Anatomy clinical correlates Quiz: Ace Your Exams

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An 82-year-old man is hospitalized for recurrent pneumonia. This is the patient’s fourth hospitalization for pneumonia in the past six months, and bronchial lavage cultures have consistently grown Bacteroides sp susceptible to ampicillin-sulbactam. The patient undergoes a barium swallow study as demonstrated below during his hospitalization. Which of the following correctly identifies the anatomic location of this patient’s clinical condition?

A black and white lateral X-ray image shows a human neck and upper chest. Dark contrast agent highlights the esophagus and pharynx, revealing internal structures.

A black and white lateral X-ray image shows a human neck and upper chest. Dark contrast agent highlights the esophagus and pharynx, revealing internal structures.

Reproduced from: Wikipedia

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Junction between the upper part of the inferior pharyngeal constrictors

Junction between the cricopharyngeus and thyropharyngeus

Junction between the middle and inferior pharyngeal constrictors muscles

Junction between the superior and middle pharyngeal constrictors

Junction between the circular and longitudinal fibers of the esophagus