Professional and Linguistic Assessments Board (PLAB) Practice Exam

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At which spinal level is the iliac crest located?

  1. L3

  2. L4

  3. L5

  4. L2

The correct answer is: L4

The iliac crest is a prominent anatomical landmark on the pelvis and is typically located at the level of the L4 vertebra. In anatomical terms, the iliac crest serves as a point of attachment for various muscles and ligaments, and it plays a significant role in the pelvis's structural integrity. When assessing landmarks for procedures such as lumbar punctures, identifying the iliac crest can help locate the appropriate spinal level, which is crucial for avoiding complications. In clinical practice, knowing that the iliac crest corresponds with the L4 level is essential for healthcare providers when performing procedures in the lumbar region of the spine. The identification and understanding of this anatomical relationship enhance the safety and effectiveness of medical interventions.