Rotation: Synaptic Phys Flashcards

1
Q

What is the average MEPP amplitude?

A

1mV

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2
Q
  1. Describe the mechanisms by which curare and elevated Mg/low Ca solutions produced their effects.
A
  • Curare = nicotinic receptor antagonist (non-depolarizing) –> flaccid paralysis
  • Elevated Mg/low Ca = mimic of curare action bc no Ca++ available –> no vesicle exocytosis –> flaccid paralysis
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3
Q

In the heart, ACh is _____ but in muscle it is ____.

A

heart = inhibitory; muscle = excitatory

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4
Q
  1. Differentiate between spontaneous miniature end plate potentials (MEPPs) and nerve‐evoked end plate potentials (EPPs).
A
  • MEPPs = small depolarizations NOT caused by NTs binding after an AP, but by spontaneous release of 1 vesicle/quanta - “incontinence”
  • EPPs = depolarizations of skeletal muscle fibers caused by NTs binding to the postsynaptic membrane after an AP caused their release
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5
Q
  1. Describe the main experimental observations that underlie the Quantum Hypothesis of transmitter secretion.
A
  • states that transmitter is released from presynaptic nerve terminals solely in transmitter packages (quanta)
  • proof = MEPS exist and are always the same amplitude
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6
Q

If the low Ca++ preparation is stimulated at high frequency, _____ and can be sufficient enough to allow muscle contraction.

A

facilitation

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7
Q

Curare acts by blocking ACh receptors on the ____ side.

A

postsynaptic

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8
Q
  1. Recognize the effects of neostigmine on synaptic transmission, and describe the drug’s mechanism of action.
A
  • neostigmine = AChEI blocks AChE active site
  • does not cross BBB
  • used to treat MG
  • antidote for curare poisoning
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9
Q

The muscarinic receptor is a _____ receptor.

A

GPCR

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10
Q

Tetanus blocks the inhibitory signals from a motor neuron. What results?

A

over firing at the NMJ–> tetanic spasms

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11
Q
  1. Recognize and understand the events that underlie the visually‐observed transition from individual muscle twitches to a tetanus as the frequency of stimulation to the motor nerve is increased.
A

tetanic state = motor unit maximally stimulated by motor neuron via multiple impulses at high frequency Increased freq. of stimulation –> increased depolarization/muscle contraction twitches–> facilitation due to Ca++ remaining–> twitches begin to overlap b/c there’s not enough time for relaxation

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12
Q

What happens when too much neostigmine is given?

A

Bc it is structurally similar to ACh, it can interact with the AChR to antagonize its beneficial effects

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13
Q
  1. Describe synaptic facilitation and synaptic depression and how they interact during repetitive stimulation in curare and in elevated Mg/low Ca solutions.
A
  • facilitation = Ca++ build up in pre-synaptic terminal–> more NT vesicle exocytosis
  • helps overcome curare effects
  • depression = depletion of NT vesicles
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14
Q

Do MEPPs persist under low Ca++ conditions?

A

yes

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15
Q
  1. Describe the causes of myasthenia gravis and the myasthenic syndrome, and the effects of these diseases on synaptic transmission at the neuromuscular junction.
A
  • MG= antibodies to AChR (postsynaptic) –> weakness that is worse w/ exertion
    • Tx: pyridostigmine
  • myasthenic syndrome = antibodies to Ca++ channels (presynaptic)–> weakness that improves w/ exercise (facilitation)
    • AKA Lambert-Eaton Syndrome
    • assoc w/ small cell lung CA
    • Tx: pyridostigmine
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16
Q

What was the difference btw the low Ca++ preparation and the curare prep?

A

curare was much slower to exert its paralytic action

17
Q

What does too much ACh lead to?

A

SLUDGE symptoms in PNS