Question 1
Question
What name is given to the label 1?
Answer
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Threshold
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Depolarisation
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Repolarisation
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Hyperpolarisation
Question 2
Question
What name is given to A?
Answer
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Depolarisation
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Repolarisation
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Hyperpolarisation
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Threshold
Question 3
Question
What name is given to B?
Answer
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Repolarisation
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Hyperpolarisation
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Depolarisation
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Threshold
Question 4
Question
What name is given to C?
Answer
-
Hyperpolarisation
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Depolarisation
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Repolarisation
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Threshold
Question 5
Question
The absolute refractory period refers to the period of hyperpolarisation in an action potential.
Question 6
Question
The refractory period is important for what?
Question 7
Question
Conductance is approximately equal to permeability.
Question 8
Question
How is an action potential propagated in a non-myelinated axon?
Answer
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The local current in an axonal section flows to the next "segment" of the axon, causing depolarisation of that part of the membrane. This continues, causing propagation of the action potential.
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The non-myelinated axon is insulated by a myelin sheath which allows current to 'jump' from node to node, via "saltatory conduction".
Question 9
Question
Anterograde transport occurs away from the cell body of a neurone.
Question 10
Question
Kinesin are motor proteins that partake in anterograde transport.
Question 11
Question
Kinesin walk towards the positive end of microtubules found in the axon, which usually leads away from the cell body of the neuron.
Question 12
Question
Motor proteins carry vesicles or membrane bound organelles like mitochondria to their desired location.
Question 13
Question
What is the correct process of wallerian degeneration?
Answer
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Trauma -> Axonal breakdown -> Macrophage invasion from nearby blood vessels -> Phagocytosis -> Ready for regeneration
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Trauma -> Axonal breakdown -> Axonal fragments absorbed into bloodstream -> Ready for regeneration
Question 14
Question
What is the correct process of wallerian regeneration?
Answer
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Edge of trauma site develops an axonal sprout -> the sprout encourages schwann cell division -> the schwann cells release neurotrophins to guide the growth cone -> growth cone grows -> axon regenerated
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Edge of trauma site develops an axonal sprout -> the sprout encourages oligodendrocyte division -> the oligodendrocytes release neurotrophins to guide the growth cone -> growth cone grows -> axon regenerated
Question 15
Question
A class 1 nerve injury would cause what?
Answer
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Minor compression and no axon degeneration
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Crushing and resulting degeneration
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Severe tear and endoneurium will be compromised
Question 16
Question
A class 2 nerve injury would cause what?
Answer
-
Minor compression and no axon degeneration
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Crushing and resulting degeneration
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Severe tear and endoneurium will be compromised
Question 17
Question
A class 3 nerve injury would cause what?
Answer
-
Minor compression and no axon degeneration
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Crushing and resulting degeneration
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Severe tear and endoneurium will be compromised
Question 18
Question
Reactive astrocytes contribute to CNS nerve regeneration.
Question 19
Question
What part of a local anaesthetic is shown by the red question mark?
Answer
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Aromatic ring
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Linkage
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Amine group
Question 20
Question
What part of a local anaesthetic is shown by the green question mark?
Answer
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Amine group
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Aromatic ring
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Linkage
Question 21
Question
What different type of link may be present in the part of the LA labelled with a blue question mark?
Answer
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Ester
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Amide
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Carbonyl
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Ketone
Question 22
Question
Why do most modern local anaesthetics have an amide linkage rather than an ester linkage?
Answer
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Broken down more slowly - longer time of action
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Broken down more quickly - shorter time of action
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More prone to causing allergies
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Less prone to causing allergies
Question 23
Question
The function of the aromatic ring in the local anaesthetic is to provide lipid soluble properties.
Question 24
Question
Local anaesthetics are...
Answer
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Weak bases
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Weak acids
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Strong bases
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Strong acids
Question 25
Question
Following on from the previous question, would a local anaesthetic be ionised in...
Answer
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Acidic conditions
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Alkaline conditions
Question 26
Question
The ionised form of the local anaesthetic can cross the plasma membrane to exhibit its action.
Question 27
Question
The ionised version of the local anaesthetic blocks the voltage-gated Na+ channels to prevent action potentials being generated.
Question 28
Question
Why is local anaesthetic less effective when a bacterial infection is present?
Answer
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Local anaesthetics are weak bases. Bacteria that are present at the infection site will be metabolising substances which creates an acidic environment. An acidic environment will cause ionisation of the local anaesthetic. The ionised form of the local anaesthetic cannot cross the plasma membrane. Less local anaesthetic crossing the PM means there is less blocking of VG Na+ channels and therefore the local anaesthetic is less effective.
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Local anaesthetics are weak acids. Bacteria that are present at the infection site will be metabolising substances which creates an alkaline environment. An alkaline environment will cause ionisation of the local anaesthetic. The ionised form of the local anaesthetic cannot cross the plasma membrane. Less local anaesthetic crossing the PM means there is less blocking of VG Na+ channels and therefore the local anaesthetic is less effective.
Question 29
Question
Lower diameter, less myelinated axons are more sensitive to local anaesthetic.
Question 30
Question
What is topical application of local anaesthetics?
Question 31
Question
What is meant by infiltration in the context of application of local anaesthetics?
Question 32
Question
What is meant by nerve block in the context of application of local anaesthetics?
Question 33
Question
What side effects could result from local anaesthetic in high doses?
Question 34
Question
What adjunct might be used with local anaesthetic?
Answer
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Adrenaline
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Bupivicaine
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Omeprasole
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Acetylcholine
Question 35
Question
Transmitter binding to post-synaptic receptors causes a conformational change.
Question 36
Question
Many neurotransmitters can bind to one receptor subtype.
Question 37
Question
Metabotropic receptors are an ion channel pore which opens upon neurotransmitter binding.
Question 38
Question
Temporal summation increases the number of synapses firing at the same time to help threshold to be exceeded.