This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Pharmacology
Etomidate causes all except ? 
Select and explain. 
A. Coronary insufficiency, B. Decreased steroid, C. Decreases Intracranial tension, D. Nausea and vomiting
A: Coronary insufficiency
Answer: A: Coronary insufficiency 
Explanation: Ans. is 'a' i.e., Coronary insufficiency Etomidate produces little cardiovascular and respiratory depression --> Agent of choice for cardiovascular surgeries (bypass, aneurysms, valve surgery). Etomidate is the most cardiostable inducing agent. Etomidate has the highest incidence of nausea and vomiting amonst inducing agents 30%-40%. It can produce hiccups and myoclonus. Superficial thrombophlebitis and pain on injection may occur --> Pain can be reduced by using larger vein and injecting lidocaine just before etomidate.