All are actions of depolarising agents except
**Core Concept**
Depolarizing agents are a class of neuromuscular blocking drugs that work by mimicking the action of acetylcholine at the neuromuscular junction. They cause depolarization of the muscle membrane, leading to muscle contraction and eventually paralysis.
**Why the Correct Answer is Right**
Depolarizing agents, such as succinylcholine, work by activating the nicotinic acetylcholine receptor (nAChR) on the muscle membrane, leading to an influx of sodium ions and depolarization. This initial depolarization causes a muscle contraction, known as a fasciculation. However, as the depolarization persists, the muscle membrane becomes refractory to further stimulation, leading to muscle paralysis.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is not specified, but typically, depolarizing agents cause muscle contraction (fasciculations) as an initial effect, so it might not be the correct option to choose from.
**Option B:** Depolarizing agents do not cause hyperpolarization; instead, they cause depolarization of the muscle membrane.
**Option C:** Depolarizing agents do not work by inhibiting acetylcholinesterase, which is the enzyme responsible for breaking down acetylcholine; they work by activating the nAChR.
**Option D:** Depolarizing agents do not work by inhibiting the release of acetylcholine from the nerve terminal; they work by mimicking the action of acetylcholine at the nAChR.
**Clinical Pearl / High-Yield Fact**
Depolarizing agents can cause a prolonged depolarization of the muscle membrane, leading to a condition known as phase II block, which is characterized by a prolonged paralysis of the muscle.
**Correct Answer: C. Depolarizing agents do not work by inhibiting acetylcholinesterase, which is the enzyme responsible for breaking down acetylcholine; they work by activating the nicotinic acetylcholine receptor.**