Medical Physiology - The Nerve (Part II)
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Questions and Answers

What is the result of applying a subthreshold stimulus?

  • It generates continuous action potentials.
  • It causes immediate depolarization.
  • It produces propagated action potential.
  • It results in electrotonic potentials. (correct)

What characterizes catelectrotonus in terms of membrane potential?

  • It results in decreased excitability at the anode.
  • It is a process that occurs during intense motor activity.
  • It leads to hyperpolarization in the region of the cathode.
  • It involves passive addition of negative charges. (correct)

Which of the following statements about anelectrotonus is correct?

  • It is a state of depolarization at the cathode.
  • It results from passive addition of positive charges. (correct)
  • It increases excitability at the anode.
  • It leads to a reduction in the membrane potential at the anode.

How does chronaxie change during catelectrotonus?

<p>Chronaxie decreases. (C)</p> Signup and view all the answers

What happens to excitability at the anode during strong currents?

<p>Excitability is lost completely. (C)</p> Signup and view all the answers

What type of degeneration occurs in the distal fragments of a nerve after it is cut?

<p>Wallerian degeneration (C)</p> Signup and view all the answers

How long does it typically take for regeneration of a nerve to start after a cut?

<p>20 days (C)</p> Signup and view all the answers

Which of the following types of currents represents a low intensity and longer duration electric stimulus?

<p>Galvanic current (B)</p> Signup and view all the answers

What type of stimulus will produce an action potential in a nerve fiber?

<p>Threshold stimulus (B)</p> Signup and view all the answers

Which characteristic best describes retrograde degeneration?

<p>Involves the cell body (A)</p> Signup and view all the answers

What is the effect of increasing the intensity of a stimulus on utilization time?

<p>Utilization time decreases (A)</p> Signup and view all the answers

What is the role of macrophages following Wallerian degeneration?

<p>Removing debris from the environment (A)</p> Signup and view all the answers

Chronaxie is defined as what in relation to electric stimuli?

<p>The minimal duration to evoke a response (A)</p> Signup and view all the answers

What does the rheobase represent in the context of excitability?

<p>The minimal intensity of galvanic current required to produce excitation. (D)</p> Signup and view all the answers

How does an increase in chronaxie affect excitability?

<p>Decreased excitability. (A)</p> Signup and view all the answers

Which statement best describes what occurs when the rate of application of a stimulus rises rapidly?

<p>A response is generated. (A)</p> Signup and view all the answers

Which of the following is an example of a non-excitable tissue?

<p>Pancreas. (D)</p> Signup and view all the answers

What characterizes leak channels in cellular membranes?

<p>They are selectively permeable and always open. (B)</p> Signup and view all the answers

What type of ionic channels responds to changes in membrane potential?

<p>Gated channels. (D)</p> Signup and view all the answers

How does a constant current affect nerve stimulation?

<p>It requires changes in current for a response. (C)</p> Signup and view all the answers

What resting membrane potential is typically associated with excitable tissues like nerve and muscle?

<p>About -70 to -90 mV. (B)</p> Signup and view all the answers

Flashcards

Catelectrotonus

A type of membrane potential where the cell membrane is partially depolarized due to the application of subthreshold galvanic current at the cathode. It is a passive process, meaning it doesn't involve the opening and closing of ion channels.

Anelectrotonus

A type of membrane potential where the cell membrane is hyperpolarized due to the application of subthreshold galvanic current at the anode. It is also a passive process.

Ligand-gated channel

A specialized type of protein embedded in the cell membrane that opens or closes in response to specific neurotransmitter or hormone binding.

Subthreshold Stimulus

A change in membrane potential that does not reach the threshold for an action potential. It is a localized and non-propagating potential. Common examples include catelectrotonus and anelectrotonus.

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Firing Level

A type of membrane potential that occurs when a stimulus reaches the threshold level, triggering an action potential. Unlike subthreshold potentials, this potential spreads along the neuron.

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Rheobase

The minimal intensity of galvanic current required to evoke an action potential in a nerve or muscle fiber.

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Chronaxie

The minimum time required by an electric current of double the rheobase intensity to evoke an action potential in a nerve.

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Minimal time (T)

The duration of time below which no stimulus, regardless of its intensity, can evoke an action potential.

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Rate of application of stimulus

The rate at which a stimulus is applied can affect whether or not an action potential is generated. A rapid rate is more likely to evoke a response, while a slow rate may lead to accommodation.

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Accommodation

The ability of a neuron to become less sensitive to a stimulus over time.

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Excitable tissues

Cells like nerves and muscles that can generate action potentials in response to stimuli.

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Non-excitable tissues

Cells that can't generate action potentials in response to stimuli.

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Leak channels

Channels that are always open and allow ions to freely pass through the cell membrane.

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Wallerian Degeneration

The degeneration of the distal part of the nerve fiber that occurs after injury. It begins 3-4 days after the cut and involves the breakdown of the axon and myelin sheath, which are then removed by macrophages.

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Retrograde Degeneration

The degeneration that happens in the proximal segment of a nerve fiber, extending to the first node of Ranvier, after an injury. It also affects the cell body.

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Nerve Regeneration

The process of nerve fiber repair after injury. It starts ~20 days after the cut and is completed after 80 days. The axon regrows and re-establishes connections.

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Galvanic Current

A type of electric current used for nerve stimulation that has a low intensity but a longer duration. It is obtained from batteries.

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Faradic Current

A type of electric current used for nerve stimulation that has a high intensity but a shorter duration. It is an alternating current.

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Utilization Time

The minimum duration a stimulus needs to be applied to elicit an action potential in a nerve fiber, even at a very high intensity.

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Strength-Duration Curve

A graph showing the relationship between the intensity and duration of an electrical stimulus needed to evoke an action potential.

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Study Notes

Medical Physiology - The Nerve (Part II)

  • Course offered by: Prof. Dr. Magdi Ali El-Damarawi
  • Course: Medical Physiology
  • Faculty: Faculty of Medicine
  • University: Gala University

Intended Learning Outcomes

  • Students will be able to list different types of nerve degeneration
  • Students will be able to recognize the time of nerve regeneration
  • Students will be able to mention the types and characteristics of electric stimuli
  • Students will be able to list factors determining stimulus effectiveness
  • Students will be able to understand strength-duration curves
  • Students will be able to define chronaxie, rheobase, and minimal time
  • Students will be able to list types of cell membrane ionic channels
  • Students will be able to understand the effect of subthreshold stimulus on the nerve cell membrane

Degeneration Reaction

  • Degeneration reaction (RD) occurs due to nerve cutting
  • Three types of degeneration:
    • Wallerian Degeneration: Distal part, starts 3-4 days post-injury, axon and myelin sheath degenerate, debris removed by macrophages
    • Retrograde Degeneration: Proximal part, extends to first node of Ranvier proximal to injury, affects cell body
    • Transneural Degeneration: Rare, involves the entire nerve pathway

Nerve Regeneration

  • Starts 20 days after injury and completes within 80 days

Types of Electric Stimuli

  • Galvanic current:
    • Low intensity
    • Long duration
    • From batteries
  • Faradic current:
    • High intensity
    • Shorter duration
    • Alternative current

Factors Determining Stimulus Effectiveness

  • Intensity:

    • Subthreshold: No response
    • Threshold: Action potential occurs
    • Suprathreshold: Same response in single nerve fiber, greater response in mixed nerve
  • Duration:

    • Utilization time/maximal time: Time needed for a stimulus to trigger a response
    • Strength-duration curve: Relationship between stimulus intensity and duration

Additional Facts Regarding the Stimulus

  • Stimuli of short duration won't excite, regardless of intensity.
  • Very weak stimuli won't excite, regardless of duration.
  • Rheobase: Minimum stimulus intensity for excitation
  • Chronaxie: Time needed at double the rheobase intensity to achieve excitation; indicates excitability
  • Minimal time (T): Time below which no stimulation occurs, regardless of intensity

Rate of Stimulus Application

  • Rapid application causes a response
  • Slow application results in no response due to the accommodation of the nerve
  • Mechanism: Inactivation gates of sodium channels open and close simultaneously, stimulating to constant current only during circuit make and break

Excitable vs. Non-excitable Tissues

  • Excitable: Nerve, skeletal, cardiac, and smooth muscles
    • Have a resting membrane potential (RMP) of -70 to -90 mV
    • Develop action potentials (AP) on stimulation
  • Non-excitable: Liver, pancreas, red blood cells (RBCs), etc.
    • Have a RMP of -10 to -30 mV
    • Do not develop APs on stimulation

Types of Ionic Channels

  • 2 types:
    • Leak (passive) channels: Always open, specific to ions based on diameter and shape
      • Examples: Sodium leak, potassium leak
    • Gated (active) channels: Voltage-gated and ligand-gated channels

Effect of Subthreshold Stimulus

  • Subthreshold stimulus does not produce propagated action potential
  • Instead, it generates non-propagated potentials like electrotonic potentials (electrotons) and local response

Electrotonic Potentials (Electrotonus)

  • Results from subthreshold galvanic current (less than 7 mV)
  • Consists of two types:
    • Catelectrotonus: Increased excitability, depolarization
    • Anelectrotonus: Decreased excitability, hyperpolarization

Propagation of Action Potential

  • Direction of propagation in unmyelinated nerves

Action Potential Propagation in Myelinated Nerves

  • Mechanism of nerve impulse propagation in myelinated nerves:
  • Role of Nodes of Ranvier in saltatory conduction

Assignment 4

  • Summary needed about the mechanism of action potential conduction in myelinated nerves

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Description

This quiz covers key concepts of nerve physiology, focusing on nerve degeneration and regeneration. Students will explore various types of nerve degeneration, electric stimuli characteristics, and factors affecting stimulus effectiveness. Prepare to enhance your understanding of crucial physiological phenomena.

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