Library/Health Professions and Related Programs/Guyton and Hall Textbook of Medical Physiology, 14th Edition/Excitation of Skeletal Muscle: Neuromuscular Transmission and Excitation-Contraction Coupling

Excitation of Skeletal Muscle: Neuromuscular Transmission and Excitation-Contraction Coupling

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Questions

Question 1

With the exception of a small percentage, how many neuromuscular junctions does a typical skeletal muscle fiber have?

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Question 2

What is the term for the invaginated membrane of the muscle fiber at the junction with a single axon terminal?

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Question 3

When a nerve impulse reaches the neuromuscular junction, approximately how many vesicles of acetylcholine are released from the terminals into the synaptic space?

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Question 4

The entry of which ion into the presynaptic nerve terminal is the primary stimulus for the release of acetylcholine?

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Question 5

What is the approximate diameter of the acetylcholine-gated channel, which is large enough to allow important positive ions to pass through?

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Question 6

Why are negative ions, such as chloride, prevented from passing through the acetylcholine-gated channel?

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Question 7

The opening of acetylcholine-gated channels creates a local positive potential change inside the muscle fiber membrane called the end plate potential. What is the typical magnitude of this potential change?

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Question 8

The normal neuromuscular junction is said to have a high safety factor because the end plate potential created is how many times greater than what is required to stimulate the muscle fiber?

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Question 9

At what rate of stimulation of the nerve fiber might the number of acetylcholine vesicles diminish enough to cause fatigue of the neuromuscular junction?

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Question 10

What is the approximate number of acetylcholine molecules stored within a single synaptic vesicle at the nerve terminal?

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Question 11

What is the mechanism of action of curare, a drug that blocks neuromuscular transmission?

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Question 12

Myasthenia gravis is an autoimmune disease that causes muscle weakness due to the inability of neuromuscular junctions to transmit signals properly. What is the underlying cause?

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Question 13

How does an action potential spreading along the surface of a skeletal muscle fiber reach the deep interior of the fiber to cause contraction?

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Question 14

In the T tubule-sarcoplasmic reticulum system, what is the direct consequence of a voltage change sensed by the dihydropyridine (DHP) receptors?

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Question 15

What is the function of the protein calsequestrin inside the sarcoplasmic reticulum?

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Question 16

Full excitation of the T tubule and sarcoplasmic reticulum system causes the calcium ion concentration in the myofibrillar fluid to increase from a resting state of less than 10 to the power of -7 molar to what peak concentration?

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Question 17

What is the approximate duration of the calcium pulse in a typical skeletal muscle fiber?

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Question 18

Malignant hyperthermia is a hypermetabolic crisis triggered in susceptible individuals by certain anesthetics. What is the direct cause of the sustained muscle contractions seen in this condition?

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Question 19

What is the resting membrane potential in skeletal muscle fibers, according to the text?

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Question 20

Which drug is administered to treat malignant hyperthermia by antagonizing ryanodine receptors and inhibiting calcium ion release?

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Question 21

What is the space between the nerve terminal and the muscle fiber membrane, which is typically 20 to 30 nanometers wide, called?

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Question 22

What is the primary function of the numerous smaller folds of the muscle membrane called subneural clefts?

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Question 23

In the adult acetylcholine receptor complex, which protein subunit replaces the gamma protein found in the fetal version?

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Question 24

The fusion of acetylcholine vesicles with the terminal membrane increases by approximately 10,000-fold when the intracellular calcium ion concentration increases by what factor?

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Question 25

What is the duration of an action potential in skeletal muscle?

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Question 26

What is the velocity of conduction of an action potential in skeletal muscle fibers?

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Question 27

Which protein is responsible for forming coated pits that lead to the reformation of synaptic vesicles in the terminal nerve membrane?

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Question 28

Which drug is a powerful nerve gas poison that inactivates acetylcholinesterase for weeks?

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Question 29

The weakness of the end plate potential at point C in Figure 7-4, which is too weak to elicit an action potential, is caused by what?

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Question 30

What is the function of the sarcoplasmic reticulum's terminal cisternae?

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Question 31

What is the collective term for the processes involved in the action potential causing the release of calcium ions, which then leads to muscle contraction?

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Question 32

When opened by acetylcholine, a single acetylcholine-gated channel can transmit 15,000 to 30,000 sodium ions in what time frame?

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Question 33

How much more negative is the resting membrane potential in skeletal muscle fibers compared to neurons?

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Question 34

How do drugs like methacholine, carbachol, and nicotine stimulate the muscle fiber?

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Question 35

What is the total number of subunit proteins that make up the fetal acetylcholine receptor complex?

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Question 36

The sequence of acetylcholine formation and release occurs within what time period?

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Question 37

How do drugs like neostigmine and physostigmine stimulate the neuromuscular junction?

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Question 38

What is the peak calcium concentration in the myofibrillar fluid during full excitation, which is required to cause maximum muscle contraction?

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Question 39

In the neuromuscular junction, what happens to the choline after acetylcholine is split by acetylcholinesterase?

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Question 40

A patient with myasthenia gravis is administered neostigmine. How does this drug ameliorate the condition?

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Question 41

What is the role of the voltage-gated calcium channels located on the inside surface of the neural membrane at the neuromuscular junction?

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Question 42

How many times faster is the duration of an action potential in a large myelinated nerve compared to that in skeletal muscle?

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Question 43

What is the relative conduction velocity in skeletal muscle fibers compared to the large myelinated nerve fibers that excite them?

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Question 44

The recycling of vesicles in the nerve terminal begins with the formation of coated pits, which break away to form new vesicles in about how much time?

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Question 45

The action of drugs like methacholine, carbachol, and nicotine often persists for many minutes to several hours primarily because they are what?

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Question 46

What is the composition of the sarcoplasmic reticulum?

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Question 47

How many acetylcholine molecules must attach to the acetylcholine receptor to cause a conformational change that opens the channel?

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Question 48

Where are the acetylcholine-gated ion channels located on the muscle fiber membrane?

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Question 49

What is the primary reason that far more sodium ions flow through the acetylcholine-gated channels than any other positive ions?

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Question 50

A sudden increase in nerve membrane potential of more than how many millivolts is normally sufficient to initiate an action potential at the muscle fiber membrane?

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