USMLE · Question #105
Which of the following spinal dermatome level corresponds with the landmark of the inguinal ligament?
The correct answer is B. L1. L1 innervates the inguinal (groin) region, and the inguinal ligament runs along the crease between the abdomen and thigh - precisely within the L1 dermatome distribution. Why the distractors are wrong: T10 corresponds to the umbilicus (navel), not the groin - it's too high. L3…
Question
Which of the following spinal dermatome level corresponds with the landmark of the inguinal ligament?
Options
- AT10
- BL1
- CL3
- DL5
How the community answered
(56 responses)- A9% (5)
- B84% (47)
- C2% (1)
- D5% (3)
Explanation
L1 innervates the inguinal (groin) region, and the inguinal ligament runs along the crease between the abdomen and thigh - precisely within the L1 dermatome distribution.
Why the distractors are wrong:
- T10 corresponds to the umbilicus (navel), not the groin - it's too high.
- L3 covers the medial thigh and area around the knee - further down the leg.
- L5 supplies the lateral lower leg and dorsum of the foot - much more distal.
Memory tip: Think "L1 = One ligament in the groin" or use the landmark ladder: T10 = belly button → L1 = inguinal ligament → L3 = knee → L5 = foot dorsum. Anchoring each level to its landmark in order makes the whole sequence easier to recall under pressure.
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