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Physiology · USMLE Step 1

USMLE Physiology: Muscle Physiology and Contraction Mechanisms

Skeletal, cardiac, and smooth muscle contraction mechanisms and the sliding filament model tested on USMLE Step 1.

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What is the smallest contractile unit of skeletal muscle, defined by the region between two Z lines?
The sarcomere
What protein makes up the thin filament of the sarcomere?
Actin
What protein makes up the thick filament of the sarcomere?
Myosin
What two regulatory proteins are associated with the actin thin filament and control cross-bridge formation?
Tropomyosin and troponin
What is the function of tropomyosin at rest?
It physically blocks the myosin-binding sites on actin, preventing cross-bridge formation
What troponin subunit binds calcium to trigger the contraction cycle?
Troponin C
What happens to tropomyosin when calcium binds troponin C?
The troponin-tropomyosin complex shifts position, exposing the myosin-binding sites on actin
According to the sliding filament model, what happens to the lengths of the thick and thin filaments themselves during contraction?
They stay the same length; contraction occurs because the thin filaments slide past the thick filaments, shortening the sarcomere
What sarcomere zone shortens during contraction while the A band stays the same length?
The I band (and the H zone) shorten, while the A band length remains constant
What is the source of the calcium that triggers skeletal muscle contraction?
The sarcoplasmic reticulum
What structure allows an action potential on the muscle cell surface to rapidly reach the interior of the muscle fiber?
The T tubules (transverse tubules)
What voltage-sensing protein in the T tubule membrane physically couples to the sarcoplasmic reticulum calcium release channel in skeletal muscle?
The dihydropyridine receptor
What is the name of the calcium release channel on the sarcoplasmic reticulum that the dihydropyridine receptor is mechanically linked to in skeletal muscle?
The ryanodine receptor
What ATP-dependent process terminates muscle contraction by returning calcium to the sarcoplasmic reticulum?
The SERCA (sarco/endoplasmic reticulum calcium ATPase) pump
What happens to a muscle fiber during rigor mortis at the molecular level?
Depleted ATP leaves myosin heads unable to detach from actin, causing sustained, involuntary cross-bridge binding and muscle stiffness

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