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A 40-Year-Old Man Mentioned to His Physician During a Medical

Question 1

Multiple Choice

A 40-year-old man mentioned to his physician during a medical checkup that on four occasions during the past 5 months he had fainted at work. On each occasion the fainting attack occurred while he was sitting at his desk. He said that the attack took place when he turned his face to the left and bent down to open a bottom drawer. He also complained that he first felt dizzy before he fainted. The physician noted that the patient was rather formally dressed with a stiff collar and a regimental tie. When the physician commented on his collar, the patient stated that he always wore this type of collar to work. On careful examination of the patient no abnormal physical signs were found. In fact, the man looked very fit.
-Using your knowledge of anatomy and physiology, make the most likely diagnosis.


A) Atrial fibrillation
B) Cardiac ischemia
C) Carotid sinus syndrome
D) Anemia
E) Petit mal (a form of epilepsy)

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