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Kaplan Qbank USMLE



Author17 Posts
  #1

which of the following changes would be expected to make membrane potential of a muscle cell more positive than the normal (resting) cell:
a) increased potassium conductance
b) increased conductance to chloride
c) decreawed conductance to sodium
d) increased extracellular potassium concentration
e) increased extracellular chloride concentration

please, comment on your opinionsmiling face
thank yousmiling face

  #2

The answer is D. Increasing the K+ outside the cell causes at the very least a more positive resting membrane potention because it decreases the concentration gradient of K+. Further if you increase the K+ to a very high level it will result in the reversal of the concentration gradient and flow of K+ into the muscle cell leading to depolarization .

So now I hope you atleast have faith in this forum!! Good question when are you taking the test?



  #3

the correct answer listed was B

  #4

my exam is in Feb, but i feel like i am sliding in a comatose state...had to push it from Jan to Feb to do one more reading

  #5

totally diagree with B, but that's what was given as a correct answer

  #6

answer is D. cl- ion equilibrium potential is -90mv so no matter what the conductance to chloride ion is, there is no net movement.

___________________
Dont worry.Nobody knows 100%

  #7

Thats what kaplan says, where did you get the question from ? usmle rx ?

I'm doing the same thing as you. I thought I would get one more reading in and thus postponed a month. Now its just been really hard to keep reading the last ten days or so. I blame some of this on the fact that my beloved Dallas Cowboys took a nose dive. Truly tragic...I might not ever recover. Good luck on your test.

Edited by Ancylostoma on 01/08/07 - 09:27 PM

  #8

I believe the answer is D. According to BRS .. increased Cl- conc would lead to inhibition of the cell membrane, drawing it further away from membrane's pot threshold and away from initiating an AP.

If you increase the conductance of K+ out of the cell, then you make the cell more positive internally and that would evetually lead to excitation as you surpass the threshold.

Ancylostoma... can u further explain what you mentioned above please "Further if you increase the K+ to a very high level it will result in the reversal of the concentration gradient and flow of K+ into the muscle cell leading to depolarization . " thx

dido



___________________
Get me the hell out of this!

  #9

the answer is definitely d

  #10

thank you very much, guys, now i know that i am not retarded (at least one point against it), but this question (with answer) actually comes from Kaplan Physio book, so it must be a mistake they have there. there is also very weird explanation that is very hard to correlate with actual question...

Ankylostoma, don't take it so close, it's just a game and put it this way....lose or wiin, these guys have a job ano no one is losing it, and you on the other hand, if will not concentracte and WIN will not be in the same situationsmiling face
when is your exam?

  #11

more positive than the normal
increased conductance to chloride is the answer .. dont go into AP details .. the Q is simple .. the Cl a neg ion to be pumped outside ..

There fore more Na would be needed to achieve the theroshold for AP .. if you consider AP i.e.

___________________
JSK .. O Lord !! Increase my capacity to Absorb knowledge ..

  #12

when we increase conductance in Cl, doesn't INFLUX of Cl increase?

  #13

I'm going to take my exam a month from now. So i'm about to gear up for a serious last study blitz. Hopefully I want to finish my kaplan questions and usmle world and then take the exam

  #14

goog luck to yousmiling face i'm just few days behind. you'll do just fine, i'm suresmiling face

  #15

lol, the smileys cure all, thanks ,good luck to you again !!

  #16

B) is totally wrong
No matter wht the CL conductance is there will be NO net difusion of CL in a steady state sit. b/c CL is already at its Eq. Pot, nor a change in Conductance of CL in a steady state sit. alter cell's Eq. potential !!!!!!

  #17

B) is totally wrong
No matter wht the CL conductance is there will be NO net difusion of CL in a steady state sit. b/c CL is already at its Eq. Pot, nor a change in Conductance of CL in a steady state sit. alter cell's Eq. potential !!!!!!







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