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EXAM 3 – MUSCLES - JOINTS 1. The Transverse or T-Tubules are specialized extensions of what cellular structure in skeletal muscle cells? a. mitochondria b. nucleus c. smooth endoplasmic reticulum d. plasma membrane e. None of these is correct 2. The tissue surrounding the individual muscle fibers is called ____________ a. epimysium b. perimysium c. scarcoplasm d. endomysium e. endoneurium 3. The combination of electrical and mechanical activity is referred to as _____ a. motion intensity b. excitation/contraction coupling c. direct action d. indirect action e. none of these answers 4. What process creates the shortening of muscle fibres at the level of the sarcomere? a. motor protein motility b. cross bridge formation between actin and myosin c. contraction of titin fibres d. voltage gated channel activation e. none of the is correct 5. The ______________ is a storage structure(well) for ionic calcium utilized in muscles a. T – tubules b. Sarcomere c. Terminal cisternae d. Z – band e. Myoglobin 6. Which of these structures resemble a double string of pearls when seen in muscle cells? a. sarcoplasm b. actin filaments c. myosin filaments d. transverse tubules e. terminal cisternae 7. The thick myofilaments are made of _______________, and the thin filaments are made of _______. a. myosin, actin b. actin, titin c. actin, myosin d. myosin, mitin e. titin, actin 8. The impulse travels through the muscle fiber by way of the _______________ A. B. C. D. E. sarcomere T-tubule Synapse Tiny nerve fibers in the individual muscle fiber These all contribute to the above 9. The red pigment of skeletal muscle is due to _____. A. B. C. D. E. hemoglobin myoglobin iron residue melanin None of the above 10. Skeletal muscles are known to be ____________. A. B. C. D. E. Highly mitotic Multi – nuclear Mono chromatic Atypical None of the above Use the following key to match the term to the description that follows below, terms may be used more than once or not at all. A. tropomyosin B. troponin C. ATP D. Calcium E. Acetyl Choline ____11 This is the substance that is released and activates the motor end plate. ____12 This is a strand like protein is threaded lengthwise in the muscle fibrils and prevents the fibers from sliding over one another ____13. This is a plug like protein that is found along the thin fibrils that must bond to an ion to help activate the system. ____14. This substance when released attaches to protein plugs and causes it to change shape ____15. This substance provides the energy for the sliding process of the fibrils. Choose the best answer: 16. The action potential of the motor nerve releases what ionic particle to assist in neurotransmitter release A. B. C. D. E. Calcium Potassium Barium Chloride Magnesium 17. The motor end plate consists of what kind of receptors? A. B. C. D. E. Voltage gated Ligand gated Non- gated Double gated None of these is correct 18. The Sarcomere is bounded by what structure(s) A. B. C. D. E. titin filaments dark bands H – zones Z – discs None of these is correct 19. What enzyme is present in the synapse to deactivate the neurotransmitter at the motor end plate A. B. C. D. E. amylase cholinase acetyl cholinesterase Acetylase None of these is correct 20. The A band is visible due to what phenomena A. B. C. D. E. overlapping of titin fibrils overlapping of myosin and actin thin strands of myosin intertwined thick strands of actin intertwined large amounts of myoglobin 21. What complex carbohydrate is found in muscle as its energy source A. B. C. D. E. glycerin starch lactose glycogen dextran 22. Repetitive stimuli to the same muscle, every 10-15 milliseconds, will cause_______________ A. B. C. D. E. Staircasing Recruitment Spasm Tetany None of these phenomena are caused 23. Chemical weapons, such as Sarin or VX gas, lead to spastic paralysis cause death by what action on muscle physiology? A. They block acetyl choline B. They block receptor sites from acetyl choline C. They stop motor nerves from depolarizing D. They inhibit acetyl choline esterases E. Both C & D are involved 24. The action of acetyl choline on the receptor sites of the motor endplate ___________ A. B. C. D. E. Allows for ATP to be released Allows Na+ to enter at the end plate Allows K+ to exit at the end plate Creates an impulse that travels across the muscle cell Both B & C are actions 25. Sodium and potassium lead to end plate potentials, this is best described by which answer below? A. B. C. D. E. Na+ enters the cell and K+ exits in a 3 to 2 ratio Na+ enters the cell and K+ exits in a 2 to 3 ratio K+ enters the cell and Na + exits in a 2 to 3 ratio K+ and Na+ both enter the cell equally K+ and Na+ both exit the cell equally : 26. What is the name of the substance in muscle that is available to supply energy after the available ATP is used up? A. B. C. D. E. glucose lactic acid glycogen creatine phosphate none of these is correct 27. When a muscle is stimulated before all the calcium ions are returned to the sarcoplasmic reticulum, what phenomena may occur? A. B. C. D. E. staircasing destabilization calcification of the muscle fiber end plate potentials none of these is correct 28. Where are the binding sites located that are uncovered as tropomyosin changes position? A. B. C. D. E. on Actin on Myosin on Troponin on Tropomyosin None of these is correct 29. What is the name of structures that are responsible for resetting the cell chemically following depolarization and repolarization? A. B. C. D. E. Sodium/Potassium Pumps Sodium Gated channel Potassium Gated channels Ligand gated Pumps None of these is correct 30 What is the underlying reason for the development of the phenomena known as rigor mortis? A. B. C. D. E. Absence of available ATP to release the cross bridge Presence of Calcium to in the T-tubules An electrical surge similar to an action potential from spinal decay Decomposition of the troponin None of these is correct 31.. A non-moving joint that holds a tooth in a socket is a ______________ A. gomphosis B. syndesmosis C. diarthrosis D. sychondroses E. none of these is correct 32. What type of joint space is found in a symphyses, such as made by an intervertebral disc. A. synovial B. fibrous C. fluid-filled D. indirect E. none of these are found in this joint 33. Where are the cruciate ligaments found? A. knee B. ankle C. elbow D. shoulder E. hip 34. The menisci, both medial and lateral are found in what joint? A. knee B. ankle C. elbow D. shoulder E. hip 35. What is the most frequently occurring type of arthritic deterioration A. rheumatoid arthritis B. rheumatic arthritis C. gouty arthritis D. osteoarthritis E. osteomyelitis 36. Gouty arthritis is classified as _______________ A. crystal induced arthritis B. inflammatory arthritis C. non-articular arthritis D. A and B E. A, B And C 37. In Rheumatoid arthritis, what is the first sign of the disease? What is noticeable first in the joint, as per lecture? A. B. C. D. E. swelling in the joint narrowing of the joint squaring or degenerative change in the joint blood in the joint none of these is correct 38. Which of these is not a treatment for osteoarthritis A. B. C. D. E. heat exercise anti-inflammatory agents reconstructive or replacement joint surgery all of these are possible treatments Use the following table to match the joints to the classification that they are in, answers may be used once, twice or not at all. A. hinged B. ball and socket C. gliding or sliding D. pivoting E. condyloid 39. elbow 40. the hip 41. the atlanto-axial joint 42. the metacarpo-phalangeal joints Answer the remaining questions either A(true) or B( false) ___43. All synovial joints have a joint space ___44. Ligaments may be found both inside and outside of a joint ___45. Troponin plugs stabilize myosin heads ___46. ATP is needed to “cock” the myosin heads prior to attaching to actin filaments ___47. The choline is reabsorbed and recycled to make more neurotransmitter ___48. Depolarization is brought on by a large in flow of Potassium ions ___49. Calcium is important to both the nerve and muscle firing ___50. “A” bands appear darker than “I” bands, microscopically.