American Board of Surgery Qualifying Exam (ABS QE) Practice Test

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Which zone of the neck includes the cricoid to the angle of the mandible?

  1. Zone 1

  2. Zone 2

  3. Zone 3

  4. Zone 4

The correct answer is: Zone 2

The zone of the neck that extends from the cricoid cartilage to the angle of the mandible is recognized as Zone 2. This area encompasses vital structures such as the trachea, esophagus, major blood vessels including the carotid arteries and jugular veins, and important nerves. Understanding this anatomical demarcation is significant in trauma assessment and surgical planning, as it helps healthcare professionals identify potential injuries and the structures that may be at risk in cases of penetrating neck trauma. In contrast, other zones are defined by different anatomical landmarks. Zone 1, for instance, ranges from the clavicles to the cricoid cartilage and includes lower thoracic structures, while Zone 3 extends from the angle of the mandible to the base of the skull, involving structures higher up in the cervical region. Zone 4, while not typically defined in standard neck trauma assessments, may refer to additional areas or serve in specific contexts. Recognizing these zones is crucial in trauma care and management, making a clear understanding of their boundaries essential for successful clinical outcomes.