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Wednesday, June 10, 2009

Anatomy MCQ 0007


Which muscle is not punctured while doing a thoracic procedure in the mid-axillary line:

  1. Innermost intercostals
  2. Transverses thoracis
  3. External intercostals
  4. Internal intercostals


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The Correct option is B

Explanation with High Yield Facts :

  • During a thoracic procedure in mid-axillary line, the external & internal intercostal muscles are always punctured.
  • Inner most layer: Of the three group of muscles in this layer, the innermost intercostals are at the side of the rib cage,
  • Subcostalis are at the back and Transversus thoracis at the front of the thoracic cage.
  • Hence, Transversus thoracis will not be punctured in a mid axillary line approach.

NOTE: Transversus thoracis muscle was formerly called as sterno-costalis, more exactly. In fact, now TRANSVERSUS THORACIS includes all the three inner layer muscles, namely - Subcostalis, innermost intercostal (intercostalis intimi) and the sterno-costalis.

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