Your Custom Quiz

In Welsh 2025 et al., on orthogonal plating, what was observed in all constructs?

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Correct. All constructs, including UP and OP variants, survived the full fatigue testing protocol.
Incorrect. The correct answer is All remained intact after 90k cycles.
All constructs, including UP and OP variants, survived the full fatigue testing protocol.

🔍 Key Findings

  • Compared unilateral plating (UP) vs orthogonal plating (OP) with 2.0, 2.4, and 3.0 mm plates (OP2.0, OP2.4, OP3.0).
  • Model: acetal homopolymer (Delrin) rod with 29 mm fixed fracture gap, loaded axially (4–196 N, 90,000 cycles).
  • OP constructs had 2.5–4.1x higher strength and 3.0–4.2x higher stiffness than UP constructs (p < .0002).
  • UP had 3.5–4.1x higher gap strain than OP groups (p < .0075).
  • All OP groups exceeded 1000 N max load before failure (vs 424 N for UP).
  • Greater implant size in OP groups further increased performance.
  • All constructs survived fatigue loading; 3.5 mm plates showed deformation, especially UP; OP plates remained intact.

Welsh

Veterinary Surgery

4

2025

Biomechanical analysis of orthogonal and unilateral locking plate constructs in a fracture gap model

2025-4-VS-welsh-4

Article Title: Biomechanical analysis of orthogonal and unilateral locking plate constructs in a fracture gap model

Journal: Veterinary Surgery

In Glenn 2024 et al., on client-based SSI surveillance, what percentage of SSIs required revision surgery?

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Correct. Revision surgery was needed in 21 of 62 SSIs, amounting to 33.9%.
Incorrect. The correct answer is 33.9%.
Revision surgery was needed in 21 of 62 SSIs, amounting to 33.9%.

🔍 Key Findings

  • Algorithm 3 had the highest overall accuracy (95.5%) in diagnosing SSIs from client questionnaires.
  • Active surveillance identified 19.4% more SSIs compared to passive surveillance alone.
  • SSI rate was 8.22% across 754 surgeries; 33.9% of SSIs required revision surgery.
  • Client-based responses were 37.9% more frequent than those from referring veterinarians.
  • Deep/implant SSIs could be missed if not associated with visible wound healing problems.
  • Two late SSIs (after 90 days) occurred, both linked to implant surgeries.
  • Algorithm 1 was the most sensitive (87.1%) but less specific; useful for screening.
  • Algorithm 2 had the highest specificity (97.9%); useful as a “rule-in” diagnostic method.

Glenn

Veterinary Surgery

8

2024

Evaluation of a client questionnaire at diagnosing surgical site infections in an active surveillance system

2024-8-VS-glenn-4

Article Title: Evaluation of a client questionnaire at diagnosing surgical site infections in an active surveillance system

Journal: Veterinary Surgery

In Anderson 2024 et al., how was the caudal malpositioning of the TPLO plate hypothesized to contribute to nerve injury?

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Correct. Drilling caudally positioned plates risks striking the fibular nerve directly:contentReference[oaicite:3]{index=3}
Incorrect. The correct answer is Directed drill trajectory toward fibular nerve.
Drilling caudally positioned plates risks striking the fibular nerve directly:contentReference[oaicite:3]{index=3}

🔍 Key Findings Summary

  • 3 dogs developed permanent fibular nerve dysfunction following TPLO
  • Common findings:
    • Drill hole or screw in caudal tibial cortex just distal to osteotomy
    • Caudal malpositioning of TPLO plate (esp. right limb of case 3)
    • Post-op signs: cranial tibial atrophy, knuckling, exaggerated gait, no hock flexion
  • One case had confirmed deep/superficial fibular neuropathy via electrodiagnostics
  • Recommended prevention: avoid overly caudal drill paths; careful gait assessment at follow-up is key

Anderson

Veterinary and Comparative Orthopedics and Traumatology

3

2024

Permanent Iatrogenic Fibular Nerve Injury following Tibial Plateau Levelling Osteotomy

2024-3-VCOT-anderson-4

Article Title: Permanent Iatrogenic Fibular Nerve Injury following Tibial Plateau Levelling Osteotomy

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Gibson 2024 et al., on mediastinoscopy in dogs, what lymph node was **most consistently retrieved** using the SILS-port technique?

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Correct. The left tracheobronchial lymph node was retrieved in all 7 cadavers.
Incorrect. The correct answer is Left tracheobronchial.
The left tracheobronchial lymph node was retrieved in all 7 cadavers.

🔍 Key Findings

  • Mediastinoscopy was technically feasible in large-breed canine cadavers using a SILS port and standard laparoscopic instruments.
  • The left tracheobronchial lymph node (LTBLN) was successfully retrieved in all cadavers (7/7), while cranial mediastinal lymph nodes were retrieved in only 1/7.
  • Postprocedural pleural gas was observed in 4/7 cadavers, likely due to CO₂ insufflation.
  • Instrument limitations with a human-designed mediastinoscope led to preference for laparoscopic instruments and SILS port for improved access and visualization.
  • Complication rates were low, with only two minor (Grade 1) adverse events (pleural tear and LN rupture).
  • Obesity and mediastinal fat were cited as potential challenges to visualization and node retrieval.
  • NASA-TLX workload scores were lowest for tracheobronchial nodes, indicating these were the easiest to access.
  • The authors concluded this approach may facilitate minimally invasive biopsy or resection of cranial mediastinal masses in live dogs, but clinical trials are needed to validate safety and efficacy.

Gibson

Veterinary Surgery

5

2024

Evaluation of mediastinoscopy for cranial mediastinal and tracheobronchial lymphadenectomy in canine cadavers

2024-5-VS-gibson-1

Article Title: Evaluation of mediastinoscopy for cranial mediastinal and tracheobronchial lymphadenectomy in canine cadavers

Journal: Veterinary Surgery

In Billas 2022 et al., on SSI risk after limb amputation, which muscle transection method was associated with increased infection odds?

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Correct. Use of bipolar vessel sealing devices significantly increased the odds of SSI (OR 2.5; *P* = .023).
Incorrect. The correct answer is Bipolar vessel sealing device.
Use of bipolar vessel sealing devices significantly increased the odds of SSI (OR 2.5; *P* = .023).

🔍 Key Findings

  • 12.5% overall incidence of SSI after limb amputation, and 10.9% for clean procedures.
  • Bipolar vessel sealing device use for muscle transection significantly increased SSI risk (OR 2.5; P = .023).
  • Monopolar electrosurgery and sharp transection were not associated with increased SSI risk.
  • Non-clean wound classification increased SSI odds (OR 8.2; P = .003).
  • Amputation for infection (OR 5.7) or trauma (OR 4.5) significantly increased SSI risk compared to neoplasia.
  • Preoperative infections at distant sites did not significantly increase SSI risk.
  • Neither surgery/anesthesia duration, hypothermia, hypotension, nor skin closure method significantly affected SSI risk.
  • Study supports avoiding bipolar sealing devices for muscle transection in limb amputations to reduce SSI risk.

Billas

Veterinary Surgery

3

2022

Incidence of and risk factors for surgical site infection following canine limb amputation

2022-3-VS-billas-1

Article Title: Incidence of and risk factors for surgical site infection following canine limb amputation

Journal: Veterinary Surgery

In Swieton 2025 et al., on portocaval shunts, how many dogs were confirmed to have persistent shunting on imaging follow-up?

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Correct. 56% (9 of 16 dogs evaluated) had persistent shunting on follow-up CT or ultrasound imaging.
Incorrect. The correct answer is 9 of 16.
56% (9 of 16 dogs evaluated) had persistent shunting on follow-up CT or ultrasound imaging.

🔍 Key Findings

Study population: 21 dogs with portocaval extrahepatic portosystemic shunts (EHPSS)
Surgical approach: 67% (14/21) underwent ameroid constrictor placement
Perioperative complications: 4 dogs (19%), including seizures (n = 2), vomiting, and abdominal effusion
Perioperative mortality: 1 dog (5%)
Postoperative clinical outcome:

  • Good to excellent outcome: 81% (17/21)
  • Median follow-up: 6 months (range 3–43)

Persistence of shunting (CT or US): 56% (9/16 evaluated)
Dogs with persistent shunting: 67% still had good to excellent clinical outcome
Congenital portocaval shunts may have more favorable outcomes than previously reported

Swieton

Veterinary Surgery

2

2025

Outcome of 21 dogs treated for the portocaval subtype of extrahepatic portosystemic shunt

2025-2-VS-swieton-4

Article Title: Outcome of 21 dogs treated for the portocaval subtype of extrahepatic portosystemic shunt

Journal: Veterinary Surgery

In Cortez 2024 et al., on feline ectopic ureters, what diagnostic imaging modality was successful in all cases in which it was used?

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Correct. CT diagnosed ectopic ureters in 3/3 cases, making it the most consistently accurate modality in this cohort.
Incorrect. The correct answer is Computed tomography (CT).
CT diagnosed ectopic ureters in 3/3 cases, making it the most consistently accurate modality in this cohort.

🔍 Key Findings

  • Ectopic ureters in cats are rare, but most are extramural and bilateral.
  • Surgical techniques used included ureteroneocystostomy (UNC), neoureterostomy (NU), nephroureterectomy, and cystoscopic laser ablation (CLA).
  • All cats showed improvement in urinary continence postoperatively, with 11/12 achieving complete resolution.
  • Major complications were rare; one cat developed uroabdomen requiring revision surgery.
  • Diagnostic imaging was effective, with abdominal ultrasound diagnosing 8/10 and CT 3/3 cases.
  • Short- and long-term complications included urethral spasms, UTIs, stranguria, and rectal prolapse; all were manageable.
  • CLA was successful in 2 cats and is noted as a first-time described technique in feline ectopic ureter cases.
  • Median postoperative follow-up was 340 days, supporting good long-term outcomes.

Cortez

Veterinary Surgery

6

2024

Presentation, diagnosis, and outcomes of cats undergoing surgical treatment of ectopic ureters

2024-6-VS-cortez-3

Article Title: Presentation, diagnosis, and outcomes of cats undergoing surgical treatment of ectopic ureters

Journal: Veterinary Surgery

In Hertel 2025 et al., on portal venotomy for insulinoma, which postoperative complication was observed and medically managed?

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Correct. Moderate pancreatitis was the only notable postoperative complication and was managed conservatively.
Incorrect. The correct answer is Pancreatitis.
Moderate pancreatitis was the only notable postoperative complication and was managed conservatively.

🔍 Key Findings

  • Portal venotomy enabled successful en bloc resection of a pancreatic insulinoma and associated thrombus in the portal vein, a novel approach in veterinary literature.
  • Temporary portal vein occlusion (15 min) was well tolerated, causing only transient small intestinal congestion without lasting hemodynamic compromise.
  • No intraoperative hemorrhage occurred following vascular isolation and venotomy repair with 5–0 polypropylene in a simple continuous pattern.
  • Postoperative complications were minimal, with only moderate pancreatitis managed medically and no portal hypertension observed on follow-up imaging.
  • Histopathology confirmed insulinoma, with no initial metastasis; CT at 6 months revealed hepatic and peritoneal metastases but no local recurrence at the venotomy site.
  • Portal vein luminal stenosis occurred post-repair but was clinically insignificant.
  • Advanced CT imaging and 3D printed modeling significantly enhanced surgical planning and anatomical assessment.
  • Surgical excision achieved good short-term outcomes, and the dog was alive and euglycemic one year later despite metastatic disease.

Hertel

Veterinary Surgery

5

2025

Successful venotomy for portal tumor thrombus removal due to pancreatic carcinoma in a dog

2025-5-VS-hertel-3

Article Title: Successful venotomy for portal tumor thrombus removal due to pancreatic carcinoma in a dog

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?

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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

In Griffin 2025 et al., on sentinel lymph mapping, how many dogs had histologically confirmed lymph node metastasis?

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Correct. Two dogs had metastatic carcinoma in sentinel nodes confirmed by histopathology.
Incorrect. The correct answer is 2 of 6.
Two dogs had metastatic carcinoma in sentinel nodes confirmed by histopathology.

🔍 Key Findings

  • Six dogs with thyroid carcinoma underwent preoperative CT lymphography (CTL) and intraoperative sentinel lymph node (SLN) mapping using methylene blue (MB) and indocyanine green (ICG) with near-infrared (NIR) imaging.
  • SLNs were successfully identified in all dogs (6/6).
  • SLNs included medial retropharyngeal, cranial deep cervical, and superficial cervical nodes.
  • Metastatic carcinoma was found in 3/12 SLNs, in 2/6 dogs.
  • Some discordance occurred between CTL and intraoperative SLN findings (partial match in 3/6).
  • Protocol modifications (e.g., reduced dye volume, post-exposure injection) improved localization and minimized dye diffusion.
  • No intraoperative complications or adverse events occurred.
  • Study supports further investigation of combined SLN mapping techniques in canine thyroid cancer.

Griffin

Veterinary Surgery

4

2025

A combination of pre‐ and intraoperative techniques identifies sentinel lymph nodes in dogs with thyroid carcinoma: A pilot study

2025-4-VS-griffin-3

Article Title: A combination of pre‐ and intraoperative techniques identifies sentinel lymph nodes in dogs with thyroid carcinoma: A pilot study

Journal: Veterinary Surgery

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