🏥 USMLE Exam Prep

During exercise, a healthy individual's cardiac output increases significantly. Which of the following physiological changes is the primary mechanism for increasing stroke volume in response to increased venous return?

A Decreased end-diastolic volume
B Increased afterload
C Increased contractility (Frank-Starling mechanism)
D Decreased heart rate

✓ Correct Answer: Option C

The Frank-Starling mechanism states that increased venous return leads to increased end-diastolic volume, stretching cardiac muscle fibers. This increased stretch optimizes actin-myosin overlap, enhancing contractility and stroke volume, thus increasing cardiac output.

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