Anaesthesia · Local Anaesthetics and Regional Anaesthesia (Spinal, Epidural, Nerve Blocks)

Match the pharmacological determinant with its clinical correlate: which pairing is correct?

  • A Lipid solubility determines duration of action
  • B Lipid solubility determines intrinsic potency
  • C Protein binding determines potency
  • D pKa determines duration of action
Correct answer: B. Lipid solubility determines intrinsic potency

Explanation

Potency parallels lipid solubility because a highly lipophilic drug partitions readily into nerve membranes where its receptor sits. Duration parallels protein binding: bupivacaine is roughly 95 percent bound and lasts long, while chloroprocaine is minimally bound and very short acting. Onset relates inversely to pKa. Mixing up these three pairings is a classic examination trap and each distractor here represents one such swap.

Reference: Katzung's Basic and Clinical Pharmacology, 16th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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