Your Custom Quiz

In Mayhew 2023 et al., on BOAS surgery effects, what long-term clinical outcome was reported at the median 36.5-month follow-up?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. At final follow-up, some dogs still required medical management and one required additional surgery.
Incorrect. The correct answer is One dog underwent further surgery, some remained on meds.
At final follow-up, some dogs still required medical management and one required additional surgery.

🔍 Key Findings

  • Owner-reported regurgitation improved after CMS, especially post-eating and during activity (P = .012 and P = .002)
  • No significant improvement in VFSS measures of SHH or GER postoperatively (P > .05 for all comparisons)
  • Laryngeal ventriculectomy and soft palate resection were performed in all dogs, alaplasty in 14/16
  • Aspiration pneumonia occurred in 1 dog immediately post-op and resolved with treatment
  • Post-op esophagoscopy results varied, with persistent esophagitis in some cases
  • Clinical response was variable, with ~25–30% of dogs being “non-responders” based on owner scoring
  • 13/16 dogs showed partial or full clinical improvement, despite no change in objective SHH/GER indicators
  • Final follow-up at median 36.5 months showed some dogs still on medical therapy; one underwent further surgery

Mayhew

Veterinary Surgery

2

2023

Effect of conventional multilevel brachycephalic obstructive airway syndrome surgery on clinical and videofluoroscopic evidence of hiatal herniation and gastroesophageal reflux in dogs

2023-2-VS-mayhew-5

Article Title: Effect of conventional multilevel brachycephalic obstructive airway syndrome surgery on clinical and videofluoroscopic evidence of hiatal herniation and gastroesophageal reflux in dogs

Journal: Veterinary Surgery

In Forzisi 2025 et al., on femoral growth post-THR, what hypothesis regarding trochanteric growth was supported?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. The 11.5% decrease in trochanteric growth supports the hypothesis that THR reduces growth in this region.
Incorrect. The correct answer is THR reduces trochanteric growth.
The 11.5% decrease in trochanteric growth supports the hypothesis that THR reduces growth in this region.

🔍 Key Findings

Population: 24 dogs (<8.5 months) undergoing unilateral cementless THR.
Growth Impact:

  • Operated femurs showed ~11.5% less trochanteric growth than controls (p = .002).
  • No significant difference in femoral diaphyseal + epiphyseal length (p = .712) or femur overall (p = .465).

Cortical Width:

  • Increased significantly at 10 mm distal to trochanter (4.6% increase, p = .037) and at 50% femoral length (8.5% increase, p = .030).

Clinical relevance: Despite measurable changes, no clinically significant impairment to femoral length occurred.
Effect Sizes:

  • Moderate negative for trochanteric growth.
  • Moderate positive for proximal femoral width.

Forzisi

Veterinary Surgery

1

2025

Evaluation of the effects of cementless total hip replacement on femoral length in skeletally immature dogs

2025-1-VS-forzisi-4

Article Title: Evaluation of the effects of cementless total hip replacement on femoral length in skeletally immature dogs

Journal: Veterinary Surgery

In Buote 2023 et al., on laparoscopic gastrectomy in cats, which staple type was ultimately used for live feline surgeries?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Purple Tri-Staple technology staples were used in live cats for graduated compression appropriate for stomach thickness.
Incorrect. The correct answer is Purple Tri-Staple cartridges.
Purple Tri-Staple technology staples were used in live cats for graduated compression appropriate for stomach thickness.

🔍 Key Findings

  • LVSG was feasible in 9/10 feline cadavers with successful stapled gastrectomy and minimal technical complications.
  • Stenosis at the incisura angularis occurred in 2/10 cadavers, associated with staple placement too close to the lesser curvature.
  • Leak testing was negative in 8 cadavers and both live cats, indicating effective staple sealing.
  • Mean stomach resection was ~28%, though less than human standards (~75–80%) for metabolic effects.
  • Surgery was performed safely in two live feline subjects, with no intraoperative or postoperative complications over a 6-month follow-up.
  • Technique refinements included orogastric tube placement and custom 3D-printed cannulas to improve staple line accuracy and avoid stenosis.
  • Tri-Staple purple cartridges provided graduated compression suited for feline gastric tissue thickness (~2.5 mm).
  • No need for staple line oversew in live cats; staple-only closure proved safe in this short-term study.

Buote

Veterinary Surgery

6

2023

Laparoscopic vertical sleeve gastrectomy in felines: A cadaveric feasibility study and experimental case series in two cats

2023-6-buote2-4

Article Title: Laparoscopic vertical sleeve gastrectomy in felines: A cadaveric feasibility study and experimental case series in two cats

Journal: Veterinary Surgery

In Israel 2022 et al., on cerclage wire in THR, which complication did occur postoperatively despite cerclage placement?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Three dogs developed complications near the femoral stem tip, not in the region protected by cerclage.
Incorrect. The correct answer is Fissure/fracture near stem tip.
Three dogs developed complications near the femoral stem tip, not in the region protected by cerclage.

🔍 Key Findings

  • No proximal femoral fractures occurred in any of the 184 hips with cerclage wire placement
  • Cerclage wire was well tolerated, with no failures or complications related to the wire
  • Application of a single cerclage wire took <10 minutes, was cost-effective, and required minimal instrumentation
  • 3 postoperative complications (1 fissure, 2 fractures) occurred distal to the cerclage site, near the stem tip, requiring plate/screw fixation
  • All dogs returned to normal activity, and all owners were satisfied with the outcome
  • Cerclage placement location is critical—must be proximal to the lesser trochanter and close to the calcar to resist hoop strain
  • Biomechanical evidence supports that cerclage wires improve resistance to hoop strain and subsidence of cementless stems
  • Press-fit cementless stems may settle, but when supported by cerclage, this does not result in fractures even in undersized implants

Israel

Veterinary Surgery

2

2022

Outcome of canine cementless collared stem total hip replacement with proximal femoral periprosthetic cerclage application: 184 consecutive cases

2022-2-VS-israel-4

Article Title: Outcome of canine cementless collared stem total hip replacement with proximal femoral periprosthetic cerclage application: 184 consecutive cases

Journal: Veterinary Surgery

In Kalmukov 2022 et al., on cell salvage efficacy, what was the average red blood cell mass (rbcM) recovery percentage?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Swab washing recovered an average of 84.74% of rbcM.
Incorrect. The correct answer is 84.7%.
Swab washing recovered an average of 84.74% of rbcM.

🔍 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-2

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

Journal: Veterinary Surgery

In Zann 2023 et al., In Long-term outcomes after proximal humeral OC debridement in dogs, what was a consistent finding in all shoulders treated surgically for proximal humeral osteochondrosis?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. All surgically treated shoulders developed OA and synovitis, with incomplete cartilage infilling.
Incorrect. The correct answer is Moderate-to-severe synovitis.
All surgically treated shoulders developed OA and synovitis, with incomplete cartilage infilling.

🔍 Key Findings

  • 20 dogs (26 shoulders) evaluated at mean 3.5 years post-surgery after arthroscopic or open debridement.
  • Ipsilateral muscle atrophy and decreased range of motion (↓ extension, ↓ flexion) in affected limbs compared to contralateral healthy shoulders.
  • All treated shoulders developed osteoarthritis, confirmed radiographically, by CT, and arthroscopically.
  • Moderate to severe synovitis was present in all shoulders; lesions showed patchy, incomplete cartilage infilling even up to 8.9 years post-op.
  • Kinetic gait analysis showed no significant differences in PVF/VI between affected and unaffected limbs, despite mild lameness clinically.
  • Owners reported good to very good mobility (median LOAD = 6), often underestimating clinical lameness.
  • CT detected larger lesion dimensions than radiographs (wider, deeper defects).
  • Despite progression of OA, surgical debridement was associated with satisfactory long-term function, though not prevention of degenerative changes.

Zann

Veterinary Surgery

7

2023

Long-term outcome of dogs treated by surgical debridement of proximal humeral osteochondrosis

2023-7-VS-zann-1

Article Title: Long-term outcome of dogs treated by surgical debridement of proximal humeral osteochondrosis

Journal: Veterinary Surgery

In Dickerson 2023 et al., on surgical outcomes in hepatic abscessation, what proportion of dogs developed intraoperative hypotension?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Intraoperative hypotension occurred in 32 of 36 dogs (89%).
Incorrect. The correct answer is 89%.
Intraoperative hypotension occurred in 32 of 36 dogs (89%).

🔍 Key Findings

  • Liver lobectomy was the most common treatment (27/36 dogs), with multiple lobes removed in ~1/3 of cases.
  • Septic peritonitis was present in 21/23 sampled dogs, making it a frequent complication.
  • Perioperative complications occurred in 21/36 dogs, including aspiration pneumonia, pancreatitis, and acute kidney injury.
  • Intraoperative hypotension was common (32/36), often requiring vasopressors or colloids.
  • Mortality prior to discharge was 21% (8/38), with deaths related to sepsis, aspiration pneumonia, and multi-organ dysfunction.
  • Median survival time was 638 days in dogs surviving to discharge.
  • No recurrence of hepatic abscessation was observed in the surviving population.
  • E. coli and Clostridium spp. were the most commonly cultured organisms, often as single-agent infections.

Dickerson

Veterinary Surgery

1

2023

Outcome in 38 dogs surgically treated for hepatic abscessation

2023-1-VS-dickerson-5

Article Title: Outcome in 38 dogs surgically treated for hepatic abscessation

Journal: Veterinary Surgery

In Tobias 2022 et al., on perineal hernia repair positioning, what postoperative complication occurred most frequently during hospitalization?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Perineal swelling was the most common in-hospital complication (5 cases).
Incorrect. The correct answer is Perineal swelling.
Perineal swelling was the most common in-hospital complication (5 cases).

🔍 Key Findings

  • Perineal hernia repair was feasible in dorsal recumbency in all 23 dogs, allowing simultaneous perineal and abdominal procedures without repositioning.
  • Internal obturator muscle transposition (IOMT) was successfully performed in 22 dogs, with tendon transection facilitating improved muscle elevation.
  • Complication rate was 60.9% in-hospital and 47.8% post-discharge, mostly minor (e.g., swelling, drainage), with infection suspected in 4 dogs (17.4%).
  • Recurrence rate was 19% overall, but significantly higher in dogs with prior hernia repairs (50% vs 5.9%; p = 0.053).
  • Dogs without prior repairs or organ pexies had no recurrences (p = 0.035), suggesting primary repairs without preexisting interventions fare better.
  • Castration and adjunctive abdominal procedures (e.g., colopexy, cystopexy) were often performed concurrently (18/23 dogs).
  • Colopexy did not prevent recurrence, although it aided in surgical visualization during perineal repair.
  • Dorsal positioning allowed simultaneous access to the abdomen and perineum, improving surgical efficiency without added complications.

Tobias

Veterinary Surgery

5

2022

Perineal hernia repair in dorsal recumbency in 23 dogs: Description of technique, complications, and outcome

2022-5-VS-tobias-4

Article Title: Perineal hernia repair in dorsal recumbency in 23 dogs: Description of technique, complications, and outcome

Journal: Veterinary Surgery

In McClean 2025 et al., on shoulder arthrocentesis techniques, what proportion of SA injections resulted in cartilage injury (IACI)?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Half of the SA injections resulted in iatrogenic cartilage injury.
Incorrect. The correct answer is 50%.
Half of the SA injections resulted in iatrogenic cartilage injury.

🔍 Key Findings

  • Study Type: Cadaveric study using 36 paired canine shoulders (n = 18 per group: Subacromial [SA] and Supratubercular [ST])
  • Survey Results: 75% of clinicians preferred SA technique; 25% used ST
Accuracy Outcomes:
  • Complete accuracy: 50% (SA), 44% (ST) — no significant difference (p = .8)
  • Partial accuracy: 39% (SA), 50% (ST)
  • Complete miss: 11% (SA), 5.6% (ST)
Safety Outcomes (India Ink Assay for Iatrogenic Articular Cartilage Injury [IACI]):
  • Incidence of IACI:
    • SA: 50% (9/18 shoulders)
    • ST: 11% (2/18 shoulders) → statistically significant (p = .007)
  • Lesion depth: All ST lesions were partial-thickness; SA group had one full-thickness lesion (p = .027)
  • Location: Lesions found on glenoid and humeral head with even distribution in SA; only one each in ST
Clinical Implications:
  • Landmark-guided injections were ≤50% completely accurate, even by an experienced operator.
  • ST technique is safer with lower risk of cartilage damage, despite similar accuracy.
  • Findings support considering image-guided techniques to improve both safety and accuracy in clinical settings.

Mcclean

Veterinary Surgery

4

2025

Accuracy and safety of two landmark‐guided techniques for arthrocentesis and intra‐articular injection of the shoulder in dogs

2025-4-VS-mcclean-4

Article Title: Accuracy and safety of two landmark‐guided techniques for arthrocentesis and intra‐articular injection of the shoulder in dogs

Journal: Veterinary Surgery

In Larose 2024 et al., on laparoscopic liver biopsies in dogs, what biopsy surface area was associated with a 98% probability of obtaining ≥11 portal triads?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Figure 1 modeled surface area vs. triad count; ≥40 mm² yielded 98% probability of sufficient portal triads.
Incorrect. The correct answer is 40 mm².
Figure 1 modeled surface area vs. triad count; ≥40 mm² yielded 98% probability of sufficient portal triads.

🔍 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-larose1-2

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

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.