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Anaesthesia · Airway anatomy, equipment, and airway management: curriculum recognition
Sample itemIn a supine adult, which surface landmark lies at the level where the trachea divides into the two main bronchi?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Sternal angle
The trachea bifurcates at the carina at about the level of the sternal angle (T4-T5), which also marks the second costal cartilage. This helps judge the depth of a tracheal tube. The trachea begins at the lower border of the cricoid at C6.
Option by option
A. Lower border of the cricoid cartilage
The lower border of the cricoid marks the start of the trachea at C6.
B. Xiphisternal joint
The xiphisternal joint lies at about T9, far below the carina.
C. Jugular notch
The jugular notch lies at about T2-T3, well above the carina.
D. Sternal angle (correct)
Correct. The carina lies at the level of the sternal angle.
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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