## **Core Concept**
The question tests knowledge of antiandrogen drugs, which are used to block the effects of male sex hormones (androgens) such as testosterone and dihydrotestosterone (DHT). These drugs are primarily used in the treatment of conditions like prostate cancer, hirsutism, and male pattern baldness.
## **Why the Correct Answer is Right**
Flutamide, Bicalutamide, and Spironolactone are well-known antiandrogens. Flutamide and Bicalutamide are nonsteroidal antiandrogens that work by competitively inhibiting the binding of androgens to the androgen receptor. Spironolactone, on the other hand, is a steroidal antiandrogen that also acts as a potassium-sparing diuretic and has anti-mineralocorticoid effects. It exerts its antiandrogenic effects by inhibiting the binding of androgens to androgen receptors and also by reducing androgen production.
## **Why Each Wrong Option is Incorrect**
- **Option A:** Flutamide is an antiandrogen.
- **Option B:** Bicalutamide is an antiandrogen.
- **Option D:** Spironolactone is an antiandrogen.
## **Clinical Pearl / High-Yield Fact**
A key point to remember is that while all the listed drugs except one are antiandrogens, their mechanisms and clinical uses can vary. For example, Spironolactone's antiandrogen effects are part of its broader pharmacological profile, which includes diuretic and anti-mineralocorticoid actions.
## **Correct Answer:** .
Free Medical MCQs Β· NEET PG Β· USMLE Β· AIIMS
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