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ACVS Large Animal Surgery Board Certification Exam Practice Test

140 questions available

The American College of Veterinary Surgeons (ACVS) Large Animal Surgery Board Certification Exam represents the pinnacle of achievement in veterinary surgical specialization for equine and food animal species. This rigorous examination confers the title of Diplomate of the American College of Veterinary Surgeons (Large Animal), signifying that the veterinarian has successfully completed an intensive, multi-year residency program and demonstrated mastery of advanced surgical knowledge, technical skills, and clinical judgment. Certification validates an individual's expertise across the entire spectrum of large animal surgery, including complex orthopedic, soft tissue, and emergency procedures. ACVS Diplomates are recognized as leaders in the field, setting standards for surgical care, advancing the profession through research and education, and providing the highest level of patient care for horses, cattle, and other large species. Achieving this board certification is a transformative career milestone that distinguishes the surgeon as an elite specialist within the veterinary community and to the public.

Certification exam
140 Exam questions
8 hours Time Limit
Practice bank
140 Practice Questions
2 hours 20 minutes Practice Time
Start Practice
The bank 140 Practice questions checked against the official objectives.
Official objectives from ACVS
qf-import140 practice questions56 answers with a checkable referenceBlueprint 1.0Bank updated 2026-05-08

Sample Questions

Try a few questions to see what the full exam is like.

56 of 140 answers carry a checkable reference.

Equine GI Surgery

A horse with cecal impaction has mild pain, dry manure, and a large doughy cecum on rectal exam; no reflux is present. Which strategy is most appropriate initially?

Equine Orthopedic Surgery

A horse has a nondisplaced lateral condylar fracture extending from the distal articular surface but not spiraling proximally. What fixation is generally preferred?

Equine GI Surgery

A broodmare has moderate colic and rectal findings of taut bands running dorsocranially to the right, with gas-distended large colon but no severe shock. Ultrasound shows colon displaced over the nephrosplenic space is absent. Which diagnosis best fits?

Equine Orthopedic Surgery

A horse with septic digital flexor tendon sheath has persistent lameness after through-and-through needle lavage. Ultrasound shows fibrin loculation. What is the best next escalation?

Equine Orthopedic Surgery

A 4-year-old horse has a medial femoral condyle subchondral cystic lesion with persistent lameness despite rest. Which surgical option is commonly considered?

Why This Certification Opens Doors

Board certification by the ACVS is the definitive credential for professional recognition as a surgical specialist in large animal medicine. It is essential for career advancement into academic positions, leadership roles in specialty referral hospitals, and high-level private practice partnerships. This certification signals to colleagues, clients, and institutions a commitment to excellence, a validated depth of knowledge, and adherence to the highest ethical and professional standards. It directly impacts earning potential, professional autonomy, and influence within the veterinary industry, establishing the Diplomate as a trusted authority in surgical decision-making and patient management.

Exam Blueprint

Each domain is weighted to match the real certification exam, so a full practice simulation predicts your result.

01Musculoskeletal
25%
02Gastrointestinal
16%
03Respiratory
13%
04Emergency and Critical Care
9%
05Urogenital
9%
06Integumentary
6%
07Lameness
6%
08Surgical Preparation and Instrumentation
6%
09Cardiovascular/Hemolymphatic
3%
10Neurological
3%
11Special Senses
3%

Exam Details ACVS-LA | 8 hours

Exam Code ACVS-LA
Vendor qf-import
Time Limit 8 hours
Exam questions 140
Question Types Multiple choice (100%), Scenario-based (90%)

Study Resources

Auer/Stick/Munroe Equine Surgery, 5th ed
Free
Fubini/Ducharme Farm Animal Surgery, 2nd ed
Free
Current AAEP and AABP proceedings/guidelines
Free

Frequently Asked Questions

What are the prerequisite requirements to sit for the ACVS Large Animal Surgery Board Certification Exam?

Candidates must complete a Doctor of Veterinary Medicine (DVM) or equivalent degree, a one-year internship or equivalent practice experience, and a minimum 3-year ACVS-approved residency program in large animal surgery. Additional requirements include submission of a detailed case log, publication of a first-author scientific manuscript in a peer-reviewed journal, and letters of recommendation from ACVS Diplomates. All credentials are strictly verified by the ACVS Credentials Committee prior to exam eligibility.

What is the structure and format of the certification examination?

The exam is a multi-stage process. It typically begins with a comprehensive written examination covering all aspects of large animal surgery. Candidates who pass the written component proceed to the practical/oral examination, which involves the critical assessment of clinical cases, diagnostic images (radiographs, CT, MRI), surgical planning exercises, and in-depth discussions on topics including surgical anatomy, physiology, pathophysiology, and patient management. The oral exam rigorously evaluates clinical judgment and decision-making.

How does large animal certification differ from small animal certification within the ACVS?

While both tracks share the core principles and examination rigor of the ACVS, the Large Animal Surgery certification focuses specifically on the surgical diseases, techniques, and management of equine and food animal species (e.g., cattle, small ruminants, pigs). The knowledge base emphasizes species-specific anatomy, anesthesia, pharmacology, and husbandry. Candidates must declare their track (Large Animal or Small Animal) upon application, and their residency training and examination content are dedicated to that species category.

What are the key benefits of maintaining ACVS Diplomate status beyond initial certification?

Maintaining Diplomate status requires ongoing commitment to continuing education and professional standards. Benefits include listing in the official ACVS Diplomate directory, a primary resource for client and veterinarian referrals; eligibility for leadership roles within the ACVS and other professional organizations; enhanced credibility in medico-legal cases; and access to a network of specialist colleagues for consultation and collaboration. It is a lifelong credential that signifies continued engagement with the advancing frontier of veterinary surgery.

What resources are recommended for preparing for the exam?

Primary preparation is rooted in the structured reading and clinical experience of an ACVS-approved residency. Core resources include standard textbooks like 'Equine Surgery' (Auer & Stick), 'Farm Animal Surgery' (Fubini & Ducharme), and current volumes of 'Veterinary Clinics of North America: Equine Practice' and 'Food Animal Practice'. The ACVS provides a detailed examination blueprint outlining all topics. Successful candidates also utilize peer study groups, residency program mock orals, and a thorough review of their own case logs and submitted publications.