VABC Vascular Anatomy 4

Question 1

What is the primary venous drainage pathway from the upper extremity back to the heart in order?

Accepted Answer

Basilic → brachial → axillary → subclavian → brachiocephalic → SVC

Answer

The basilic vein drains into the brachial vein, which joins the axillary vein, then the subclavian vein, then the brachiocephalic vein, and finally the superior vena cava.

Question 2

Which anatomical triangle contains the femoral artery, vein, and nerve, and is used as a landmark for femoral vascular access?

Accepted Answer

Scarpa's triangle (femoral triangle)

Answer

The femoral triangle (Scarpa's triangle) is bounded by the inguinal ligament, sartorius, and adductor longus muscles and contains the femoral nerve, artery, and vein.

Question 3

The great saphenous vein originates at the medial aspect of the foot and terminates by draining into which vessel?

Accepted Answer

Common femoral vein

Answer

The great saphenous vein, the longest vein in the body, originates at the foot and terminates by draining into the common femoral vein at the saphenofemoral junction.

Question 4

Which segment of the subclavian vein is most prone to pinch-off syndrome when used for long-term central venous access?

Accepted Answer

Middle third beneath the clavicle

Answer

Pinch-off syndrome occurs when the catheter is compressed between the clavicle and first rib in the middle third of the subclavian vein, causing intermittent or permanent occlusion.

Question 5

In the neck, the internal jugular vein (IJV) lies within which fascial compartment?

Accepted Answer

Carotid sheath

Answer

The internal jugular vein is enclosed within the carotid sheath along with the common carotid artery and vagus nerve.

(VABC) Vascular Access Board Certification Practice Test

(VABC) Vascular Access Board Certification Practice Test

VABC Vascular Anatomy 4