A 50-year-old woman is brought to the emergency department unconscious following a motor vehicle accident. She is placed on telemetry to monitor her vitals continuously, and she remains hypotensive despite receiving a bolus of fluids and being placed on IV fluids. She regains consciousness and her pulse is 180/mm. Her ECG shows regularly spaced narrow, QRS complexes. No P wave is visible in most leads, but there is a small downward deflection immediately following QRS complexes in lead II. A carotid massage is performed, and her pulse is reduced to 80/rn in.
Stimulation of the afferent fibres in which of the following nerves most likely resulted in the favourable response observed?
A 50-year-old woman is brought to the emergency department unconscious following a motor vehicle accident. She is placed on telemetry to monitor her vitals continuously, and she remains hypotensive despite receiving a bolus of fluids and being placed on IV fluids. She regains consciousness and her pulse is 180/mm. Her ECG shows regularly spaced narrow, QRS complexes. No P wave is visible in most leads, but there is a small downward deflection immediately following QRS complexes in lead II. A carotid massage is performed, and her pulse is reduced to 80/rn in.
Stimulation of the afferent fibres in which of the following nerves most likely resulted in the favourable response observed?
💡 Explanation
A 50-year-old woman is brought to the emergency department unconscious following a motor vehicle accident. She is placed on telemetry to monitor her vitals continuously, and she remains hypotensive despite receiving a bolus of fluids and being placed on IV fluids. She regains consciousness and her pulse is 180/mm. Her ECG shows regularly spaced narrow, QRS complexes. No P wave is visible in most leads, but there is a small downward deflection immediately following QRS complexes in lead II. A carotid massage is performed, and her pulse is reduced to 80/rn in.
Stimulation of the afferent fibres in which of the following nerves most likely resulted in the favourable response observed?
✓ Correct Answer: C. Glossopharyngeal nerve
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