NMJ And Muscle Contraction Flashcards

1
Q

What is a motor unit?

A

A single motor neurone and all the muscle fibres that it stimulates

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2
Q

What are MEPPs?

A

Miniature end plate potential
At rest when individual vesicles get released
Shows that a vesicle has a discrete amount of acetylcholine

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3
Q

Name 3 NMJ disorders

A

Lambert Eaton myasthenia syndrome = autoimmune, antibodies against VGCC (lung cancer)
Botulism = Ach cannot exocytose as calcium cannot Exeter pre synaptic
Myasthenia gravis = autoimmune, antibodies against nicotinic receptor

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4
Q

Describe the structure on a muscle

A

Muscle fibres and endomysium form fascicles
Each fascicle surrounded by perimysium
Muscle = fascicles, blood vessel, nerves surrounded by exomysium

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5
Q

Describe parts of the sarcomere

A

Z lines = lines of actin
A band = myosin and actin = DARK
I band = actin only = LIGHT
H zone = only myosin

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6
Q

Describe skeletal muscle contraction

A

AP along t tubules
Dihydropiridine receptor open and touch ryanodine receptors in sarcoplasmic reticulum
Calcium binds to troponin and moves tropomyosin
Myosin heads bind to actin

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7
Q

What happens to the parts of the sarcomere during contraction?

A

A band remains the same

H zone and I band gets smaller

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8
Q

What are the 2 ways to take an EMG?

A

Extracellularly recording = both electrode are outside the muscle fibre and EMF recorded

Intrecellularly recording = one electrode in muscle and one outside, measure emf

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9
Q

Define:
Twitch
Summation
Tetany

A

Twitch- basic response
Summation - stimulus is applied before the muscle relaxes and both add up
Tetany = frequency of stimulus increases, sustain contraction

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10
Q

What diagnostic techniques can we use?

A

EMG = AP in skeletal muscle fibre
ECG = AP in cardiac muscle
EEG = AP from brain
CT scan = good for strokes as blood shows up really well
MRI = good for tumours as soft tissue sows up well
Lumbar puncture = meningitis

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11
Q

How many muscle fibres can one nerve stimulate?

A

Many

But each muscle fibres stimulated by a nerve is not stimulated by another nerve as well

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12
Q

How big is a myofibril?

A

1-2 micrometers in diameter

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13
Q

What is a characteristic of myasthenia gravis?

A

Muscle weakness in the face

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14
Q

What is the classic action potential shape on an EMG externally?

A

Small triangle up and then a small triangle down

Internally = like a normal action potential

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15
Q

what is an artefact?

A

An interference between stimulating equipment and measuring equipment

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