Pharmacology Flashcards

1
Q

What type of motor neurones innervate skeletal muscle?

A

myelinated axons

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2
Q

When do the myelinated axons become unmyelinated?

A

as they approach muscle to innervate an individual muscle fibre
they then split further into 5 to form the terminal bouton

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3
Q

What does the terminal bouton form?

A

a chemical synapse with the muscle membrane at the neuromuscular junction

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4
Q

How are action potentials transferred from the axon to the terminal bouton?

A

acetylcholine

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5
Q

What is the terminal bouton surrounded by?

A

Shwann cells

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6
Q

What is the pre synaptic process?

A

choline transported to the terminal bouton by a choline transporter
Ach is synthesised from acetyl CoA and choline in the cytosol by choline acetyltransferase
Ach is concentrated in vesicles

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7
Q

What does an action potential at the terminal bouton cause?

A

opening of Ca channels, into the terminal bouton
Ca causes vesicles to fuse with presynaptic membranes
Ach diffuses into the synaptic cleft and activates post synaptic nicotonic Ach receptors in the end plate region
Nicotonic Ach receptors only open when two Ach bind to the exterior
Gate opens, Na enters, K exits
end plate potential is generated

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8
Q

When is the end plate potential generated?

A

When Na>K

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9
Q

What is the post synaptic process?

A

each vesicle contains a quantum of Ach (certain amount)

one quantum of Ach = minature endplate potential

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10
Q

What do many minature endplate potentials cause?

A

endplate potential that causes an action potential that initiates contraction (opening of Na channels) - a twitch

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11
Q

How is Ach action terminated?

A

hydrolysis of Ach by acetylecholinerase to acetate and choline

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12
Q

What are bones seperated by?

A

cavity containing synovial fluid

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13
Q

What are bones united by?

A

fibrous capsules lined wiht a synovial membrane which is vascular connective tissue that contains cells that produce synovial fluid

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14
Q

What is a simple synovial joint?

A

one pair of articular surfaces - fingers

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15
Q

What is a compound synovial joint?

A

more than one pair of articular surfaces - elbow

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16
Q

What is the role of synovial fluid?

A

provides chondrocytes with O2 and nutrients and removes CO2 and waste products
aids in the nutrition of articular cartilage
lubricates and allows the movement of joins

17
Q

How many mls of synovial fluid are there usually in a joint cavity?

A

3.5mls

18
Q

How does synovial fluid have a high viscosity?

A

it has hyalauronic acid

19
Q

What happens to synovial fluid viscosity and elasticity during rapid movement?

A

high elasticity

decreased viscosity

20
Q

What is bone made up of?

A

23% collagen
10% water
2% non collagen proteins
65% bioapatite

21
Q

What is the role of the water in articular cartilage?

A

maintains the resilience of tissue

22
Q

What is the role of the collagen in articular cartilage?

A

provides stiffness and strength

23
Q

What is the role of the protoglycan in articular cartilage?

A

compressive properties associated with load bearing

24
Q

What performs catabolic breakdown of cartilage?

A

TNF alpha and IL-1

stimulates protelytic enzyymes and inhibits protoglycan synthesis

25
Q

What performs anabolic build up of cartilage?

A

TGF beta and IGF-1

stimulates protoglycan synthesis and counteracts effects of IL-1

26
Q

What are the markers of cartilage degradation?

A

increased levels of serum and synovial keratin sulphate (levels increase with age also)
increased type 2 collagen in synovial fluid