**Core Concept**
Egg lecithin is a natural phospholipid that acts as a surfactant in propofol’s intravenous emulsion formulation. It stabilizes the oil-in-water emulsion by reducing interfacial tension between propofol (an oil-soluble anesthetic) and the aqueous phase, ensuring uniform dispersion and prolonged stability.
**Why the Correct Answer is Right**
Egg lecithin serves as the primary emulsifying agent in propofol emulsion (e.g., Propofol Infusional). It forms a protective layer at the oil-water interface, preventing coalescence of propofol droplets. This emulsification allows for safe, slow infusion and consistent pharmacokinetics. The lecithin-phospholipid structure enables the formation of a stable, long-term emulsion without requiring additional surfactants.
**Why Each Wrong Option is Incorrect**
Option B: Lecithin does not act as a preservative; preservatives like benzyl alcohol or phenol are added separately.
Option C: It is not a carrier vehicle; propofol is dissolved in a vegetable oil, and lecithin does not transport the drug.
Option D: It has no antibacterial properties; antibacterial agents are not part of propofol’s formulation.
**Clinical Pearl / High-Yield Fact**
In propofol emulsion, egg lecithin is critical for emulsion stability—without it, the formulation would separate rapidly, leading to poor drug delivery and safety issues. Always remember: **"Lecithin stabilizes, not preserves or carries."**
✓ Correct Answer: A. Acts as emulsifying agent
Free Medical MCQs · NEET PG · USMLE · AIIMS
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