Cardiac Muscle Action Potential Channels
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Questions and Answers

What is the primary mechanism for regulating the amount of calcium that enters the cell during depolarization?

  • Binding of norepinephrine to muscarinic receptors
  • Inhibition of adenylyl cyclase
  • Phosphorylation of the L-type calcium channel (correct)
  • Hydrolysis of cAMP to ATP

Which receptor is primarily coupled to a specific stimulatory G-protein that activates adenylyl cyclase?

  • Beta-1 adrenoceptor (correct)
  • Gi-protein
  • Adenosine receptor A1
  • M2 muscarinic receptor

What effect does the inhibitory G protein (Gi-protein) have on inotropy?

  • Increases inotropy
  • Decreases inotropy (correct)
  • Stimulates adenylyl cyclase
  • No effect on inotropy

What is the primary function of cardiac myocytes?

<p>To contract repetitively (C)</p> Signup and view all the answers

Where is the sinus (sinoatrial) node located?

<p>Superior posterolateral wall of the right atrium (B)</p> Signup and view all the answers

What is the resting membrane potential of the sinus nodal fiber between discharges?

<p>-55 to -60 millivolts (A)</p> Signup and view all the answers

What is the term used to describe the fusion of cardiac myocytes resulting in a branching network of cells?

<p>Functional syncytium (D)</p> Signup and view all the answers

What serves as low resistance pathways between cardiac myocytes, permitting cell-to-cell conduction of electrical currents?

<p>Gap junctions (B)</p> Signup and view all the answers

Which type of muscle has a branching network of cells sometimes referred to as a functional syncytium?

<p>Cardiac muscle (D)</p> Signup and view all the answers

What are the specialized cell membranes that connect individual cardiac myocytes to each other?

<p>Intercalated disks (C)</p> Signup and view all the answers

Which type of muscle shares some structural and functional similarities with cardiac muscle?

<p>Skeletal muscle (C)</p> Signup and view all the answers

What ensures that an electrical impulse will travel to all interconnected cardiac myocytes when one myocyte is electrically stimulated?

<p>Gap junctions (A)</p> Signup and view all the answers

What causes the rapid upstroke spike of the action potential observed in ventricular muscle?

<p>Opening of the fast sodium channels (C)</p> Signup and view all the answers

What causes the 'plateau' phase of the ventricular action potential?

<p>Opening of the slow sodium-calcium channels (A)</p> Signup and view all the answers

Why is the resting potential of sinus nodal fibers less negative than that of ventricular muscle fiber?

<p>Influx of positive sodium and calcium ions through leaky cell membranes (C)</p> Signup and view all the answers

What causes hyperpolarization in the sinus nodal fibers?

<p>Activation of potassium channels (B)</p> Signup and view all the answers

What is the primary role of the atrioventricular (A-V) node?

<p>To delay the transmission of the cardiac impulse into the ventricles (D)</p> Signup and view all the answers

What is the velocity of conduction in most atrial muscle fibers?

<p>0.3 m/sec (D)</p> Signup and view all the answers

What is the main cause of the slow conduction in the transitional, nodal, and penetrating A-V bundle fibers?

<p>Diminished numbers of gap junctions between successive cells (B)</p> Signup and view all the answers

What is the velocity of action potential transmission in the Purkinje fibers compared to the usual ventricular muscle fibers?

<p>1.5 to 4.0 m/sec (D)</p> Signup and view all the answers

What is the discharge rate of the Purkinje fibers?

<p>15 to 40 times per minute (C)</p> Signup and view all the answers

Why does the sinus node control the beat of the heart?

<p>Its rate of rhythmical discharge is faster than any other part of the heart (B)</p> Signup and view all the answers

What allows almost instantaneous transmission of the cardiac impulse throughout the entire remainder of the ventricular muscle?

<p>Rapid transmission by Purkinje fibers (D)</p> Signup and view all the answers

What is the intrinsic rhythmical discharge rate of the A-V nodal fibers?

<p>40 to 60 times per minute (A)</p> Signup and view all the answers

What is particularly true about a few other parts of the heart, similar to the sinus nodal fibers?

<p>They can exhibit intrinsic rhythmical excitation (C)</p> Signup and view all the answers

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