Venous and Lymphatic Drainage

Question 1

What 3 sites lack superficial veins?

Answer 1

1. Elbow
2. Palm
3. Ulnar border of forearm

Question 2

List the tributaries of the dorsal venous arch of the hand.

Answer 2

1. 3 dorsal metacarpal veins
2. dorsal digital vein of little finger
3. dorsal digital vein of index finger
4. dorsal digital veins of thumb
5. palm perforating veins

Question 3

The point at which cephalic vein pierces deep fascia to run in deltopectoral groove

Answer 3

Lower border of pectoralis major

Question 4

The point at which cephalic vein pierces clavipectoral fascia to drain into axillary vein

Answer 4

infraclavicular fossa

Question 5

Median cubital drains blood from which vein to which vein

Answer 5

from cephalic to basilic

Question 6

The nerve that accompanies the cephalic vein

Answer 6

Lateral cutaneous nerve of forearm

Question 7

Which vein travels along lateral border of biceps?

Answer 7

Cephalic vein

Question 8

The point at which basilic vein pierces deep fascia to unite with brachial venae comitantes

Answer 8

mid-arm

Question 9

The vein that drains into axillary vein at lower border of teres major

Answer 9

Basilic vein

Question 10

Which superficial vein is postaxial and which one is preaxial?

Answer 10

*PABo & God’s PRECEpts are my daily bread
Post axial - Basilic vein
Preaxial - Cephalic vein

Question 11

Median cubital vein begins from which vein?

Answer 11

Cephalic vein

Question 12

Structure separating median cubital vein from brachial artery in cubital fossa.

Answer 12

Biccipital aponeurosis

Question 13

Features of median cubital vein.

Answer 13

1. Directs blood from cephalic to basilic vein
2. Has a perforator that pierces biccipital aponeurosis to communicate with deep veins
3. Receives blood from Median vein of forearm (a tributary)

Question 14

Most preferred vein for venepunctures. Why?

Answer 14

Median cubital vein

1. Most superficial vein in the body
2. Does not slip it’s well anchored to deep vein via the perforating vein
3. well supported by biccipital aponeurosis underneath

Question 15

Vein preferred for cardiac catheterization.

Answer 15

Basilic vein

Question 16

Why basilic vein and not cephalic vein ideal for cardiac catheterization?

Answer 16

Basilic vein; has no sharp turns as it empties into axillary vein, diameter increases as it ascends
Cephalic vein; has a sharp turn to empty into axillary vein, diameter doesn’t increase as it ascends, divides into branches in the deltopectoral groove

Question 17

Vein preferred for hemodialysis

Answer 17

Cephalic vein

Question 18

Cardiac catheterization path

Answer 18

Basilic vein –> Axillary vein –> Subclavian vein –> Internal jugular vein –> Brachiocephalic vein –> Superior vena cava –> Right atrium