4_5877201508038086019_220316_222156
4_5877201508038086019_220316_222156
4_5877201508038086019_220316_222156
Resources
Guyton and Hall Physiology
Oxford press
as
Question 1
a) M-line
b) Z-line
c) Perimysium
d) Sarcoplasmic reticulum
Question 2
a) Sarcomere
b) Actin filament
c) Myosin filament
d) Z-line
Question 3
a) In concentric contractions, the CB power stroke pulls the actin filament toward the
center of the sarcomere, causing sarcomere shortening.
b) In eccentric contractions, the CB power stroke pushes the actin filament away from the
centre of the sarcomere, causing sarcomere lengthening.
c) In isometric contractions, the CB power stroke pulls the actin filament straight down,
preventing shortening or lengthening.
d) All of the above are true.
Question 4
In excitation-contraction coupling:
a) The muscle action potential propagates along the sarcolemma and down the transverse
tubules.
b) Ca2+ released from the sarcoplasmic reticulum binds to tropomyosin.
c) Troponin blocks binding of myosin heads to actin filaments.
d) Relaxation occurs when Ca2+ is excreted from the muscle fibre.
Question 6
Question 7
The force of a tetanic contraction is greater than that of a twitch contraction because:
Question 8*
Muscle fiber A contractions are stronger than M.fiber B contractions partly because, in A
contractions: (A&B in same motor unit)
Question 9
The decrease in active force that occurs at lengths longer than the optimal length ( The muscle
length at which maximal active force occurs) is caused by:
Question 11
a) Training
b) Fatigue
c) Injury
d) All of the above
Question 12
A) Large motor neurons that innervate large motor units require a larger depolarizing stimulus
B) Recruitment of multiple motor units requires a larger depolarizing stimulus
C) The biceps muscle is innervated by more nerves
D) The motor units in the biceps are smaller than those in the muscles of the fingers
E) The muscles in the fingers are innervated only by the ulnar nerve
Question 13
Weight lifting can result in a dramatic increase in skeletal muscle mass. This increase in
muscle mass is primarily attributable to which of the following?
A) Fusion of sarcomeres between adjacent myofibrils
B) Hypertrophy of individual muscle fibers
C) Increase in skeletal muscle blood supply
D) Increase in the number of motor neurons
E) Increase in the number of neuromuscular junctions
Question 14
The above figure shows the change in membrane potential during an action potential in a giant
squid axon. Refer to it when answering Questions 1and 2.
1. Which of the following is primarily responsible for the change in membrane potential
between points B and D?
A) Inhibition of the Na+, K+-ATPase
B) Movement of K+ into the cell
C) Movement of K+ out of the cell
D) Movement of Na+ into the cell
E) Movement of Na+ out of the cell
2. Which of the following is primarily responsible for the change in membrane potential
between points D and E?
A) Inhibition of the Na+, K+-ATPase
B) Movement of K+ into the cell
C) Movement of K+ out of the cell
D) Movement of Na+ into the cell
E) Movement of Na+ out of the cell
Question 15
The above figure illustrates the single isometric twitch char- acteristics of two skeletal muscles, A
and B, in response to a depolarizing stimulus. Refer to it when answering Ques- tions 1 and 2.
1. Which of the following best describes muscle B compared with muscle A?
A) Adapted for rapid contraction
B) Composed of larger muscle fibers
C) Fewer mitochondria
D) has smaller muscles fibers
E) Less extensive blood supply
2. The delay between the termination of the transient de- polarization of the muscle
membrane and the onset of muscle contraction observed in both muscles A and B
reflects the time necessary for which of the following events to occur?
A) ADP to be released from the myosin head
B) ATP to be synthesized
C) Ca++ to accumulate in the sarcoplasm
D) G-actin to polymerize into F-actin
E) Myosin head to complete one cross-bridge cycle
Question 16
Sarcoplasm A 55-year-old woman visits her physician because of double vision, eyelid droop,
difficulty chewing and swallowing, and general weakness in her limbs. All these symptoms worsen
with exercise and occur more frequently late in the day. The physician suspects myasthenia gravis
and orders a Tensilon test. The test is positive. Use this information when answering Questions 1
2.
1. What is the most likely basis for the symptoms de- scribed in this patient?
A) Autoimmune response
B) Botulinum toxicity
C) Depletion of voltage-gated Ca++ channels in certain motor neurons
D) Development of macro motor units after recovery from poliomyelitis
E) Overexertion
2
A) Atropine
B) Botulinum toxin antiserum
C) Curare
D) Halothane
E) Neostigmine ( acetylcholinesterase inhibitors )
Question 17
A 17-year-old soccer player sustained a fracture to the left tibia. After her lower leg has
been in a cast for 8 weeks, she is surprised to find that the left gastrocnemius muscle is
significantly smaller in circumference than it was before the fracture. What is the most
likely explanation?
A) Decrease in the number of individual muscle fibers in the left gastrocnemius
B) Decrease in blood flow to the muscle caused by constriction from the cast
C) Temporary reduction in actin and myosin protein synthesis
D) Increase in glycolytic activity in the affected muscle
E) Progressive denervation
Answers
1) B 7) B 13) B
2) A 8) B 14) 1D // 2C
3) A 9) A
4) C 10) D 15) 1D // 2C
5) A 11) D 16) 1A // 2E
6) D 12) A 17) C