You are answering a USMLE-style medical question. Question: A 75-year-old man presents to his physician with a 1-year history of dysphagia for solids. His more recent complaints include dysphagia for liquids as well. The patient states that he has no difficulty initiating swallowing but occasionally food is stuck in his throat. He does not complain of pain while swallowing but has noticed minor unintentional weight loss. The patient has no history of speech-related pain or nasal regurgitation. His family history is unremarkable. During the examination, the patient appears ill, malnourished, and slightly pale. He is not jaundiced nor cyanotic. Physical examination is unremarkable. A swallowing study reveals a small outpouching in the posterior neck (see image). Which nerve is most likely involved in this patient’s symptoms? Options: A) CN X B) CN VII C) CN IX D) CN V Reply with ONLY the letter of the correct answer (A, B, C, or D). No explanation.

A
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