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NEET Biology: Disorders of muscular and skeletal system-Myasthenia gravis Practice Questions

15 free multiple-choice questions on Disorders of muscular and skeletal system-Myasthenia gravis (Locomotion and Movement) for NEET Biology, each with the correct answer and a step-by-step explanation. Attempt a question, then reveal the solution to check your reasoning.

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  1. Q1. Myasthenia gravis is a disorder characterized by fluctuating muscle weakness. Which anatomical structure is primarily affected in this condition, leading to impaired neuromuscular transmission?

    • ANeuromuscular junction
    • BSarcolemma of skeletal muscles
    • CExtracellular matrix
    • DMuscle fibers themselves
    Show answer & explanation

    Correct answer: A — Neuromuscular junction

    Myasthenia gravis is a disorder affecting the neuromuscular junction (NMJ), where the signal transmission between the motor neuron and the muscle fiber is impaired due to autoantibodies blocking or interfering with acetylcholine receptors.

  2. Q2. Which factor is generally the target of the autoantibodies in Myasthenia gravis?

    • ADopamine
    • BAcetylcholine
    • CAcetylcholine receptors
    • DMyelin sheath
    Show answer & explanation

    Correct answer: C — Acetylcholine receptors

    The autoimmune attack targets the receptors responsible for binding acetylcholine, which are the acetylcholine receptors (AChRs).

  3. Q3. The clinical manifestation of Myasthenia gravis is characterized by which type of muscle weakness?

    • AFluctuating and fatigable weakness
    • BConstant and fixed weakness
    • CProgressive muscular atrophy
    • DAcute and severe weakness
    Show answer & explanation

    Correct answer: A — Fluctuating and fatigable weakness

    Patients with MG experience weakness that worsens with repeated use and fatigues over time, which is characteristic of neuromuscular junction disorders.

  4. Q4. Myasthenia gravis is primarily characterized by the disruption of which structure?

    • ANeuromuscular junction
    • BSkeletal muscle fibers
    • CSarcolemma
    • DSynaptic cleft
    Show answer & explanation

    Correct answer: A — Neuromuscular junction

    Myasthenia gravis is an autoimmune disorder where antibodies attack the receptors at the neuromuscular junction, leading to impaired signal transmission.

  5. Q5. Myasthenia gravis is primarily a disorder affecting which structure in the neuromuscular junction?

    • ASarcoplasmic reticulum
    • BMitochondrial structure of the muscle fiber
    • CSarcolemma of the muscle fiber
    • DPostsynaptic membrane of the muscle fiber
    Show answer & explanation

    Correct answer: D — Postsynaptic membrane of the muscle fiber

    Myasthenia gravis is an autoimmune disease that attacks the postsynaptic receptors (nicotinic acetylcholine receptors) at the neuromuscular junction, causing weakness in muscle contraction.

  6. Q6. Which system is primarily affected by the neuromuscular dysfunction in Myasthenia gravis?

    • ASkeletal system
    • BEndocrine system
    • CMuscular system
    • DAutonomic nervous system
    Show answer & explanation

    Correct answer: C — Muscular system

    Since MG involves defects in the transmission between nerve and muscle, the primary system affected is the muscular system (neuromuscular transmission).

  7. Q7. In Myasthenia gravis, the generalized muscle weakness is due to a failure in which specific step of neuromuscular transmission?

    • ABinding of acetylcholine to the receptor
    • BEnergy production by mitochondria
    • CUptake of calcium ions
    • DRelease of acetylcholine
    Show answer & explanation

    Correct answer: A — Binding of acetylcholine to the receptor

    The weakness stems from the reduced number or function of the acetylcholine receptors, impairing the ability of the nerve impulse to properly trigger muscle contraction.

  8. Q8. The inability of the muscle to respond to repeated stimulation in MG is fundamentally due to a defect in:

    • ANeuromuscular transmission
    • BConnective tissue
    • CMuscle fiber metabolism
    • DBone structure
    Show answer & explanation

    Correct answer: A — Neuromuscular transmission

    The core issue in Myasthenia Gravis is impaired neuromuscular transmission—the inability of the nerve signal (ACh) to effectively bind to and activate the postsynaptic receptors, leading to fatigue with use.

  9. Q9. Which of the following is a hallmark symptom observed in patients with Myasthenia Gravis?

    • AFatigue and weakness
    • BHyperreflexia
    • CRigidity
    • DSpasticity
    Show answer & explanation

    Correct answer: A — Fatigue and weakness

    The defining clinical feature of Myasthenia Gravis is fluctuating muscle weakness and fatigue, which is due to insufficient signal transmission to the muscle fibers.

  10. Q10. Myasthenia gravis is classified as which type of disorder?

    • AGenetic disorder
    • BAutoimmune disorder
    • CInfectious disorder
    • DMetabolic disorder
    Show answer & explanation

    Correct answer: B — Autoimmune disorder

    Myasthenia gravis is an autoimmune disease where the body's immune system mistakenly attacks its own tissues, specifically the neuromuscular junction.

  11. Q11. The underlying pathology in Myasthenia gravis is characterized by the destruction of which components due to the autoimmune response?

    • AATP synthesis machinery
    • BNicotinic acetylcholine receptors
    • CAcetylcholine
    • DMuscle fibers themselves
    Show answer & explanation

    Correct answer: B — Nicotinic acetylcholine receptors

    The autoimmune process targets and attacks the postsynaptic acetylcholine receptors (AChRs), leading to insufficient signal transmission across the neuromuscular junction.

  12. Q12. The muscle weakness seen in Myasthenia gravis is typically characterized by which pattern?

    • AConstant and fixed
    • BFluctuating and fatigable
    • CAcute and severe
    • DPainful and rigid
    Show answer & explanation

    Correct answer: B — Fluctuating and fatigable

    Muscle weakness in MG is episodic and worsens with repeated use (fatigability) due to the failure of sustained signal transmission.

  13. Q13. Which of the following is a non-specific clinical sign often observed in patients suffering from Myasthenia Gravis?

    • AReduced bone length
    • BIncreased bone density
    • CGeneralized muscle fatigue
    • DSevere joint pain
    Show answer & explanation

    Correct answer: C — Generalized muscle fatigue

    While MG causes specific weakness, generalized muscle fatigue is a common non-specific symptom reported by patients experiencing neuromuscular dysfunction.

  14. Q14. The primary site of antibody attack in Myasthenia gravis involves which type of receptor?

    • AGABA receptors
    • BMuscarinic receptors
    • CNicotinic acetylcholine receptors (AChRs)
    • DBeta-adrenergic receptors
    Show answer & explanation

    Correct answer: C — Nicotinic acetylcholine receptors (AChRs)

    In Myasthenia gravis, autoantibodies primarily target the acetylcholine receptors (AChRs) located on the postsynaptic membrane of the muscle fiber.

  15. Q15. Myasthenia gravis primarily affects which component of the neuromuscular junction?

    • AT-tubules
    • BSarcoplasmic reticulum
    • CSynaptic transmission at the neuromuscular junction
    • DSarcolemma of skeletal muscle
    Show answer & explanation

    Correct answer: C — Synaptic transmission at the neuromuscular junction

    Myasthenia gravis is characterized by impaired neuromuscular transmission, specifically affecting the receptors and transmission at the neuromuscular junction.

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