June 23, 2010

MRCP 1 Question 3

A patient develops syncope on head turning.

The physician decides to perform carotid massage and is giving instructions to his senior registrar on how to perform the carotid massage.

Which of the following is a valid instruction for carotid massage in this patient:

a) Start with carotid sinus on left side
b) Never massage both carotids simultaneously
c) A Carotid Bruit is a definite contraindication
d) patient should be sitting up for the procedure
e) Patient should stand for 5 minutes prior to massage

The correct answer is B


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