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What are the three main energy systems in muscle contraction?
Phosphocreatine system, anaerobic glycolysis, and aerobic metabolism
Which energy system provides ATP most rapidly?
Phosphocreatine system
Which energy system is primarily used during prolonged exercise?
Aerobic metabolism
What is the role of creatine kinase in muscle metabolism?
It catalyzes the conversion of phosphocreatine to ATP
What is a key by-product of anaerobic glycolysis?
Lactate
What is the end product of aerobic metabolism of glucose?
Carbon dioxide and water
What type of muscle contraction occurs without change in muscle length?
Isometric contraction
During which type of contraction does the muscle lengthen while generating force?
Eccentric contraction
What is the primary contraction type during the upward phase of a bicep curl?
Concentric contraction
What role does the agonist muscle play in movement?
It initiates and produces the primary movement
What is the role of the antagonist muscle during movement?
It opposes the action of the agonist
Which muscle stabilizes a joint to allow movement by another muscle?
Fixator
What is the role of a synergist in movement?
It assists the agonist by adding force or reducing unnecessary motion
What genetic mutation causes Duchenne muscular dystrophy?
Mutation in the dystrophin gene
What protein is absent in Duchenne muscular dystrophy?
Dystrophin
What is the difference between Duchenne and Becker muscular dystrophy?
Becker has partially functional dystrophin; Duchenne lacks it entirely
Which disorder is caused by a deficiency of muscle glycogen phosphorylase?
McArdle disease
What is the hallmark symptom of McArdle disease?
Exercise intolerance with risk of muscle damage
Which hereditary myopathy presents with delayed muscle relaxation?
Myotonic dystrophy
What causes calcium release from the sarcoplasmic reticulum?
Activation of ryanodine receptors by DHP receptors
What binds calcium to initiate muscle contraction?
Troponin
What prevents actin-myosin interaction in resting muscle?
Tropomyosin
What is the function of the sarcoplasmic reticulum in muscle?
Stores and releases calcium ions
What structure conducts the action potential deep into the muscle fibre?
Transverse (T-) tubules
What happens during the latent phase of a muscle twitch?
Calcium is released, but no contraction has started yet
What is a fused tetanus?
Sustained contraction with no relaxation due to high-frequency stimulation
What is a motor unit?
A motor neuron and all the muscle fibres it innervates
What determines the strength of a muscle contraction?
Number of motor units recruited and frequency of stimulation
Which reflex maintains muscle length during stretch?
Stretch reflex
Which receptor detects muscle stretch?
Muscle spindle
What is the function of the Golgi tendon organ?
It inhibits contraction when muscle tension is too high
Which reflex withdraws a limb from a painful stimulus?
Flexor withdrawal reflex
What reflex supports the body when the opposite limb withdraws?
Crossed extensor reflex
Which fibre type is slow, oxidative, and fatigue-resistant?
Type I
Which muscle fibre type is fast and glycolytic?
Type IIb
Which fibre type is both oxidative and glycolytic?
Type IIa
Which fibre type predominates in postural muscles?
Type I
Which fibre type is most affected by inactivity?
Type II
What is sarcopenia?
Age-related loss of muscle mass and strength
How does endurance training affect muscle fibres?
Increases mitochondrial density and capillarity
How does resistance training affect muscle?
Induces hypertrophy and increases force production
What is the mechanical definition of torque?
Force multiplied by the moment arm
What is mechanical work in muscles?
Force times displacement
How is mechanical power calculated?
Work divided by time
Which type of contraction produces the most force?
Eccentric contraction
What happens to sarcomeres during contraction?
Z-lines move closer together, and H-zone shortens
What protein provides elasticity in the sarcomere?
Titin
What is the function of dystrophin?
Links the cytoskeleton to the extracellular matrix
What is the role of actin in muscle contraction?
Serves as the track for myosin crossbridges
What does myosin do during contraction?
Forms crossbridges and pulls actin filaments
What is the function of the neuromuscular junction?
Transmits signals from nerve to muscle
What neurotransmitter is released at the neuromuscular junction?
Acetylcholine
What enzyme breaks down acetylcholine?
Acetylcholinesterase
What causes depolarization of the muscle membrane?
Binding of acetylcholine to nicotinic receptors
What is the size principle in motor unit recruitment?
Smaller units are recruited before larger ones
Which motor units are most fatigue-resistant?
Type I units
What change occurs in motor units with ageing?
Loss of motor neurons and larger, less precise units
How does inactivity affect mitochondria in muscle?
Decreases mitochondrial density and oxidative capacity
Which metabolic pathway is used during the first 10 seconds of intense activity?
Phosphocreatine system
Which metabolic pathway dominates during 1–2 minutes of moderate activity?
Anaerobic glycolysis
Which pathway is most efficient in terms of ATP per molecule of glucose?
Aerobic metabolism
What happens to lactate produced during anaerobic glycolysis?
It is transported to the liver for gluconeogenesis (Cori cycle)
What is the Cori cycle?
The conversion of lactate to glucose in the liver
What is the function of myokinase?
Converts two ADP into one ATP and one AMP
What is oxygen debt?
Extra oxygen consumed post-exercise to restore energy systems
What is the function of ATP in muscle contraction?
Breaks actin-myosin bond and energizes the myosin head
Which phase of a twitch follows peak tension?
Relaxation phase
What is the first step in excitation-contraction coupling?
Action potential travels along the sarcolemma
What links T-tubule depolarization to calcium release?
DHP receptor and RyR1 interaction
What is the role of calcium ATPase in muscle?
Pumps calcium back into the sarcoplasmic reticulum
What is a key adaptation of endurance-trained muscle?
Increased oxidative enzyme activity
What causes the “second wind” in McArdle disease?
Increased blood-borne substrates during mild aerobic activity
What is the role of muscle spindles in reflexes?
Sense stretch and initiate stretch reflex
How does the Golgi tendon reflex protect muscles?
Reduces tension to prevent tendon damage
What is the typical response in the flexor withdrawal reflex?
Flexors activated, extensors inhibited
What is reciprocal inhibition?
Inhibition of antagonistic muscles during reflexes
What happens to Type II fibres with resistance training?
Hypertrophy and increased force capacity
What happens to satellite cells with muscle damage?
They activate, proliferate, and aid repair
What is a defining feature of myotonic dystrophy on EMG?
Myotonic discharges (waxing and waning potentials)
Which disease shows nemaline rods on biopsy?
Nemaline myopathy
What is the genetic cause of myotonic dystrophy?
CTG trinucleotide repeat expansion
What triggers calcium release during contraction?
Depolarization of the T-tubule activating RyR1
Which contraction type is used to lower a weight slowly?
Eccentric
Which muscle role is active in decelerating a limb?
Antagonist
What does the moment arm determine?
The leverage and torque produced at a joint
What is an example of an isometric exercise?
Holding a plank position
How is power affected by both force and velocity?
Increased force and velocity increase power
What happens to muscle capillaries with inactivity?
Their density decreases
Which metabolic pathway requires oxygen?
Aerobic respiration
What adaptation allows muscles to store more phosphocreatine?
Repeated high-intensity training
What is the consequence of sarcomere over-stretching?
Reduced crossbridge formation and force
What happens to H-zone during full contraction?
It disappears as actin overlaps fully with myosin
What is the force–velocity relationship in muscle?
As velocity increases, force decreases in concentric contraction
What is the physiological role of titin?
Provides passive tension and centers myosin in the sarcomere
Which type of work occurs during concentric contraction?
Positive mechanical work
Which type of contraction allows most force with lowest energy?
Eccentric
What happens during the relaxation phase of a twitch?
Calcium is pumped back into the SR
Which ion initiates crossbridge formation?
Calcium
What determines how quickly a motor unit fatigues?
Fibre type and metabolic properties
Which receptor acts as a voltage sensor in excitation-contraction coupling?
DHP receptor