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Subclavian Vein First Rib Junction — FRCA Primary MCQ

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ModerateAnatomySubclavian Vein First Rib JunctionFRCA Primary

The subclavian vein is commonly accessed for CVC insertion. It crosses the first rib at which landmark?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: BThe junction of the medial one-third and middle one-third of the clavicle

The subclavian vein crosses the first rib at approximately the junction of the medial and middle thirds of the clavicle. The needle is typically inserted 1-2 cm below the clavicle at this point and directed towards the sternal notch. The vein lies anterior and inferior to the subclavian artery (separated by scalenus anterior).

Reference: RCoA 2021 Primary FRCA Curriculum