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ENT · Neck trauma: zone III
Sample itemWhy do injuries in zone III of the neck pose particular difficulty in management?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Surgical access and proximal control of vessels near the skull base are difficult
Zone III lies between the angle of the mandible and the skull base, where the internal carotid artery and cranial nerves are hard to reach, so angiographic embolisation or stenting is often used. Zone I also has difficult access because of the thoracic outlet.
Option by option
A. Injuries there are always minor
Injuries can be life-threatening.
B. The zone has no vascular structures
The zone contains the internal carotid and cranial nerves.
C. It lies only in the chest
Zone III is in the upper neck.
D. Surgical access and proximal control of vessels near the skull base are difficult (correct)
Correct. Access and control are difficult near the skull base.
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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