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Carotid sheath — FRCA Primary MCQ

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HardAnatomyCarotid sheathFRCA Primary

The sheath contents are reviewed before internal jugular cannulation. Which anatomical structure is described?

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

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Correct answer: DCarotid sheath vagus nerve

The carotid sheath contains carotid artery, IJV and vagus nerve. Internal jugular vein anterolateral to carotid artery is less appropriate because it would fit a different clinical clue or a separate anaesthetic problem. Cricothyroid membrane is less appropriate because it would fit a different clinical clue or a separate anaesthetic problem. Femoral and lateral femoral cutaneous nerves is less appropriate because it would fit a different clinical clue or a separate anaesthetic problem. Phrenic nerve 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