This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Non-depolarising Neuromuscular Blocking Agents, Subject name: Anaesthesia
In renal failure, IV anesthetic used 
Select and explain. 
A. Atracurium, B. Vivacurium, C. Pancuronium, D. Cistracurium
D: Cistracurium
Answer: D: Cistracurium 
Explanation: Ans. D Cis-Atracurium Atracurium & cisatracurium both undergo Hoffman elimination & therefore both are safe in liver and kidney compromise. Additionally cisatracurium has lesser risk of causing seizures, so it's preferred over atracurium