Physiology Flashcards

1
Q

Using a single sentence for each, define the following terms 5
Myofibre
abductor
Perimysium
T-tubules
Zdisc

A

Myofibre- this is a single skeletal muscle cell which nis also known as muscle fibre/ muscle cell
Abductor- muscle that moves the limb away from the middle of the body
perimysium- layer of connective tissue that surrounds a fascicle in the muscle(collection of cells)
T-tubules- extensions of the reticular sarcoplasm in which action potential travel through.
Z-disc- Lines which are part of the sarcomee this is where thick and thin fillaments cross and this form the beginning and end of a sarcomere.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

. Using a clearly labelled diagram briefly describe the structure of myosin

A

Has two heads which consist of an actin binding site and an ATP-pase binding size.
made up of four chains
two identical
two unendetical
MHC are identecal
MLC are not identical
it iks a hexamore

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Define a muscle twithch and describe each of its phasis

A

A muscle twitch is the simplest contractile unit caused by a single action potential.

three phases
Latent phase in which there is a release of calcium in the first teo seconds from the terminal cisternia causing release of ADP and phosphate in the heads.
Contraction phase- This is where the tension increases to a peak meaning that there is an increse in calcium ions binding the troponin exposing more active sites on thin filaments being exposed and cross bridge interactions occuring.
Relaxation phase- clacium levels drop, active sites become covered by the complex number of cross bridges declines.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

. Define the term refractory period of a neuronal action potential. Briefly describe the
roles played by voltage-gated Na+
channels during the absolute and relative refractory
periods.

A

Refractory: The time during which it is impossible (absolute) or when a stronger
stimulus is required (relative) to induce a new action potential soon after triggering one.
(1 mark).
Na channels: During depolarisation when both the activation and inactivation gates are
open and when the inactivation gate eventually closes, the channel is unresponsive to
any further stimulation creating absolute refractory period. Subsequently inactivation
gates start to open during repolarisation (recovery from inactivation), and depending on
the number of channels recovering from inactivation the nerve is responsive to stronger
stimuli (relative). (3 marks)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Briefly outline any four pathophysiological mechanisms through which chronic pain can
arise.

A

Guideline:
Any of the following:
a) Pain memory creation triggered by a slow healing process- wind up phenomenon –
creation of pain memory via glutamate/AMPA/NMDA receptor.
b) Nerve injury- neuropathic pain – involvement of neurotrophins in nerve sprouting or
neuroma formation – ectopic activation and abnormal synapses.
c) Autonomic stress response – sympathetically–maintained pain via sympathetic outflow
– local vasocontriction, increased metabolic rate, tissue damage – hyperalgesic response
causing further stress response.
d) Peripheral pain sensitisation – persistent stimulus – neurogenic inflammatory response
involving vessels, cells and recruitment of silent nociceptors
e) Central sensitisation – a) WDR neuron involvement (b) altered descending pathway
modulation (c) cortical reinforcement – reward/benefit.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

List 6 function of skeletal muscle.

A

Converts chemical energy into force and mechanical work (movement and
locomotion).
* Maintains posture and body position.
* Support soft tissues (abdominal wall, floor of the pelvic cavity).
* Encircle openings of the digestive and urinary tracts.
* Heat production.
* Reservoir for protein storage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q
  1. Using a clearly labelled diagram, briefly describe the cross-bridge cycle. (12 marks
A

1.) resting fibre, cross-bridge not attached to actin
2) cross-bridge binds to actin
3) power stroke causes filaments to slide
4)a New ATP binds to myosin head, allowing it to release from actin.
5) ATP is hydrolysed, causing cross-bridge to return to its original orientation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

a. Define the term peripheral pain sensitization. (1 marks)
b. Briefly describe three physiological responses that lead to the condition.
(4½ marks)

A

Guideline:
Sensitization: Exaggerated pain responses at or immediately around a site of tissue injury.
Responses:
- vascular - bradykinin release and increased prostaglandin sensitivity.
- cellular - mast cells (histamine); platelets (serotonin).
- neuronal/nociceptor - changes in threshold (recruitment of other local or silent
nociceptors).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Draw a sketch of an action potential and label the absolute and relative refractory
periods.

b. Briefly describe the role played by voltage-gated Na+
channels during these periods.
(2 marks)

A

Guideline:
Sketch: absolute to start at threshold and Relative during repolarization.
Voltage-gated Na channels: Absolute – channels fully open hence unresponsive; Relative –
channels recovering from inactivation, therefore response is stimulus strength-dependent. 1
mark for correct diagram

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Using a clearly labelled diagram, describe how the patellar reflex functions. (8 marks

A

Patellar tendon is tapped
Spindle receptors in the quadriceps are stretched
Impulse sent to the spinal cord along the sensory neuron
Direct synapse with motor neuron
action potential is generated in the motor neuron.
Quadriceps contract
raises the leg
Involuntary reaction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

. Using a single sentence for each, define the following terms: (6 marks)
(a) myofibril
(b) adductor
(c) endomysium
(d) M line
(e) motor unit
(f) summation

A

Myofibril- a single skeletal muscle/ muscle fibre
Adductor- this are muscles that move the limb towards the midline of the body.
Endomysium- connective tissue surrounding the cell of musculoskelenous muscle.
M-Line- this is the line that bisects the sarcomere
Motor Unit- A motor unit is a functional unit consisting of a motor neuron and the muscle fibers it innervates, responsible for generating muscle contractions in response to nervous system signals.
Summation- occurs when successive stimuli arrive before the relaxation phase has been complete.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

State what percentage of total body calcium is contained in the plasma.

A

1%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

State the name of the fibrous connective tissue that covers tissue that covers the surface of the bone.

A

Periosteum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Describe three ways in which parathyroid hormone (PTH) increases plasma calcium
concentration. (3 marks)
Describe three ways in which parathyroid hormone (PTH) increases plasma calcium
concentration. (3 marks)

A

It stimulates bone resorption; enhances intestinal calcium absorption, increases renal calcium
absorption

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Name three factors that determine a bone’s response to mechanical loading.

A

Magnitude of strain
Rate of strain
distribution of strain
frequency of strain cylces

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Describe the difference in structure and function between cortical and trabecular bone

A

stucurally
cortical bone is hard with few spaces
trabecullar bone is is spongy wirth alot of spaces
functional
cortical bone setves for protection and support
trabecullar bone is more metabolically active i.e. it has bone marrow

17
Q

With use of a diagram, describe the time course of conductance changes that underlie the action
potential in a neuron and explain their contribution to the shape of the action potential. (5 marks)

A

draw a diagram with the original graph of action potential and with individual graphs showing contribution of sodium and contribution of potassium

18
Q

Describe two effects of substance P at the site of injury.

A
  1. lowers threshold of activation of nociceptors
  2. causes heat and redness as a result of dilation of blood vessels
  3. swelling results from plasma extravasation (proteins, cells and fluid leak out of venules)
19
Q

Explain how the location of a noxious stimulus is encoded in the brain.

A

It travels through 1st, 2nd and 3rd order sensory neuron to reach the brain and be intepreted by the stimulus

20
Q

Explain how the intensity of a painful stimulus is encoded.

A

Intensity is coded in frequency of firing rate and number of nociceptors activated.

21
Q

State which three proteins make up the thin filaments within sarcomeres.

Indicate which of the three proteins have a regulatory function during muscle contraction and
which one is a heterotrimer

A

Actin, Tropomyosin (regulatory) and Troponin (regulatory and heterotrimer)

22
Q

Briefly describe the role of voltage-gated channels during the relative refractory period.
(2 marks

A

Guideline:
Na+ channels: degree of inactivation and recovery from inactivation. K+ channels: extent
of hyperpolarisation overshoot

23
Q

Define agonist muscle

A

prime mover of any skeletal movement

24
Q

Outline any four physiological mechanisms through which the ascending pain from Mrs
Mary Rose’s wrist can be modulated at the level of the spinal cord. (8marks)

A

Gate control modulation – Inhibitory interneurons act as a link between first
to second order neurons -Activation of A fibers (touch, vibration, joint
sensation, etc)
Modulation by descending pathways: Presynaptic or post-synaptic
modulation by - Stimulation of the periaqueductal gray stimulates
descending serotonergic neurons. Descending serotonergic and noradrenergic
neurons inhibit transmission of nociceptive information from the primary
sensory neuron to the second-order neuron in the spinal cord.
Interactions with spinal cord local inhibitory or other interneurons. E.g.
opiate-mediate pre and post synaptic inhibition OR GABAergic inhibitory
interneurons.
Cross talk between nociceptive and wide dynamic range neuron – misreading
on non-painful stimuli as painful (e.g. allodynia)
Interactions among somatic/visceral pain neurons and sympathetic outflow.

25
Q
  1. List any six properties that differ between action potentials and post-synaptic
    (electrotonic/graded) potentials.
A

Guideline:
(a) all/none phenomenon; (b) applicability of threshold potential; (c) existence of the
refractory period; (d) directionality of propagation; (e) existence of fade with time (time
constant tau) or distance (space constant); (f) existence of time or space constant (g)
possibility of summation; (h) involvement of channels