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Baroreceptor reflex — FRCA Primary MCQ

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ModeratePhysiologyBaroreceptor reflexFRCA Primary

After induction, sudden hypotension is followed by tachycardia within seconds. What is the most likely explanation?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: BReduced baroreceptor firing increases sympathetic outflow

Reduced stretch at carotid and aortic baroreceptors increases sympathetic outflow. ADH inserts aquaporin-2 channels in collecting ducts is less appropriate because it would fit a different clinical clue or a separate anaesthetic problem. Acidosis shifts the oxyhaemoglobin curve right is less appropriate because it would fit a different clinical clue or a separate anaesthetic problem. Pain and temperature ascend in the spinothalamic tract is less appropriate because it would fit a different clinical clue or a separate anaesthetic problem. Left ventricular coronary perfusion occurs mainly in diastole is less appropriate because it would fit a different clinical clue or a separate anaesthetic problem. In Primary FRCA physiology, the correct answer is usually the variable that best explains the observed change in the anaesthetised patient.

Reference: West's Respiratory Physiology; Ganong Review of Medical Physiology; Primary FRCA textbooks