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Anaes SAQsApplied cardiovascular & respiratory physiology

Anaes SAQs · Applied cardiovascular & respiratory physiology

Neuromuscular junction physiology

Primary — ACh vesicle release (calcium), nicotinic receptor and end-plate potential, acetylcholinesterase termination, T-tubule/DHP/ryanodine excitation-contraction coupling, suxamethonium (depolarising) vs rocuronium (competitive), neostigmine (anticholinesterase) and sugammadex (encapsulation), myasthenia gravis and Lambert-Eaton.

10 marks10 min1 min readVerification in progress

Target exams

ANZCAFRCAABAEDAIC
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Target exams

ANZCAFRCAABAEDAIC
Prompt
Describe the sequence of events at the neuromuscular junction from motor nerve action potential to muscle contraction. Explain the mechanism of action of a depolarising and a non-depolarising neuromuscular blocker and their reversal.

Question

Describe the sequence of events at the neuromuscular junction from motor nerve action potential to muscle contraction. Explain the mechanism of action of a depolarising and a non-depolarising neuromuscular blocker and their reversal.

[1]
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You have read the opening of this SAQ. The complete unit — every section and its primary-source references — is part of the Anaesthesia fellowship library.

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References4ShowHide
  1. [1]Wood SJ, Slater CR. Safety factor at the neuromuscular junction. Prog Neurobiol, 2001.PMID 11275359
  2. [2]Sato M, et al. Suspected Neostigmine-Associated Bronchospasm Complicated by Pulmonary Edema During General Anesthesia: A Case Report. Cureus, 2026.PMID 42311723
  3. [5]Ishihara H, et al. Anaphylaxis After a Third Exposure to Sugammadex. Anesth Prog, 2025.PMID 41905390
  4. [3]Jiang L, et al. Efgartigimod for generalized myasthenia gravis: a comprehensive review of clinical evidence and future perspectives. Front Neurol, 2026.PMID 42358938
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