Quiz Question

In Berthomé 2025 et al., on prophylactic fenestration in cervical IVDE, which statement best describes complication rates between PF and non-PF groups?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. There was no statistically significant difference in complication rates (p = .838).
Incorrect. The correct answer is Both groups had similar complication rates.
There was no statistically significant difference in complication rates (p = .838).

🔍 Key Findings

  • Prophylactic fenestration (PF) significantly reduced recurrence of cervical intervertebral disc extrusion (0% vs. 37.8%, p < .001).
  • Surgery time was longer with PF (median 182 vs. 110 min, p = .017), but no difference in perioperative complication rates (PF 16.7%, non-PF 18.9%; p = .838).
  • 25% overall recurrence rate, but all recurrences occurred in the non-PF group.
  • Medical management was effective in 92.9% of recurrence cases.
  • Most PF sites targeted adjacent discs; 88.9% were at adjacent levels, which are common recurrence sites.
  • Neurologic outcomes were similar between PF and non-PF dogs post-surgery and at follow-up.
  • Fenestration technique (blade vs. burr) not shown to affect outcome but contributed to extended surgical time.
  • No major complications or deaths linked directly to PF in initial surgeries.

Berthomé

Veterinary Surgery

6

2025

Recurrence of cervical intervertebral disc extrusion in 55 dogs after surgical decompression with or without prophylactic fenestration

2025-6-VS-berthome-4

Article Title: Recurrence of cervical intervertebral disc extrusion in 55 dogs after surgical decompression with or without prophylactic fenestration

Journal: Veterinary Surgery

How "Board-worthy" is this question?

🔥100% would expect this on the real thing

🤔Useful, but not core exam material

🗑️Not relevant or too off-base

Thanks for the feedback!
We'll keep fine-tuning the question vault.
Oops — didn’t go through.
Mind trying that again?

In Aertsens 2025 et al., on thoracic lift technique, what was the primary physiologic improvement observed in Cat 1 following lift device application?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. PaO₂ improved from 179.4 mmHg to 306.3 mmHg after thoracic lift was applied in Cat 1.
Incorrect. The correct answer is Improved oxygenation (PaO₂ increase).
PaO₂ improved from 179.4 mmHg to 306.3 mmHg after thoracic lift was applied in Cat 1.

🔍 Key Findings

Case 1: Chest wall lift improved oxygenation (PaO₂ increased from 179.4 to 306.3 mmHg) and enabled thoracoscopic-assisted lobectomy in a cat with pleural effusion and pulmonary carcinoma.
Case 2: Chest wall lift using a Steinmann pin allowed 3-port thoracoscopic lobectomy for a bronchial foreign body; no complications observed.
Both cats: Lift increased working space and eliminated need for thoracotomy; no device-related complications.
Pretied ligating loops (PLL) were effective for hilar vessel ligation—preferred over staplers or self-locking ligatures in feline thorax.
Conclusion: Thoracic lift is a novel, minimally invasive method enhancing thoracoscopic procedures in small patients, particularly cats.

Aertsens

Veterinary Surgery

4

2025

Chest wall lift for thoracoscopic lung lobectomy: Technique and results in two cats

2025-4-VS-aertsens-1

Article Title: Chest wall lift for thoracoscopic lung lobectomy: Technique and results in two cats

Journal: Veterinary Surgery

How "Board-worthy" is this question?

🔥100% would expect this on the real thing

🤔Useful, but not core exam material

🗑️Not relevant or too off-base

Thanks for the feedback!
We'll keep fine-tuning the question vault.
Oops — didn’t go through.
Mind trying that again?

In Case 2024 et al., on feline pancreatectomy, which complication occurred postoperatively in one cat?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. One cat developed a localized sterile peritonitis near the pancreatic angle; it resolved with conservative treatment.
Incorrect. The correct answer is Sterile peritonitis.
One cat developed a localized sterile peritonitis near the pancreatic angle; it resolved with conservative treatment.

🔍 Key Findings Summary

  • Success rate: All 9 cats underwent successful laparoscopic partial pancreatectomy.
  • Complications:
    • 1 minor intraoperative hemorrhage (Grade 1)
    • 1 sterile peritonitis (Grade 2) post-op, resolved conservatively
  • Pancreatic function:
    • fTLI decreased by 37% (p = .03), but stayed within normal limits
    • fPLI and A1C were unchanged
  • Resection details:
    • Mean weight: 3.0 ± 1.4 g
    • Mean surgical time: 59.7 ± 16.2 min
  • Follow-up: 250–446 days — all cats remained clinically healthy
  • Conclusion: Ultrasonic LPP is safe and effective in healthy cats, preserving endocrine/exocrine function

Case

Veterinary Surgery

2

2024

Laparoscopic partial pancreatectomy of the left limb using a harmonic scalpel in nine cats

2024-2-VS-case-2

Article Title: Laparoscopic partial pancreatectomy of the left limb using a harmonic scalpel in nine cats

Journal: Veterinary Surgery

How "Board-worthy" is this question?

🔥100% would expect this on the real thing

🤔Useful, but not core exam material

🗑️Not relevant or too off-base

Thanks for the feedback!
We'll keep fine-tuning the question vault.
Oops — didn’t go through.
Mind trying that again?

In Planchamp 2022 et al., on imaging-based AAI diagnosis, which measurement best differentiated potentially unstable dogs from AAI-affected dogs?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. VCI ≥0.23 had a sensitivity of 93.75% and specificity of 94.44% to distinguish AAI from potentially unstable dogs.
Incorrect. The correct answer is Ventral compression index (VCI).
VCI ≥0.23 had a sensitivity of 93.75% and specificity of 94.44% to distinguish AAI from potentially unstable dogs.

🔍 Key Findings

  • Ventral Compression Index (VCI) ≥0.16 (extension) or ≥0.2 (flexion) was diagnostic for AAI with 100% sensitivity and >94% specificity
  • VCI had the highest diagnostic accuracy among all measured variables (AUC > 0.99)
  • C1-C2 overlap ≤2.7 mm (extension) or ≤1.8 mm (flexion) also diagnostic for AAI (sensitivity 84–96%, specificity 81–90%)
  • C1-C2 angle ≥176.9° (extension) or ≥187.4° (flexion) had high sensitivity and specificity (~95%)
  • Basion-dens interval ≥5.9 mm (extension) or ≥3.0 mm (flexion) provided moderate diagnostic accuracy
  • Cranial translation ratio (CTR) ≥0.18 classified dogs as potentially unstable (sensitivity 90%, specificity 78%)
  • VCI ≥0.23 reliably differentiated AAI from potentially unstable cases (sensitivity 94%, specificity 94%)
  • DALR ≤0.24 had high specificity (100%) but low sensitivity for AAI diagnosis

Planchamp

Veterinary Surgery

4

2022

Determination of cutoff values on computed tomography and magnetic resonance images for the diagnosis of atlantoaxial instability in small-breed dogs

2022-4-VS-planchamp-3

Article Title: Determination of cutoff values on computed tomography and magnetic resonance images for the diagnosis of atlantoaxial instability in small-breed dogs

Journal: Veterinary Surgery

How "Board-worthy" is this question?

🔥100% would expect this on the real thing

🤔Useful, but not core exam material

🗑️Not relevant or too off-base

Thanks for the feedback!
We'll keep fine-tuning the question vault.
Oops — didn’t go through.
Mind trying that again?

In Davey 2024 et al., on modified closed anal sacculectomy, what postoperative complication was most commonly reported after modified closed anal sacculectomy?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Dehiscence occurred in 11 dogs (23.4%) and was the most common complication observed.
Incorrect. The correct answer is Incisional dehiscence.
Dehiscence occurred in 11 dogs (23.4%) and was the most common complication observed.

🔍 Key Findings

  • Modified closed anal sacculectomy resulted in a local recurrence rate of only 2.2%, substantially lower than prior reports (18–50%).
  • Postoperative complications occurred in 31.9% of dogs; most (93%) were minor, with dehiscence being the most common.
  • Mean survival time in deceased dogs was 521 days; median was 388 days.
  • Surgical technique included complete en bloc excision of the sac and duct with sphincter reconstruction, aiming to reduce seeding risk.
  • Only one major complication resulted in euthanasia due to infection and dehiscence.
  • Histologic margins were complete in 44.7% of dogs; lymphatic invasion was present in 31.9%, and vascular in 8.5%.
  • Adjunctive chemotherapy was administered in 34% of dogs (mostly carboplatin); not standardized due to retrospective design.
  • Routine rectal exam was key to diagnosis in 57.4% of dogs with no clinical signs, underscoring the importance of screening.

Davey

Veterinary Surgery

6

2024

Outcomes of dogs with apocrine gland anal sac adenocarcinoma treated via modified closed anal sacculectomy (2015–2022)

2024-6-VS-davey-2

Article Title: Outcomes of dogs with apocrine gland anal sac adenocarcinoma treated via modified closed anal sacculectomy (2015–2022)

Journal: Veterinary Surgery

How "Board-worthy" is this question?

🔥100% would expect this on the real thing

🤔Useful, but not core exam material

🗑️Not relevant or too off-base

Thanks for the feedback!
We'll keep fine-tuning the question vault.
Oops — didn’t go through.
Mind trying that again?

In Winston 2023 et al., on LES-AS surgery outcomes, what percentage of dogs experienced complications related to gastrostomy tubes?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Half of the dogs that survived to discharge experienced gastrostomy tube complications, highlighting the importance of postoperative management.
Incorrect. The correct answer is 50%.
Half of the dogs that survived to discharge experienced gastrostomy tube complications, highlighting the importance of postoperative management.

🔍 Key Findings

  • Modified Heller myotomy with Dor fundoplication improved vomiting/regurgitation scores by 180%, QoL by 100%, and owner-perceived body weight by 63% (P < .05).
  • 6 of 9 dogs with postoperative VFSS showed objective improvement in gastric filling scores; others remained stable.
  • Oral sildenafil was discontinued postoperatively in all dogs, indicating surgical success comparable to medical management.
  • 12 of 13 dogs survived to discharge; one dog was euthanized due to aspiration pneumonia postoperatively.
  • 50% of dogs experienced gastrostomy tube complications, higher than reported in previous literature.
  • Most complications were gastrostomy-tube related, with some requiring surgical correction (e.g., tube migration, leakage).
  • Feeding strategies (Bailey chair, elevated bowls) and food consistency (gruel/liquid) remained essential postoperatively to control regurgitation.
  • 9 of 11 owners would opt for the surgery again; those who wouldn’t cited risk or lack of efficacy.

Winston

Veterinary Surgery

2

2023

Management and outcomes of 13 dogs treated with a modified Heller myotomy and Dor fundoplication for lower esophageal sphincter achalasia-like syndrome

2023-2-VS-winston-1

Article Title: Management and outcomes of 13 dogs treated with a modified Heller myotomy and Dor fundoplication for lower esophageal sphincter achalasia-like syndrome

Journal: Veterinary Surgery

How "Board-worthy" is this question?

🔥100% would expect this on the real thing

🤔Useful, but not core exam material

🗑️Not relevant or too off-base

Thanks for the feedback!
We'll keep fine-tuning the question vault.
Oops — didn’t go through.
Mind trying that again?

In Drudi 2022 et al., on CAL vs TAL outcomes, what clinical difference was reported between the two groups at 15-day follow-up?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. Both groups had improved clinical signs with no differences at day 15.
Incorrect. The correct answer is No clinical difference was observed.
Both groups had improved clinical signs with no differences at day 15.

🔍 Key Findings

  • Cricoarytenoid lateralization (CAL) resulted in a significantly greater increase in rima glottidis area at both immediate (205%) and 15-day (199%) time points compared to thyroarytenoid lateralization (TAL) (152% and 127%, respectively).
  • TAL group showed a significant reduction in rima glottidis area between immediate and 15-day postoperative measurements (P < .05), while CAL group had no significant reduction over time.
  • No dogs in either group showed postoperative complications, including aspiration pneumonia, at the 15-day follow-up.
  • All dogs showed improved clinical signs, including decreased stridor and increased exercise tolerance by day 15.
  • CAL produced more stable postoperative glottic area, potentially due to preserved anatomical tension, whereas TAL might experience tension loss due to thyroid cartilage repositioning.
  • Both procedures were technically effective and performed under the same protocol by a single board-certified surgeon.
  • Endoscopic image analysis was used to quantify rima glottidis area, demonstrating a reliable objective method for surgical outcome assessment.
  • Clinical outcome did not differ between groups, despite CAL showing a larger rima glottidis area.

Drudi

Veterinary Surgery

3

2022

Comparison of immediate and short‐term outcomes of cricoarytenoid and thyroarytenoid lateralization in dogs with idiopathic laryngeal paralysis

2022-3-VS-drudi-4

Article Title: Comparison of immediate and short‐term outcomes of cricoarytenoid and thyroarytenoid lateralization in dogs with idiopathic laryngeal paralysis

Journal: Veterinary Surgery

How "Board-worthy" is this question?

🔥100% would expect this on the real thing

🤔Useful, but not core exam material

🗑️Not relevant or too off-base

Thanks for the feedback!
We'll keep fine-tuning the question vault.
Oops — didn’t go through.
Mind trying that again?

In Cherzan 2023 et al., on subcutaneous mast cell tumors, what proportion of dogs with lymph node metastases developed tumor recurrence?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. 67% (8 of 12) of dogs with LN metastases experienced tumor recurrence.
Incorrect. The correct answer is 67%.
67% (8 of 12) of dogs with LN metastases experienced tumor recurrence.

🔍 Key Findings

  • Local recurrence occurred in 17.8% of dogs, and was associated with significantly decreased survival (551 vs 1722 days, p = .0038).
  • Lymph node metastasis occurred in 26.7% of dogs and was significantly associated with shorter disease-free interval (194 vs not reached, p = .0012) and lower survival (551 vs 1722 days, p = .043).
  • Mitotic index >7 was significantly associated with higher recurrence (80% vs 22.5%, p = .02), shorter DFI (139 vs not reached days, p < .001), and shorter survival (247 vs 1722 days, p = .05).
  • Infiltrative growth pattern was associated with shorter DFI (268 vs 1864 days, p = .011), but not with survival or recurrence.
  • Incomplete margins (≤1 mm) were not significantly associated with recurrence (p = .085), but did correlate with shorter DFI (p = .043).
  • Chemotherapy or radiation therapy was associated with shorter DFI and survival, likely due to selection bias for more aggressive disease.
  • Tumor size >3 cm was associated with decreased survival (p = .031), but not with recurrence or DFI.
  • Multinucleation and necrosis were not associated with prognosis outcomes.

Cherzan

Veterinary Surgery

4

2023

Factors affecting prognosis in canine subcutaneous mast cell tumors: 45 cases

2023-4-VS-cherzan-5

Article Title: Factors affecting prognosis in canine subcutaneous mast cell tumors: 45 cases

Journal: Veterinary Surgery

How "Board-worthy" is this question?

🔥100% would expect this on the real thing

🤔Useful, but not core exam material

🗑️Not relevant or too off-base

Thanks for the feedback!
We'll keep fine-tuning the question vault.
Oops — didn’t go through.
Mind trying that again?

In Rocheleau 2024 et al., on arthroscopic meniscal suturing, how were failed meniscal repairs managed?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. All failed repairs were managed arthroscopically with good outcomes.
Incorrect. The correct answer is Arthroscopic meniscectomy.
All failed repairs were managed arthroscopically with good outcomes.

🔍 Key Findings

  • Arthroscopic meniscal suturing was performed in 43 client-owned dogs, involving 44 meniscal repairs (one dog was bilateral). All injuries involved the caudal horn of the medial meniscus and were associated with cranial cruciate ligament (CrCL) disease.
  • All dogs underwent simultaneous TPLO, with some also receiving an internal brace (IB). Most repairs used simple vertical mattress sutures.
  • The overall complication rate was 34.1% (15/44). Most complications were attributed to the TPLO/TPLO+IB and did not compromise the meniscal repair outcome.
  • No median time to “acceptable” or “full” function was reported, but most dogs showed improvement in lameness and LOAD scores (p < .001), indicating good to excellent outcomes.
  • Meniscal repair success rate was 88% (38/44), with TPLO + IB outperforming TPLO-only (93.3% vs 71.4%). Follow-up was performed at 8 weeks (40 dogs) and 6 months (16 dogs).
  • Six failures occurred, all managed with arthroscopic meniscectomy, leading to normal activity in those dogs. Two IB-associated failures led to CrCL instability.
  • The authors concluded the technique was safe, practical, and effective, with a reasonable complication rate.
  • The findings support arthroscopic suturing as a feasible alternative to meniscectomy or meniscal release, offering long-term benefits for preserving the meniscus.

Rocheleau

Veterinary Surgery

5

2024

Short‐term outcomes of 43 dogs treated with arthroscopic suturing for meniscal tears

2024-5-VS-rocheleau-4

Article Title: Short‐term outcomes of 43 dogs treated with arthroscopic suturing for meniscal tears

Journal: Veterinary Surgery

How "Board-worthy" is this question?

🔥100% would expect this on the real thing

🤔Useful, but not core exam material

🗑️Not relevant or too off-base

Thanks for the feedback!
We'll keep fine-tuning the question vault.
Oops — didn’t go through.
Mind trying that again?

In Brisimi 2022 et al., on tracheal anastomosis tension, where did failure most commonly occur?

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Correct. All constructs failed by tearing through the annular ligament near the dorsal ring.
Incorrect. The correct answer is Suture pullthrough at annular ligament.
All constructs failed by tearing through the annular ligament near the dorsal ring.

🔍 Key Findings

  • Tracheal anastomoses in immature dogs failed at significantly lower distraction forces (44.91 ± 59.03 N) than in adults (149.31 ± 45.36 N; _P_ = .007).
  • Immature tracheae tolerated significantly more elongation before failure (39.75 ± 5.45%) than adult tracheae (30.57 ± 7.19%; _P_ = .0012).
  • All constructs failed by suture tearing through the annular ligament, primarily near the dorsal tracheal ring.
  • Overlapping of tracheal ends was seen in 50% of specimens across both age groups, suggesting limitations in tissue apposition with the chosen technique.
  • Simple continuous pattern using 2-0 polypropylene was used; this pattern provides superior tensile strength compared to simple interrupted, but apposition may be suboptimal.
  • Tracheal elasticity in immature dogs may allow longer resections, but the lower tensile strength necessitates reinforcement.
  • Annular ligament-cartilage technique with 4-mm suture spacing showed variable results; smaller bites and nylon suture may improve outcomes.
  • Ex vivo setup using frozen-thawed tracheae is a limitation, but prior studies support comparability with fresh tissue.

Brisimi

Veterinary Surgery

5

2022

Influence of age on resistance to distraction after tracheal anastomoses in dogs: An ex vivo study

2022-5-VS-brisimi-3

Article Title: Influence of age on resistance to distraction after tracheal anastomoses in dogs: An ex vivo study

Journal: Veterinary Surgery

How "Board-worthy" is this question?

🔥100% would expect this on the real thing

🤔Useful, but not core exam material

🗑️Not relevant or too off-base

Thanks for the feedback!
We'll keep fine-tuning the question vault.
Oops — didn’t go through.
Mind trying that again?

Quiz Results

Topic: Healing & Complications
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.