Pharmcacology Flashcards

1
Q

What are the 3 types of muscle in the body?

A

Smooth
Skeletal
Cardiac

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2
Q

Is skeletal muscle involved in voluntary or involuntary movement?

A

Voluntary

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3
Q

Where do the myelinated motor neurones divide into unmyelinated branches?

A

Near the muscle.

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4
Q

What does each unmyelinated motor neurone branch innervate?

A

An individual skeletal muscle cell called a muscle fibre.

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5
Q

What is a motor unit?

A

The neurone and the number of fibres that it innervates

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6
Q

What neurochemical transmitter is mostly involved in skeletal muscle?

A

Acetylcholine

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7
Q

What is a Schwann cell?

A

Covers the myelin sheath of an axon and acts as an insulator

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8
Q

How is choline transported into the pre-synaptic cell?

A

Choline transporter as a symport with Na+.

This means Na+ also comes into the cell.

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9
Q

When the action potential arrives at the terminal this causes depolarisation and what happens?

A

Voltage-activated Ca++ channels open and allow Ca++ into the cell.

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10
Q

When ACh diffuses into the synaptic cleft which post-synaptic receptors are activated?

A

Nicotinic ACh

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11
Q

How many subunits make up a nicotinic ACh receptor?

A

5

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12
Q

How many Na+ in for K+ out?

A

3 sodium in

2 potassium out

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13
Q

What is an all or nothing action potential?

A

The action potential must reach the threshold in order for the contraction to take place.

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14
Q

What does the sarcoplasmic reticulum store?

A

Calcium ions

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15
Q

What happens when the AP propagates over the sarcolemma?

A

It enters T tubules of the sarcolemma which are close to the SR.
AP causes release of Ca++ from SR which causes contraction due to troponin.

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16
Q

What enzyme is involved with the rapid termination of transmission of the ACh?

A

Acetylcholinesterase

17
Q

How does acetylcholinesterase work?

A

Hydrolyses ACh to choline and acetate

18
Q

What is neuromyotonia?

A

Autoimmune antibodies against voltage-activated K+ channels which results in hyperexcitability.

19
Q

What are the symptoms of neuromyotonia?

A

Cramps, stiffness, fasiculations, myotonia ( slow relaxation)

20
Q

What is the drug treatment for neuromyotonia?

A

Anti-convulsants e.g. carbamazepine

21
Q

What is Lambert Eaton Myasthenic Syndrome?

A

Autoantibodies against Ca++ channels so reduced Ca++ entry and reduced ACh release

22
Q

What are the symptoms of LEMS?

A

Muscle weakness in the limbs

23
Q

What is the drug treatment of LEMS?

A

Potassium channel blockers which increae the ACh concentration in the synaptic cleft.

24
Q

What is Myasthenia Gravis?

A

Autoantibodies to nicotinic ACh receptors in the endplate.

25
Q

What are the symptoms of Myasthenia Gravis?

A

Increasing muscle weakness during periods of activity.

Also weakness of the eye