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Anatomy · Thorax: recurrent laryngeal nerve
Sample itemWhy is the left recurrent laryngeal nerve vulnerable to pathology in the aortopulmonary window?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. It loops under the arch of the aorta
The left recurrent laryngeal nerve descends into the thorax and loops under the aortic arch near the ligamentum arteriosum before ascending to the larynx. Mediastinal pathology can therefore cause hoarseness.
Option by option
A. It loops under the arch of the aorta (correct)
Correct. Its thoracic loop explains vulnerability near the aortic arch.
B. It travels with the femoral artery
The femoral artery is in the thigh.
C. It exits through the obturator canal
The obturator canal transmits the obturator nerve and vessels.
D. It passes through the carpal tunnel
Carpal tunnel contains the median nerve.
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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