**Core Concept**
The question tests the knowledge of cardiac stimulants, which are medications used to increase heart rate and contractility. The correct answer is a potent adrenergic agonist that acts on beta-1 receptors in the heart.
**Why the Correct Answer is Right**
Epinephrine (adrenaline) is a non-selective adrenergic agonist that acts on both alpha and beta receptors. However, when considering cardiac stimulants specifically, isoproterenol is a more potent beta-1 agonist, which means it has a greater effect on increasing heart rate and contractility. This is because beta-1 receptors are predominantly found in the heart. Isoproterenol increases cAMP levels in cardiac cells, leading to increased contractility and heart rate.
**Why Each Wrong Option is Incorrect**
* **Option A:** Epinephrine is a non-selective adrenergic agonist, which means it has effects on both alpha and beta receptors, but it is not the most potent cardiac stimulant.
* **Option B:** Dopamine has a dose-dependent effect on different receptors, but at low doses, it primarily stimulates dopamine receptors, which is not the most potent cardiac stimulant effect.
* **Option C:** Dobutamine is a beta-1 agonist, but it is not as potent as isoproterenol in increasing heart rate and contractility.
**Clinical Pearl / High-Yield Fact**
Isoproterenol is often used in cardiac stress tests to increase heart rate and assess cardiac function.
**Correct Answer:** C. Isoproterenol.
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.