🏥 USMLE Exam Prep

An increase in preload, within physiological limits, primarily leads to an increase in stroke volume by which mechanism?

A Decreasing end-systolic volume
B Increasing myocardial contractility
C Decreasing afterload
D Activating the Frank-Starling mechanism

✓ Correct Answer: Option D

The Frank-Starling mechanism states that an increase in preload (end-diastolic volume) stretches cardiac muscle fibers, leading to a more forceful contraction and thus an increased stroke volume, ensuring that cardiac output matches venous return.

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