiz

In Santos 2025 et al., on feline MPL morphology, which angle demonstrated significantly increased external torsion in MPL groups?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. MPL II and III cats showed significantly increased external tibial torsion vs control (TTA, p < 0.001).
Incorrect. The correct answer is Tibial torsion angle (TTA).
MPL II and III cats showed significantly increased external tibial torsion vs control (TTA, p < 0.001).

🔍 Key Findings

Sample: 21 cats (10 control, 11 affected); 14 normal limbs vs 18 with MPL (MPL II: 7, MPL III: 11).

Significantly different CT measurements in MPL vs control:

  • aLDFA: MPL II > control and MPL III (p = 0.014)
  • FTW: MPL III > control (p = 0.021)
  • FTD: control > MPL II and III (p < 0.001)
  • TTA: MPL II and III had increased external tibial torsion vs control (p < 0.001)
  • fPL and PV: MPL III cats had longer and more voluminous patellae

No significant differences in AA, mMPTA, TTD, fPW, aPH.
Patella width exceeded trochlear width in all groups.
Authors suggest femoral and tibial angular correction may not be indicated in most feline MPL II–III cases.
Soft tissue techniques and trochleoplasty warrant further investigation.
CT method: Intraobserver ICC good in 64%, interobserver poor in 36% of metrics.

Santos

Veterinary and Comparative Orthopedics and Traumatology

1

2025

Computed Tomographic Measurement Method for Morphoanatomical Comparison of Femur, Tibia, and Patella in Cats with and without Medial Patellar Luxation

2025-1-VC-santos-2

Article Title: Computed Tomographic Measurement Method for Morphoanatomical Comparison of Femur, Tibia, and Patella in Cats with and without Medial Patellar Luxation

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Clarke 2022 et al., on nasopharyngeal collapse severity, which median percentage collapse was found in brachycephalic dogs preoperatively?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Median preoperative nasopharyngeal collapse in brachycephalic dogs was 65%, significantly higher than in controls.
Incorrect. The correct answer is 65%.
Median preoperative nasopharyngeal collapse in brachycephalic dogs was 65%, significantly higher than in controls.

🔍 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-1

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

Journal: Veterinary Surgery

In Radke 2022 et al., on outcome measure validation, which of the following OROMs demonstrated the **most rigorous development process** according to COSMIN criteria?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. COI was rated as “adequate” for overall development, the highest rating among the instruments evaluated.
Incorrect. The correct answer is Canine Orthopedic Index (COI).
COI was rated as “adequate” for overall development, the highest rating among the instruments evaluated.

🔍 Key Findings

  • CBPI, COI, and LOAD are recommended for assessing canine osteoarthritis based on COSMIN criteria.
  • COI scored highest in development rigor and evidence quality among evaluated OROMs.
  • Internal consistency, reliability, and responsiveness were commonly validated, though no OROMs reported measurement error.
  • LOAD was considered formative, and internal consistency assessment was deemed unnecessary.
  • CBPI and COI showed sufficient internal consistency, but CBPI’s factor structure was inconsistent across studies.
  • All 6 evaluated OROMs (CBPI, COI, LOAD, BHSII, HCPI, HVAS) were quick to complete (under 5 min).
  • Three tools—BHSII, HCPI, HVAS—need more evidence before recommendation; only CBPI, COI, and LOAD are Category A (recommended).
  • Future studies should assess interpretability, including measurement error and clinically meaningful change scores (MIC, SDC).

Radke

Veterinary Surgery

2

2022

Evidence‐based evaluation of owner‐reported outcome measures for canine orthopedic care – a COSMIN evaluation of 6 instruments

2022-2-VS-radke-1

Article Title: Evidence‐based evaluation of owner‐reported outcome measures for canine orthopedic care – a COSMIN evaluation of 6 instruments

Journal: Veterinary Surgery

In Philips 2025 et al., on radiographic IAIP detection, what was the overall accuracy of radiography to detect intra-articular implant penetration (IAIP) in the canine stifle?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. The overall accuracy of radiographic IAIP detection in cadaveric canine stifles was 77.9%.
Incorrect. The correct answer is 77.9%.
The overall accuracy of radiographic IAIP detection in cadaveric canine stifles was 77.9%.

🔍 Key Findings

Overall accuracy of radiography to detect IAIP: 77.9%

Sensitivity: 97.2%
Specificity: 67.6%

False positive rate: 32.4% of non-penetrating implants were misclassified as penetrating

Implants directed toward the lateral tibial condyle had higher misclassification (23.8%) than medial (8.3%)

Most accurate detection: Implants placed 2 mm into the joint (97.2% correct classification)

Least agreement: For implants placed at 0 mm (subchondral level), especially lateral (AC1 = 0.48)

No palpable abnormalities (e.g., crepitus) observed during ROM for any group

No significant difference in detection by specialty field or reviewer qualification

Suggests radiographic misclassification risk and supports considering CT/fluoroscopy in equivocal cases

Philips

Veterinary Surgery

3

2025

Detection of intra‐articular implant penetration of the canine stifle with radiography: A cadaveric study

2025-3-VS-philips-1

Article Title: Detection of intra‐articular implant penetration of the canine stifle with radiography: A cadaveric study

Journal: Veterinary Surgery

In Sadowitz 2023 et al., on screw angle & speed, which factor most strongly contributed to increased TCF risk?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. The study found angle deviation from the pilot hole was the strongest predictor of TCF formation.
Incorrect. The correct answer is Off-axis insertion angle.
The study found angle deviation from the pilot hole was the strongest predictor of TCF formation.

2023-8-VS-sadowitz-3

Article Title:

Journal:

In Devriendt 2022 et al., on EHPSS blood testing, which **combination** of tests yielded 100% sensitivity for confirming shunt closure?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Combinations like SHA with MEGX T15 or SHA with postprandial SBA yielded 100% sensitivity with good specificity.
Incorrect. The correct answer is SHA + postprandial SBA.
Combinations like SHA with MEGX T15 or SHA with postprandial SBA yielded 100% sensitivity with good specificity.

🔍 Key Findings

  • Fasting ammonia (FA) was the most specific test (100%) for confirming EHPSS closure postoperatively.
  • Serum hyaluronic acid (SHA) and MEGX at 15 minutes post-lidocaine were the most sensitive tests (96.9% and 96.2%, respectively).
  • SHA combined with MEGX T15, or with FA or postprandial serum bile acids (SBA), provided 100% sensitivity with good specificity (72.4–82.8%).
  • SHA levels remained elevated in all dogs with persistent shunting, even when other tests were normal.
  • Paired SBA had moderate sensitivity (90%) and variable specificity (89%).
  • The L/MEGX test at 30 min was less useful than at 15 min for assessing closure.
  • Traditional SBA testing showed reduced utility postoperatively; normal values did not rule out persistent shunting.
  • Blood tests improved when combined, but imaging remains essential to definitively confirm EHPSS closure.

Devriendt

Veterinary Surgery

7

2022

Evaluation of different blood tests in dogs with extrahepatic portosystemic shunts to assess shunt closure after surgical treatment

2022-7-VS-devriendt-3

Article Title: Evaluation of different blood tests in dogs with extrahepatic portosystemic shunts to assess shunt closure after surgical treatment

Journal: Veterinary Surgery

In Chan 2025 et al., on partial cuneiformectomy in BOAS dogs, what was the typical impact on rima glottidis after the procedure?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Cuneiformectomy widened the rima glottidis by approximately 70–80%, reducing airway resistance.
Incorrect. The correct answer is It widened the rima glottidis by ~70–80%.
Cuneiformectomy widened the rima glottidis by approximately 70–80%, reducing airway resistance.

🔍 Key Findings

  • Partial cuneiformectomy (PC) did not increase complication rates compared to multilevel surgery alone (overall complications: PC = 16.3%, non-PC = 19.4%; p = .758).
  • Major complication rates were not significantly different (PC = 11.6%, non-PC = 7.4%; p = .482).
  • Significant improvement in BOAS grade was observed in dogs undergoing PC (p < .0001).
  • BOAS index improved significantly in both groups, with greater median reduction in the PC group (28.5%) than non-PC (20.7%) (p < .0001).
  • Low body condition score (BCS <4) was significantly associated with higher complication rates (odds ratio = 0.452; p = .004).
  • Hospitalization duration did not differ between groups (median = 1 day; p = .743).
  • Mortality was low (3.5%) in the PC group despite more severe airway disease, suggesting the technique is safe even in advanced collapse.
  • The technique widened the rima glottidis without damaging surrounding structures, reducing airflow resistance and preserving laryngeal function.

Chan

Veterinary Surgery

6

2025

Complication rate and outcomes of laryngeal cuneiformectomy in dogs with advanced laryngeal collapse

2025-6-VS-chan-4

Article Title: Complication rate and outcomes of laryngeal cuneiformectomy in dogs with advanced laryngeal collapse

Journal: Veterinary Surgery

In Monnet 2023 et al., on barbed vs conventional suture in vesicourethral anastomosis (VUA), how did the number of suture bites compare between the UBS and conventional groups?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. UBS group used significantly fewer suture bites (median 14 vs. 19; p = .012).
Incorrect. The correct answer is UBS required fewer suture bites.
UBS group used significantly fewer suture bites (median 14 vs. 19; p = .012).

🔍 Key Findings

  • Leakage pressure was not significantly different between unidirectional barbed suture (UBS) and conventional (C) suture groups (p = .236).
  • UBS group had a 28% lower median leakage pressure than the C group (8.6 mmHg vs. 11.7 mmHg), suggesting higher biological risk of leakage.
  • UBS significantly reduced suturing time (median 12.7 vs. 17.3 minutes; p < .0002).
  • Fewer suture bites were needed in the UBS group (median 14 vs. 19; p = .012).
  • No suture breakage or urethral narrowing occurred in either group.
  • Leakage site distribution (ventral vs lateral) was similar between groups; no dorsal leaks noted.
  • Leakage occurred as low as 5 mmHg in UBS group, indicating potential for postoperative extravasation.
  • UBS may aid intracorporeal suturing in minimally invasive prostatectomy, but catheterization remains necessary postoperatively.

Monnet

Veterinary Surgery

5

2023

Influence of conventional versus unidirectional barbed suture on leakage pressures in canine vesicourethral anastomosis: An ex-vivo study

2023-5-VS-monnet-4

Article Title: Influence of conventional versus unidirectional barbed suture on leakage pressures in canine vesicourethral anastomosis: An ex-vivo study

Journal: Veterinary Surgery

In Lederer 2025 et al., on MIPO vs ORPS, what factor was significantly associated with explantation?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Fracture comminution was significantly associated with implant explantation (p < .001).
Incorrect. The correct answer is Comminution of fracture.
Fracture comminution was significantly associated with implant explantation (p < .001).

🔍 Key Findings

Study size: 105 dogs (73 ORPS; 32 MIPO)

MIPO vs ORPS differences:

  • Surgical time: MIPO median 130 min vs ORPS 85 min (p < .001)
  • Explant rate: MIPO 25% vs ORPS 4.1% (p = .003)
  • Time to clinical union: MIPO 85 days vs ORPS 57 days (p = .010)
  • Frontal alignment deviation: MIPO 3.5° vs ORPS 2.0° (p = .047)
  • Comminution more frequent in MIPO (41% vs 16%; p = .012)

Significant predictors for MIPO use: More proximal fracture margin (p = .004), surgeon identity (p < .001)

No significant difference: Sagittal alignment, radial length, union rate, or complication rate by surgeon

Implant preference: Fixin plates used in 84% of MIPO; locking plates more common in ORPS

Lederer

Veterinary Surgery

4

2025

Retrospective comparison of minimally invasive plate osteosynthesis and open reduction and plate stabilization of antebrachial fractures in 105 dogs (2017–2022)

2025-4-VS-lederer-4

Article Title: Retrospective comparison of minimally invasive plate osteosynthesis and open reduction and plate stabilization of antebrachial fractures in 105 dogs (2017–2022)

Journal: Veterinary Surgery

In Nash 2024 et al., on esophageal pH monitoring, what was the defined upper reference limit for distal GER events per hour in healthy nonbrachycephalic dogs?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. The study defined the upper reference limit for distal GER events per hour as 2.4 based on nonparametric analysis.
Incorrect. The correct answer is 2.4.
The study defined the upper reference limit for distal GER events per hour as 2.4 based on nonparametric analysis.

🔍 Key Findings

  • Esophageal pH-monitoring was well tolerated in all 35 nonbrachycephalic dogs, with no major adverse events reported.
  • Distal GER occurred in 80% of dogs, but events were typically brief and non-productive; proximal GER occurred in only 39%.
  • Upper reference limits for GER were 2.4 events/hour (distal) and 0.4 events/hour (proximal).
  • Cumulative acid exposure was minimal: upper limits were 2.3% (distal) and 0% (proximal).
  • Comparison with brachycephalic dogs shows significantly higher GER frequency and duration, validating the diagnostic utility of pH monitoring.
  • Transnasal probe placement under light anesthesia was safe and less morbid compared to percutaneous or conscious techniques.
  • No expelled or productive regurgitation occurred, despite some GER events, indicating efficient esophageal clearance in healthy dogs.
  • Diet and fasting duration may affect GER, but these were not controlled variables in this study.

Nash

Veterinary Surgery

8

2024

Esophageal pH‐monitoring in nonbrachycephalic dogs: A reference

2024-8-VS-nash-1

Article Title: Esophageal pH‐monitoring in nonbrachycephalic dogs: A reference

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.