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NBME 20 Answers

nbme20/Block 1/Question#32

A 56-year-old woman is brought to the emergency ...

Placement of the central line via the left internal jugular vein

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submitted by monoloco(77),

This is the only choice that comes close to nicking the thoracic duct, specifically at its inlet, the left subclavian.

kpjk  why not midsternal thoracotomy? +  
wuagbe  because the thoracic duct ascends the thorax posteriorly, and enters venous circulation from behind. link to image: https://www.sciencedirect.com/topics/agricultural-and-biological-sciences/thoracic-duct +1