Anatomical variants · USMLE Step 1

During carotid surgery, the surgeon encounters a high carotid bifurcation at the level of the hyoid bone. This variation affects which anatomical landmark?

  1. C3–C4 vertebral level
  2. Thyroid cartilage
  3. Jugular foramen
  4. Cricoid cartilage
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Correct answer: C3–C4 vertebral level

The carotid bifurcation typically occurs at C3–C4. A high bifurcation alters surgical approach and risk to nearby nerves.

Difficulty: Medium Question 16 of 20

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