Pages

 

 

Thursday, October 15, 2009

MRCP Part 1 MCQ question #22

what is the main mode of action of beta-blockers in controlling hypertension ?

a) decrease cardiac input
b) slow the heart rate
c) increase the cardiac force of contraction
d) increase cardiac output
e) decrease plasma volume

Answer:
 b) slow the heart rate

Explanation
Beta-blockers act by blocking the action of noradrenaline at b adrenoceptors throughout the circulatory system and elsewhere. Their major effect is to slow the heart rate and reduce its force of contraction. beta-blockers also cause some reduction in renin release and central sympathetic tone.