## **Core Concept**
The question tests knowledge of intravenous anesthetic agents, specifically focusing on whether they are opioids or non-opioids. Intravenous anesthetic agents are crucial in clinical settings for inducing and maintaining anesthesia. They can be broadly classified into opioid and non-opioid categories based on their mechanism of action.
## **Why the Correct Answer is Right**
Propofol is a widely used intravenous anesthetic agent known for its rapid onset and short duration of action. It works by enhancing the effect of the neurotransmitter gamma-aminobutyric acid (GABA) at the GABA_A receptor, leading to sedation or hypnosis. Propofol is not an opioid; it does not act on opioid receptors and is used for induction and maintenance of general anesthesia or sedation.
## **Why Each Wrong Option is Incorrect**
- **Option A:** Fentanyl is a potent opioid analgesic used in anesthesia. It acts on opioid receptors to produce analgesia and is not a non-opioid intravenous anesthetic agent.
- **Option B:** Alfentanil is another opioid analgesic used for anesthesia. Like fentanyl, it acts on opioid receptors and is not classified as a non-opioid.
- **Option D:** Sufentanil is also an opioid, more potent than fentanyl, and used in anesthesia for its analgesic effects. It is not a non-opioid intravenous anesthetic agent.
## **Clinical Pearl / High-Yield Fact**
A key point to remember is that while propofol is a non-opioid and does not cause significant respiratory depression at low doses, it can cause hypotension and hypoxia due to its vasodilatory effects and potential for respiratory depression at higher doses.
## **Correct Answer:** C. Propofol.
Free Medical MCQs Β· NEET PG Β· USMLE Β· AIIMS
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