Levels and Lymph nodes

Question 1

Level of cardioesophageal junction

Answer 1

T11

Question 2

Structures at the sternal angle

Answer 2

Red White Blue Air 2

Red- arch of aorta

White- thoracic duct crossing midline

Blue- azygous joins SVC
Air- tracheal bifurcation

2- costal cartilage of the 2nd rib

Question 3

Structures at the upper border of the manubrium

Answer 3

Left brachiocephalic vein

Brachiocephalic artery

Left common carotid

Left subclavian

Question 4

What is the level of the inferior phrenic artery

Answer 4

T12

Question 5

What is the level of coeliac axis

Answer 5

T12

Question 6

What is the level of the SMA

Answer 6

L1

Question 7

What is the level of the middle suprarenal

Answer 7

L1

Question 8

What is the level of the renal artery

Answer 8

L1-L2

Question 9

What is the level of the gonadal artery

Answer 9

L2

Question 10

What is the level of the lumbar arteries

Answer 10

L1-L4

Question 11

What is the level of the inferior mesenteric

Answer 11

L3

Question 12

What is the level of the median sacral artery

Answer 12

L4

Question 13

What is the level of the common iliac

Answer 13

L4

Question 14

What level does the left main bronchus lie

Answer 14

T6

Question 15

What drains into the para aortic nodes

Answer 15

Testes
Ovaries
Kidneys
Uterus fundus

Question 16

What drains into the superficial inguinal nodes

Answer 16

Distal to dentate line anal canal
Lower abdominal skin
Scrotum

Question 17

What drains into the external iliac nodes

Answer 17

Cervix (along broad ligament)

Question 18

What drains into the internal iliac nodes

Answer 18

bladder
proximal anal canal
vagina
prostate
Uterine body
Cervix (via uterine vessels) (also pre sacral)

Question 19

What is the lymphatic drainage of the urethra

Answer 19

Spongy and glans (deep inguinal)
Prostatic and membranous to internal iliac

Question 20

Level of tachea origin

Answer 20

C6

Question 21

What is the level of the hyoid

Answer 21

C3

Question 22

What is the level of the notch of the thyroid cartilage

Answer 22

C6

Also, lower border marks:
- junction of larynx with trachea
- pharnyc with oesophagus
- inferior thyroid enters the thyroid
-

Question 23

Level from superior to inferior thyroid

Answer 23

C5-T1

Question 24

Level of the thyroid isthmus (tracheal rings)

Answer 24

2,3,4

Question 25

Lower limb

Answer 25

Superficial vertical inguinal

Question 26

Prostate and bladder

Answer 26

Internal iliac > sacral

Question 27

Uterine body

Answer 27

Internal iliac along broad ligament

Question 28

Cervix

Answer 28

externa;l iliac along broad ligament Pre-sacral - along uterosacral Internal iliac via uterine vessels

Question 29

Rectum

Answer 29

Superior to dentate line to mesorectal Inferior to dentate to inguinal

Question 30

Vagina

Answer 30

Superior - internal and external iliac Inferior part - superficial inguinal

Question 32

Urethra

Answer 32

Spongy and glans - deep inguinal Prostatic and membranous - internal iliac

Question 33

Sternal notch

Answer 33

T2/3

Question 34

Manubrium

Answer 34

T3/4

Question 35

Sternal angle

Answer 35

T4/5

Question 36

Body of sternum

Answer 36

T5-8

Question 37

Xiphisternum

Answer 37

T9

Question 39

IVC passage of diaphragm + other contents

Answer 39

T8 - right phrenic and lymphatics

Question 40

Oesophagus passage of diaphragm + other contents

Answer 40

T10 Vagus/left gastric vessels/lymphatics

Question 41

Aorta passage of diaphragm + other contents

Answer 41

T12 Azygous/thoracic duct

Question 42

Level of suprasternal notch

Answer 42

T2/3

Question 43

Level of the xiphisternum

Answer 43

T9 (covered by T6 dermatome)

Question 44

Level of angle of louis

Answer 44

T4/5