Surface Anatomy and Landmarks · USMLE Step 1

A physician palpates the carotid pulse in a patient during a physical exam. Which anatomical landmark best corresponds to the typical location of the carotid bifurcation?

  1. Inferior border of the mandible
  2. Level of C3–C4 vertebrae near the hyoid bone
  3. Superior border of the thyroid cartilage
  4. Level of the cricoid cartilage (C6)
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Correct answer: Level of C3–C4 vertebrae near the hyoid bone

The carotid bifurcation is usually found at the C3–C4 level, near the hyoid bone. This is an important surface landmark for identifying the carotid sinus.

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