93 multiple-choice questions with answers and explanations
Test yourself on muscles: skeletal, cardiac and smooth muscle tissue, how a muscle fiber contracts, the neuromuscular junction, and how muscles get energy, tire and adapt to training.
Read a question, pick an option, then open the answer to check yourself and read why it is correct.
Question 1
Answer: C. Skeletal
Skeletal muscle is controlled by the somatic nervous system and can be activated voluntarily. Cardiac and smooth muscle function involuntarily.
Question 2
Answer: D. Ability to relax
Skeletal, cardiac, and smooth muscle can all relax after activation. Relaxation reduces active tension as calcium-dependent activation subsides.
Question 3
Answer: B. They are connected by intercalated discs containing gap junctions
Gap junctions in intercalated discs let depolarizing current pass between adjacent cardiac muscle cells, coordinating contraction. Spontaneous impulses originate in pacemaker cells.
Question 4
Answer: B. Alternating dark A and light I bands caused by the arrangement of actin and myosin filaments
Striations in skeletal and cardiac muscle cells arise from the regular arrangement of actin and myosin filaments within sarcomeres. Dark A bands span the thick myosin filaments, including regions where they overlap thin actin filaments; light I bands contain thin actin filaments without thick myosin filaments.
Question 5
Answer: A. Through sympathetic and parasympathetic branches influencing heart rate and digestion
Sympathetic and parasympathetic pathways modulate cardiac and smooth muscle activity. Examples include changes in heart rate, digestive motility, and airway caliber.
Question 6
Answer: B. Sarcomere
A sarcomere extends between adjacent Z-discs and contains the actin and myosin filaments that interact during contraction.
Question 7
Answer: D. Epimysium
The epimysium surrounds the whole skeletal muscle and helps maintain its structural integrity. Perimysium surrounds fascicles, while endomysium surrounds individual fibers.
Question 8
Answer: A. Tendons
Tendons are strong, fibrous connective tissues that attach muscles to bones, allowing for the transfer of force necessary for movement. Ligaments, conversely, connect bones to other bones.
Question 9
Answer: B. They differentiate and fuse with existing muscle fibers, aiding regeneration
Satellite cells are precursor cells that become activated in response to muscle injury. They proliferate and differentiate into myoblasts, which then fuse with damaged muscle fibers or each other to repair and regenerate muscle tissue.
Question 10
Answer: D. Fibrotic connective tissue can increase passive stiffness and limit stretch
Fibrosis replaces healthy muscle with excess noncontractile connective tissue, which can increase passive stiffness and reduce mobility. Collagen organization also matters, so collagen amount alone does not predict stiffness.
Question 11
Answer: A. More fibers can be packed in parallel for greater force capacity, often with less excursion
Pennate architecture can pack more fibers into a given muscle volume, increasing physiological cross-sectional area and force capacity. Its typically shorter fascicles generally permit less shortening excursion than long parallel fascicles.
Question 12
Answer: C. Longer fibers permit greater shortening excursion and maximum shortening velocity
Longer fibers contain more sarcomeres in series, allowing greater shortening distance and maximum shortening velocity. Maximal isometric force depends primarily on physiological cross-sectional area, rather than fiber length alone.
Question 13
Answer: A. Tendons transmit muscle force while temporarily storing and returning elastic energy
Tendons stretch under load and recoil as the load decreases, storing and returning elastic energy. This can buffer the rate at which muscle fascicles are loaded.
Question 14
Answer: D. It can stimulate collagen remodeling and increase load-bearing capacity and stiffness
Repeated mechanical loading can stimulate tendon remodeling and improve its ability to transmit force. Adaptations can include increased stiffness, while excessive loading can cause injury.
Question 15
Answer: C. It enhances muscle resilience and aids force transmission across fibers
Connective tissue plays an essential role in supporting muscle structure, resilience, and facilitating efficient force transmission during contractions. It helps distribute stress, minimizing damage and maintaining overall muscle integrity.
Question 16
Answer: A. Collagen fibers are predominantly aligned along the tendon's long axis
The predominantly longitudinal organization of collagen lets tendons resist tensile loading and transmit muscle force to bone.
Question 17
Answer: B. Calcium
Calcium binds to troponin, shifting tropomyosin away from the myosin-binding sites on actin. This permits cross-bridge formation.
Question 18
Answer: B. Concentric contractions shorten the muscle; eccentric lengthen it
In concentric contractions, the muscle fibers shorten as they generate tension to overcome resistance. In eccentric contractions, the muscle fibers lengthen while still generating tension, such as when lowering a weight.
Question 19
Answer: D. Myosin forms cross-bridges with actin and undergoes a power stroke
Myosin heads bind actin to form cross-bridges and perform a power stroke that pulls thin filaments toward the sarcomere center. Repeated ATP-dependent cycling generates force and can shorten the muscle.
Question 20
Answer: A. Calcium exposes myosin-binding sites on actin, and its reuptake permits relaxation
Calcium binding to troponin moves tropomyosin away from myosin-binding sites on actin. Pumping calcium back into the sarcoplasmic reticulum allows these sites to be covered again, permitting relaxation.
Question 21
Answer: C. Reaching threshold triggers a propagated action potential; a subthreshold stimulus does not
Once threshold is reached, the fiber generates an action potential whose amplitude is not graded by stimulus strength. Mechanical force can still vary with muscle length, stimulation frequency, and fatigue.
Question 22
Answer: D. ATP binding detaches myosin, ATP hydrolysis re-cocks it, and ATP powers calcium reuptake
ATP binding releases myosin from actin, while ATP hydrolysis energizes the myosin head for another cycle. ATP also powers calcium pumps that return calcium to the sarcoplasmic reticulum during relaxation.
Question 23
Answer: C. Active force is greatest near optimal actin-myosin overlap
Optimal overlap permits the greatest number of effective actin-myosin cross-bridges. Excessive shortening or stretching reduces active force.
Question 24
Answer: B. Inhibited activity limits cross-bridge cycling, reducing contraction strength
Myosin ATPase hydrolyzes ATP, providing the energy necessary for the power stroke in muscle contraction. Inhibition of this enzyme disrupts ATP utilization, weakening contractions by preventing efficient cross-bridge cycling.
Question 25
Answer: A. At an intermediate shortening velocity, balancing force and speed
Mechanical power is force multiplied by shortening velocity. It generally peaks at an intermediate velocity because very low velocities limit speed and very high velocities allow little force.
Question 26
Answer: B. Fine motor skills use small motor units with few fibers; gross skills use large units with many fibers
Fine motor skills require precise control and use smaller motor units, each innervating fewer muscle fibers. Gross motor skills involve larger, more powerful actions requiring motor units with many muscle fibers, enabling forceful contractions.
Question 27
Answer: A. They sense stretch and initiate contraction to resist it
Muscle spindles are sensory receptors within muscles that detect changes in length. When a muscle is stretched, they initiate a reflexive contraction to resist the stretch and prevent injury, maintaining muscle tone.
Question 28
Answer: D. By increasing the recruitment of motor units and enhancing their firing rate
Resistance training leads to neuromuscular adaptations that include better recruitment of motor units and increased firing rates. These adaptations improve coordination and force generation, enhancing overall strength and performance.
Question 29
Answer: D. By activating inhibitory spinal pathways that reduce motor-neuron activity to the same muscle
Golgi tendon organs detect tension in tendons. In the classical inhibitory reflex, their input reduces activation of the tension-producing muscle, helping limit excessive tension.
Question 30
Answer: A. Providing constant feedback for adjusting posture and motor output
Muscle proprioceptors, such as muscle spindles and Golgi tendon organs, provide feedback regarding muscle tension and position, allowing the nervous system to make real-time adjustments in movement, aiding precision and coordination.
Question 31
Answer: A. Its motor-neuron activity is inhibited, allowing it to relax
Reciprocal inhibition reduces antagonist activation as the agonist contracts, facilitating movement. Other tasks can involve simultaneous agonist and antagonist activation for stability.
Question 32
Answer: D. A transient increase in evoked twitch force after prior muscle activation
Post-activation potentiation is a temporary increase in electrically evoked twitch force following prior activation. It does not necessarily produce an improvement in voluntary athletic performance.
Question 33
Answer: C. Joint position sense can be impaired, potentially hindering movement control
Muscle-damaging exercise can be followed by errors in joint position sense, affecting movement control. This does not by itself establish that the sensory receptors have been damaged.
Question 34
Answer: C. Neural adaptations from training one limb can help preserve strength in the opposite untrained limb
Cross-education is a gain or preservation of strength in an untrained limb following training of the opposite limb. It is largely attributed to neural adaptations and can be useful during unilateral immobilization.
Question 35
Answer: A. Additional motor units can be recruited to help maintain the target force
The nervous system can recruit additional motor units to compensate as active units fatigue. Changes in recruitment and firing rates depend on the task, so fatigue does not universally reduce recruitment.
Question 36
Answer: D. It can improve postural control through practice of coordinated balance responses
Balance training challenges coordinated responses that help control posture and joint position. Benefits depend on the program and population, and improved balance does not necessarily prove sharper proprioceptive acuity.
Question 37
Answer: A. Repeated practice leads to motor learning, developing muscle memory for efficient actions
Through repetition, motor learning facilitates the brain's ability to coordinate muscle action sequences effectively. This repetition fosters muscle memory, allowing precise, efficient movements that enhance athletic performance and skill mastery.
Question 38
Answer: A. Small, slow-twitch units activate first, with larger, fast-twitch units recruited as force demands increase
Henneman's size principle outlines that motor units are recruited from smallest to largest based on force demands. This ensures efficient energy use and increases force production progressively, optimizing performance across varying intensities.
Question 39
Answer: D. Neuromuscular transmission is impaired, causing muscle weakness
Acetylcholine normally activates receptors on the motor end plate and initiates depolarization. If excitation is insufficient to trigger muscle action potentials, affected fibers fail to contract.
Question 40
Answer: D. Myoglobin
Myoglobin binds oxygen in the sarcoplasm and provides an oxygen reserve for mitochondrial ATP production.
Question 41
Answer: C. Slow-twitch
Slow-twitch fibers are designed for endurance and long-duration activities. They are efficient at using oxygen to generate ATP for continuous, extended contractions over a long time, making them ideal for marathons.
Question 42
Answer: D. Generate heat
ATP use during muscle contraction releases heat, helping maintain body temperature. Shivering increases heat production through repeated skeletal muscle contractions.
Question 43
Answer: A. Creatine phosphate system
The creatine phosphate system provides a rapid source of energy by donating a phosphate group to ADP, forming ATP. This system is used for short bursts of high-intensity activity, offering immediate energy for muscle contraction.
Question 44
Answer: C. Oxidative phosphorylation
During prolonged exercise, muscle fibers primarily rely on oxidative phosphorylation for ATP production. This aerobic process occurs in mitochondria and utilizes oxygen to efficiently produce ATP over extended periods.
Question 45
Answer: C. Metabolic and ionic changes that impair calcium handling and force production
Changes in metabolites and ion gradients can impair calcium handling and reduce force production. Fatigue has several contributors and cannot be attributed simply to lactate accumulation.
Question 46
Answer: D. Hypertrophy involves heightened synthesis of contractile proteins, increasing fiber size
Muscle hypertrophy occurs primarily due to an increase in the size of existing muscle fibers. Resistance training stimulates the synthesis of contractile proteins like actin and myosin, resulting in larger, stronger fibers capable of generating more force.
Question 47
Answer: B. Aerobic training enhances mitochondrial density; anaerobic increases glycolytic capacity
Aerobic training boosts the number of mitochondria, enhancing oxidative capacity and endurance. Anaerobic training focuses on increasing glycolytic enzymes, allowing for rapid ATP generation and enhanced strength and power in short-duration activities.
Question 48
Answer: C. Decrease in muscle mass, fiber size, and slower regenerative capacity
Aging leads to a reduction in muscle mass and fiber size due to a decrease in physical activity and hormonal changes. There is also a slower regenerative capacity due to the decline in satellite cell activity and protein synthesis.
Question 49
Answer: A. Muscle atrophy caused by reduced protein synthesis and loss of fiber size
Decreased physical activity leads to muscle atrophy, characterized by a loss of muscle mass and strength due to diminished protein synthesis and reduced use of muscle fibers. This results in a decline in functional capacity over time.
Question 50
Answer: A. Genetic factors influence baseline fiber-type distribution and strength potential
Genetics influence baseline muscle characteristics and responsiveness to training. Training can also alter fiber properties and proportions, particularly among fast-twitch subtypes.
Question 51
Answer: B. Active tension is force from contraction; tone is ongoing low-level muscle activation
Active tension is the pulling force generated by contracting muscle fibers. Resting skeletal muscle tone involves involuntary low-level motor-unit activity that helps maintain posture and joint stability.
Question 52
Answer: B. It can alter enzyme activity and reduce force generation
Intracellular acidosis can alter metabolic and contractile processes and contribute to reduced force. Lactate production accompanies intense exercise but is not itself the cause of the acidosis.
Question 53
Answer: A. They load muscle while it lengthens, providing a stimulus for strength and size gains
Progressive eccentric loading can stimulate neural and muscular adaptations that increase strength and muscle size. Muscle damage can occur, especially with unfamiliar exercise, but is not required for these gains.
Question 54
Answer: B. They possess rapid contraction speed and high anaerobic capacity, ideal for powerful bursts
Type II (fast-twitch) fibers contract quickly and have a high anaerobic potential, allowing them to generate powerful, rapid movements suitable for sprinting, jumping, and other high-intensity activities. Their properties make them less efficient for endurance activities compared to type I fibers.
Question 55
Answer: D. Concentric contractions generally use more ATP than eccentric contractions
At comparable force and duration, active shortening generally has a greater ATP cost than active lengthening. Eccentric contractions can therefore produce substantial force at a lower metabolic cost.
Question 56
Answer: B. Specific hormones like testosterone enhance anabolism and muscle hypertrophy
Hormones such as testosterone promote muscle growth by enhancing protein synthesis, stimulating anabolic processes leading to hypertrophy, and improving recovery after intense exercise. These hormonal effects are critical for muscle adaptation and development.
Question 57
Answer: B. It causes catabolism, impairing muscle strength and recovery
Chronic inflammation stimulates catabolic pathways, breaking down muscle protein and negatively impacting tissue repair and strength. Over time, this can hinder recovery, impair muscle function, and diminish overall performance.
Question 58
Answer: D. Adequate protein intake optimizes synthesis by providing necessary amino acids for repair
Sufficient protein intake is vital post-exercise to supply the amino acids essential for repairing and building muscle tissue. Without proper nutrition, muscle recovery and growth can be significantly impaired, leading to suboptimal adaptations.
Question 59
Answer: B. Muscle loss lowers resting metabolic rate and contributes to metabolic disorders
Age-related muscle loss, or sarcopenia, decreases muscle mass and strength, leading to a lower resting metabolic rate. This decline affects metabolic health, potentially increasing the risk of obesity, type 2 diabetes, and other metabolic conditions.
Question 60
Answer: C. They can place excessive or uneven loads on muscle fibers
Poor alignment or movement mechanics can distribute forces unevenly or overload muscle tissue. Excessive loading can increase the likelihood of a strain.
Question 61
Answer: D. Proper temperature regulation maintains optimal enzyme activity and prevents overheating
Maintaining a stable temperature ensures efficient enzyme activity necessary for ATP production and muscle contractions. Overheating or chilling can impair muscle efficiency, coordination, and increase injury risk during prolonged exercise.
Question 62
Answer: C. Mechanical tension stimulates growth, while substantial muscle damage is not required
Mechanical loading provides a stimulus for muscle protein accretion and growth. Hypertrophy can occur with little discernible muscle damage, so more damage does not establish a better growth stimulus.
Question 63
Answer: D. It increases joint range of motion
Regular stretching can improve joint range of motion. This flexibility gain alone does not establish that injuries will be prevented or performance will improve.
Question 64
Answer: A. It inhibits muscle growth, preventing excessive tissue accumulation
Myostatin, a growth differentiation factor, negatively regulates muscle mass by restraining satellite cell activation and limiting muscle cell proliferation. Reduced myostatin activity can lead to increased muscle growth and hypertrophy.
Question 65
Answer: C. It can improve symptoms and function as part of a progressive tendon-loading program
Progressive eccentric loading can improve pain and function in midportion Achilles tendinopathy. Its use depends on the condition and loading progression, and it is not the only effective loading approach.
Question 66
Answer: B. The relative contribution of fat oxidation increases
As glycogen availability declines during prolonged submaximal exercise, fat oxidation can supply a larger share of the energy. The fuel mixture also depends on exercise intensity and nutritional state.
Question 67
Answer: C. Damage can temporarily reduce strength and power and increase recovery needs
Exercise-induced muscle damage can temporarily impair force production and require tissue repair. It is not required for hypertrophy and does not guarantee improved long-term performance.
Question 68
Answer: A. It impairs muscle mass and strength, limiting mobility and independence
Sarcopenia is the age-related loss of muscle mass and strength, which impacts physical performance and limits the ability to perform daily activities, diminishing mobility, balance, and independence among the elderly.
Question 69
Answer: B. Oxidation of nutrients and reduction of electron carriers generate ATP efficiently
Glucose breakdown begins with glycolysis in the cytoplasm, while later oxidation steps generate reduced electron carriers in mitochondria. These carriers supply electrons to the respiratory chain, supporting ATP production by oxidative phosphorylation.
Question 70
Answer: C. It can reduce blood volume and increase cardiovascular and thermal strain
Substantial dehydration can reduce circulating blood volume and increase cardiovascular and thermal strain during exercise in heat. These effects can impair sustained muscle performance.
Question 71
Answer: B. It enhances mitochondrial density and capillarization, improving aerobic efficiency
Endurance training leads to adaptations such as increased mitochondrial density and more extensive capillary networks, which enhance the muscle's oxidative capacity, endurance, and ability to sustain prolonged efforts.
Question 72
Answer: B. It increases relative to the contribution from fat
Higher exercise intensities generally rely more heavily on carbohydrate relative to fat. Absolute fat oxidation does not necessarily decrease with every increase in exercise intensity.
Question 73
Answer: D. Overreaching involves short-term performance decline but allows for recovery; overtraining indicates chronic stress and underperformance
Overreaching is a temporary state of fatigue due to increased training, often leading to performance decline that recovers with rest. Overtraining is a prolonged, excessive overload resulting in chronic fatigue and diminished performance, requiring longer recovery.
Question 74
Answer: C. They determine the training stimulus and recovery demands needed for adaptation
Training must provide sufficient loading to stimulate muscle growth while allowing recovery. Excessive loading or inadequate recovery can impair progress and increase overuse problems.
Question 75
Answer: A. Anabolism leads to tissue repair and growth, while catabolism breaks down damaged proteins for recycling
Post-resistance training, anabolic processes stimulate protein synthesis for growth and repair, while catabolic processes recycle damaged proteins, contributing to effective recovery and further muscle adaptations.
Question 76
Answer: C. Increased erythropoietin secretion can stimulate red blood cell production
Reduced oxygen availability at altitude can stimulate erythropoietin secretion and red blood cell production. The response varies and does not guarantee improved exercise performance.
Question 77
Answer: C. Limited glycogen stores can lead to premature fatigue and decreased performance
Muscle glycogen is a crucial energy source for both aerobic and anaerobic activities. Depletion of glycogen stores can cause early onset of fatigue and reduced exercise performance, highlighting the importance of adequate carbohydrate intake and storage.
Question 78
Answer: C. It enhances stretch-shortening cycle efficiency, boosting explosive force
Reactive training practices a rapid transition from active muscle lengthening to shortening. Improved use of the stretch-shortening cycle can support explosive power.
Question 79
Answer: D. It draws more heavily on phosphocreatine and anaerobic glycolysis
A brief maximal sprint requires ATP at a high rate, increasing the relative contribution of phosphocreatine and anaerobic glycolysis. Prolonged low-intensity exercise relies predominantly on oxidative metabolism.
Question 80
Answer: B. Warm-ups enhance blood flow, muscle temperature, and enzyme activity
An active warm-up increases circulation and moderately raises muscle temperature, which can accelerate metabolic reactions. These changes prepare muscles for subsequent activity.
Question 81
Answer: C. Regular strength training increases bone density and improves musculoskeletal health
Strength training stimulates osteoblast activity, increasing bone density. This enhanced density contributes to overall musculoskeletal health, reducing the risk of osteoporosis and improving structural integrity and balance.
Question 82
Answer: A. It may blunt some beneficial training adaptations
Reactive molecules produced during exercise participate in adaptation signaling. High-dose antioxidant supplements may interfere with some of these signals and blunt training adaptations.
Question 83
Answer: A. It suppresses protein breakdown and permits amino acid-supported protein synthesis
Insulin inhibits muscle protein breakdown and has a permissive role in protein synthesis when amino acids are available. Insulin signaling alone does not guarantee an increase in synthesis.
Question 84
Answer: B. Adequate sleep promotes recovery, protein synthesis, and performance enhancement
Quality sleep facilitates hormonal balance, including growth hormone secretion, enhancing muscle recovery and protein synthesis. Restful sleep also refreshes cognitive function, crucial for optimal athletic performance and decision-making.
Question 85
Answer: D. It can improve both aerobic and anaerobic energy systems, supporting endurance
HIIT can improve aerobic capacity and the ability to sustain repeated high-intensity efforts. The balance of aerobic and anaerobic adaptations depends on interval intensity, duration, and recovery.
Question 86
Answer: C. It can promote protein breakdown and impair maintenance of muscle tissue
Cortisol promotes protein breakdown to make amino acids available for other metabolic needs. Prolonged excess can therefore impair muscle maintenance and recovery.
Question 87
Answer: C. Fatigue heightens the risk of coordination loss, compromising safety
Neuromuscular fatigue impairs the ability to coordinate movements efficiently, increasing the risk of errors and injuries. This affects performance safety, making it crucial to manage fatigue levels during exercise sessions.
Question 88
Answer: C. Rapid glycogen restoration supports recovery and prepares muscles for subsequent activities
Efficient glycogen replenishment post-exercise ensures energy supplies are restored, allowing for quicker recovery and readiness for future activities. It's core to maximizing recovery, minimizing fatigue, and maintaining performance levels.
Question 89
Answer: A. Planned variation of training volume and intensity across phases
Periodization organizes changes in training variables over time to address performance goals and recovery. It does not guarantee that injuries or performance plateaus will be prevented.
Question 90
Answer: C. Diaphragm
The diaphragm is a dome-shaped muscle that plays a critical role in respiration. During inhalation, it contracts and flattens, enlarging the thoracic cavity and drawing air into the lungs.
Question 91
Answer: A. Synergistic muscles work together to stabilize and execute intricate movements
Muscle synergy involves different muscles working together in a coordinated fashion to perform complex movements efficiently. Synergists assist prime movers and provide stability, ensuring smooth and controlled physical activities.
Question 92
Answer: D. A stable core optimizes force transfer and control in both upper and lower body movements
Core muscles help control trunk position and transfer forces during limb movements. Coordinated trunk control supports posture, balance, and movement performance.
Question 93
Answer: D. Simultaneous activation can increase joint stability and fine-tune movement
Activating opposing muscles together can increase joint stiffness and help control movement. Its energetic cost and effect on movement efficiency depend on the task.
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