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Kaplan Qbank USMLE



Author8 Posts
  #1

A 24-year-old man who is undergoing general anesthesia for an appendectomy develops a temperature of 40 degrees C (104 degrees F) and spasms of the masseter muscles. The adverse effect could be treated with a drug with which of the following actions?

A) Antagonism of acetylcholine receptors at the neuromuscular junction
B) Decrease of Na+-K+ ATPase in the skeletal muscle
C) Facilitation of Ca++ sequestration in sarcoplasmic reticulum of skeletal muscle
D) Increase of excitation-contraction coupling in skeletal muscle
E) Inhibition of acetylcholinesterase at the neuromuscular junction


  #2

the correct answer is dantrlene use which occur thru dec calcium release from sarcoplamisc reti but as this is not given i wud chose B, is this the right ans???


___________________
good luck(Y)

  #3

Yeha it's dantrolene, so does "Sequestering" Calcium mean decreasing it from being released? Because then my money would go on C.


  #4

C

  #5

C for sure


  #6

C


  #7

http://www.jbc.org/cgi/content/abstract/272/43/26...


  #8

The skeletal muscle relaxant dantrolene inhibits the release of Ca2+ from the sarcoplasmic reticulum during excitation-contraction coupling and suppresses the uncontrolled Ca2+ release that underlies the skeletal muscle pharmacogenetic disorder malignant hyperthermia; however, the molecular mechanism by which dantrolene selectively affects skeletal muscle Ca2+ regulation remains to be defined
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