Question

How do you arrange the correct sequence of following procedural steps for dewclaw removal in puppies age less than one week?
(A). The medial hind paw should be prepared for aseptic surgery by clipping the hair and extend the paw.
(B). Use sterile Mayo-scissors to amputate the dewclaw through the metatarsal bone or at the metatarsophalangeal joint.
(C). Used NSAIDs at the low end of the dose range and local analgesics may be injected directly into the skin around the dewclaw.
(D). Skin may be apposed using a single suture of synthetic non-absorbable material or tissue adhesive.
Choose the correct answer from the options given below, which describe the correct sequence of steps:

• (C) - (A) - (B) - (D).
• (A) - (B) - (C) - (D).
• (C) - (B) - (A) - (D).
• (D) - (C) - (B) - (A).

Hint:

Always manage pain (C) first, then prep the skin (A), perform the cut (B), and close the wound (D) last. This logical flow identifies the correct sequence.

Answer 1

The Correct Option is A

Step 1: Understanding the Concept:
Dewclaw removal in neonatal puppies is a minor surgical procedure.
Like any surgery, it must follow a strict, logical sequence: pain management, site preparation, incision/excision, and closure.
Detailed Explanation:
Let us order the surgical steps chronologically:
1. Pain management (C): Before starting any surgical manipulation, local analgesics must be injected and NSAIDs administered to minimize pain.
2. Site preparation (A): The surgical site (medial hind paw) must be clipped and prepped aseptically.
3. Excision (B): Mayo-scissors are used to surgically amputate the dewclaw at the joint or bone level.
4. Closure (D): The skin incision is closed using a suture or tissue adhesive.
Therefore, the correct surgical sequence is:
\[ \text{(C)} \rightarrow \text{(A)} \rightarrow \text{(B)} \rightarrow \text{(D)} \]

Step 2: Final Answer:
The sequence is (C) - (A) - (B) - (D), which corresponds to Option (A).