Podiatry and Medical - Set 1

Category - Podiatry Part I

The mechanism of anesthetic action for lidocaine involves which of the following?
  1. Blockade of axonal voltage-dependent calcium channels
  2. Blockade of axonal voltage-dependent sodium channels
  3. Hyperpolarization of axons via enhanced chloride influx
  4. Hyperpolarization of axons via enhanced potassium efflux
Explanation
Answer − B − The mechanism of anesthetic action for lidocaine involves blockade of axonal voltage-dependent sodium channels. Local anesthetic agents such as lidocaine inhibit nerve conduction through state- and use-dependent blockade of voltage-dependent fast sodium channels. As a result, the threshold of excitability of the nerve is increased and the ability of the nerve to propagate an action potential is decreased.
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