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ACSM

010-111 · Question #107

Which of the following locations is most sensitive to the baroreceptor reflex , when palpating the pulse of an exercising client?

The correct answer is B. Carotid artery. The carotid artery overlies the carotid sinus, which contains dense baroreceptors that can be stimulated by external palpation pressure, making it the pulse site most likely to trigger the baroreceptor reflex.

Exercise Leadership and Client Education

Question

Which of the following locations is most sensitive to the baroreceptor reflex , when palpating the pulse of an exercising client?

Options

  • ARadial artery
  • BCarotid artery
  • CBrachial artery
  • DFemoral artery

How the community answered

(35 responses)
  • A
    14% (5)
  • B
    74% (26)
  • C
    9% (3)
  • D
    3% (1)

Why each option

The carotid artery overlies the carotid sinus, which contains dense baroreceptors that can be stimulated by external palpation pressure, making it the pulse site most likely to trigger the baroreceptor reflex.

ARadial artery

The radial artery at the wrist is distant from any major baroreceptor cluster and palpation there does not elicit the baroreceptor reflex.

BCarotid arteryCorrect

The carotid sinus, located near the bifurcation of the common carotid artery in the neck, houses a high concentration of stretch-sensitive baroreceptors. Even light finger pressure during pulse palpation can activate these receptors, sending afferent signals via the glossopharyngeal nerve that trigger a vagally mediated reduction in heart rate and blood pressure. During exercise, this reflex can artificially lower the measured heart rate, making the carotid site uniquely problematic compared to other pulse locations.

CBrachial artery

The brachial artery is commonly used for blood pressure auscultation but lacks the baroreceptor density found at the carotid sinus.

DFemoral artery

The femoral artery is a large central vessel but is not anatomically associated with high-density baroreceptor tissue comparable to the carotid sinus.

Concept tested: Carotid sinus baroreceptor reflex risk during pulse palpation

Source: https://www.acsm.org/education-resources/books/guidelines-exercise-testing-prescription

Topics

#heart rate palpation#baroreceptor reflex#carotid artery#pulse measurement

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