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Anatomy · Thorax: recurrent laryngeal nerve
Sample itemA left hilar tumour causes hoarseness by compressing a nerve that loops under which vessel?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Arch of the aorta
The left recurrent laryngeal nerve loops under the aortic arch near the ligamentum arteriosum before ascending in the tracheo-oesophageal groove. The right nerve loops under the right subclavian artery.
Option by option
A. Pulmonary trunk
The pulmonary trunk is not the recurrent nerve's looping point.
B. Arch of the aorta (correct)
Correct. The left recurrent laryngeal nerve is related to the aortic arch.
C. Superior vena cava
The superior vena cava is not the relevant relation.
D. Subclavian artery
The right, not left, recurrent laryngeal nerve loops under the subclavian artery.
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.
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