Surface Anatomy and Landmarks · USMLE Step 1

During lumbar puncture, the clinician uses the iliac crest as a landmark. Which vertebral level does the highest point of the iliac crest correspond to?

  1. L2
  2. L3
  3. L4
  4. L5
Show answer and explanation

Correct answer: L4

The iliac crest aligns with the L4 vertebral body or L4–L5 interspace. This is a key landmark for safe lumbar puncture.

Difficulty: Medium Question 5 of 20

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