UPDATED ACTUAL Exam Questions and
CORRECT Answers
Linear guide (LG) - CORRECT ANSWER - an imaginary line drawn on the surface of the
skin to represent the approximate location of some deeper lying structure.
Anatomical guide (AG) - CORRECT ANSWER - any surface, prominence, or structure
which is used in establishing the location of an adjacent structure.
Anatomical limits (AL) - CORRECT ANSWER - the points of origin and termination of a
structure expressed in terms of their relation to adjacenct anatomical structures.
Linear guide for Common Carotid and Jugular vein - CORRECT ANSWER - the vessels
are located along an imaginary line drawn on the surface of the skin from the
STERNOCLAVICULAR ARTICULATION to the anterior surface of the LOBE OF THE EAR. (
moving superiorly )
Anatomical guide for Common Carotid / Jugular vein - CORRECT ANSWER - The
vessels lie parallel to the medial border of the STERNOCLIEDOMASTOID muscle.
Anatomical limits for Carotid/ Jugular (right side) - CORRECT ANSWER - The vessels
begin at the level of the STERNOCLAVICULAR ARTICULATION and terminate at the
superior border of the THYROID CARTILAGE.
Anatomical limits for Carotid / jugular (left side) - CORRECT ANSWER - The vessels
begin at the level of the SECOND COSTAL CARTILAGE and terminate at the superior border
of the THYROID CARTILAGE (this one is lower, this vessel is longer)
3 places of incision for carotid and jugular - CORRECT ANSWER - 1. supraclavicular
2. parallel
, 3. half moon
supraclavicular incision - CORRECT ANSWER - incise skin along superior border of the
medial 1/3 or clavicle
parallel incision - CORRECT ANSWER - incise skin along posterior border of inferior 1/3
of sternocleidomastoid muscle
half moon incision - CORRECT ANSWER - incise skin from the center of one clavicle to
the center of the other clavicle (not recommended)
Lateral and superficial - CORRECT ANSWER - How does the internal jugular rest in
relation to is accompanying artery (carotid)
medial and inferior - CORRECT ANSWER - How does the carotid artery lie in
conjunction with is corresponding vein, the jugular.
5 advantages of Common carotid/ internal jugular vessels - CORRECT ANSWER - 1.
close to the center of circulation (arch of the aorta)
2. allows head to be injected INDEPENDENT of the rest of the body
3. direct distribution to the face
4. all terminal branches
5. vein is close to the superior vena cava
3 disadvantages of common carotid / internal jugular - CORRECT ANSWER - 1. drain
tube/ injection devise may leave an imprint on surface of neck
2. face may over embalm as fluid circulated to remainder of body
3. incision may involve exposed suture