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MCQ – 90209

Question

Meyer Overton rule relates potency of an anesthetic to

A.

Solubility in blood

B.

Solubility in lipid

C.

Blood- gas partition coefficient

D.

Minimum Alveolar Concentration

Show Answer

Correct Answer » D

Explanation

  • MAC is defined as the alveolar concentration of an inhalational anesthetic at which 50% of patients do not move in response to a standard surgical stimulus.
  • It is the standard clinical measure of anesthetic potency.
  • According to the Meyer–Overton rule:
    • Higher lipid solubility → Greater potency → Lower MAC.
    • Lower lipid solubility → Lower potency → Higher MAC.
  • Therefore, potency is inversely proportional to MAC.
  • In examination practice, when MAC is given as an option, it is considered the best answer because it directly represents anesthetic potency.

Why Other Options are Incorrect

A. Solubility in blood

  • Blood solubility determines the speed of induction and recovery, not anesthetic potency.
  • Lower blood solubility results in faster induction and emergence.

B. Solubility in lipid

  • This is the original Meyer–Overton correlation.
  • However, among the given options, MAC is the accepted clinical measure of anesthetic potency and is the expected examination answer.

C. Blood–gas partition coefficient

  • Reflects blood solubility.
  • Determines onset and recovery of anesthesia.
  • Does not determine potency.
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