Physiology and Pharmacology of the Neuromuscular Junction Flashcards

1
Q

does the motor neurone axon divide into unmyelinated or myelinated branches?

A

unmyelinated

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

how many skeletal muscle cells does each branch of a motor neurone axon supply?

A

1

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

what is the end of a motor neurone axon called?

A

bouton

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

what is the function of a bouton?

A

it is the pre synaptic terminal forms a chemical synapse with the muscle membrane at the NMJ

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

where does the bouton synapse?

A

endplate region of skeletal muscle fibre

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

what is another name for the muscle cell membrane?

A

sarcolemma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what 2 things form acetylcholine

A

acetyl coA and choline

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

what enzyme is in charge of ACh synthesis?

A

choline acetyltransferase

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

how does calcium reach the pre synaptic nerve terminal?

A

AP causes depolarisation which promotes Ca channel opening -> Ca accesses the terminal

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

when will the gate of an ACh receptor open?

A

when 2 molecules of ACh bind to its exterior

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

where is ACh stored?

A

vesicles

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

what is the end plate potential?

A

the membrane potential generated from a higher influx of Na than efflux of K

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

what triggers the opening of voltage activated Na channels?

A

end plate potential (if large enough)

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

what causes the end plate potential

A

activated Ach receptors

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

what happens if the end plate potential doesn’t reach threshold?

A

neuromuscular transmission is blocked because no AP is generated

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

how is neuromuscular transmission terminated?

A

hydrolysis of ACh

17
Q

what cancer is associated with lambert-eaton myasthenic syndrome?

A

small cell carcinoma

18
Q

symptoms of Isaac’s syndrome

A

cramps, stiffness, twitches, slow relaxation

19
Q

symptoms of myasthenia gravis

A

progressively increasing muscle weakness during periods of activity, weakness of eye muscles

20
Q

how to treat myasthenia gravis

A

anticholinesterases

immunosuppressants

21
Q

what happens in myasthenia gravis

A

antibodies made against ACh receptors causing a low EPP