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Epidural ligament — FRCA Primary MCQ

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ModerateAnatomyEpidural ligamentFRCA Primary

A midline epidural needle passes through the final ligament before epidural space. Which anatomical structure is described?

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

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Correct answer: CLigamentum flavum

The ligamentum flavum immediately precedes the epidural space. Epidural space is less appropriate because it would fit a different clinical clue or a separate anaesthetic problem. C3 to C5 roots is less appropriate because it would fit a different clinical clue or a separate anaesthetic problem. Cervicothoracic sympathetic ganglion is less appropriate because it would fit a different clinical clue or a separate anaesthetic problem. Sacral epidural space is less appropriate because it would fit a different clinical clue or a separate anaesthetic problem. In Primary FRCA anatomy, the tested structure should explain the block, airway sign or regional complication in the stem.

Reference: Ellis, Feldman & Harrop Anatomy for Anaesthetists; Primary FRCA textbooks