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Anatomy · Vertebral column
Sample itemWhat distinctive feature identifies the atlas vertebra (C1)?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. It lacks a vertebral body
The atlas lacks a conventional body and supports the skull through its superior articular facets; the dens belongs to the axis (C2) and acts as a pivot for head rotation.
Option by option
A. It has the longest spinous process
C7 rather than C1 has the most prominent palpable spinous process.
B. It has a dens projecting upward
The dens is a feature of C2, the axis.
C. It articulates directly with the sacrum
The sacrum articulates with the lumbar spine, not C1.
D. It lacks a vertebral body (correct)
Correct: C1 lacks a typical vertebral body.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.