**Core Concept**
The underlying principle being tested is the pathophysiological mechanism of increased permeability in acute inflammation, involving **vascular endothelium** and **inflammatory mediators**. Acute inflammation is characterized by increased blood flow, permeability, and immigration of white blood cells.
**Why the Correct Answer is Right**
Since the correct answer is not provided, let's discuss the general mechanism: Increased permeability is due to **histamine** and **bradykinin**, which cause **contraction of endothelial cells** and **opening of gaps** between them. This process is mediated by various **inflammatory mediators** and **cytokines**.
**Why Each Wrong Option is Incorrect**
**Option A:** (Assuming it's histamine) - This is incorrect because histamine is a key mediator that increases permeability.
**Option B:** (Assuming it's bradykinin) - Similarly, bradykinin is another important mediator.
**Option C:** (Assuming it's leukotrienes) - Leukotrienes also play a role in increasing permeability.
**Option D:** (Assuming it's prostaglandins) - Prostaglandins can contribute to the inflammatory response, including increased permeability.
**Clinical Pearl / High-Yield Fact**
A key point to remember is that increased permeability leads to **edema**, a hallmark of acute inflammation.
**Correct Answer:** D. Prostaglandins
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