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Physiology · USMLE Step 1 · Healthcare and Nursing

USMLE Physiology: Neurophysiology and Sensory Systems

Action potential mechanisms, synaptic transmission, and sensory receptor physiology tested on USMLE Step 1.

About this set

35 basic cards for USMLE Step 1 Physiology. Set 6 of 9 in USMLE Physiology. It opens with "What is the typical resting membrane potential of a neuron?" and "Which ion channels open first during the depolarization phase of an action". Study it alongside the other USMLE Step 1 sets below.

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What is the typical resting membrane potential of a neuron?
Show answerAbout -70 mV
Which ion channels open first during the depolarization phase of an action potential?
Show answerVoltage-gated Na+ channels
What two events cause repolarization after an action potential?
Show answerVoltage-gated Na+ channels inactivate and voltage-gated K+ channels open
What is the threshold potential?
Show answerThe membrane voltage at which enough Na+ channels open to make depolarization self-sustaining, triggering an action potential
What happens if a stimulus arrives during the absolute refractory period?
Show answerNo new action potential can be generated, no matter how strong the stimulus
What is the relative refractory period?
Show answerA period after the absolute refractory period when only a stronger-than-normal stimulus can trigger another action potential
What causes the absolute refractory period?
Show answerInactivation of voltage-gated Na+ channels
Using the Nernst equation, what is the approximate equilibrium potential for Na+ in a neuron?
Show answerAbout +60 mV
Using the Nernst equation, what is the approximate equilibrium potential for K+ in a neuron?
Show answerAbout -90 mV
What does the Na+/K+ ATPase pump transport per cycle?
Show answer3 Na+ out of the cell and 2 K+ into the cell
How does myelination increase nerve conduction velocity?
Show answerIt enables saltatory conduction, where the action potential jumps between nodes of Ranvier
Where are voltage-gated Na+ channels concentrated on a myelinated axon?
Show answerAt the nodes of Ranvier
How does increasing axon diameter affect conduction velocity?
Show answerIt increases conduction velocity by reducing internal (axoplasmic) resistance
How does hyperkalemia affect the resting membrane potential of excitable cells?
Show answerIt depolarizes the resting membrane potential, making it less negative
What is the mechanism of action of local anesthetics such as lidocaine?
Show answerThey block voltage-gated Na+ channels, preventing action potential propagation

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