11.23 C Flashcards

1
Q

What is the sodium channel activation curve?

A

a curve showing the relationship between membrane potential and open probability of sodium activation gates

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2
Q

At what membrane potential do sodium activation gates begin opening?

A

roughly -50 mV

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3
Q

Describe the kinetics of the sodium activation and inactivation gates.

A

the activation gates open rapidly and the inactivation gate closes slowly

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4
Q

Define threshold.

A

the point at which the depolarizing current slightly exceeds the repolarizing current

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5
Q

Describe the kinetics of the potassium delayed rectifier channel.

A

it opens and closes slowly, beginning at roughly -50mV

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6
Q

What is an absolute refractory period?

A

a period of time during which a cell cannot generate an AP regardless of the strength of the depolarizing stimulus

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7
Q

What is a relative refractory period?

A

a time during which inactive channels are being converted to resting channels and the cell can generate an AP but only if a stronger depolarizing stimulus is given than would normally be necessary

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8
Q

The number of resting sodium channels is dependent on what two factors?

A
  • the amount of time given between depolarizing stimuli
  • the extent of repolarization such that the sodium inactivation gate has a high probability of returning to the open state
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9
Q

Why would hypokalemia decrease the number of resting sodium channels and thus diminish the ability of the cell to generate a sodium current?

A

because it would diminish the flow of potassium ions and thus the repolarizing current, which sodium channels rely on in order to reopen their inactivation gate

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10
Q

The “All or None” Law of action potentials is dependent on what two factors?

A
  • sodium and potassium concentrations remain the same

- there has been sufficient time during repolarization to recover resting sodium channels

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11
Q

What does the “All or None” Law of action potentials state?

A

that if a depolarizing stimulus reaches threshold, the resulting AP will have the same characteristics

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12
Q

The magnitude of the depolarizing current during the upstroke of the action potential will determine what four things?

A
  • threshold potential
  • amplitude of the AP
  • rate of rise of the AP
  • conduction velocity
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13
Q

What is conduction velocity?

A

how quickly an AP propagates down the tissue

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14
Q

Threshold potential, amplitude of the AP, rate of rise of the AP, and conduction velocity are all dependent on what other aspect of the AP?

A

the magnitude of the depolarizing current during the upstroke

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15
Q

Conduction velocity is dependent on what factor of an AP?

A

the magnitude of the depolarizing current during the upstroke of the AP

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16
Q

Why does magnitude of the depolarizing current during the upstroke of an AP influence the conduction velocity?

A

because the greater the magnitude, the faster cations accumulate inside the cell and spread to adjacent regions

17
Q

What conditions will reduce sodium current?

A
  • increased intracellular Na will decrease E(na)
  • drug blockage of sodium channels
  • reduced number of resting channels due to hyper or hypokalemia
  • depolarizing shift of activation curve due to hypercalcemia
18
Q

What is the most common life threatening disorder associated with cancer?

A

hypercalcemia

19
Q

How does cancer lead to hypercalcemia?

A

malignant cells release factors that cause calcium to be released from the bone

20
Q

What are some symptoms of hypercalcemia?

A
  • muscle weakness is the hallmark
  • tiredness, confusion
  • unstable gait
  • increased urination and bone pain
21
Q

An individual presents with muscle weakness, tiredness, unstable gait, and increased urination. What is a likely diagnosis?

A

hypercalcemia

22
Q

What does hypercalcemia due to the excitability of neurons and muscle cells?

A

it reduces the excitability

23
Q

How does hypercalcemia reduce the excitability of neurons and muscle cells?

A

by shifting the sodium activation curve in a positive direction, thus making them less likely to open and for the cell to be less likely to reach threshold

24
Q

What effect does raising the resting potential of a cell have on excitability?

A

it will lower the excitability

25
Q

Why would raising the resting potential of a cell lower the excitability?

A

because more sodium inactivation gates are closed and there is a smaller sodium current