**Core Concept**
Epinephrine is a potent catecholamine used in septic shock to increase blood pressure through vasoconstriction and cardiac stimulation. The action of epinephrine on vascular smooth muscle is mediated through adrenoceptors, specifically alpha-1 adrenoceptors.
**Why the Correct Answer is Right**
Epinephrine acts on alpha-1 adrenoceptors to constrict vascular smooth muscle, leading to vasoconstriction and increased peripheral resistance. This results in increased blood pressure and improved perfusion of vital organs. Alpha-1 adrenoceptors are Gq-coupled receptors that activate phospholipase C, increasing intracellular calcium levels and causing smooth muscle contraction.
**Why Each Wrong Option is Incorrect**
* **Option A:** Epinephrine also acts on beta-1 adrenoceptors to increase heart rate and contractility, but this is not the primary mechanism for vasoconstriction.
* **Option B:** Alpha-2 adrenoceptors are inhibitory receptors that cause vasodilation and are not involved in the vasoconstrictive effects of epinephrine.
* **Option D:** Beta-2 adrenoceptors cause vasodilation, particularly in the smooth muscle of the airways, and are not involved in the vasoconstrictive effects of epinephrine.
**Clinical Pearl / High-Yield Fact**
The combination of dopamine and epinephrine is often used in septic shock to achieve a balanced hemodynamic response, with dopamine providing inotropic support and epinephrine providing vasoconstrictive effects. However, this combination should be used cautiously due to the risk of tachyarrhythmias and increased oxygen consumption.
**Correct Answer:** C. Alpha-1 adrenoceptors
Free Medical MCQs Β· NEET PG Β· USMLE Β· AIIMS
Access thousands of free MCQs, ebooks and daily exams.
By signing in you agree to our Privacy Policy.