Surface Anatomy and Landmarks · USMLE Step 1

A student palpates the mastoid process. Which cranial nerve exits the skull just medial to this landmark?

  1. Glossopharyngeal nerve (CN IX)
  2. Vagus nerve (CN X)
  3. Accessory nerve (CN XI)
  4. Hypoglossal nerve (CN XII)
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Correct answer: Accessory nerve (CN XI)

The accessory nerve exits the skull via the jugular foramen, which lies medial to the mastoid process. This region is clinically important in neck dissections.

Difficulty: Medium Question 10 of 20

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