MSK system Flashcards

1
Q

Which of the following is not a muscle morphology change with age
- muscle atrophies and changes body composition
- fiber size and number decreases
- capillary to fiber ratio increases
- loss of type II fibers from alpha MU loss

A

capillary to fiber ration DECREASES

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2
Q

T/F Loss of type II fibers results in reduced power movements
- Greater number of type I fibers with age leads to greater fatigue resistance

A

T, F - does not translate to fatigue resistance due to other changes with age

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3
Q

Which of the following biomarkers of energy production does not decrease with age
- PFK
- HK
- COX
- CS

A

PFK

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4
Q

which of the following are rate limiting glycolytic biomarkers
- PFK
- HK
- COX
- CS

A

PFK and HK

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5
Q

which of the following are related to mito respiration
- PFK
- HK
- COX
- CS

A

COX and CS

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6
Q

Which of the following is false
- loss of fibers can be reversed with PA
- muscle can still hypertrophy when older
- staying active will result in higher FFM
- staying active helps maintain MUs with age

A
  • loss of fiber CANNOT be reversed, but rate can be slowed with PA
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7
Q

Atrophy

A

decreased CSA due to fiber number and area loss

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8
Q

Which of the following does not affect hypertrophy
- frequency
- type
- intensity
- duration

A

frequency

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9
Q

anabolic resistance

A

aging is associated with reduced protein synthesis from protein resistance

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10
Q

T/F protein dose required to stimulate synthesis is 40% lower in older adults

A

F - 40% lower in younger people, meaning younger need less protein

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11
Q

which of the following is false of myogenic factors in sarcopenia
- there is a loss of both MHC type I and type II due to reduced activity in age
- loss of MHC results in slower contractile shortening
- there is a decrease in anabolic hormones with age
- there is a decrease in ca++ release and uptake from the SR with age
- changes in E-C coupling reduce contractile shortening speed

A
  • changes in E-C coupling reduce FORCE
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12
Q

Which of the following people does not have sarcopenia
- a woman with a muscle mass (LMM) of 4.0 kg
- a man with a muscle mass (LMM) of 5.0 kg
- a woman with grip strength of 25 kg
- a man with grip strength of 25 kg

A
  • woman with grip
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13
Q

which is false of frailty
- young people can be diagnosed with frailty
- frailty is the reduced ability to respond to stressors
- appearance can always determine frailty
- status of frailty is not permanent

A
  • appearance can be deceiving
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14
Q

what is the frailty continuum

A
  • robust: no symptoms
  • pre-frail: 1-2 symptoms
  • frail 3+ symptoms
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15
Q

which of the following is not a possible symptom of frailty
- low strength
- fatigue and exhaustion
- decreased flexibility
- involuntary weight loss

A
  • decreased flexibility. others may include slowness, decreased balance and mobility, and low PA
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16
Q

T/F Sarcopenia and frailty overlap
- frailty may be a precursor for sarcopenia
- frailty and osteoporosis overlap

A

T, F - sarcopenia precursor for frailty, T

17
Q

Which is false of myokines
- released from skeletal muscle
- modulate metabolic and psychological functions
- can be autocrine, paracrine or endocrine
- they are considered the exercise factor

A
  • modulate metabolic and PHYSIOLOGICAL
18
Q

Which is false of myokines
- they help with hypertrophy (myostatin)
- increase insulin and inflammation
- increase osteogenesis
- increase pancreas function
- decrease risk of chronic disease and premature mortality

A
  • increase insulin SENSITIVITY and ANTI-inflammation
19
Q

Which of the following does not affect the MSK system
- parkinson’s and huntington’s
- OA and RA
- Fibromyalgia
- diabetes
- osteoporosis

A
  • diabetes
20
Q

T/F Muscle maintain complete plasticity with age
- interaction of disease, age and inactivity influence MSK system
- myokines hold promise for adaptability of MSK system with age

A

F - only maintain some plasticity, T, T