Physiology Flashcards

1
Q

Isometric contraction is?

A

if the muscle tension changes but length stys the same (i.e. carrying a heavy dumbell.)

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2
Q

Isotonic contraction is?

A

if length changes but tension stays the same (i.e. body movment.

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3
Q

Muscles within a motor unit can be of different types

A

F

they all have to be the same type of fibre

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4
Q

Motor units all have the same number of muscle fibres

A

F

this varies

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5
Q

What is a motor unit made up of?

A

motor neuron and the skeletal muscle fibers innervated by that motor neuron’s axonal terminals.

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6
Q

three types of muscles in the human body

A

Smooth
Skeletal
Cardiac

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7
Q

skeletal and cardiac muscles are - muscles; and skeletal muscle is subjected to - control

A

striated

voluntary

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8
Q

skeletal muscle contraction is initiated by - - stimulation

A

motor neuron

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9
Q

number of muscle fibres (cells) per motor unit depends on?

A

the function served by the muscle

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10
Q

muscles which serve fine movements (e.g. external eye muscles) have -
fibres per motor unit

A

fewer

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11
Q

What is the summary of the levels of organisation in skeletal muscle?

A
Muscle organ made up of muscle fibres (myocytes), these are made up of many myofibrils. Sarcomere is functional unit within myofibril.
Contains Myocin (thick dark filament) Acrin (thin light filament)
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12
Q

What is a functional unit?

A

the smallest component capable of performing all the functions of that organ

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13
Q

The sarcomere is found between two - - , these connect the - filaments of 2 adjoining -

A

Z-lines, thin, sarcomeres

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14
Q

All of thick filament is

A

A band

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15
Q

area within middle of A-band where thin filaments don’t reach

A

H zone

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16
Q

Extends vertically down middle of A-band within the centre of H-zone

A

M line

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17
Q

Consists of remaining portion of thin filaments that do not project in A-band

A

I band

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18
Q

ATP is required for contraction only

A

F

contraction and relaxation

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19
Q

ATP is needed during muscle movement to:

A

It is split by myosin ATPase to power cross bridges during contraction

during relaxation to
release cross bridges
and pump Ca2+ back into SR

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20
Q

Ca2+ is entirely derived from sarcoplasmic reticulum in skeletal muscle

A

T

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21
Q

Acetylcholine is the transmitter at the neuromuscular junction

A

T

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22
Q

How can a stronger muscle contraction be achieved?

A

Motor unit recruitment: Stimulation of more motor units.

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23
Q

asynchronous motor units recruitment during submaximal contractions helps prevent - -. Why?

A

Muscle fatigue

During continuous contractions, some units are firing while others recover, providing a built in recovery period.

24
Q

Tension developed by each contracting muscle fibre depends on?

A
  • Frequency of stimulation
  • Summation of contractions
  • Length and thickness of muscle fibre
25
Q

What is summation of contraction?

A

When a muscle fibre is restimulated before it can fully relax. This is a summation of muscle twitch.

26
Q

What is tetanus?

A

Sustained contraction - muscle has NO opportunity to relax between stimuli

27
Q

In skeletal muscle the duration of AP is the same as that of a muscle twitch

A

F

the duration of action potential is much shorter than the duration of resulting twitch

28
Q

It is possible to summate twitches
to bring about a stronger contraction through
repetitive fast stimulation of skeletal muscle

A

T

29
Q

What is optimal length?

A

is the point of optimal overlap of thick-filament cross bridges and thin-filament cross-bridge binding sites before contraction

30
Q

muscles cannot vary beyond 30% of their optimal length. At the outer limits of this range, muscles still can achieve about 50% of their maximal tetanic contraction.

A

T

31
Q
In the body:
 The resting length of 
a skeletal muscle is
approximately its 
optimal length
A

T

32
Q

In both isotonic and isometric contractions muscle tension is transmitted to bone via the elastic components of muscle

A

T

33
Q

There is a positive correlation between velocity of muscle contraction and load

A

F

The velocity of shortening decreases as the load increases.

34
Q

What are the main differences betwen different types of skeletal muscle fibres?

A
  • Enzymatic pathways for ATP synthesis
  • Resistance to fatigue (greater ATP synthesis greater resistance)
  • Activity of Myosin ATPase
35
Q

Myosin ATPase determines…

A

he speed at which energy is made available for cross bridge cycling i.e. the speed of contraction

36
Q

What are the metabolic pathways that supply ATP to the muscle? (3 ways)

A
  • Transfer of high energy phosphate from creatine phosphate to ADP (immediate!)
  • Oxidative phosphorylation fueled by glucose derived from muscle glycogen stores or by products delivered by the blood
  • Glycolysis (main source when O2 not present) produces pyruvic acid which is converted to lactic acid. Lack of O2 prevents further processing in oxidative phos pathway
37
Q

What are the three types of muscle fibres?

A

Slow oxidative
Fast oxidativ
Fast glycolytic

38
Q

Slow oxidative muscle has - Myosin ATPase activtiy and - speed of contraction. It is - resistant to fatigue and has a - oxidative phosphyrlation capacity

A

Low, Slow, highly, high

39
Q

Fast oxidative muscle has - Myosin ATPase activtiy and - speed of contraction. It is - resistant to fatigue and has a - oxidative phosphyrlation capacity. It uses - metabolism

A

high, fast, intermediately, high

aerobic and anaerobic

40
Q

Fast glcolytic muscle has - Myosin ATPase activtiy and - speed of contraction. It is - resistant to fatigue and has a - oxidative phosphyrlation capacity. It uses - metabolism

A

High, fast, lowly, low, anaerobic

41
Q

Slow oxidative fibres are used mainly for?

A

Prolonged low work aerobic activities e.g. maintenace of posture and walking

42
Q

Fast oxidative fibres are used mainly for?

A

Prolonged relatively moderate work activities e.g. jogging

43
Q

What is a reflex action?

A

stereotyped response to a specific stimulus

44
Q

What is a muscle spindle?

A
  • It is a sensory receptor that is activated by muscle stretch
  • It is made of specialised muscle fibres
  • It has sensory nerve endings known as ANNULOSPIRAL fibres
45
Q

What are the consequences of stimulating a muscle spindle?

A
  1. Increase firing in the afferent neurones
  2. Afferet neurones synapse with ALPHA MOTOR NEURONS (efferent nerves) that innervate the stretched muscle
  3. Contraction of stretched muscle
46
Q

The stretch reflex is coordinated by simultaneous contraction of antagonist muscle

A

F

relaxation of anatognist

47
Q

What are extrafusal and intrafusal fibres?

A

Muscle spindles are intrafusal

Ordinary muscle fibres are extrafusal

48
Q

Where are muscle spindles found?

A

Within the belly of muscle and run parallel to ordinary muscle fibres

49
Q

What is the role of GAMMA nerves in the muscle spindle?

A
  • They are the spindle’s OWN supply of efferent (motor) nerve
  • They adjust the tension in the spindle to maintain the sensitvity when the muscle shortens during contraction
50
Q

The contraction of intrafusal fibres does not contribute to the overall strength of muscle contraction

A

T

51
Q

How can skeletal muscle function be impaired?

A

(1) Intrinsic disease of muscle
(2) Disease of NMJ

(3) Disease of lower motor neurons
which supply the muscle
(4) Disruption of input to motor

52
Q

What are some investigations used in the diagnosis of neuromuscular disease?

A
  • Electromyography
  • Nerve conduction studies
  • Muscle enzymes
  • Inflammatory markers
  • Muscle biopsy
53
Q

What is electromyography?

A

Eelctrodes detect presence of muscular activity - recording frequency and amplitude of APs.

DO NOT PROVIDE DEFINITIVE DIAGNOSIS

Help differentiate primary muscle disease from neurlogical disease

54
Q

What are some causes of intrinsic muscle disease? (4)

A

Inflammatory myopathies e.g. polymyositis, inclusion body myositis
Non-Inflammatory myopathies e.g. fibromyalgia

Endocrine mypoathies e.g. Cushing syndrome, thyroid disease

Toxic myopathies e.g. alcohol, statins

Congenital myopathies: Chronic Degeneration of contractile elements - muscular dystrophy
Abnormalities in muscle membrane ion channels e.g. myotonia

55
Q

What is the difference between a simple and compound synovial joint?

A

Simple - one pair of articular surfaces

Compound- more than one pair of articular surfaces