This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Anesthesia, Subject name: Pharmacology
Ketamine should be avoided in: 
Select and explain. 
A. The presence of increased aerial pressure, B. Pregnancy, C. Hypovolemic shock, D. Asthmatic
A: The presence of increased aerial pressure
Answer: A: The presence of increased aerial pressure 
Explanation: Ketamine should be avoided in hypeension,CCF, cerebral hemorrhage,increased intra cranial tension, psychiatric disorders and pregnancy before term. Ketamine causes increase in HR,CO and BP. From padmaja 4th edition Page no 196