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Psychiatry · Mood disorders: vagus nerve stimulation
Sample itemWhich neuromodulation method uses a surgically implanted pulse generator in the chest wall, wired to the left vagus nerve in the neck, and is approved for treatment-resistant depression?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Vagus nerve stimulation
Vagus nerve stimulation uses an implanted generator in the chest wall wired to the left vagus nerve and has been approved for chronic treatment-resistant depression. Its effect builds slowly over months. Side effects include hoarseness and cough.
Option by option
A. Electroconvulsive therapy
ECT is delivered through scalp electrodes under anaesthesia without implantation.
B. Vagus nerve stimulation (correct)
Correct. VNS involves an implanted generator wired to the left vagus nerve.
C. Transcranial direct current stimulation of the spine
Spinal tDCS is not an approved depression therapy.
D. Deep brain stimulation of the cerebellum
Cerebellar deep brain stimulation is not an established depression treatment.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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