AIIMS Patna NO - 2020
Applied Physiology
Easy

The site of pulse in the neck is called?

Appeared in: AIIMS Patna NO - 2020

Explanation

  • The pulse felt on the side of the neck is the carotid pulse.
  • It is palpated over the carotid artery, which is a major artery supplying blood to the brain.
  • As shown in the image, it is located in the groove between the windpipe (trachea) and the large sternocleidomastoid muscle.
  • This site is easily accessible and is used to quickly assess circulation, especially in emergencies.

Why Other Options Were Wrong

  • Option A: The temporal pulse is located on the side of the head, over the temporal bone.
  • Option B: The radial pulse is located at the wrist, on the thumb side.
  • Option D: The popliteal pulse is located in the fossa (hollow) behind the knee.

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Identification of major arterial pulse points as background academic context rather than a clinical decision trigger.
  • Assessing the carotid pulse is a critical skill in emergencies, such as when a person is unresponsive, to quickly check for signs of circulation before starting CPR.
  • Because the carotid artery is a central artery, it remains palpable longer than peripheral pulses (like the radial) during shock or low blood pressure states, making it a more reliable indicator of cardiac activity in critically ill patients.
  • What if? If a patient has known carotid artery disease (atherosclerosis), palpating this pulse should be done very gently and only one side at a time. Applying excessive pressure or palpating both sides simultaneously can dislodge a plaque (leading to a stroke) or stimulate the vagus nerve, causing a dangerous drop in heart rate and blood pressure (vasovagal syncope).
How to Approach the Question
  • First, identify the key anatomical location mentioned in the question: 'neck'.
  • Second, recall the names and locations of the major pulse points taught in nursing fundamentals.
  • Third, evaluate the given options: Temporal (head), Radial (wrist), Carotid (neck), and Popliteal (behind the knee).
  • Fourth, match the location 'neck' with the corresponding anatomical term, which is 'Carotid'.
  • The image provided serves as a visual confirmation, showing the correct placement of fingers on the side of the neck to palpate the carotid artery.
Concept Tested & Keywords
  • Concept Tested: Identification of major arterial pulse points.
  • Stem keywords: pulse, neck, site
  • Lead-in keywords: is called

Question ID

QgALo2ydb3mJBPvcnzjjUa

Reference Book

E6 Nursing Fundamentals Potter Perry 12e Part 3 p. 18-20

Practise the full AIIMS Patna NO - 2020

Attempt every question from this paper in a timed mock, then review the full solution for each one.