basics Flashcards

1
Q

what are the features of smooth muscle?

A

involuntary
non-striatedw

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2
Q

what are the features of cardiac muscle?

A

involuntary
striatedw

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3
Q

what are the features of skeletal muscle?

A

voluntary
striated

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4
Q

what is found in both skeletal and cardiac muscle?

A

sacromeres

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5
Q

what is a sacromere?

A

unit of striated muscle that can contract by sliding filaments

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6
Q

where are the sacromeres in skeletal muscle found?

A

neuromuscular junctions (neurogenic)

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7
Q

where are the sacromeres in cardiac muscle found?

A

gap junctions (myogenic)

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8
Q

what is skeletal muscle arranged into and what does it contain?

A

motor units
muscle fibres supplied by single alpha neuron

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9
Q

less muscle fibres per motor unit is required for?

A

precision

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10
Q

more muscle fibres per motor unit is required for?

A

power

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11
Q

what causes muscle tension?

A

actin sliding over myosin

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12
Q

what are the stages of muscle tension?

A
  1. Ach from motor neuron
  2. AP across and down T-tubules
  3. triggers Ca2+ release from S.R
  4. cross-bridge formation -> muscle contraction
    - ATP needed to power and release cross-bridges and pump Ca2+ back into S.R
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13
Q

in slower lifting what allows for greater contraction?

A

more time for myosin to bind

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14
Q

why do action potentials summate to give contraction if in a short time frame?

A

no relax time for Ca2+ reabsorption

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15
Q

in which type of muscle action potentials do not summate to give contraction, and why?

A

cardiac
due to refractory period

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16
Q

what is the refractory period?

A

the period of time after an action potential initiates - unable to initiate another action potential - usually 250ms

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17
Q

what is isotonic contraction?

A

constant tension as muscle length change
body movements, moving objects

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18
Q

what is isometric contractions?

A

tension develops at constant muscle length
supporting fixed objects, posture

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19
Q

where is ATP supplied from?

A

creatinine phosphate -> ADP
oxidative phosphorylation
glycolysis

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20
Q

what are the features of type I muscle fibres?

A

slow twitch
aerobic
walking

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21
Q

what are the features of type IIa muscle fibres?

A

fast twitch
aerobic and anaerobic
jogging

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22
Q

what are the features of type IIx muscle fibres?

A

fast glycolytic
anaerobic
jumping

23
Q

what is the stretch reflex?

A

muscle spindles are the sensory receptors (in belly of muscle)

24
Q

what is the stretch reflex supplied by?

A

gamma motor neurons

25
Q

where is the synovial membrane found?

A

vascular connective tissue

26
Q

what does the synovial membrane contain?

A

fibroblasts
synovial fluid

27
Q

what does synovial fluid do?

A

lubricates
supplies chondrocytes with oxygen
removes CO2 and waste

28
Q

what does clear synovial fluid indicate?

A

nothing - normal

29
Q

what does straw/yellow synovial fluid indicate?

A

inflammation

30
Q

what does red synovial fluid indicate?

31
Q

what does opaque synovial fluid indicate?

32
Q

what type of vascularity does articular (hyaline) cartilage have?

33
Q

what does avascular mean?

A

lack of blood vessels

34
Q

what are the characteristics of articular (hyaline) cartilage?

A

low friction gliding surface to prevent wear and tear
ECM

35
Q

what is the ECM maintained by?

A

chondrocytes

36
Q

what are the signs of disease in the ECM?

A

composition changes
rate of degradation > synthesis
markers - keratin sulphate/type 2 collagen in synovial fluid

37
Q

what are the two types of cartilage matrix turnover?

A

anabolic
catabolic

38
Q

what is anabolic cartilage matrix turnover?

A

proteoglycan synthesis (TGF-beta, IGF-1), IL-1 countered

39
Q

what are the features of catabolic cellular matrix turnover?

A

stimulate proteolytic enzymes (IL-1, TNF-alpha)

40
Q

what are nocicpetors?

A

sensory afferent (first-order neurons) activated by noxious stimuli

41
Q

what is noxious stimuli?

42
Q

what are the subtypes of nociceptors?

A

Adelta fibres
C-fibres

43
Q

what are the features of A-delta-fibres?

A

fast
mechanical/thermal, thinly myelinated

44
Q

what are the features of C-fibres?

A

slow
all stimuli
unmyelinated

45
Q

which fibres does the stimulus pass through first?

46
Q

what type of pain is primary pain/ do A-delta fibres feel?

A

stabbing
pricking

47
Q

what type of pain is secondary pain/do C-fibres feel?

A

burning
throbbing
cramping
aching

48
Q

what are the pathologies of the neuromuscular junctions?

A

neuromyotonia
Lambert-Eaton syndrome
myasthenia gravis

49
Q

what causes neuromyotonia?

A

antibodies against potassium channels

50
Q

what causes Lambert-Eaton syndrome?

A

antibodies against calcium channels

51
Q

what causses myasthenia gravis?

A

IgG binding with acetylcholine on muscle cells

52
Q

what are the investigations for myasthenia gravis?

A

anti-AChR IgG

53
Q

what are the signs of myasthenia gravis?

A

droopy eyelid
sore swallowing