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Anaesthesia · Intravenous agents: context-sensitive half-time
Sample itemWhat does the context-sensitive half-time describe?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Time for plasma concentration to fall by 50% after stopping an infusion of a given duration
The context-sensitive half-time is the time taken for the plasma concentration to fall to half after an infusion of a specific duration (the context). It rises with infusion time for most drugs, except remifentanil.
Option by option
A. Time to reach steady state
Steady state occurs after about 4 to 5 half-lives.
B. Time for plasma concentration to fall by 50% after stopping an infusion of a given duration (correct)
Correct. It depends on infusion duration.
C. Elimination half-life after a single bolus
A single-bolus half-life is the elimination half-life.
D. Time for the drug effect to peak
Peak effect time is the time to peak effect.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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