A deficit of which ion in the extracellular fluid can cause nerve fibers to become highly excitable, sometimes leading to spontaneous discharge and muscle tetany?

Correct answer: Calcium ions

Explanation

This question tests the understanding of the stabilizing role of extracellular calcium ions on voltage-gated sodium channels and the clinical consequence of its deficit.

Other questions

Question 1

What is the primary cause for the establishment of a membrane potential across a selectively permeable nerve fiber membrane, as illustrated by the diffusion of potassium ions?

Question 2

What is the approximate resting membrane potential of large nerve fibers when they are not transmitting signals?

Question 3

What is the calculated Nernst potential for potassium ions in a normal nerve fiber, given the concentration gradient?

Question 4

During the depolarization stage of an action potential, what event occurs?

Question 5

What is the role of the inactivation gate of the voltage-gated sodium channel?

Question 6

What is the primary contribution of the continuously acting electrogenic Na+-K+ pump to the resting membrane potential?

Question 7

According to the All-or-Nothing Principle, what happens once an action potential has been elicited at any point on a normal nerve fiber?

Question 8

What is the primary mechanism of saltatory conduction in myelinated nerve fibers?

Question 9

What is the absolute refractory period in a nerve fiber?

Question 10

How do local anesthetics such as procaine and tetracaine reduce membrane excitability?

Question 11

What is the typical velocity of action potential conduction in large myelinated nerve fibers?

Question 12

What is the primary reason for the plateau in the action potentials of some cells like heart muscle fibers?

Question 13

What is the typical threshold for stimulation required to initiate an action potential in a large nerve fiber?

Question 14

What is the primary role of impermeant negatively charged ions, such as anions of protein molecules, inside the nerve axon?

Question 16

The Goldman equation is used to calculate the diffusion potential when the membrane is permeable to several different ions. What three factors does this potential depend on?

Question 17

What is the approximate duration of the absolute refractory period for large myelinated nerve fibers?

Question 18

What is the 'safety factor for propagation' of a nerve impulse?

Question 19

In the context of the nerve membrane, what is the key difference in permeability between potassium and sodium ions at rest?

Question 20

What causes the repolarization stage of the action potential?

Question 21

What is the main advantage of saltatory conduction in terms of energy conservation?

Question 22

What happens during the repolarization stage of an action potential in a nerve fiber?

Question 23

The Nernst equation is used to calculate the diffusion potential that opposes the net diffusion of a particular ion. What determines the magnitude of this Nernst potential?

Question 24

What is the phenomenon of 'overshoot' during a large nerve fiber's action potential?

Question 25

What is the approximate voltage that causes the sudden conformational change in the activation gate of a sodium channel, leading to its opening?

Question 26

What is an 'acute subthreshold potential'?

Question 27

How does the permeability of the nerve membrane to sodium and potassium ions change at the onset of an action potential?

Question 28

What is the primary characteristic of the voltage-gated potassium channel that contributes to repolarization?

Question 29

According to the text, how many impulses can be transmitted by large nerve fibers before the concentration differences of sodium and potassium are reduced to a point that action potential conduction ceases?

Question 30

What is the proposed mechanism by which a deficit of extracellular calcium ions increases nerve excitability?

Question 31

In the context of nerve signal transmission, what initiates the positive-feedback cycle that opens the sodium channels?

Question 32

How does an electrical current from a negatively charged metal electrode excite a nerve fiber?

Question 33

What condition must be met for the inactivation gates of the sodium channels to reopen after an action potential?

Question 34

In the voltage clamp experiments by Hodgkin and Huxley, what substance was used to block sodium channels?

Question 35

What is the primary factor that makes the resting membrane potential of a neuron so close to the Nernst potential for potassium?

Question 36

During an action potential, what is the cause of the after-hyperpolarization phase where the membrane becomes more negative than the resting potential?

Question 37

What is the calculated membrane potential in a nerve fiber using the Goldman equation, considering only sodium and potassium diffusion with a K+ to Na+ permeability ratio of 100:1?

Question 38

In the summary of events causing the action potential (Figure 5-10), what is the approximate ratio of sodium to potassium conductance during the early portion of the action potential?

Question 39

What is the primary function of the nodes of Ranvier?

Question 40

How much does sympathetic stimulation increase the activity of the Na+-K+ pump when intracellular sodium concentration rises from 10 to 20 mEq/L?

Question 41

What is the 'electrochemical driving force' (Vdf) for an ion?

Question 42

Which stage of the action potential is primarily responsible for signal transmission in neurons?

Question 43

What is the primary method for measuring the membrane potential of a single nerve fiber?

Question 44

The resting membrane potential is said to be 'polarized'. What does this term signify?

Question 45

What are 'slow channels' in the context of action potentials in some cells like cardiac muscle?

Question 46

If a nerve fiber membrane potential changes from -70 mV to -60 mV, but no action potential is fired, what is this potential change called?

Question 47

What would be the effect on a nerve fiber of applying a positively charged electrode to its surface?

Question 48

When does the inactivation gate of the voltage-gated sodium channel close relative to the activation gate opening?

Question 49

What is the primary ionic event that terminates the plateau of a cardiac action potential?

Question 50

How much does the permeability of the cardiac muscle membrane for potassium ions change immediately after the onset of the action potential?