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Kaplan Qbank USMLE



Author13 Posts
  #1

Membrane excitability will be increased by the greatest amount by
a. Increasing extracellular Na+
b. Increasing extracellular K+
c. Decreasing extracellular Cl2−
d. Decreasing extracellular Ca2+
e. Decreasing extracellular H+

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  #2

i think its b

  #3

I thought too that's it was b, but I was wrong.....I read the right answer and it's not b...

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  #4

its b.
increasing ecf K will deacrease leakage of K from ungated K channel which will lead to depolarization.

  #5

K will increase excitation, but in this case it's not the one who causes THE MOST excitation...try again...

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my msn messenger address is squadracalcetto@interfree.it ; my email address is giovanni83@email.it ; and my website is http://www.appuntimedicina.it ciao ciao

  #6

is it d???

  #7

Could be D- in hypocalcemia the cells close the gates so the i.c Ca will be increased which means more + ions in cells and excitability.But maybe I am wrong...

  #8

i think it is A

  #9

It is d...Ca...coz excitability .Increased ca...cozes Na channels to open where as K causes it to close.

  #10

A .

  #11

the right answer it's D, if you want I can send you the explanation too...

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my msn messenger address is squadracalcetto@interfree.it ; my email address is giovanni83@email.it ; and my website is http://www.appuntimedicina.it ciao ciao

  #12

i think it's D
because when Ca decreased the threshold need will be decreasedto the +ve direction

  #13

The answer is d. (Guyton, p 59.) Membrane excitability is related to
the ease with which Na+ channels open when the cell is depolarized. The
activation of Na+ channels or the opening of the m gate is governed in part
by the extracellular Ca2+ concentration. When extracellular Ca2+1 is lowered,
the m gate can open at more negative membrane potentials, and
therefore the membrane is more easily excited. Although increasing extracellular
K+ will bring the membrane closer to threshold and thus may make
it more excitable, its predominant effect is to cause the inactivation of Na+
channels by the closing of the h gates. Inactivation of sodium channels
makes the cell membrane less excitable.

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my msn messenger address is squadracalcetto@interfree.it ; my email address is giovanni83@email.it ; and my website is http://www.appuntimedicina.it ciao ciao







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