Start Learning Free

Before You Begin

Question #46340

Difficulty: 8/10 | 🟢 Free

The Question

A patient is administered a potent muscle relaxant that acts as a competitive antagonist of acetylcholine at the neuromuscular junction. Assuming no artificial ventilation is provided, which of the following best explains the immediate physiological cause of respiratory failure in this patient?

Options

  • A.

    Failure to establish a negative intra-pulmonary pressure gradient due to the flaccid paralysis of the diaphragm.

  • B.

    Cessation of action potential generation in the phrenic nerve by the medullary respiratory rhythm center.

  • C.

    Spastic contraction of the external intercostal muscles, fixing the thoracic cavity in an expiratory state.

  • D.

    Inhibition of gaseous exchange across the respiratory membrane due to sudden alveolar collapse.

Check Your Answer

Correct Answer

Step-by-Step Solution

Explanation

How the Examiner Thinks

Regulatory_Failure

Understand how NOT, EXCEPT, and logical constraints are used to manipulate exam results.

Concepts Behind This Question

Diaphragm|Phrenic_Nerve|Neuromuscular_Junction_Signal|Acetylcholine

Why This Question Is Tricky

Common Mistakes

Conceptual Pivot: Distinguishing between central respiratory failure (neural drive suppression in the medulla) and peripheral ventilatory failure (mechanical failure at the NMJ).

Students often overlook that the diaphragm is a standard skeletal muscle and its failure to contract directly collapses the Boyle's Law logic (pressure-volume inverse relationship) required for pulmonary ventilation, even if the lungs and brain are perfectly healthy.

Quick Facts About This Question

Question Information

SubjectBiology
ChapterBreathing and Exchange of Gases - Class 11
ConceptDiaphragm Mechanics
Difficulty8
Cognitive Load5
Target Solve Time120 sec
AccessFree