Site icon New

MCQ – 85663

Question

Action potential of cardiac muscle involves four (phases 0 – 4).
  • During phase 0 & 1, the voltage-gated calcium channel slowly opens.
  • During Phase 2, calcium channels completely open & potassium channels close.

Assertion: Phase 2 of the cardiac muscle action potential is plateau shaped.
Reason: Plateau-shape is due to decreased calcium ion permeability & increased potassium ion permeability.

A.

Both A & R are correct and R is correct explanation for A.

B.

Both A & R are correct and R is not correct explanation for A.

C.

A is correct but R is incorrect.

D.

A is incorrect but R is correct.

Show Answer

Correct Answer » C

Explanation

The ventricular cardiac muscle action potential consists of five phases (Phase 0–4). It is classified as a fast-response action potential and is fundamentally different from skeletal muscle due to the presence of a prolonged plateau phase.

Phases of Ventricular Cardiac Action Potential

Phase 0 – Rapid Depolarization

  • Caused by rapid opening of fast voltage-gated sodium channels.

  • Massive influx of Na⁺ into the cell.

  • Membrane potential rises sharply from approximately −90 mV to +20 mV.

Phase 1 – Initial Repolarization

  • Transient outward potassium current (Ito).

  • Sodium channels inactivate.

  • Slight fall in membrane potential.

Phase 2 – Plateau Phase

  • Characteristic feature of cardiac muscle.

  • L-type (slow) voltage-gated calcium channels open.

  • Calcium enters the cell.

  • Simultaneously, delayed rectifier potassium channels allow K⁺ to leave.

  • Inward Ca²⁺ current is balanced by outward K⁺ current.

  • This balance produces a prolonged plateau at near 0 mV.

Phase 3 – Rapid Repolarization

  • Calcium channels close.

  • Potassium efflux predominates.

  • Membrane returns to resting potential.

Phase 4 – Resting Membrane Potential

  • Maintained by high potassium permeability.

  • Resting membrane potential approximately −90 mV.

Analysis of Assertion

Assertion: Phase 2 of the cardiac muscle action potential is plateau shaped.
This statement is correct. Phase 2 is the plateau phase and is the defining feature of ventricular cardiac action potential. It prolongs depolarization and increases the refractory period.

Analysis of Reason

Reason: Plateau shape is due to decreased calcium ion permeability and increased potassium ion permeability.
This statement is incorrect.

Exit mobile version