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Practice Questions

During continuous intense stimulation, the depletion of neurotransmitter stores in the presynaptic terminal leads to

A. Synaptic facilitation
B. Synaptic fatigue ✓
C. Spatial summation
D. Synaptic potentiation

Synaptic fatigue occurs when the rate of neurotransmitter release exceeds the rate of its synthesis and recycling, causing a temporary failure of synaptic transmission despite incoming action potentials.

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Jul 7, 2026

The speed of nerve impulse conduction is highest in nerve fibers that are

A. Thin and unmyelinated
B. Thick and unmyelinated
C. Thin and myelinated
D. Thick and myelinated ✓

Conduction velocity is positively correlated with both axon diameter (reducing internal electrical resistance) and the presence of myelination (allowing fast saltatory conduction).

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Jul 7, 2026

The Na⁺/K⁺ pump is an active transport ATPase that hydrolyzes ATP to move sodium and potassium against their concentration gradients, consuming a massive portion of the neuron's metabolic energy.

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Jul 7, 2026

In humans, the patellar reflex (knee-jerk) is clinically tested to assess the functional integrity of the

A. Cranial nerves
B. Spinal cord segments L2-L4 ✓
C. Cerebellum
D. Medulla oblongata

The patellar reflex is a monosynaptic spinal stretch reflex mediated specifically by the femoral nerve and the lumbar spinal cord segments L2, L3, and L4.

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Jul 7, 2026

The efferent (motor) pathway carries signals away from the CNS to the target effectors (muscles or glands). The afferent (sensory) pathway carries signals toward the CNS.

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Jul 7, 2026

Reciprocal inhibition ensures coordinated movement by using inhibitory interneurons to relax antagonistic muscles while excitatory pathways stimulate the agonist muscles.

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Jul 7, 2026

Contralateral reflex arcs (e.g., the crossed extensor reflex) involve interneurons that cross the spinal cord midline to produce a motor response on the side of the body opposite to the stimulus.

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Jul 7, 2026

The principal inhibitory neurotransmitter in the mammalian central nervous system is

A. Glutamate
B. Gamma-aminobutyric acid (GABA) ✓
C. Substance P
D. Nitric oxide

GABA is the major inhibitory neurotransmitter in the brain, functioning primarily by opening chloride channels on postsynaptic neurons to induce hyperpolarization. Glutamate is the major excitatory neurotransmitter.

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Jul 7, 2026

The condition required for temporal summation to occur at a synapse is the

A. Simultaneous firing of multiple presynaptic neurons
B. Rapid, successive firing of a single presynaptic neuron ✓
C. Release of both excitatory and inhibitory neurotransmitters
D. Opening of voltage-gated potassium channels

Temporal summation occurs when a single presynaptic neuron fires multiple times in rapid succession, allowing the resulting graded potentials to add together before the previous ones dissipate.

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Jul 7, 2026

In multiple sclerosis, the conduction of nerve impulses is severely impaired due to the

A. Destruction of the myelin sheath in the central nervous system ✓
B. Depletion of neurotransmitter vesicles
C. Hyperactivity of acetylcholinesterase
D. Blockage of voltage-gated calcium channels

Multiple sclerosis is an autoimmune disorder characterized by the progressive demyelination of axons in the CNS, which disrupts saltatory conduction and leads to severe neurological deficits.

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Jul 7, 2026

Regarding nerve impulse propagation, the refractory period ensures that the action potential

A. Travels bidirectionally
B. Moves exclusively in one direction ✓
C. Can bypass damaged axonal segments
D. Decreases in amplitude over distance

Because the membrane segment immediately behind the advancing action potential is in its refractory period (Na⁺ channels are inactivated), the impulse cannot spread backward, ensuring unidirectional propagation.

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Jul 7, 2026

The structural gap between two consecutive Schwann cells on a myelinated axon is designated as the

A. Synaptic cleft
B. Node of Ranvier ✓
C. Axon hillock
D. Internode

Nodes of Ranvier are the unmyelinated gaps between adjacent myelin segments (internodes) where action potentials are regenerated during saltatory conduction.

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Jul 7, 2026

In Parkinson’s disease, the neurological symptoms primarily result from the progressive degeneration of neurons that secrete

A. Serotonin
B. Acetylcholine
C. Gamma-aminobutyric acid (GABA)
D. Dopamine ✓

Parkinson's disease is characterized by the selective death of dopaminergic neurons in the substantia nigra of the midbrain, leading to tremors, rigidity, and loss of motor control.

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Jul 7, 2026

The rapid enzymatic breakdown of acetylcholine in the synaptic cleft is accomplished by

A. Monoamine oxidase
B. Catechol-O-methyltransferase
C. Acetylcholinesterase ✓
D. ATP diphosphohydrolase

Acetylcholinesterase (AChE) is the enzyme located in the synaptic cleft that rapidly hydrolyzes ACh into acetate and choline, terminating the synaptic signal to prevent continuous stimulation.

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Jul 7, 2026

The integration of multiple EPSPs and IPSPs arriving simultaneously at different locations on the neuron is termed

A. Temporal summation
B. Spatial summation ✓
C. Saltatory conduction
D. Post-tetanic potentiation

Spatial summation is the additive effect of graded potentials occurring at different physical locations (synapses) on the neuron at the same time. Temporal summation occurs at a single synapse over time.

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Jul 7, 2026

An inhibitory postsynaptic potential (IPSP) typically involves the opening of

A. Sodium channels
B. Calcium channels
C. Chloride or potassium channels ✓
D. Proton channels

Opening Cl⁻ channels (allowing Cl⁻ influx) or K⁺ channels (allowing K⁺ efflux) leads to hyperpolarization, moving the membrane potential further away from the threshold and inhibiting the neuron.

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Jul 7, 2026

An excitatory postsynaptic potential (EPSP) brings the membrane potential closer to threshold by causing

A. Hyperpolarization
B. Localized depolarization ✓
C. Repolarization
D. The absolute refractory period

An EPSP involves the opening of cation channels (usually Na⁺), leading to a localized, graded depolarization that makes the postsynaptic neuron more likely to fire an action potential.

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Jul 7, 2026

The postsynaptic membrane contains specialized proteins that function primarily as

A. Voltage-gated ion channels
B. Ligand-gated ion channels ✓
C. Mechanically-gated ion channels
D. Leak channels

Neurotransmitters bind to specific ligand-gated receptors on the postsynaptic membrane, which undergo a conformational change to open ion channels and generate graded potentials.

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Jul 7, 2026

The primary neurotransmitter released by the parasympathetic postganglionic neurons is

A. Epinephrine
B. Norepinephrine
C. Acetylcholine ✓
D. Dopamine

Acetylcholine (ACh) is the primary neurotransmitter of the parasympathetic nervous system (both pre- and postganglionic), while the sympathetic system predominantly relies on norepinephrine for postganglionic signaling.

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Jul 7, 2026
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