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physiology
board review
23
Medical
Professional
01/25/2012

Additional Medical Flashcards

 


 

Cards

Term

What is the resting membrane potential in large myelinated peripheral nerves and skeletal muscles?

 

A. -50 mV

B. -90 mV

C. -110 mV

D. -160 mV

Definition

B. -90  mV

 

determined mainly by the potential of K+ (-94mV)

K 100x more permeable than Na

at soma: -65mV

small nerve fibers: -55mV

 

Term

What is threshold for initiation of an action potential?

 

A. +65 mV

B. -65 mV

C. +90 mV

D. -90 mV

Definition

-65mV

AP: Na permeability  increases. Then Na channels closes and K channels open

AP starts at axon hillock

Term

Velocity of the AP increases with:

 

A. increased transmembrane resistance, increased internal resistance, decreased membrane capacitance

B. decreased transmembrane resistance, decreased internal resistance, decreased membrane capacitance

C. increased transmembrane resistance, decreasd internal resistance, decreased membrane capacitance

D. increased transmembrane resistance, decreased internal resistance, decreased membrane capacitance

Definition

C. increased transmembrane resistance, decreasd internal resistance, decreased membrane capacitance

 

myelin increases transmembrane resistance and decreased membrane capacitance

Term

Which toxin blocks Na channels

 

A. tetrodotoxin

B. TEA

C. glycine

D. aminoglycosides

 

 

Definition

tetrodotoxin: blocks Na channels

TEA blocks voltage gated K channels

 

Term

How many quantum are released to cause a miniature end plate potential?

 

A. 1

B. 2

C. 3

D. 4

Definition

A. 1 quantum

each presynaptic vesicle contains 10,000 molecules of acetylcholine or 1 quantum

1 quantum causes a miniature end plate potential

Term

Which of the nicotinic receptor binding sites binds Ach?

 

A. alpha

B. beta

C. Delta

D. gamma

Definition

A. alpha

 

nicotinic receptor: two alpha, one beta, delta, gamma

alpha subunit: 4 hydrophobic transmembrane proteins

stimulation of receptor: fast EPSP

block: hexamethonium

nicotinic receptor at NMJ only has two subunits

Term

Which of the GABA receptors binds benzos?

 

A. type A

B. type B

C. Type C

D. Type D

 

Definition

A. type A

type A: binds benzos barbiturates

type B: baclofen

 

GABA blocked by picrotoxin

 

Term

What is the coagonist for the NMDA receptor?

 

A. Mg

B. glycine

C. glutamate

D. acho

Definition

B. glycine needed as coagonist

when receptor depolarized, MG driven out and channel opens

 

Term

Which type of synapse is unidirectional?

 

A. chemical

B. Electrical

Definition

A. chemical: unidirectional

 

Electrical: bidirectional

Term

which NT is produced in the presynaptic terminal

 

A. acetylcholine

B. Norepi

C. Dopamine

D. Glutamate

Definition

A. acetylcholine

only NT to be made in presynaptic termial

 

Term

Hexamethonium blocks what receptor

 

A. muscarinic

B. nicotinic

C. adrenergic

D. dopaminergic

Definition

A. nicotinic

blocks in a depolarizing fashion that cannot be refersed by anticholinesterase

 

muscarinic receptors are blocked by pertussis toxin

Term

Match the following

 

A. Meissner corpuscles    1. touch pressure; slow; superficial

B. Merkel disk                2. touch; rapid; superficial

C. Pacinian corpuscle       3. vibration; rapid; superficial/deep

D. Ruffini End organ         4. touch,slow; deep

Definition

A. 2. Meissner: touch, rapid, superficially in dermal papillae of non hairy skin; small receptor fields; transmit via large fibers

B. 1. Merkel: touch/pressure; slow; small field; superficial in dermal papillae; group together

C. 3. pacinian: vibration; rapid; superficial and deep

D. 4. Ruffini; heavy touch; slow; deep; large fields

Term

Are C fibers myelinated

 

A. yes

B. no

C. maybe

Definition

B. No

pretty much every thing else is

Term
What is the somatotopic organization of the dorsal column system in the spinal cord, brain stem and sensory cortex?
Definition

Spinal cord: legs medial (f. gracilis) and upper extremities lateral (f. cuneatus)

Brainstem: lower extremities are lateral

Cortex: lower extremities medial again

Term
Which autonomic system is associated with more vague visceral symptoms and why?
Definition

Sympathetic

 

Neurons synapse in the sympathetic chain and then travel a long way to end organs, leading to more vague pain vs. the PSNS where the nerves synapse closer to the end organs

Term
What are the 7 orders of the neurons in the auditory pathway?
Definition

First order: spiral ganglion

Second order: dorsal and ventral cochlear nuclei in medulla

3rd: contralateral superior olivary nucleus

4th: lateral lemniscus 

5th: inferior colliculus

6th: medial geniculate body

7th: auditory cortex

Term

What toxin blocks renshaw cells in the spinal cord

 

A. tryptophan

B. tetanus

C. scorpion toxin

D. botox

Definition

B. tetanus

 

renshaw cells located in anterior horn

alpha motor neuron sends a branch to renshaw cells which uses glycine to inhibit alpha motor neurons and inhibit antagonizing inhibitors

strychnine also blocks

 

Term

Match the NT and where there are found in large quantities

 

A. NE

B. Serotonin

C. Dopamine

D. Acetylcholine

 

1. raphe

2. locus ceruleus

3. basal nucleus of meynert

4. basal ganglia and SN

Definition

A. 2 NE: (+) locus ceruleus

B. 1. serotonin: (-) raphe nucleus

C. 4. dopamine.  (+ or -) basal ganglia and SN

D. 3. Acho. (+) basal nucleus of meynert

Term

A lesion in which of the following areas results in a reduction of REM sleep: 

 

A. substantia negra

B. raphe nucleus

C. locus cureulus

D. sensory cortex

Definition

C. locus ceruleus

decreases REM sleep because it activates certain cortical areas during REM sleep without causing wakefulness

Term

A patient has an EEG while sleeping that shows delta waves. What stage of sleep is this

 

A. 1

B. 2

C. 3

D. 4

 

Definition

D. 4, maybe 3 too

 

Beta: active

Alpha: awake/quiet: go away in stage 1 sleep

sleep spindles/k complexes: stage 2

theta: can see in state 2/3

stage 3/4: delta

Term

contraction of the bladder detrusor is controlled by which system

 

A. PSNS

B. SNS

 

and it results in

 

A. bladder contraction

B. bladder relaxation and voiding

 

Definition

A, B

 

detrusor contraction is PSNS and causes bladder to empty

External sphincter: pudendal nerve 

SNS: keeps bladder from voiding (a1 and B)

 

So cholinergics help with bladder emptying

detrusor instability is made worse by cholinergics because you're just increasing cholinergic tone, which is part of the problem  (drugs to use: oxybutynin)

 

Conversely, inability to void is due to too much SNS so you use a1 antagonists (terazosin) to help void

Term

which of the following anticholinesterases is irrefersible

 

A. neostigmine

B. organophosphates

C. pyridostigmine

D. physostigmine

Definition

B. organophosphates

 

Think of farm kids playing in the barn and then all of then start salivating a lot

Term

the micturation reflex is located where?

 

A. midbrain

B. pons

C. medulla

D. spinal cord

Definition
B. pons
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