Muscle Flashcards

1
Q

What are the three types of muscle?

A

Non striated - smooth muscle
Striated - skeletal muscle
- cardiac muscle

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2
Q

What type(s) of muscle is myoglobin present in?

A

Skeletal and cardiac muscle

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3
Q

More muscle destruction than muscle replacement = ____________

A

Atrophy

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4
Q

More muscle replacement than muscle destruction = _____________

A

Hypertrophy

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5
Q

What are the two types of atrophy in skeletal muscle?

A

Disuse atrophy - weakness due to not using muscle e.g. In elderly, loss of protein, reduced muscle diameter, loss of power and loss of temperature regulation

Denervation atrophy - lower motor neurone lesions - weakness, flaccidity. Re-nervation within 3 months for recovery

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6
Q

What is skeletal muscle hypertrophy?

A

More contractile proteins, increased fibre diameter. Increased enzyme activity for glycolysis, increased mitochondria, stored glycogen and blood flow (gym gains)

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7
Q

What is the power stroke?

A

Activated myosin heads bind to actin filaments, myosin pull actin towards M line (sarcomere gets shorter)

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8
Q

What proteins regulate actin in skeletal muscle?

A

Troponin - globular

Tropomyosin - fibrous

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9
Q

How does calcium control muscle contraction?

A

When Ca ions released from sarcoplasmic reticulum in response to depolarisation travelling down T tubules, binds to TnC of troponin which displaces tropomyosin - exposing binding sites

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10
Q

What happens in irreversible overstretching?

A

A and I lines no longer overlap (thought to feature in some cardiac pathologies such as enlarged ventricles)

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11
Q

How is skeletal muscle contraction initiated?

A

Nerve impulse along motor neurone arrives at NMJ, causes realease on acetyl Choline. Binds sarcolemma and causes local depolarisation, voltage gated sodium channels open, sodium floods in - depolarisation spreads over sarcolemma into T tubules. Voltage sensor proteins change conformation, activating voltage gated calcium channels on adjacent cisternae - calcium released into sarcoplasmic

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12
Q

What is cell hyperplasia?

A

Increase in cell number

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13
Q

What are natriuretic peptides? And when are they released?

A

Peptide hormones synthesised in the heart and brain. Release by the heart is stimulated by atrial and ventricular distension (stretching) usually in response to heart failure

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14
Q

What is the function of natriuretic peptides?

A

To lower arterial pressure by decreasing blood volume and systemic vascular resistance (promote Na release in kidneys)

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15
Q

How is smooth muscle contraction different from skeletal muscle?

A

Still relies on actin-myosin interactions (no sarcomeres) - sower, more sustained and requires less ATP

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16
Q

How much circulating blood volume is there in the average 70kg person?

A

5L circulating blood - 2L red cells and 3L plasma

17
Q

What major arteries arise from the aorta?

A

Carotid arteries - to brain
Subclavian arteries - down arms
Descending aorta down abdomen splits into two iliac arteries

18
Q

What is systole?

A

Contraction of the heart- left ventricle contraction causes increases in blood pressure in the aorta - walls of aorta stretch

19
Q

What is diastole?

A

Aortic valve closes (and pulmonary). Aorta walls recoils - maintains pressure on blood - move if towards heart and smaller vessels. Aortic pressure drops

20
Q

What shape are skeletal muscle cells?

A

Long parallel cylinders

Multiple peripheral nuclei

21
Q

What shape are cardiac muscle cells?

A

Short branched cylinders

Single central nucleus

22
Q

What shape are smooth muscle cells?

A

Spindle shaped

Single central nucleus

23
Q

Creatine kinase in the blood may be high due to…

A
Intramuscular injection
Vigorous exercise 
A fall
Severe muscle breakdown 
Acute kidney injury
24
Q

How are actin and myosin arranged in cardiac muscle cells?

A

Distinct myofibrils are absent, actin and myosin firm continuous masses in the cytoplasm

Intercalated discs in a step-type arrangement substitute for the Z band (where cells meet end to end) and allow electrical and mechanical coupling to adjacent cells

25
Q

Natriuretic peptides serve as a counter regulatory system for what?

A

The renin- angiotensin- aldosterone system

26
Q

What are purkinje fibres?

A

Specialised myocardial cells that carry electrical impulses from the AV node to the ventricles rapidly - enables the ventricle to contact in synchronicity

27
Q

What are the structural features of purkinje fibres?

A

Large Demi’s with abundant glycogen, sparse myofilaments and extensive gap junctions

28
Q

What stimuli does smooth muscle respond to?

A

Nerve signals
Hormones
Drugs
Local blood gas concentrations