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A 65-Year-Old Man Reports Multiple Episodes of Lightheadedness While Buttoning

question 85

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A 65-year-old man reports multiple episodes of lightheadedness while buttoning a tight shirt collar.  During 2 episodes, he passed out briefly but sustained no injuries.  His blood pressure was 70/40 mm Hg and pulse was 45/min during one of the episodes.  Past medical history is significant for hypertension and diet-controlled diabetes mellitus.  The patient is a lifetime nonsmoker and drinks alcohol on social occasions.  On physical examination, his blood pressure is 125/72 mm Hg and pulse is 76/min without orthostatic changes.  Stimulation of afferent sensory fibers in which of the following nerves is most likely responsible for this patient's symptoms?

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Definitions:

Pollution

The contamination of the natural environment by harmful substances or energies, often resulting from human activities.

Efficient

The condition in which resources are allocated in a way that maximizes the net benefit to society or achieves an optimal outcome where no one can be made better off without making someone else worse off.

Beneficiaries

Individuals or groups that receive benefits or advantages from something, especially from a trust, insurance policy, or will.

Socially Optimal

A situation in which resources are allocated in the most efficient way from the society's point of view, maximizing total welfare.

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