A patient presents with muscle weakness, and upon examination, you suspect a disorder affecting the neuromuscular junction. Which condition is most likely responsible for these symptoms?
Fibromyalgia
Muscular dystrophy
Polymyositis
Myasthenia gravis
The Correct Answer is D
A. Fibromyalgia: Fibromyalgia is a chronic pain syndrome characterized by widespread musculoskeletal pain and fatigue, not a primary disorder of the neuromuscular junction.
B. Muscular dystrophy: Muscular dystrophy represents genetic disorders causing progressive muscle fiber degeneration rather than a problem at the neuromuscular junction.
C. Polymyositis: Polymyositis is an inflammatory myopathy causing proximal muscle weakness due to muscle inflammation, not a junctional transmission defect.
D. Myasthenia gravis: Myasthenia gravis is an autoimmune disorder that impairs acetylcholine receptor function at the neuromuscular junction, producing fluctuating muscle weakness and fatigability.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. T-tubule:T-tubules (transverse tubules) transmit action potentials into the muscle fiber and help trigger calcium release but do not store the bulk of calcium.
B. Mitochondria:Mitochondria produce ATP required for contraction and relaxation but are not the primary reservoir for calcium used in the contraction cycle.
C. Myofibril:Myofibrils are the contractile elements composed of sarcomeres (actin and myosin) and do not serve as the calcium storage organelle.
D. Sarcoplasmic reticulum:The sarcoplasmic reticulum is a specialized endoplasmic reticulum in muscle fibers that stores and releases calcium ions to initiate and terminate contraction.
Correct Answer is B
Explanation
A. Medullary cavity:The medullary cavity is the hollow central space within the diaphysis that contains bone marrow; it is not where bone lengthening takes place.
B. Epiphyseal plate:The epiphyseal plate (growth plate) is the area of hyaline cartilage between the diaphysis and epiphysis where new bone is produced, leading to longitudinal bone growth during development.
C. Periosteum:The periosteum is a dense connective tissue layer covering the outer surface of bones and contributes to bone thickness and repair rather than length.
D. Articular cartilage:Articular cartilage covers the ends of bones in joints to provide a smooth surface for movement but is not involved in bone growth.
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