Neuromuscular Junction and Curare Quiz

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Questions and Answers

What was the early medicinal use of Curare?

  • Reversal of muscle paralysis
  • Inducing muscle relaxation during surgery
  • Treatment of tetanus and other spastic conditions (correct)
  • Immobilization of animals for hunting

Which type of neuromuscular blocker is Curare?

  • Depolarizing blocker
  • Competitive blocker (correct)
  • Reversal blocker
  • Intermediate blocker

What is the sequence of muscle paralysis caused by depolarizing blockers?

  • Muscles of the limbs and trunk relax first, followed by intercostal muscles and diaphragm (correct)
  • Muscles recover in the opposite order
  • Intermittent paralysis of various muscle groups
  • Muscles of the limbs and trunk relax first, then small rapidly moving muscles

What is the clinical use of competitive neuromuscular blockers?

<p>Induction of muscle relaxation during surgery (B)</p> Signup and view all the answers

Which effect is observed on the central nervous system (CNS) for competitive neuromuscular blockers?

<p>No effect on CNS (D)</p> Signup and view all the answers

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Study Notes

Curare: Early Medicinal Use and Characteristics

  • Curare was initially used as a poison for arrows in South America, particularly in the Amazon rainforest.
  • It is a type of neuromuscular blocker.

Sequence of Muscle Paralysis

  • Depolarizing blockers, including Curare, cause muscle paralysis in the following sequence: • Small muscles (e.g., face, fingers) • Large muscles (e.g., arms, legs) • Diaphragm and other respiratory muscles

Clinical Use of Competitive Neuromuscular Blockers

  • Competitive neuromuscular blockers are used clinically as muscle relaxants in surgical procedures.

Effects on the Central Nervous System (CNS)

  • Competitive neuromuscular blockers do not affect the CNS because they act peripherally at the neuromuscular junction, rather than crossing the blood-brain barrier.

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