Basic and Clinical Sciences (BCSE) Practice Exam

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What is the level of the oesophageal hiatus?

The correct answer is: T10

The oesophageal hiatus is an anatomical opening in the diaphragm through which the esophagus passes before joining the stomach. This opening is located at the level of the tenth thoracic vertebra (T10). Understanding this anatomical positioning is crucial, particularly in clinical contexts such as surgical procedures that involve the diaphragm or when assessing conditions like hiatal hernias. The other vertebral levels mentioned are associated with distinct anatomical features and structures. The level at T8 corresponds to the opening for the inferior vena cava and is situated higher than the oesophageal hiatus. The level T12 is associated with the aortic hiatus, where the aorta passes through the diaphragm. Lastly, L1 refers to the first lumbar vertebra, which is significantly lower in the torso compared to the oesophageal hiatus at T10. Knowing these anatomical details helps in accurately identifying and understanding the implications of structures in the thoracic and abdominal regions.