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What type of ions maintain internal negativity in the cell?
Impermeant anions
What are examples of impermeant anions inside the cell?
Proteins, organic phosphate, and sulfate compounds
What causes a deficit of positive ions like K+ inside the cell?
Impermeant anions
What is the result of a deficit of positive ions inside the cell?
Negative charge inside the cell
What ion causes prolonged depolarization similar to sodium?
Ca²⁺ (Calcium)
What role do pumps play during the resting phase of Ca²⁺?
They move ions to the cell exterior
What initiates depolarization related to calcium?
Voltage-gated Ca²⁺ channels
Why are voltage-gated Ca²⁺ channels called "slow channels"?
They gate 10-20x more slowly than Na⁺ channels
Where are slow Ca²⁺ channels particularly important for prolonged stimuli?
Cardiac and smooth muscle
What happens when there is a decrease in Ca²⁺ levels regarding Na⁺?
Easier Na⁺ activation
How does a decrease in Ca²⁺ affect the action potential trigger level?
Triggered at lower levels of depolarization
Where does Ca²⁺ bind to affect channel activation?
Ca²⁺ binds to Na⁺ channels
How does Ca²⁺ binding normally affect the threshold for Na⁺ channels?
Increases threshold to trigger opening of Na⁺ channels at normal levels
What condition does a significant drop in calcium lead to?
Spontaneous firing or tetany
At what percentage reduction in normal calcium levels does tetany typically start?
50% reduction
What severe complication may arise from calcium deficit and tetany?
Lethal respiratory muscle spasms
How does a depolarized area propagate the action potential?
It excites the adjacent membrane
What must the adjacent membrane reach to trigger depolarization during propagation?
Threshold membrane potential
What spreads during the propagation of an action potential?
Local current flow
In how many directions does the local current flow travel?
Both directions unless blocked
Can an action potential travel backwards during propagation?
No, not backwards
What principle states that reaching the threshold yields a full response?
All-or-Nothing Principle
What happens if the threshold is not reached in the All-or-Nothing principle?
No signal and propagation ends
Is "partial" depolarization possible under the All-or-Nothing principle?
No
Where are K⁺ and Na⁺ located immediately after firing?
K⁺ outside, Na⁺ inside
Approximately how many action potentials can occur before concentration differences prevent firing?
100,000 to 50 million
What restores ion gradients after firing?
Na⁺/K⁺ ATP pumps
What cellular resource is required by Na⁺/K⁺ ATP pumps?
ATP
What is the energy cost result of increased heat production during recovery?
Increased heat production equals energy cost
In which type of muscle are plateau potentials typically seen?
Cardiac muscle
What causes plateau potentials?
Ca²⁺ slow channels (slightly permeable to Na⁺) and delayed K⁺ opening
How long does a plateau potential prolong muscle contraction?
200 to 300 ms
How does the length of a plateau potential compare to the action potential?
It is the same length as the action potential
What is rhythmicity in cellular physiology?
Self-excitation for repeated discharge of a signal
What are examples of locations or cells where rhythmicity occurs?
Pacemaker cells, smooth muscles of intestines, and CNS for breathing
What causes repetitive discharge in rhythmicity?
Enough Na⁺/Ca²⁺ leak leading to automatic depolarization
What determines the downtime in rhythmic self-excitation?
Hyperpolarization
What ion movement triggers sufficient inward current for excitation?
Inward movement of Na⁺ ions
What is a mechanical stimulus for excitation?
Disturbance of membrane (e.g., excite nerve endings in the skin)
What is a chemical stimulus for excitation?
Neurotransmitters moving between neurons and muscles
What is an example of an electrical stimulus for excitation?
Stimuli between muscle cells in the heart
What are acute local potentials that fail to trigger depolarization called?
Acute subthreshold potentials
What can accumulated acute local potentials cause?
Action potentials
How does the strength of a local potential affect the latent period?
The stronger the local potential, the shorter the latent period before depolarization
How does Ca²⁺ help inhibit excitability?
Stabilizes membrane and decreases membrane permeability to Na⁺
How do local anesthetics affect excitability?
They block the activation gate of Na⁺ channels
What is the overall effect of local anesthetics on Na⁺ channels?
Reduces the likelihood of an action potential