muscle tissue - function and disease Flashcards

1
Q

cardiac vs smooth muscle

A
cardiac= electrical conduction, uses intercalated discs and has striations 
smooth = no striation, no troponin and a different type of contraction
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2
Q

explain process of cardiac contraction

A

vagus nerve- parasympathetic and deceleration. cardiac nerve- sympathetic and acceleration. the neurotransmitter is released into a large gap reaching all cells so there is simultaneous contraction

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3
Q

from where is the neurotransmitter released in smooth muscle contraction

A

neurotransmitter is related from varicosities which is arranged over entire smooth muscle structure so when its released all the cells are reached

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4
Q

explain the process of smooth muscle contraction

A

IP3 acts as second messenger for release of ca2+. This binds to calmodulin causing smooth muscle to contract from circular to linear. contraction continues but no ca2+ needed

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5
Q

explain the contraction of skeletal muscle

A

1) nerve impulse = Act release
2) conc of Na+ increases resulting in depolarisation
3) ca2+ ion are released from SER
4) ca2+ bind to troponin being myosin heads are able to bind to actin
= contraction

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6
Q

what does less fibres in a muscle mean

A

more fine control and therefore more fibres means more power

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7
Q

what is myesthenia gravis

A

results in weakness of the eyelid. is an autoimmune disease where antibodies block ach receptors. there are therefore less receptors and ‘invaginations” are reduced. = reduced synaptic transmission

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8
Q

explain the sliding filament theory

A

1) ca bound to troponin means it teaches so myosin and actin bind
2) ADP and Pi are related during the power stroke
3) ATP binds and cross bridge detaches
4) ATP is hydrolysed by ATPase and ADP is now attached instead

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9
Q

what happens to actin and myosin length during contraction

A

they remain the same its the sarcomere length that shorten

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10
Q

what is compartment syndrome

A

fascia keep things in compartments but trauma may cause internal bleeding in one compartment which exerts pressure on blood vessels and nerves

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11
Q

symptoms of compartment syndrome

A

deep pain, parasethsia (pins and needles), swollen shiny skin, feels tense and firm

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12
Q

how is compartment syndrome treated

A

doing a fasciotomy where its opened to release pressure and then later covered with skin graft

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13
Q

what is muscle tone regulated by

A

motor neurone activity, muscle elasticity, use and gravity. healthy muscles are never fully relaxed so they are ready to relax which improves with the more exercise you do

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14
Q

what is muscle hypertrophy

A

when replacement of proteins is greater than their destruction. new fibrils are produced and sarcomeres are added.

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15
Q

1 example of why hypertrophy occurs

A

this may be caused by overstretching so that A and I bands no longer re-engaged

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16
Q

what is muscle atrophy

A

when destruction of proteins is greater than their replacement resulting in loss of muscle power

17
Q

what is muscle atrophy caused by

A

disuse, surgery and disease

18
Q

what is duchene muscular dystrophy

A

inherited by X linked pattern and is due to absence of dystrophin gene which results in excess ca2+ entering the cell and into the mitochondria. water goes with it and mitochondria and muscle cells burst. CK and myoglobin levels are v high. muscle cells replaced by adipose

19
Q

symptoms of duchene muscular dystrophy

A

muscle weakness. shoulder back walk and belly sticks out. poor balance, tight heel hard and thick lower leg muscles

20
Q

what is rhabdomyolysis

A

it is the rupture of muscle cells

21
Q

why is creatine kinase not a goos assay of myocardial infarction

A

is an enzyme and it is related after a heart attack but also after the damage of muscle cells

22
Q

how does a troponin assay work

A

is related after MI within and hour and the smallest changes in conc of it in the blood are indicative of cardiac muscle damage but the quantity of it is not proportional to degree of muscle damage

23
Q

what is the effect of the botulism toxin

A

blocks neurotransmitter resulting in non-contractile state of the skeletal muscle and face paralysis. used to treat wrinkles (botox) and facial muscle spasms

24
Q

what does organophosphate poisoning result in

A

used as pesticides ad inhibit activity ach esterase = sludge and days of the week for muscarinic(para) and nicotinic(sympathetic) symptoms