Lymph and Fluid Balance - MCAT Biological and Biochemical Foundations of Living Systems

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Question

Lymph in the thoracic duct                     .

I. contains fluid and cells collected from the left hand

II. contains chylomicrons collected from the intestine

III. contains fluid and cells collected from the left leg

IV. contains fluid and cells from the head and neck

V. all of these are true

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Answer

You either know the anatomy of lymphatic flow, or you don't and you need to review it. All statements are true. The thoracic duct is the major collecting point for lymph from both lower limbs, the intestine, and certainly the left arm and left side of the head and neck. It empties into the junction of the left subclavian vein and the left jugular vein, most commonly. The question did not ask you to argue about whether or not lymph from the right arm and right side of the head and neck rejoined the venous circulation through the thoracic duct or a smaller accessory thoracic duct on the right side, because this is somewhat variable.

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