Your Custom Quiz

In Miller 2024 et al., on leak testing in cooled feline intestine, where did most leaks initiate in both groups?

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Correct. Suture hole was the most common site of initial leakage in both groups.
Incorrect. The correct answer is Suture hole.
Suture hole was the most common site of initial leakage in both groups.

🔍 Key Findings

  • No difference in initial leak pressure (ILP) or maximum intraluminal pressure (MIP) between cooled (17–29 h) and fresh enterotomy constructs.
  • Wall thickness of duodenum and jejunum did not differ between fresh and cooled samples.
  • Leak locations (suture holes vs clamp sites) were similar between groups; not statistically different.
  • Volume of infusion did not influence ILP or MIP outcomes.
  • Mean ILP values: Control = 600 mmHg (maxed), Fresh = 200 mmHg, Cooled = 131 mmHg; CE vs FE difference was not significant.
  • Intraluminal diameter was largest in the ileum, followed by jejunum and duodenum.
  • Cadaveric intestine cooled ≤29h may be reliably used in ex vivo feline leak pressure studies.
  • First report of gross small intestinal lengths by region in cats—useful for resection planning.

Miller

Veterinary Surgery

5

2024

Cooled feline intestine and fresh intestine did not differ in enterotomy leak pressure testing or in gross wall thickness measurement

2024-5-VS-miller-5

Article Title: Cooled feline intestine and fresh intestine did not differ in enterotomy leak pressure testing or in gross wall thickness measurement

Journal: Veterinary Surgery

In Geier 2022 et al., on smoke evacuation in TPLO, which group had the highest maximum particle concentration during surgery?

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Correct. Maximum particle concentration in the non–smoke-evacuator group was 62,450 ppc vs. 10,100 in the SE group.
Incorrect. The correct answer is NSE group (62,450 ppc).
Maximum particle concentration in the non–smoke-evacuator group was 62,450 ppc vs. 10,100 in the SE group.

🔍 Key Findings

  • Use of smoke evacuators reduced ultrafine particle concentrations by 56.4% during approach to the proximal tibia for TPLO in dogs.
  • Mean intraoperative particle concentrations were significantly higher in surgeries without smoke evacuation (1352 ppc vs. 763 ppc, P < .0001).
  • Maximum particle concentrations were six times higher without smoke evacuation (62,450 ppc vs. 10,100 ppc, P < .0001).
  • Particle counts increased above baseline regardless of evacuator use, confirming electrosurgery contributes substantially to airborne particles.
  • Surgeons noted reduced odor and health concerns when using the smoke evacuator, despite initial visibility limitations due to pencil attachment.
  • Standard surgical masks do not protect against ultrafine particles, underscoring the importance of smoke mitigation systems.
  • The smoke-evacuation unit did not eliminate all ultrafine particles, suggesting optimization (e.g., higher power setting) may be beneficial.
  • This is the first clinical veterinary study to measure surgical smoke reduction using evacuators during TPLO.

Geier

Veterinary Surgery

5

2022

The effect of a smoke‐evacuation unit on ultrafine particle concentrations in the operating room during approach to the proximal tibia for tibial plateau-leveling osteotomy surgery in dogs

2022-5-VS-geier-3

Article Title: The effect of a smoke‐evacuation unit on ultrafine particle concentrations in the operating room during approach to the proximal tibia for tibial plateau-leveling osteotomy surgery in dogs

Journal: Veterinary Surgery

In Low 2025 et al., on machine-learning prediction, which factor was shown to have a significant impact on the model’s predictions and may represent a modifiable risk?

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Correct. The study emphasized that surgeon-related variables heavily influenced complication prediction.
Incorrect. The correct answer is Surgeon identity.
The study emphasized that surgeon-related variables heavily influenced complication prediction.

🔍 Key Findings

  • Postoperative complications occurred in 20% of stifles, including 7.5% minor, 10.3% surgical, and 3.4% medical complications.
  • The PROSPECT machine-learning model achieved high predictive accuracy: 92.3% for surgical complications, 91.9% for minor, and 94.3% for medical.
  • Top predictive features included surgical technique, implant type, patient age, and surgeon identity.
  • Surgeon-specific variables influenced predictions, indicating operator experience and technique matter.
  • Engineered interaction features (e.g., breed × implant) were more predictive than raw clinical data alone.
  • Rottweiler, intact male status, and higher bodyweight were associated with increased complication risk; Labradors had decreased risk.
  • Model calibration was strong, especially for high and low probability predictions; midrange predictions were less reliable.
  • The model supports individualized, probabilistic risk assessment, which could inform client counseling and tailored postoperative care.

PROSPECT = Predicting Risk Of Surgical compli­cations aftEr CCWO and TPLO

Low

Veterinary Surgery

7

2025

Machine‐learning prediction of postoperative complications after high tibial osteotomy for canine cranial cruciate ligament disease

2025-7-VS-low-5

Article Title: Machine‐learning prediction of postoperative complications after high tibial osteotomy for canine cranial cruciate ligament disease

Journal: Veterinary Surgery

In Gibson 2024 et al., on mediastinoscopy in dogs, which factor most likely contributed to **difficulty in lymph node identification**?

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Correct. Increased mediastinal fat reduced visibility and working space during dissection.
Incorrect. The correct answer is Obesity and mediastinal fat.
Increased mediastinal fat reduced visibility and working space during dissection.

🔍 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-5

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

Journal: Veterinary Surgery

In Heikkilä 2024 et al., on COPLA scaffold evaluation, which adverse event was observed in the COPLA group?

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Correct. One COPLA-treated dog developed lameness due to a dislodged fragment from the lesion site requiring arthroscopic removal:contentReference[oaicite:3]{index=3}
Incorrect. The correct answer is Fragment dislodgment requiring repeat arthroscopy.
One COPLA-treated dog developed lameness due to a dislodged fragment from the lesion site requiring arthroscopic removal:contentReference[oaicite:3]{index=3}

🔍 Key Findings Summary

  • 22 dogs (36 shoulders) with shoulder OCD randomly assigned to COPLA scaffold (n=19) or Control (n=17) group
  • At 6 months: Significantly fewer dogs in COPLA group had OA (14% vs. 67%; p = 0.019)
  • At 1.5 years: OA prevalence increased in both groups with no significant difference (COPLA: 64%, Control: 60%)
  • HCPI (pain index) increased significantly at 1 week post-op in COPLA dogs only (p = 0.001), but later normalized
  • Static weight-bearing improved only in unilaterally operated COPLA limbs (p = 0.015)
  • One dog in COPLA group had a fragment dislodge requiring arthroscopic removal
  • Overall, COPLA scaffold may provide short-term benefit in OA reduction, but long-term outcomes were similar

Heikkila

Veterinary and Comparative Orthopedics and Traumatology

6

2024

Randomized, Blinded, Controlled Clinical Trial of Polylactide–Collagen Scaffold in Treatment of Shoulder Osteochondritis Dissecans in Dogs

2024-6-VCOT-heikkila-4

Article Title: Randomized, Blinded, Controlled Clinical Trial of Polylactide–Collagen Scaffold in Treatment of Shoulder Osteochondritis Dissecans in Dogs

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Muroi 2024 et al., on radius plate stress effects, what clinical implication is suggested regarding implant-induced osteoporosis (IIO)?

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Correct. Study concludes IIO and bone changes may stem from reduced tension on plated cortex.
Incorrect. The correct answer is It may result from reduced cortical tension beneath LP.
Study concludes IIO and bone changes may stem from reduced tension on plated cortex.

🔍 Key Findings Summary

  • Finite element analysis compared intact radii vs. locking plates placed 1 mm or 3 mm above the bone
  • LP placement significantly reduced tensile (maximum principal) stress on cranial cortex, potentially causing implant-induced osteoporosis
  • Shell element findings:
    • Max principal stress significantly lower in both LP groups vs. intact (p < 0.05)
  • Solid element findings:
    • Equivalent stress higher and max principal stress lower in LP groups
  • Implication: Tension reduction may impair bone remodeling; implant design and placement height affect stress environment

Muroi

Veterinary and Comparative Orthopedics and Traumatology

3

2024

Stress Changes in the Canine Radius after Locking Plate Fixation Using Finite Element Analysis

2024-3-VCOT-muroi-5

Article Title: Stress Changes in the Canine Radius after Locking Plate Fixation Using Finite Element Analysis

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Fracka 2025 et al., on cementless knee replacement, what did histology confirm about the implant-bone interface?

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Correct. Histology revealed robust osseointegration and new bone growth into porous surfaces of both components【57†Veterinary Surgery†L1-L20】
Incorrect. The correct answer is Extensive osseointegration with new bone formation.
Histology revealed robust osseointegration and new bone growth into porous surfaces of both components【57†Veterinary Surgery†L1-L20】

🔍 Key Findings

Subject: 7-year-old Labrador underwent cementless total knee replacement (TKR) due to severe stifle OA.

Clinical function:

  • Improved ROM from 90° pre-op to 120° post-op.
  • Weight-bearing increased from toe-touching to 70% bodyweight by 6 weeks post-op.
  • No visible lameness by 14 weeks.

Implant performance:

  • No complications at any follow-up points.
  • No osteolysis, loosening, or metallosis at 6-year necropsy.

Wear evaluation:

  • Mild UHMWPE insert wear, localized to caudal edges.

Histologic findings:

  • Robust osseointegration at implant-bone interface.
  • Fibrous tissue only in areas lacking porous coating.

Conclusion:

  • Cementless TKR demonstrated excellent 6-year survival and functional outcomes.
  • Support for considering early surgical intervention in severe stifle OA.

Fracka

Veterinary Surgery

3

2025

Long‐term clinical outcomes and retrieval analysis of a cementless total knee replacement in a dog

2025-3-VS-fracka-4

Article Title: Long‐term clinical outcomes and retrieval analysis of a cementless total knee replacement in a dog

Journal: Veterinary Surgery

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 Banks 2024 et al., which surgical factor was significantly associated with under-correction of TPA?

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Correct. More distal ostectomy placement correlated with higher postoperative TPA (p = .01).
Incorrect. The correct answer is Increased ostectomy distalization.
More distal ostectomy placement correlated with higher postoperative TPA (p = .01).

🔍 Key Findings Summary

  • Study Design: Retrospective study of 100 radiographs using in silico and clinical data
  • Mean preoperative TPA: 28.6°, higher in small dogs than large (p = .02)
  • Mean planned TPA (in silico): 7.6°, not achieving 5° target (p < .01)
  • Median postoperative TPA: 5.5° overall; higher in small dogs (7°) vs large (4.5°) (p = .06)
  • Postoperative ostectomy position: More distal than recommended; average = 8.6 mm
  • Increased distalizationgreater under-correction of TPA (p = .01)
  • Most accurate correction occurred when ostectomy was ≤7.5 mm from patellar tendon
  • Wedge angle categories (TPA-Pre minus 5–2°) were used based on pre-op TPA

Banks

Veterinary Surgery

1

2024

A mismatch of planning and achieved tibial plateau angle in cranial closing wedge surgery: An in silico and clinical evaluation of 100 cases

2024-1-VS-banks-3

Article Title: A mismatch of planning and achieved tibial plateau angle in cranial closing wedge surgery: An in silico and clinical evaluation of 100 cases

Journal: Veterinary Surgery

In Kalmukov 2022 et al., on cell salvage efficacy, what was the main advantage of swab washing during intraoperative blood salvage?

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Correct. Swab washing is useful when blood accumulates on swabs rather than in cavities, e.g., in soft tissue surgery.
Incorrect. The correct answer is It served as an adjunct when direct suction was limited.
Swab washing is useful when blood accumulates on swabs rather than in cavities, e.g., in soft tissue surgery.

🔍 Key Findings

  • Direct suction salvaged more red blood cell mass (rbcM) than swab washing: 88.43% vs 84.74% (p = .015)
  • Swab washing still achieved high recovery (84.74%), making it a viable adjunct when suction is not possible
  • No significant difference in post-salvage PCV between methods (~34% for Su and ~33.9% for Sw)
  • Total salvaged blood volume was significantly higher using direct suction (143 mL vs 139.8 mL; p < .001)
  • Leukocytes are removed during salvage, potentially lowering risk of cytokine-mediated transfusion reactions
  • Expired pRBCs were used, but device still achieved high RBC recovery, supporting clinical utility
  • Swab washing via manual agitation may cause more RBC destruction than direct suction
  • Cell salvage may avoid complications of allogeneic transfusions, like storage lesions and immunologic reactions

Kalmukov

Veterinary Surgery

8

2022

Ex vivo evaluation of a novel cell salvage device to recover canine erythrocytes

2022-8-VS-kalmukov-4

Article Title: Ex vivo evaluation of a novel cell salvage device to recover canine erythrocytes

Journal: Veterinary Surgery

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