General Anesthetics · Pharmacology

What is the primary mechanism of action for most intravenous general anesthetics like Propofol and Etomidate?

  1. Potentiation of GABA-A receptor-mediated chloride currents
  2. Competitive antagonism of NMDA glutamate receptors in the cortex
  3. Activation of voltage-gated sodium channels
  4. Inhibition of inhibitory glycine receptors
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Correct answer: Potentiation of GABA-A receptor-mediated chloride currents

Propofol and Etomidate act as positive allosteric modulators of the GABA-A receptor. By increasing the frequency or duration of chloride channel opening, they hyperpolarize neurons and induce a state of sedation and hypnosis.

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