Muscle Pathology (AWAN) Flashcards

1
Q

Myasthenia Gravis is due to a deficiency or abnormal behavior of _______ at the neuromuscular junction.

A

Acetlycholine

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2
Q

The earliest symptoms of Myasthenia Gravis is ______ and ______.

A

Ptosis and diplopia

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3
Q

Discuss Myasthenia Gravis:

  • Deficiency or abnormal behavior of _____ at the NMJ
  • What are the earliest symptoms? (2)
  • What type of disorder is it?
A

Myasthenia Gravis

  • Deficiency or abnormal behavior of ACh at the NMJ
  • Ptosis (drooping eye lid) and Diplopia (double-vision)
  • is an Acquired auto-immune disorder
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4
Q

Which of the following is seen in strokes?

A. Upper motor neuron disease

B. Lower motor neuron disease

C. Neuromuscular junction disease

A

A. Upper motor neuron disease

  • produces weakness of one side of the body
  • the arm is typically flexed
  • the leg is extended
  • the limbs have increased tone
  • the use of hands is particularly limited
  • sclerosis
  • tumors
  • spinal cord injury
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5
Q

End-plate potential is too low to propagate an action potential in the muscle fiber describes which of the following?

A. Upper motor neuron disease

B. Lower motor neuron disease

C. Neuromuscular junction disease

A

C. Neuromuscular junction disease

Upper motor neuron disease = stroke

Lower motor neuron disease = produces flaccid muscle weakness

NMJ disease = end-plate potential is too low to propagate an action potential

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6
Q

Upper motor neuron disease may be caused by all of the following EXCEPT:

A. Sclerosis

B. Tumors

C. Viruses

D. Spinal cord injury

A

C. Viruses

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7
Q

Upper motor neuron disease may be caused by all of the following EXCEPT:

A. Sclerosis

B. Tumors

C. Drug-induced

D. Spinal cord injury

A

C. Drug-induced

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8
Q

Postmortem contraction of skeletal muscles is termed ________.

A

Rigor Mortis

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9
Q

Discuss muscle atrophy:

  • define muscle atrophy
  • what are the 3 types of muscle atrophy?
A

Muscle atrophy

  • Reduction of muuscle size caused by a decrease of myofiber diameters
  • Three types:
    • physiologic
    • pathologic
    • neurologic
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10
Q

Which of the following is the most severe muscle atrophy?

A. Physiologic atrophy

B. Pathologic atrophy

C. Neurogenic atrophy

A

C. Neurogenic atrophy

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11
Q

Which of the following can be caused by Cushing disease?

A. Physiologic atrophy

B. Pathologic atrophy

C. Neurogenic atrophy

A

B. Pathologic atrophy

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12
Q

Carpal tunnel syndrome is an example of which of the following?

A. Physiologic atrophy

B. Pathologic atrophy

C. Neurogenic atrophy

A

C. Neurogenic atrophy

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13
Q

Which of the following is caused by not using muscles enough and can be reversed with excercise and better nutrition?

A. Physiologic atrophy

B. Pathologic atrophy

C. Neurogenic atrophy

A

A. Physiologic atrophy

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14
Q

Pathologic atrophy can be caused by all of the following EXCEPT:

A. Aging

B. Starvation

C. Not using muscles enough

D. Cushing disease

A

C. Not using muscles enough

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15
Q

Discuss Duchenne Muscular Dystrophy:

  • Is seen in only ______ (M/F)
  • How is it transmitted?
  • When is onset?
  • What muscles are affected first?
A

Duchenne Muscular Dystrophy (DMD)

  • ONLY in males
  • transmitted by sex linked recessive gene
    • females carry the disease through gene but males are victims
  • Onset is in the first few years of life
  • Pelvic girdle muscles are affected first
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16
Q

Duchenne muscle dystrophy is only seen in ______.

A. Males

B. Females

A

A. Males

17
Q

_______ are the first muscles affected by Duchenne muscular dystrophy.

A

Pelvic girdle muscles

18
Q

Duchenne muscular dystrophy is characterized by a lack of ______.

A

Dystrophin

19
Q

Discuss how Duchenne muscular dystrophy is diagnosed:

A
  • Age at onset
  • Pattern of inheritance
  • Diagnosis confirmed by EMG and muscle biopsy
  • In Duchenne, creatine kinase is markedly elevated
20
Q

Discuss Becker muscular dystrophy:

  • similar to _____.
  • when does it appear
  • how rapid does it progress
    • why does it progress at that rate?
A

Becker muscular dystrophy

  • similar to Duchenne
  • appears later in life
  • progresses more slowly
    • some functional dystrophin is produced