Pathophys Block 3 Flashcards
Skeletal Muscle Structure
Muscle –> Fasciculus –> Muscle fibers –> fiber -> myofibril
Cell membrane of muscle
Sarcolemma
Stem cells for muscle growth
satellite cells
What is a myofiber made up of?
many myofibrils (parallel)
Myofibers are ___nucleated
multi
Each nuclei of myofibers maintains a certain area of local control within the cell, called___
Myonuclear domain
Satellite (stem cells) are ____ until activated
quiescent
neuronal circuits for walking & reflexes are contained within the ____
spinal cord
Basis of muscle hypertrophy
Satellite cells
Higher brain center activate and command ___
neuronal circuits (walking, maintaining equilibrium)
Motor neurons are located in the ___ portion of the spinal cord
anterior
Motor neurons are ___ than other neurons
bigger (50-100%)
Sensory fibers enter cord and are transmitted to higher centers, or ____
synapse locally to elicit motor reflexes
Somatic motor neuron types
Alpha (various), Beta & Gamma (muscle spindles)
Targets of special visceral motor neurons
mostly facial
Targets of general visceral motor neurons
mostly cardiac and smooth muscle
Where the alpha motor neuron innervates fiber (other fibers in motor unit)
neuromuscular junctions
Network of tubules that conduct signal within the muscle fiber
Sarcoplasmic reticulum
What powers activity of the muscle fibers
mitochondria
What does the number of mitochondria in the muscle fiber depend on
fiber type and training status
thick filament
myosin
thin filament
actin
attached to Z line
actin
Which motor neurons original in the spinal cord
lower
lower motor neurons (spinal cord) directly or indirectly do what?
innervate effector targets
What motor neurons originate in the motor cortex (precentral gyrus)
upper
What fibers make up the bulk of muscle?
Extrafusal
What fibers provide the force for muscle contraction?
Extrafusal fibers
What are extrafusal fibers stimulated by?
alpha motor neurons
Intrafusal fibers are encapsulated in sheaths to form ____
muscle spindles
Gamma motor neuron stimulation excites what fibers
intrafusal fibers (in muscle spindle)
Where are upper MNs located
motor cortex (prefrontal)
Where are lower MNs located
brainstem and SC
What are symptoms in upper MN lesions
spasticity
What are symptoms in lower MN lesions
paralsis
NT for upper MNs
glutamate
NT for lower MN
ach
where do upper MN target
within the CNS
what fibers provide pathways for multi-segmental reflexes
propriospinal fibers
Muscular Dystrophy sx
Weakness (esp. pelvic girdle muscles), marked lordosis, enlarged calves
Muscular Dystrophy genetics
X-linked (more common in men)
What are propriospinal fibers important for
proprioception (sensing of relative position of body parts and strength of effort used in movement)
Most signals from brain terminate on ____
interneurons
Characteristics of interneurons
small and highly excitable; compromise neuronal circuitry for motor reflexes
where do you have secondary clefts
motor end plate
Muscarinic receptor location
smooth and cardiac muscle
Nicotinic receptor location
skeletal muscle
Nicotinic receptors are ____ channels
ligand-gated ion
Muscarinic receptors are ____ channels
2nd messenger signaling
In MG, immune system attacks receptors at____
NMJ
Ach binding sites are blocked by ____
curare, various toxins
Where is the muscle spindle located
muscle belly
The muscle spindle senses ___
muscle length & (rate of change in length)
Where is the golgi tendon organ located
tendon
The golgi tendon organ senses
tendon tension (and rate of change)
What ion reestablishes membrane potential in AP
K+ (out)
What is the muscle AP mainly driven by
influx of Na+
What are voltage gated Na+ channels responsible for
rapid influx of sodium ions during the AP potential of nerve cells
What channels can we change to change AP
K+ (Na+ not as much variation)
difference in fiber types and fiber contractions are based on ____
what sodium channels are present and what potassium channels are present (mainly K)
signals from muscle sensory receptors are mainly for ____ muscle control
intrinsic (subconscious)
Muscle spindles detect both static and dynamic changes in ____
muscle length
Na/K pump
3 Na out, 2 K in
What can cause inhibition of Na/L pump and cause cell to swell and burst
ouabain
What carries the nervous impulses inside the cell
Transverse tubules
Where are Ca ion released from
sarcoplasmic reticulum
What effect does tropomyosin have
allow myosin heads to attach to actin filaments
Larger muscles with coarse movements have ___ muscle spindles
few
What pump collects Ca after AP to get ready to go again
SERCA
Basic walking reflexes reside in ___
spinal cord
Pressure on the bottom of the feet causes ____
extensor reflex (more complex)
Inflammation of peritoneum can cause __
abdominal muscle spasm
Pain signals can cause ___
reflex activation and spasm of local muscles
ATP causes what in terms of muscle contraction
reseting cross bridge
contraction and relaxation time series response to a single stimulus
twitch
size is relative to ____ in a twitch
intensity of stimulus
fully summated response -fused into maximal curve
tetanus
Twitch responses add to each other when multiple stimuli do not allow full relaxation
summation
faster you use muscle affects its
strength
less frequency, _____ force
less
at long lengths, ____ ability to develop force
low
faster you go, ____ force
less
what can muscle cramps be due to
cold, ischemia, over-activity
reflex contraction ____ painful stimulus and causes _____ muscle contraction
increases; more
crossed extensor reflex stimulus
pain
crossed extensor reflex response
ipsilateral flexion; contralateral extension
painful stimulus causes limb to withdraw from stimulus
flexor withdrawal reflexes
crossed extensor reflex
painful stimulus elicits an extensor reflex in opposite limb
crossed extensor reflex afferent fibers
II, III, IV
crossed extensor reflex number of synapses
polysynaptic reflex arc
what do muscle spindles and GTOs transmitted to higher centers informing the brain of
changes in muscle tension and length
golgi tendon organ response
relaxation of muscle
golgi tendon organ stimulus
muscle contraction (tension)
golgi tendon organ afferent fibers
Type IB
GTO number of synapses
disynatpic reflex arc
what is the function of the GTO
equalize force among muscle fibers
GTO signal muscle force where?
throughout the entire physiological range
what does coactivation of alpha and gamma motor neurons cause
prevents spindle from being unloaded during contraction
what is the stretch reflex response
contraction of muscle
what is the stretch reflex stimulus
muscle stretch
what is the stretch reflex # of synapses
monosynaptic reflex arc
what is the stretch reflex afferent fibers type
Type Ia
what does the static response respond to
degree of stretch
what does the dynamic response respond to
rate of change of length
intrafusal fibers are innervated by____
gamma MNs
nuclear bag intrafusal fibers are innervated by____
Type Ia sensory afferent
nuclear chain intrafusal fibers are innervated by____
Type II sensory afferents
nuclear bag intrafusal fibers
dynamic
nuclear chain intrafusal fibers
static