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Anatomy · Thorax: superior intercostal artery
Sample itemThe supreme (highest) intercostal artery supplies the first two posterior intercostal spaces. From which trunk of the subclavian artery does it arise?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Costocervical trunk
The costocervical trunk arises from the second part of the subclavian artery and divides into the deep cervical artery and the supreme intercostal artery. The supreme intercostal descends in front of the neck of the first and second ribs. The remaining posterior intercostal arteries come from the thoracic aorta.
Option by option
A. Internal thoracic artery
This artery gives anterior intercostal branches to the upper six spaces, not the supreme intercostal.
B. Costocervical trunk (correct)
Correct. The supreme intercostal is one of its two terminal branches.
C. Thyrocervical trunk
This trunk gives the inferior thyroid, suprascapular and transverse cervical arteries.
D. Dorsal scapular artery
This artery supplies the rhomboids and levator scapulae, not the intercostal spaces.
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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