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Intercostal block — FRCA Primary MCQ

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ModerateAnatomyIntercostal blockFRCA Primary

A needle is walked off a rib to avoid the main neurovascular bundle. Which anatomical structure is described?

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

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Correct answer: EInferior border of the rib

The intercostal bundle lies along the inferior rib border. T6 dermatome is less appropriate because it would fit a different clinical clue or a separate anaesthetic problem. C5 to T1 roots is less appropriate because it would fit a different clinical clue or a separate anaesthetic problem. Subarachnoid space is less appropriate because it would fit a different clinical clue or a separate anaesthetic problem. Internal jugular vein anterolateral to carotid artery 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