Module 4 - Nervous System and Muscle Flashcards
Glial cells are important cells of the CNS. Which type of glial cell is involved in myelin formation around axons in the peripheral nervous system?
- Microglia
- Schwann cell
- Fibrous astrocyte
- Astrocyte
- Oligodendrocyte
Schwann cell
A patient has presented to the pre-operative clinic. He has been chronically hypocalcaemic due to kidney failure. What is the effect of hypocalcaemia (decrease in extracellular calcium) on the action potential of a nerve cell?
- The neuron becomes less excitable
- The neuron becomes more excitable
- The resting membrane potential is unaffected
- The size of the action potential is reduced
- The size of the action potential is increased
The neuron becomes more excitable
How is the sharp initial pain associated with injury transmitted?
- Through nerve fibres that move briefly through the dorsolateral fasciculus
- Through unmyelinated Aδ fibres
- By antidromic propagation
- Through nerve fibres that project to the anterior horn of the spinal cord
- Through unmyelinated C fibres
Through nerve fibres that move briefly through the dorsolateral fasciculus
All dopamine receptors are of which type?
- DAG linked receptors
- Phospholipase C coupled receptors
- Ligand gated ion channels
- Metabotropic G protein coupled receptors
- Enzyme-linked cell surface receptors
Metabotropic G protein coupled receptors
Which neurons in the autonomic nervous system release noradrenaline?
- Parasympathetic preganglionic neurons in the sweat glands
- Sympathetic postganglionic neurons in the sweat glands
- Parasympathetic preganglionic neurons in the small intestine
- Sympathetic preganglionic neurons in the sweat glands
- Sympathetic postganglionic neurons in the small intestine
Sympathetic postganglionic neurons in the small intestine
Which of the following is a sympathetic response?
- Relaxation of the gall bladder
- Contraction of the detrusor muscle of the urinary bladder
- Contraction of the sphincter muscle of the iris
- Relaxation of sphincters of the stomach and intestine
- Contraction of ciliary muscle of the eye
Relaxation of the gall bladder
A patient presents to the emergency department after consuming a large quantity of an unknown species of mushroom during a bushwalk. Mushroom poisoning can result in what clinical syndrome/s?
- Nicotinic syndrome
- Muscarinic poisoning and anti-muscarinic syndrome
- Muscarinic poisoning
- Muscarinic poisoning, nicotinic syndrome and anti-muscarinic syndrome
- Anti-muscarinic syndrome
Muscarinic poisoning and anti-muscarinic syndrome
Which of the following would terminate the action of noradrenaline?
- Catechol-O-methyltransferase in presynaptic noradrenergic neurons
- Monoamine oxidase in the nerve terminal
- Phenylethanolamine-N-methyltransferase in the nerve terminal
- Dopa decarboxylase in the nerve terminal
- Dopamine-β-hydroxylase in the chromaffin cells
Monoamine oxidase in the nerve terminal
Repolarization of a skeletal muscle fibre is largely due to the specific movement of what ion?
- K+ efflux
- Na+ influx
- Ca+ influx
- Ca+ efflux
- K+ influx
K+ efflux
What would be an expected outcome of ϒ–motor neuron discharge, in response to a noxious stimulus on the skin?
- Increased efferent discharge to ipsilateral flexor muscle spindles
- Decreased efferent discharge to flexor and extensor muscle spindles
- Increased efferent and afferent discharge to extensor muscle spindles
- Increased efferent discharge to ipsilateral extensor muscle spindles
- Decreased efferent discharge to ipsilateral flexor muscle spindles
Increased efferent discharge to ipsilateral flexor muscle spindles
The heat produced in muscles can be measured with thermocouples. What is the term given to the heat liberated by the metabolic processes that restore the muscle to its pre-contraction state?
- Resting heat
- Recovery heat
- Shortening heat
- Relaxation heat
- Activation heat
Recovery heat
Regarding electrical events in postsynaptic neurons, which ion might be responsible for mediating the IPSP (inhibitory postsynaptic potential)?
- H+
- Ca2+
- Na+
- Mg2+
- Cl-
Cl-
NREM sleep is divided into stages. At what stage of NREM sleep would you expect to find sleep spindles on an EEG?
- Stage 3
- Stage 5
- Stage 2
- Stage 4
- Stage 1
Stage 2
What is the approximate rate of CSF production in a healthy adult?
- 750mL/day
- 550mL/day
- 400mL/day
- 150mL/day
- 250mL/day
550mL/day
In the brain, autoregulation maintains a normal cerebral blood flow at what arterial pressures?
- 100-150 mmHg
- 65-140 mmHg
- 50-100 mmHg
- 20-50 mmHg
- 120-160 mmHg
65-140 mmHg
There are three classes of opioid receptors u, k and d. They differ in physiologic effects and affinity for various opioid peptides.
Match the opioid receptor with the corresponding endogenous opioid peptide affinity.
- Enkephalins > Endorphins and Dynorphins
- Endorphins > Enkephalins > Dynorphins
- Dynorphins >> Endorphine and Enkephalins
- Kappa
- Mu
- Delta
Which of the following is characteristic of the blood supply for the spinal cord?
- The anterior spinal artery is a branch of the basilar artery
- The anterior spinal artery supplies the anterior one third of the spinal cord
- The posterior spinal artery has poor collateral supply from the radicular arteries
- There are two posterior spinal arteries and one anterior spinal artery
- The anterior spinal artery has a good collateral supply in the cervical region from the artery of Adamkiewicz
There are two posterior spinal arteries and one anterior spinal artery
How is the sharp initial pain associated with injury transmitted?
- By antidromic propagation
- Through unmyelinated Aδ fibres
- Through unmyelinated C fibres
- Through nerve fibres that project to the anterior horn of the spinal cord
- Through nerve fibres that move briefly through the dorsolateral fasciculus
Through nerve fibres that move briefly through the dorsolateral fasciculus
The cell membrane of nerve cells functions via ionic fluxes to make an action potential. What channel openings and closures bring about the absolute refractory period?
- Na+ channels reset and K+ channels open
- Na+ channels close and K+ channels open
- Both Na+ and K+ channels close
- Na+ channels open
- Both Na+ and K+ channels open
Na+ channels close and K+ channels open
Which of the following would terminate the action of noradrenaline?
- Catechol-O-methyltransferase in presynaptic noradrenergic neurons
- Dopa decarboxylase in the nerve terminal
- Monoamine oxidase in the nerve terminal
- Dopamine-β-hydroxylase in the chromaffin cells
- Phenylethanolamine-N-methyltransferase in the nerve terminal
Monoamine oxidase in the nerve terminal
Dopamine is synthesised from what precursor?
- Noradrenaline
- Adrenaline
- Tyrosine
- Isoprenaline
- Dobutamine
Tyrosine
What is the function of the intrafusal fibres in skeletal muscle?
- Pure sensory function
- Small contribution to overall contractile force of the muscle
- Major contribution to the overall contractile force of the muscle
- Provide all contractile force for of the muscle
- Storage and release of neurotransmitters
Pure sensory function
What properties (specifically myosin ATPase activity, oxidative or glycolytic capacity, and colour) does a slow twitch skeletal muscle possess?
- Fast, oxidative, red in colour
- Fast, glycolytic, white in colour
- Slow, oxidative, white in colour
- Slow, oxidative, red in colour
- Fast, glycolytic, red in colour
Slow, oxidative, red in colour
What happens during the latch state in smooth muscle?
- Myosin and actin cross-bridges detach after the initial power stroke
- ATP consumption continues as the force of contraction is maintained
- Intracellular calcium levels in the smooth muscle cells rises slowly
- The smooth muscle cell relaxes on contact with NO (nitric oxide)
- Actin and myosin cross-bridges remain attached as ATP consumption declines
Actin and myosin cross-bridges remain attached as ATP consumption declines
What is the location of the Golgi tendon organ?
- Within the muscle spindle
- Perpendicular to muscle fibres
- In series with the muscle fibres
- Adjacent to the muscle tendon
- Perpendicular with the muscle tendon
In series with the muscle fibres
What happens during skeletal muscle contraction?
- Myosin heads cross-link with actin and swivel 90º
- There is an interaction between actin and tropomyosin
- Calcium diffuses back into the sarcoplasmic reticulum at the end of contraction
- Z lines move closer together during contraction
- Troponin C inhibits the interaction of myosin with actin
Z lines move closer together during contraction
What pattern is most commonly seen on the EEG of an awake adult who is at rest with their eyes closed?
- Alpha rhythm
- Beta rhythm
- Gamma oscillations
- Theta rhythm
- Delta rhythm
Alpha rhythm
What increases cerebral blood flow in a normal person?
- Movement from the supine to the head down position
- Increase in the mean arterial pressure from 80 to 110 mmHg
- Increase in the arterial PCO2 from 35 to 45 mmHg
- Increase in the intracranial pressure from 10 to 20 mmHg
- Decrease in the arterial PO2 from 80 to 60 mmHg
Increase in the arterial PCO2 from 35 to 45 mmHg
Glial cells are important cells of the CNS. Which type of glial cell is involved in myelin formation around axons in the CNS?
- Oligodendrocyte
- Schwann cell
- Astrocyte
- Fibrous astrocyte
- Microglia
Oligodendrocyte
Which of the following is usually an excitatory neurotransmitter?
- Glycine
- Dopamine
- GABA
- Glutamate
- Serotonin
Glutamate
The flow of information that leads to smooth muscle contraction is made up of many steps. The following is an out of order list of steps that in sequence will lead to contraction of smooth muscle.
- Activation of calmodulin-dependent myosin light chain kinase
- Increased myosin ATPase activity and binding of myosin to actin
- Phosphorylation of myosin
- Increased influx of calcium Ca+ into cell
Order the above steps in the correct sequence following the binding of acetylcholine to muscarinic receptors and ending in contraction of smooth muscle.
Initial event - Binding of acetylcholine to muscarinic receptors
End result - Contraction of smooth muscle
Step 1 - Increased influx of calcium Ca+ into cell
Step 2 - Activation of calmodulin-dependent myosin light chain kinase
Step 3 - Phosphorylation of myosin
Step 4 - Increased myosin ATPase activity and binding of myosin to actin