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Questions Answered: 179

Final Score 65%

117
62

Questions

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Physiology

Basic Cellular

Question 33 of 180

Regarding skeletal muscle contraction, which of the following statements is CORRECT:

Answer:

The contraction of muscle is triggered by the release of Ca2+ from the sarcoplasmic reticulum where it is stored bound to calsequestrin. This raises the concentration of calcium which saturates the binding sites on troponin. This results in a shift of tropomyosin, exposing actin binding sites thus allowing myosin cross-bridges to form with actin. Myosin cross bridges attaches attach to the actin filament. The myosin head pivots and bends as it pulls on the actin filament sliding it towards the M line. Release of ADP and Pi from the myosin head frees the head for another molecule of ATP. As new ATP attaches to the myosin head, the cross bridge detaches and frees the myosin head for further binding. ATP is hydrolysed to ADP and Pi, returning the myosin head to the 'cocked' position. This mechanism is called the sliding filament theory.  The muscle fibre itself does not shorten in contraction, but the sarcomere shortens as the thick and thin filaments slide over one another. This constant interaction of the thin and thick filaments, binding, tilting, releasing and rebinding and sliding over one another using cross-bridges will continue as long as Ca2+ remains high. The duration of the contraction is dependent on the rate at which the sarcoplasmic reticulum pumps back the Ca2+ into the terminal cisternae.

Myofilaments

The thin filament consists of two intertwining strands of actin with smaller strands of tropomyosin and troponin between the intertwining strands. The thick filament is composed predominantly of myosin. Each molecule is club shaped, with a thin tail, comprising two coiled peptide chains and a head made up of two heavy peptide chains and four light peptide chains. The ATPase activity of the myosin molecule is concentrated in the head. The thin tails of the myosin form the bulk of the thick filaments, whereas the heads project outwards to form cross bridges between the thick filaments and their neighbouring thin filaments.

By OpenStax [CC BY 4.0 , via Wikimedia Commons

Myofilaments. (Image by OpenStax [CC BY 4.0 , via Wikimedia Commons)

Muscle Contraction

The contraction of muscle is triggered by the release of Ca2+ from the sarcoplasmic reticulum where it is stored bound to calsequestrin. This raises the concentration of calcium which saturates the binding sites on troponin. This results in a shift of tropomyosin, exposing actin binding sites thus allowing myosin cross-bridges to form with actin.

The myosin head then pivots and bends as it pulls on the actin filament sliding it towards the M line. Release of ADP and Pi from the myosin head frees the head for another molecule of ATP. As new ATP attaches to the myosin head, the cross bridge detaches and frees the myosin head for further binding. ATP is hydrolysed to ADP and Pi, returning the myosin head to the 'cocked' position. Like fingers of the hands sliding over one another, actin and myosin molecules slide past each other.

This mechanism is called the sliding filament theory.  The muscle fibre itself does not shorten in contraction, but the sarcomere shortens as the thick and thin filaments slide over one another. This constant interaction of the thin and thick filaments, binding, tilting, releasing and rebinding and sliding over one another using cross-bridges will continue as long as Ca2+ remains high. The duration of the contraction is dependent on the rate at which the sarcoplasmic reticulum pumps back the Ca2+ into the terminal cisternae.

By CNX OpenStax [CC BY 4.0 , via Wikimedia Commons

Sliding Filament Theory. (Image by CNX OpenStax [CC BY 4.0 , via Wikimedia Commons)

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  • Biochemistry
  • Blood Gases
  • Haematology
Biochemistry Normal Value
Sodium 135 – 145 mmol/l
Potassium 3.0 – 4.5 mmol/l
Urea 2.5 – 7.5 mmol/l
Glucose 3.5 – 5.0 mmol/l
Creatinine 35 – 135 μmol/l
Alanine Aminotransferase (ALT) 5 – 35 U/l
Gamma-glutamyl Transferase (GGT) < 65 U/l
Alkaline Phosphatase (ALP) 30 – 135 U/l
Aspartate Aminotransferase (AST) < 40 U/l
Total Protein 60 – 80 g/l
Albumin 35 – 50 g/l
Globulin 2.4 – 3.5 g/dl
Amylase < 70 U/l
Total Bilirubin 3 – 17 μmol/l
Calcium 2.1 – 2.5 mmol/l
Chloride 95 – 105 mmol/l
Phosphate 0.8 – 1.4 mmol/l
Haematology Normal Value
Haemoglobin 11.5 – 16.6 g/dl
White Blood Cells 4.0 – 11.0 x 109/l
Platelets 150 – 450 x 109/l
MCV 80 – 96 fl
MCHC 32 – 36 g/dl
Neutrophils 2.0 – 7.5 x 109/l
Lymphocytes 1.5 – 4.0 x 109/l
Monocytes 0.3 – 1.0 x 109/l
Eosinophils 0.1 – 0.5 x 109/l
Basophils < 0.2 x 109/l
Reticulocytes < 2%
Haematocrit 0.35 – 0.49
Red Cell Distribution Width 11 – 15%
Blood Gases Normal Value
pH 7.35 – 7.45
pO2 11 – 14 kPa
pCO2 4.5 – 6.0 kPa
Base Excess -2 – +2 mmol/l
Bicarbonate 24 – 30 mmol/l
Lactate < 2 mmol/l

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