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Kaplan Qbank USMLE



Author4 Posts
  #1

A cardiovascular physiologist performs an experiment on an animal subject to study heart rate and blood pressure changes with nerve stimulation. He selectively stimulates the afferent portions of the glossopharyngeal and vagus nerves. Which of the following outcomes would most likely occur after this manipulation?
A. Bradycardia with hypertension
B. Bradycardia with hypotension
C. Sinus arrhythmia with hypotension
D. Tachycardia with hypertension
E. Tachycardia with hypotension

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Kris2c

  #2

B :roll:

  #3

answer -b

Glossopharyngeal is the sensory part (afferent)
Vagus is the motor(efferent)(parasympathetics decrease H.R.)

Also b is the only answer doing pt any good! (without syncope)

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Smell the coffee! "Is That an Osler move??"

  #4

The correct answer is B.

The glossopharyngeal nerve (CN IX) and the vagus nerve (CN X) carry afferent information to the medulla from the carotid sinus and aortic arch baroreceptors, respectively.

The firing rate of these neurons increases with increasing blood pressure.

Therefore, by artificially increasing the firing rate of these nerves, the medulla receives a false signal that indicates that the blood pressure is too high. This elicits a baroreceptor reflex, resulting in a decrease in sympathetic outflow and an increase in parasympathetic outflow, which leads to bradycardia and hypotension.

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Kris2c







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