Neuromuscular junction Flashcards

1
Q

Is the neuromuscular junction contain alpha or gamma motoneurone?

A

alpha

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

The axon terminals are myelinated, true orflase

A

flase- nerve endings are unmyelinated

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

where does the presynaptic terminal synapse?

A

end plate region of skeletal muscle

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

what kind of ACh receptors are present in the neuromuscular junction

A

nicotinic in the active zomnes in junctional folds

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

what is choline transported by?

A

choline transporter

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

What is ACh synthesized from and by?

A

Choline and acetyl CoA choline acetyltrasferase

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

what is the response to one quantum of transmitter called?

A

miniature end plate potential

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

what makes up the end plate potential

A

all the quantum of miniature end plate potential

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

How is muscle action brought about involving Ca++, troponin and SR

A

Action potential arrives at T tubule on sarcoplasmic reticulum causing release of Ca++. This causes contraction by interacting with the troponin associated with the myofibrils

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

What enzyme breaks down ACh

A

acetylcholinesterase

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

What does acetylcholinesterase break acetylcholine down into?

A

acetate and choline- acetate diffuses from synaptic cleft

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

What is neuromyotonia

A

autoimmune where antibodies are produced against voltage activated K channels in motor neurone, causing hyperexcitability.

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

What are the symptoms of Neuromyotonia

A

stiffness, slow relaxation, muscle twitches and cramps

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

How do you treat neuromyotonia

A

anti-convulsants- carbamazepine, phenytoin

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

How is lambert eaton myasthenia syndrome determined

A

muscle weakness in limbs, assoc with small cell carcinoma in the lungs. Antibodies produced against Ca channels, thus decreased Ca entry and reduced ACh

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

What is the treatment for LEMS

A

anticholinesterases- pyridostigmine and potassium channel blockers- 3,4- diaminopyridine- increases ACh contraction in synaptic cleft

17
Q

How would you recognise myasthenia gravis

A

progressive muscle weakness during periods of activity. Often weakness of the eye presents first

18
Q

What is the chemistry behind myasthenia gravis?

A

antibodies produced again nicotinic ACh receptors in end plate, thus decreased EPP

19
Q

How wouldoyu treat MG

A

anticholinesterases- edrophonium (increase ACh in cleft) , pyridostigmine for long term treatment and immunosuppressants like azathioprine

20
Q

What doesBotulinum toxin do?

A

Irreversibly inhibit ACh release

21
Q

What gets used to decrease frown lines or wrinkles?

A

Botulinum toxin!

22
Q

vecuronium and atracurium drugs are used to treat what? and how do they do this?

A

reverse muscle paralysis, reduce amplitude of end plate potential to below threshold for muscle fibre action potential to be generated