Cholinergic Receptors and Neuromuscular Transmission
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Questions and Answers

What is the initial change in membrane potential during depolarization?

  • Decrease from -70 to -35 mV
  • Increase from -70 to 0 mV
  • Decrease from -70 to -55 mV (correct)
  • Increase from -70 to -55 mV
  • What causes the rapid increase in depolarization after 15 mV?

  • The flow of Na+ causing more Na+ channels to open (correct)
  • K+ efflux from the nerve fiber
  • Closure of voltage-gated Na+ channels
  • Stoppage of Na+ influx
  • What is responsible for repolarization?

  • Stoppage of Na+ influx and K+ efflux (correct)
  • Flow of Na+ into the cell
  • Closure of voltage-gated K+ channels
  • Opening of voltage-gated Na+ channels
  • What is the characteristic of an action potential?

    <p>It is an all or none response</p> Signup and view all the answers

    What happens to the membrane potential after reaching 0 mV?

    <p>It overshoots to +35 mV</p> Signup and view all the answers

    What type of potential is produced by a subthreshold stimulus?

    <p>Graded potential</p> Signup and view all the answers

    What is the primary ion involved in the depolarization phase?

    <p>Na+</p> Signup and view all the answers

    What happens to the voltage-gated Na+ channels during repolarization?

    <p>They start to close</p> Signup and view all the answers

    What is the primary mechanism by which calcium ions affect neuromuscular transmission?

    <p>By stimulating the rupture of acetylcholine vesicles</p> Signup and view all the answers

    What is the characteristic of an action potential produced by a suprathreshold stimulus?

    <p>It is the same as the action potential produced by a threshold stimulus</p> Signup and view all the answers

    What is the effect of magnesium ions on neuromuscular transmission?

    <p>Inhibition of acetylcholine release</p> Signup and view all the answers

    What happens during the absolute refractory period?

    <p>The nerve is unexcitable</p> Signup and view all the answers

    Which of the following drugs is an example of a reversible anticholinesterase?

    <p>Neostigmine</p> Signup and view all the answers

    What is the mechanism of action of curare on neuromuscular transmission?

    <p>It competes with acetylcholine for its receptors</p> Signup and view all the answers

    How does the action potential propagate in unmyelinated nerves?

    <p>Through local current flow from the active point to the inactive point</p> Signup and view all the answers

    What is the advantage of saltatory conduction in myelinated nerves?

    <p>It is faster and more economic in terms of ATP usage</p> Signup and view all the answers

    What is the effect of succinylcholine on muscle contraction?

    <p>It causes sustained depolarization of the motor end plate</p> Signup and view all the answers

    What is the structure of the neuromuscular junction?

    <p>Branched motor nerve, motor end plate, synaptic gutter, synaptic cleft, presynaptic membrane, postsynaptic membrane, and subneural folds</p> Signup and view all the answers

    What is the primary mechanism of action of botulinum toxin on neuromuscular transmission?

    <p>It inhibits the release of acetylcholine</p> Signup and view all the answers

    What is the characteristic of the action potential propagation in myelinated nerves?

    <p>It is faster and more economic in terms of ATP usage</p> Signup and view all the answers

    What is the delay between the nerve impulse reaching the neuromuscular junction and the action potential generated in muscle?

    <p>0.5 msec</p> Signup and view all the answers

    What is a characteristic of neuromuscular transmission?

    <p>It is unidirectional, from nerve to muscle</p> Signup and view all the answers

    What is the state of the nerve during the relative refractory period?

    <p>It is partially excitable</p> Signup and view all the answers

    What is the characteristic of the action potential?

    <p>It is self-propagated along the rest of the fiber</p> Signup and view all the answers

    Study Notes

    Neuromuscular Transmission

    • One-way transmission: from nerve to muscle, not the opposite
    • Delay of 0.5 msec between nerve impulse and muscle action potential
    • Can be fatigued due to depletion of acetylcholine vesicles
    • Calcium influx stimulates NMT, while magnesium inhibits it

    Effect of Drugs on Neuromuscular Transmission

    • Acetylcholine-like drugs: nicotine, carbachol, and methacholine
    • Anticholinesterase drugs: reversible (neostigmine) and irreversible (parathion and DFP)
    • NMT-blocking drugs: curare, succinylcholine, and botulinum toxin

    Excitable Tissues

    • Include: nerves, skeletal muscle, and smooth muscles
    • Exclude: exocrine gland

    Membrane Potential

    • Resting membrane potential is mainly due to potassium efflux
    • Na+ influx and efflux, and K+ influx and efflux affect membrane potential

    Action Potential

    • Absolute refractory period: nerve is unexcitable, no stimulus can excite it
    • Relative refractory period: partial recovery of excitability
    • Action potential is self-propagated and travels long distances without decreasing in voltage

    Propagation of Action Potential

    • In unmyelinated nerves: self-propagation through local current flow
    • In myelinated nerves: saltatory conduction, which is faster and more economic

    Neuromuscular Junction

    • Structure: branched motor nerve, motor end plate, synaptic gutter, synaptic cleft, presynaptic and postsynaptic membranes, and subneural folds
    • Depolarization: gradual decrease in membrane potential from -70 to -55 mV, followed by rapid depolarization and overshoot to +35 mV
    • Repolarization: stoppage of Na+ influx, K+ efflux, and closure of voltage-gated Na+ channels

    Membrane Potential Changes

    • Depolarization: Na+ influx, followed by rapid depolarization and overshoot
    • Repolarization: K+ efflux, closure of voltage-gated Na+ channels, and opening of voltage-gated K+ channels

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    Description

    Study the properties of neuromuscular transmission, including unidirectional transmission, delay, fatigue, and the effect of ions. Understand the role of cholinergic receptors at the neuromuscular junction.

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