## **Core Concept**
The question tests knowledge of side effects associated with various muscle relaxants used in clinical settings. Muscle relaxants are drugs that affect skeletal muscle function and are used to relieve muscle spasms and stiffness. One of the side effects some of these drugs can cause is pain upon injection.
## **Why the Correct Answer is Right**
Succinylcholine is known to cause muscle fasciculations and myalgias (muscle pain), which can include pain on injection. This is due to its mechanism of action as a depolarizing neuromuscular blocker. It works by mimicking the action of acetylcholine at the neuromuscular junction, initially causing muscle fasciculations before leading to muscle relaxation. This initial depolarization phase can lead to muscle pain.
## **Why Each Wrong Option is Incorrect**
- **Option A:** [Drug not specified], without the specific drug, it's hard to directly refute, but generally, not all muscle relaxants cause pain on injection.
- **Option B:** [Drug not specified], similar to Option A, the lack of specificity makes direct refutation challenging.
- **Option D:** [Drug not specified], again, specifics are needed for a direct explanation, but commonly, not all muscle relaxants are associated with pain on injection.
## **Clinical Pearl / High-Yield Fact**
A notable clinical pearl is that succinylcholine, a depolarizing muscle relaxant, commonly causes myalgias (muscle pain) post-operatively. This side effect can be significant enough to be a consideration in the choice of muscle relaxant for certain patients. Pre-treatment with a small dose of non-depolarizing agent can sometimes mitigate this effect but is not universally applied.
## **Correct Answer:** C. Succinylcholine.
Free Medical MCQs Β· NEET PG Β· USMLE Β· AIIMS
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