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[L1] What fraction of total body water is intracellular fluid (ICF)?
About 2/3 of total body water.
[L1] What fraction of total body water is extracellular fluid (ECF)?
About 1/3 of total body water.
[L1] What are the two major parts of extracellular fluid?
Plasma and interstitial fluid.
[L1] Where is Na+ found in greatest concentration?
Outside cells, in extracellular fluid.
[L1] Where is K+ found in greatest concentration?
Inside cells, in intracellular fluid.
[L1] What is homeostasis?
Maintenance of physiological variables in a state of dynamic constancy around a set point.
[L1] What is negative feedback?
A response that opposes a disturbance and moves a variable back toward its set point.
[L1] What is positive feedback?
A response that amplifies the original disturbance, such as uterine contractions during labor.
[L1] What mainly creates the resting membrane potential?
Greater resting permeability to K+ through K+ leak channels.
[L1] What is a typical resting membrane potential?
Approximately -70 mV, meaning the inside is negative relative to the outside.
[L1] What does the Na+/K+ pump move per ATP?
3 Na+ out of the cell and 2 K+ into the cell.
[L1] What is the main purpose of the Na+/K+ pump?
To maintain the Na+ and K+ concentration gradients across the membrane.
[L1] What happens when Na+ channels open?
Na+ enters and the membrane depolarizes.
[L1] What happens when K+ channels open?
K+ leaves and the inside becomes more negative.
[L1] What is depolarization?
A change in membrane potential that makes the inside less negative or more positive.
[L1] What is repolarization?
A return toward the resting negative membrane potential after depolarization.
[L1] What is hyperpolarization?
The membrane becomes more negative than its resting potential.
[L1] What is a graded potential?
A local membrane-potential change whose size depends on stimulus strength and that decreases with distance.
[L1] What properties distinguish graded potentials from action potentials?
Graded potentials vary in size, can summate, and decay with distance; action potentials are all-or-none and propagate without decreasing.
[L1] What is threshold?
The amount of depolarization needed to trigger an action potential, often near -55 mV.
[L1] What causes the rapid depolarization phase of an action potential?
Voltage-gated Na+ channels open and Na+ enters rapidly.
[L1] What causes repolarization during an action potential?
Na+ channels inactivate while voltage-gated K+ channels open and K+ leaves.
[L1] What causes after-hyperpolarization?
Voltage-gated K+ channels close slowly, allowing extra K+ to leave.
[L1] What is the absolute refractory period?
No second action potential can occur because voltage-gated Na+ channels are open or inactivated and have not reset.
[L1] What is the relative refractory period?
A stronger stimulus can produce an action potential because some Na+ channels have reset but the membrane remains hyperpolarized.
[L1] What happens if extracellular K+ increases?
Less K+ leaves the cell, so the membrane depolarizes.
[L1] What happens if extracellular K+ decreases?
More K+ leaves the cell, so the membrane hyperpolarizes.
[L1] What happens if extracellular Na+ increases?
The driving force for Na+ entry increases, potentially increasing action-potential spike height.
[L1] What happens if extracellular Na+ decreases?
The driving force for Na+ entry decreases, producing a less positive action-potential peak.
[L1] What is the equilibrium potential for K+ approximately?
Approximately -90 mV.
[L1 Application] What happens if voltage-gated Na+ channels are blocked?
Graded potentials may still occur, but the cell cannot produce the rapid depolarization of an action potential.
[L1 Application] What happens if voltage-gated K+ channels are blocked?
Repolarization is delayed and the action potential is prolonged.
[L2] What is a synapse?
A specialized junction between two neurons or between a neuron and another target such as a muscle cell.
[L2] What is the difference between electrical and chemical synapses?
Electrical synapses use gap junctions for direct current flow; chemical synapses release neurotransmitters across a synaptic cleft.
[L2] What is the sequence of chemical synaptic transmission?
Presynaptic AP arrives; voltage-gated Ca2+ channels open; Ca2+ enters; vesicles fuse; neurotransmitter is released; neurotransmitter binds postsynaptic receptors; a graded potential forms.
[L2] What directly triggers neurotransmitter exocytosis?
Ca2+ entering the presynaptic terminal.
[L2] Where are neurotransmitters stored before release?
In synaptic vesicles in the presynaptic axon terminal.
[L2] What is an excitatory postsynaptic potential (EPSP)?
A graded depolarization that moves the postsynaptic cell closer to threshold.
[L2] What is an inhibitory postsynaptic potential (IPSP)?
A graded hyperpolarization or stabilization that moves the postsynaptic cell farther from threshold.
[L2] How can opening a chemically gated Na+ channel affect a postsynaptic cell?
Na+ enters and produces depolarization or excitation.
[L2] How can opening a chemically gated K+ channel inhibit a postsynaptic cell?
K+ leaves, making the inside more negative.
[L2] How can opening a chemically gated Cl- channel inhibit a postsynaptic cell?
Cl- enters or stabilizes the negative membrane potential, producing inhibition.
[L2] What does GABA usually do?
Produces inhibition and hyperpolarization of the postsynaptic membrane.
[L2] What is an agonist?
A substance that binds a receptor and activates or mimics its normal effect.
[L2] What is an antagonist?
A substance that binds a receptor and blocks its activation.
[L2] How do benzodiazepines such as Xanax and Valium act?
They enhance GABA-related inhibition, producing greater postsynaptic inhibition.
[L2] How do SSRIs act at a synapse?
They block serotonin reuptake, allowing serotonin to remain in the synaptic cleft longer.
[L2] How does cocaine act at synapses?
It blocks reuptake of monoamines such as dopamine, increasing their action in the synaptic cleft.
[L2] How does heroin affect the nervous system?
It acts as an agonist at endogenous opioid receptors.
[L2] Why is morphine not classified as an endogenous neurotransmitter?
It is an external opioid drug that mimics endogenous opioid signaling.
[L2] What is presynaptic facilitation by serotonin?
Serotonin causes presynaptic Ca2+ channels to remain open longer, increasing neurotransmitter release.
[L2] What is the mechanism of tetanus toxin?
It destroys SNARE proteins in inhibitory presynaptic terminals, preventing inhibitory neurotransmitter release.
[L2] What is the result of tetanus toxin?
Loss of inhibition causes excessive motor activity, sustained contraction, and spastic paralysis.
[L2] What is the mechanism of botulinum toxin?
It destroys SNARE proteins at excitatory motor terminals, preventing ACh vesicle fusion and release.
[L2] What is the result of botulinum toxin?
Reduced skeletal-muscle stimulation and flaccid paralysis.
[L2] How does Botox work?
A small localized dose of botulinum toxin reduces ACh release and weakens selected muscles or glandular secretion.
[L2] What happens if presynaptic Ca2+ channels are blocked?
Neurotransmitter exocytosis is prevented even if the action potential reaches the terminal.
[L2] How do procaine or lidocaine affect neurons?
They block voltage-gated Na+ channels, allowing local graded potentials but preventing action-potential propagation.
[L3] What is diffusion?
Net movement of particles from higher concentration to lower concentration.
[L3] What factors increase diffusion rate?
A larger concentration gradient, greater permeability, larger surface area, shorter distance, and higher temperature.
[L3] What is osmosis?
Net movement of water across a selectively permeable membrane toward the side with more nonpenetrating solute.
[L3] What is osmotic pressure?
The pressure required to oppose osmosis; it increases as solute concentration increases.
[L3] What is an isotonic solution?
A solution that causes no net water movement and no major change in cell volume.
[L3] What is a hypotonic solution?
A solution with lower effective solute concentration than the cell, causing water to enter and the cell to swell.
[L3] What is a hypertonic solution?
A solution with higher effective solute concentration than the cell, causing water to leave and the cell to shrink.
[L3] What happens to a red blood cell in a hypotonic solution?
Water enters; the cell swells and may undergo hemolysis.
[L3] What happens to a cell if intracellular nonpenetrating solute increases?
Intracellular osmolarity increases, so water enters and the cell swells.
[L3] What is hydrostatic pressure?
The physical pressure exerted by a fluid, which can oppose osmotic water movement.
[L3] What are the two major forms of vesicular transport?
Endocytosis and exocytosis.
[L3] What is endocytosis?
Movement of extracellular material into a cell inside vesicles.
[L3] What is exocytosis?
Fusion of intracellular vesicles with the membrane to release material outside the cell.
[L3] What are the thick and thin filaments?
Thick filaments are myosin; thin filaments are mainly actin with troponin and tropomyosin.
[L3] What is a sarcomere?
The repeating functional contractile unit of skeletal muscle.
[L3] What are the four major skeletal-muscle proteins?
Actin, myosin, troponin, and tropomyosin.
[L3] What does troponin do?
Binds Ca2+ and changes shape, causing tropomyosin to move.
[L3] What does tropomyosin do at rest?
Covers the myosin-binding sites on actin.
[L3] What does calcium bind during skeletal-muscle contraction?
Troponin.
[L3] What happens after Ca2+ binds troponin?
Troponin changes shape, tropomyosin moves, and myosin-binding sites on actin are exposed.
[L3] Which part of myosin acts as an ATPase?
The myosin head.
[L3] What structures are connected by cross-bridges?
Thick myosin filaments and thin actin filaments.
[L3] What do T-tubules do?
Carry the muscle action potential deep into the center of the muscle fiber.
[L3] What happens when ACh binds receptors at the motor end plate?
The membrane becomes more permeable to Na+, producing an end-plate depolarization.
[L3] What happens if muscle nicotinic ACh receptors are blocked?
Motor-end-plate depolarization decreases, so muscle contraction is reduced or prevented.
[L3] What happens if acetylcholinesterase is inhibited?
ACh remains in the cleft and repeatedly stimulates the muscle, causing sustained contraction.
[L4] What are the major stages from motor-neuron signaling to muscle contraction?
Neuromuscular transmission; muscle excitation; excitation-contraction coupling; cross-bridge cycling; relaxation.
[L4] What is the neuromuscular-junction sequence?
Motor-neuron AP; presynaptic Ca2+ entry; ACh release; ACh binds nicotinic receptors; Na+ enters; end-plate potential reaches threshold; muscle AP begins.
[L4] What is the excitation-contraction coupling sequence?
Muscle AP travels along sarcolemma and T-tubules; DHPR senses voltage; DHPR activates RyR; SR releases Ca2+; Ca2+ binds troponin; tropomyosin moves.
[L4] What is DHPR?
The voltage-sensing protein in the T-tubule membrane that activates the ryanodine receptor in skeletal muscle.
[L4] What is the ryanodine receptor (RyR)?
The Ca2+-release channel in the sarcoplasmic-reticulum membrane.
[L4] Does RyR activate DHPR?
No. DHPR detects voltage and activates RyR.
[L4] What happens if DHPR works but RyR is blocked?
The muscle AP reaches the T-tubule, but little Ca2+ is released from the SR, so contraction is weak or absent.
[L4] What happens if Ca2+ cannot bind troponin?
Tropomyosin remains over actin's binding sites and cross-bridges cannot form.
[L4] What is cross-bridge step 1: attachment?
An energized myosin head holding ADP and Pi binds an exposed site on actin.
[L4] What is cross-bridge step 2: power stroke?
Pi release triggers the myosin head to pivot and pull actin; ADP is then released.
[L4] What is cross-bridge step 3: detachment?
A new ATP binds myosin and causes it to release actin.
[L4] What is cross-bridge step 4: reactivation?
Myosin hydrolyzes ATP into ADP and Pi, using the energy to recock the head.
[L4] What is the easiest cross-bridge order to remember?
Attach; pull; detach; recock.
[L4] What happens when ATP binds myosin?
Myosin detaches from actin.
[L4] What happens when ATP is hydrolyzed by myosin?
The myosin head becomes energized and recocks.
[L4] What happens if ATP is unavailable?
Myosin cannot detach and the Ca2+-ATPase pump cannot remove cytoplasmic Ca2+, producing rigor.