Skeletal Muscle Relaxants and Neuromuscular Junction Physiology
10 Questions
3 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

Where does acetylcholine bind after diffusing across the synaptic cleft?

  • Sarcoplasmic reticulum
  • Muscle fiber nucleus
  • Nicotinic cholinergic receptor (correct)
  • Motor neuron terminal
  • What is the main function of skeletal muscle relaxants?

  • Induce muscle relaxation (correct)
  • Enhance muscle endurance
  • Promote muscle growth
  • Increase muscle strength
  • What enzyme destroys 80% of the released acetylcholine at the neuromuscular junction?

  • Neuronal acetyltransferase
  • Neuronal acetylcholinesterase (correct)
  • Neuronal cholinesterase
  • Neuronal cholinergic oxidase
  • What causes the release of the neurotransmitter acetylcholine into the synaptic cleft?

    <p>Ca2+ uptake into the terminal</p> Signup and view all the answers

    What is the primary role of intracellular Ca+ in muscle contraction?

    <p>Binding to actin and myosin</p> Signup and view all the answers

    How do depolarizing muscle relaxants like succinylcholine differ from Ach in terms of metabolism?

    <p>They are not metabolized by acetylcholinesterase</p> Signup and view all the answers

    What is the mechanism of action of depolarizing muscle relaxants during Phase I Block?

    <p>Causing prolonged depolarization of muscle end-plates</p> Signup and view all the answers

    What leads to Phase II Block in the action of depolarizing muscle relaxants?

    <p>Receptor desensitization and conformational changes</p> Signup and view all the answers

    How is phase II block, produced by prolonged administration of succinylcholine, treated?

    <p>Using neostigmine, an anticholinesterase</p> Signup and view all the answers

    Why should neuromuscular function be constantly monitored during the administration of succinylcholine?

    <p>To prevent over-dosing and phase II block</p> Signup and view all the answers

    Study Notes

    Neuromuscular Junction

    • Acetylcholine binds to nicotinic receptors on the muscle endplate after diffusing across the synaptic cleft.

    Skeletal Muscle Relaxants

    • The main function of skeletal muscle relaxants is to reduce muscle tone and facilitate surgical procedures.

    Acetylcholine Metabolism

    • The enzyme acetylcholinesterase destroys 80% of the released acetylcholine at the neuromuscular junction.

    Neurotransmitter Release

    • The release of acetylcholine into the synaptic cleft is caused by an action potential reaching the nerve terminal.

    Muscle Contraction

    • The primary role of intracellular Ca+ is to initiate muscle contraction by binding to troponin and tropomyosin.

    Depolarizing Muscle Relaxants

    • Depolarizing muscle relaxants like succinylcholine differ from Ach in terms of metabolism, as succinylcholine is not metabolized by acetylcholinesterase.

    Mechanism of Action

    • The mechanism of action of depolarizing muscle relaxants during Phase I Block involves persistent depolarization of the muscle endplate, making it unresponsive to further stimulation.

    Phase II Block

    • Phase II Block is caused by prolonged administration of succinylcholine, leading to desensitization of the nicotinic receptors.

    Treatment of Phase II Block

    • Phase II Block can be treated by administering anticholinesterases to increase the availability of acetylcholine.

    Neuromuscular Function Monitoring

    • Neuromuscular function should be constantly monitored during the administration of succinylcholine to prevent complications.

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Description

    This quiz covers the classification of skeletal muscle relaxants, including peripherally acting and centrally acting ones like Baclofen and Diazepam. It also delves into the physiology of the neuromuscular junction, discussing the release of Acetylcholine and the mechanisms involved when an impulse reaches the terminal of a motor neuron.

    More Like This

    Use Quizgecko on...
    Browser
    Browser