When examining the carotid arteries, the clinician should:
A. Ask the patient to hold his/her breath while auscultating the carotid arteries
B. Use the bell of the stethoscope to listen over the carotid arteries
C. Palpate one carotid artery at a time
D. All of the above
ANS: D
Auscultation of the carotid arteries is an important portion of the neurological examination, particularly for elderly patients. The patient should be asked to hold his or her breath during auscultation. The bell of the stethoscope is used to auscultate for bruits. One carotid artery at a time is palpated. A bruit in the carotid artery may be an indicator of potential stroke or carotid artery stenosis and should be followed by further tests, such as carotid duplex and carotid ultrasound.
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