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Malignant hyperthermia — USMLE Step 3 MCQ

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HardSurgery (post-operative, follow-up)Malignant hyperthermiaUSMLE Step 3

A 39-year-old woman becomes tachycardic and hypotensive shortly after induction of anesthesia with succinylcholine. Temperature rises to 40.2 C, end-tidal CO2 increases sharply, and generalized rigidity is noted. Which of the following is the most likely explanation for this patient's findings?

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Correct answer: BUncontrolled calcium release from skeletal muscle sarcoplasmic reticulum

Malignant hyperthermia results from abnormal ryanodine receptor-mediated calcium release after triggering anesthetics.

Reference: Malignant Hyperthermia Association guidance; USMLE Step 3 Content Outline