Your Custom Quiz

In Viljoen 2022 et al., on surgical hand prep protocols, which technique showed significantly lower CFUs at 120 minutes post-gloving compared to ABHR alone?

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Correct. Groups A–C, which included hand washing before ABHR, had significantly fewer CFUs at 120 minutes than group D; pHN (Group C) was significantly better than ABHR alone.
Incorrect. The correct answer is Hand prep with pH-neutral soap followed by ABHR.
Groups A–C, which included hand washing before ABHR, had significantly fewer CFUs at 120 minutes than group D; pHN (Group C) was significantly better than ABHR alone.

🔍 Key Findings

  • Pre-ABHR hand preparation lowered CFUs at 120 minutes post-gloving compared to ABHR alone (P = .001)
  • pH-neutral soap followed by ABHR outperformed ABHR alone despite being nonmedicated (P = .001)
  • CHX and BAC prewashes showed better immediate CFU reduction post-preparation than pHN (P = .012)
  • No significant difference in total log10 CFU reduction across all four groups over the full surgical period (P = .362)
  • Glove perforation in the thumb was a significant contamination factor (P = .036)
  • All dogs recovered without surgical site infections, though SSI incidence was not a primary outcome
  • Neutralizer validation lacking, so CHX results interpreted cautiously
  • Study supports a 1-minute hand wash with pH-neutral soap prior to ABHR as effective and safe

Viljoen

Veterinary Surgery

3

2022

Comparative antimicrobial efficacy of 4 surgical hand‐preparation procedures prior to application of an alcohol-based hand rub in veterinary students

2022-3-VS-viljoen-1

Article Title: Comparative antimicrobial efficacy of 4 surgical hand‐preparation procedures prior to application of an alcohol-based hand rub in veterinary students

Journal: Veterinary Surgery

In Renaud 2025 et al., on biliary peritonitis surgery, what total bilirubin threshold was associated with a 50% mortality rate?

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Correct. Total bilirubin > 60.5 µmol/L was associated with 50% mortality among dogs with biliary peritonitis.
Incorrect. The correct answer is 60.5 µmol/L.
Total bilirubin > 60.5 µmol/L was associated with 50% mortality among dogs with biliary peritonitis.

🔍 Key Findings

Mortality rate: 36% (12/33)
Cholecystectomy performed: 94% of dogs (31/33)
New significant prognostic factors for survival:

  • Hyperbilirubinemia (p = .049) — threshold = 60.5 μmol/L
  • Use of vasopressors (p = .002)
  • Renal dysfunction postoperatively (p = .008)
  • Number of postoperative complications (p = .005)

Multivariate model: Total bilirubin and number of complications best predicted survival
Septic vs nonseptic effusion: No significant difference in survival
Diagnostic imaging: Ultrasound sensitivity for extrahepatic biliary rupture = 38%
Most cultured pathogen: E. coli (80% of septic cases)

Renaud

Veterinary Surgery

2

2025

Clinical findings and prognostic factors for immediate survival in 33 dogs undergoing surgery for biliary peritonitis

2025-2-VS-renaud-2

Article Title: Clinical findings and prognostic factors for immediate survival in 33 dogs undergoing surgery for biliary peritonitis

Journal: Veterinary Surgery

In Poggi 2025 et al., on laparoscopic cholecystectomy in cats, what was the most commonly reported indication for surgery?

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Correct. Cholelithiasis was identified in 9 of the 22 cats, making it the most common indication for LC.
Incorrect. The correct answer is Cholelithiasis.
Cholelithiasis was identified in 9 of the 22 cats, making it the most common indication for LC.

🔍 Key Findings

  • Laparoscopic cholecystectomy (LC) was successfully performed in all 22 cats without conversion to open surgery.
  • Complication rate was low: 3 cats had postoperative complications (1 seroma, 1 vomiting, 1 EHBDO and death).
  • Median operating time was 41 minutes; median hospitalization was 3 days.
  • No cases required conversion to open laparotomy, even in cats as small as 2.5 kg.
  • Common devices used: Hemoclips or Hem-o-lok for cystic duct ligation; Ligasure, harmonic scalpel, or j-hook for dissection.
  • Most common indications: cholelithiasis (9/22) and cholecystitis (10/22), with one biliary mucocele and one adenoma.
  • Histopathology confirmed diagnosis in all cases; concurrent liver or intestinal biopsies were performed in some cats.
  • Postoperative AUS and bloodwork were routine and important for detecting early signs of EHBDO.

Poggi

Veterinary Surgery

5

2025

Laparoscopic cholecystectomy in 22 cats (2018–2024)

2025-5-VS-poggi-1

Article Title: Laparoscopic cholecystectomy in 22 cats (2018–2024)

Journal: Veterinary Surgery

In Husi 2023 et al., on TPLO vs TPLO-IB biomechanics, what was concluded about the intraoperative utility of the tibial pivot compression test (TPT)?

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Correct. TPT (both eTPT and iTPT) showed good reliability and revealed instability that TCT missed, supporting its intraoperative use.
Incorrect. The correct answer is It helps identify residual instability and need for augmentation.
TPT (both eTPT and iTPT) showed good reliability and revealed instability that TCT missed, supporting its intraoperative use.

🔍 Key Findings

  • TPLO alone failed to neutralize rotational instability under tibial pivot compression (TPT), despite a negative TCT.
  • TPLO combined with lateral augmentation (TPLO-IB) restored both craniocaudal and rotational stability to near-intact levels.
  • Cranial tibial translation was 6× greater after TPLO vs intact stifles when tested with TPT (p < .001).
  • No significant difference in cranial tibial translation or internal rotation between intact stifles and TPLO-IB group during TCT, eTPT, or iTPT.
  • TPLO-IB did not overconstrain the stifle, avoiding excessive external rotation.
  • External tibial rotation (eTPT) was more sensitive than TCT in detecting persistent instability after TPLO.
  • Excellent intraobserver reliability for both eTPT and iTPT (ICC > 0.9).
  • Study supports intraoperative use of TPT to identify cases needing additional rotational stabilization.

Husi

Veterinary Surgery

5

2023

Comparative kinetic and kinematic evaluation of TPLO and TPLO combined with extra-articular lateral augmentation: A biomechanical study

2023-5-VS-husi-4

Article Title: Comparative kinetic and kinematic evaluation of TPLO and TPLO combined with extra-articular lateral augmentation: A biomechanical study

Journal: Veterinary Surgery

In Canever 2022 et al., on labial flap vascular anatomy, what did angiographic evaluation of feline cadavers reveal about the blood supply to the upper and lower lips?

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Correct. Angiography confirmed robust angiosomes in the musculomucosal layer for both superior and inferior labial arteries.
Incorrect. The correct answer is Each labium had a distinct angiosome supplied by either the superior or inferior labial artery..
Angiography confirmed robust angiosomes in the musculomucosal layer for both superior and inferior labial arteries.

🔍 Key Findings

  • Superior and inferior labial arteries in cats perfuse robust angiosomes, which support musculomucosal axial pattern flaps.
  • Cadaver angiography confirmed vascular anatomy, with consistent patterns between sides and among specimens.
  • The vascular supply is located primarily in the musculomucosal layer, not the skin, critical for flap viability.
  • Flap harvest requires inclusion of the orbicularis oris (± buccinator) muscle to ensure vascular integrity and flap survival.
  • Two clinical cases demonstrated successful use of superior and inferior labial musculomucosal flaps for palatal reconstruction with complete flap survival and resolution of clinical signs.
  • Intraoperative transillumination aided vessel localization, facilitating surgical planning and flap design.
  • No cases of distal flap necrosis or dehiscence occurred, although mild donor site morbidity (lip retraction, mucosal denuding) was noted.
  • These flaps offer a valuable option when local tissues are compromised, especially after failed previous repairs or radiation therapy.

Canever

Veterinary Surgery

4

2022

Evaluation of the superior and inferior labial musculomucosal flaps in cats: An angiographic study and case series

2022-4-VS-canever-1

Article Title: Evaluation of the superior and inferior labial musculomucosal flaps in cats: An angiographic study and case series

Journal: Veterinary Surgery

In Adrian 2024 et al., on feline pelvic fracture stabilization, what was the most common grade of pelvic canal narrowing at follow-up?

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Correct. At follow-up, 12 of 16 cats with narrowing showed mild change in sacral index.
Incorrect. The correct answer is Mild narrowing (<10%).
At follow-up, 12 of 16 cats with narrowing showed mild change in sacral index.

🔍 Key Findings

  • 20 cats with pelvic fractures treated with SOP plates and cortical screws
  • Full function reported in all patients per FMPI follow-up
  • Screw loosening in 3/20 SOP cases; implant removal in 3 cats
  • Median sacral index decrease at follow-up: 5.7%; mostly mild narrowing
  • Complications: 5 major (3 SOP removals, 2 trochanter osteotomy issues); 20 minor
  • SOP plate shown feasible even in challenging configurations; good functional outcomes

Adrian

Veterinary and Comparative Orthopedics and Traumatology

1

2024

Use of Locking Plates Fixed with Cortical Screws for Pelvic Fracture Repair in 20 Cats

2024-1-VCOT-adrian-5

Article Title: Use of Locking Plates Fixed with Cortical Screws for Pelvic Fracture Repair in 20 Cats

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Von Pfeil 2024 et al., on acute ulnar shortening in dogs, which postoperative complication was reported in the study?

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Correct. Only 2 minor complications were reported: one screw loosening and one superficial infection.
Incorrect. The correct answer is Screw loosening and superficial infection in 1 each.
Only 2 minor complications were reported: one screw loosening and one superficial infection.

🔍 Key Findings

  • All dogs (11/11) showed improved radiohumeral articulation postoperatively, confirmed arthroscopically.
  • Median shortening: radioulnar (3.2 mm), humeroradial (1.8 mm), humeroulnar (1.2 mm).
  • Median lameness score improved from 2/4 to 1/4 by final follow-up.
  • Bone healing achieved in a median of 8 weeks (range: 4–14 weeks).
  • No major complications; minor issues included 1 screw loosening and 1 superficial infection.
  • Subjective function was graded full in 4 dogs, acceptable in 7.
  • Arthroscopy enabled accurate dynamic joint assessment, preferred over static radiographs.
  • Use of both orthopedic wire and plating provided secure fixation and improved outcomes.

Von Pfeil

Veterinary Surgery

3

2024

Outcomes of 11 dogs with short radius syndrome treated with acute arthroscopically assisted ulnar shortening

2024-3-VS-pfeil-5

Article Title: Outcomes of 11 dogs with short radius syndrome treated with acute arthroscopically assisted ulnar shortening

Journal: Veterinary Surgery

In Alvarez 2022 et al., on rehabilitation modalities, which modality had the most studies showing positive postoperative effects in dogs but also had high risk of bias?

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Correct. Exercise had the most studies showing positive effects, but most were Level III or IV evidence with high RoB.
Incorrect. The correct answer is Exercise.
Exercise had the most studies showing positive effects, but most were Level III or IV evidence with high RoB.

🔍 Key Findings

  • Exercise-based rehabilitation showed benefits in 6 of 7 studies, including increased peak vertical force (PVF) and reduced lameness, though most had high risk of bias (RoB).
  • Cold compression therapy (CCT) had 2 high-quality (Level II, low RoB) studies showing improvements in pain scores, range of motion, and swelling, supporting its clinical use.
  • Extracorporeal shockwave therapy (ESWT) was supported by 2 Level II studies; only one had low RoB, showing short-term benefits in patellar ligament thickness and PVF, but no long-term benefit on bone healing.
  • Photobiomodulation (PBM) had mixed results across 3 Level II studies (all low RoB); only 1 showed positive impact on PVF, limiting its recommendation.
  • Low-intensity pulsed ultrasound (LIPUS) showed no significant impact on gait analysis or bone healing in a Level II, low RoB study.
  • Electrical muscle stimulation (EMS) improved lameness and thigh circumference in one Level III study, but had high-moderate RoB and involved experimentally-induced CCL rupture, limiting clinical relevance.
  • No modality beyond exercise and CCT had consistent or strong evidence for efficacy in post-TPLO or extracapsular repair rehabilitation.
  • The absence of standardized protocols, small sample sizes, and inconsistent outcome measures limited the generalizability of findings.

Alvarez

Veterinary Surgery

2

2022

Systematic review of postoperative rehabilitation interventions after cranial cruciate ligament surgery in dogs

2022-2-VS-alvarez-1

Article Title: Systematic review of postoperative rehabilitation interventions after cranial cruciate ligament surgery in dogs

Journal: Veterinary Surgery

In Fracka 2024 et al., on perioperative risk factors, which clinical feature had the strongest association with poor recovery outcomes?

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Correct. Dogs with collapse > Grade 2 had OR = 97.13 for complicated recovery, the highest of all variables.
Incorrect. The correct answer is Laryngeal collapse > Grade 2.
Dogs with collapse > Grade 2 had OR = 97.13 for complicated recovery, the highest of all variables.

🔍 Key Findings

  • Staphylectomy was linked to higher risk of complicated recovery than folded flap palatoplasty (OR = 59.29, p = .0002).
  • Laryngeal collapse > Grade 2 was strongly associated with poor recovery (OR = 97.13, p < .0001).
  • Longer general anesthesia duration increased the risk of complications (OR = 1.01 per min, p = .0051).
  • Increasing age significantly raised the odds of perioperative complication (OR = 1.04 per month, p = .0113).
  • History of aspiration pneumonia was only found in dogs with complications, though not in final model due to instability.
  • Complicated recovery included >12 h O₂ therapy, tracheostomy, or death.
  • FFP may reduce pharyngeal-laryngeal edema, possibly improving immediate outcomes.
  • Bulldogs comprised 80% of population, with French Bulldogs most common (63%).

Fracka

Veterinary Surgery

4

2024

Risk factors for complicated perioperative recovery in dogs undergoing staphylectomy or folded flap palatoplasty: Seventy-six cases (2018–2022)

2024-4-VS-fracka-2

Article Title: Risk factors for complicated perioperative recovery in dogs undergoing staphylectomy or folded flap palatoplasty: Seventy-six cases (2018–2022)

Journal: Veterinary Surgery

In Scheuermann 2024 et al., on 3D-printed reduction systems, what was the most significant intraoperative imaging difference between 3D-MIPO and c-MIPO groups?

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Correct. The 3D-MIPO group required significantly fewer intraoperative fluoroscopic images (11 vs. 37; p < .001).
Incorrect. The correct answer is Fewer images required in 3D-MIPO.
The 3D-MIPO group required significantly fewer intraoperative fluoroscopic images (11 vs. 37; p < .001).

🔍 Key Findings

  • The study was a historic case-control trial comparing custom 3D-printed VSP-guided MIPO (3D-MIPO) to conventional MIPO (c-MIPO) in dogs with diaphyseal tibial fractures.
  • Surgical time was significantly shorter in the 3D-MIPO group (117 min vs. 151 min; p = .014), and fluoroscopy use was dramatically reduced (11 vs. 37 images; p < .001).
  • All 3D-MIPO reductions were acceptable or near-anatomic; 2 c-MIPO dogs had unacceptable reductions.
  • Tibial length, frontal, and sagittal alignment post-op were similar between groups; no significant difference in anatomic restoration (p > .1).
  • Radiographic union occurred in all dogs by 3 months. Time to union was similar between groups (3D-MIPO: 67 days vs. c-MIPO: 53 days; p = .207).
  • Postoperative complication rate was higher in 3D-MIPO (27% vs. 14%), including 2 major infections requiring implant removal.
  • 3D-MIPO required more pre-op time (~23 hours longer from presentation to surgery; p = .002), partly due to guide printing/sterilization.
  • Improved surgical efficiency and more consistent reductions were noted in the 3D-MIPO group, supporting its clinical utility despite increased pre-op logistics.

Scheuermann

Veterinary Surgery

6

2024

Virtual surgical planning and use of a 3D‐printed, patient‐specific reduction system for minimally invasive plate osteosynthesis of diaphyseal tibial fractures in dogs: A historic case control study

2024-6-VS-scheuermann2-2

Article Title: Virtual surgical planning and use of a 3D‐printed, patient‐specific reduction system for minimally invasive plate osteosynthesis of diaphyseal tibial fractures in dogs: A historic case control study

Journal: Veterinary Surgery

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