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MCAT Question of the Day

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Monday, August 24, 2026

A pharmacology lab tests a toxin that selectively slows the inactivation of voltage-gated Na+^+ channels in a single neuron's axon (activation threshold unchanged). During an action potential, Na+^+ channels normally inactivate quickly, and delayed rectifier K+^+ channels open to repolarize the membrane. The toxin does not affect K+^+ channels. Which outcome is most consistent with slowed Na+^+ channel inactivation?

Parameters: Na+^+ channel inactivation slowed; K+^+ channel kinetics unchanged; Vrest70 mVV_{\text{rest}}\approx -70\ \text{mV}.

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Question of the Day

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A pharmacology lab tests a toxin that selectively slows the inactivation of voltage-gated Na+^+ channels in a single neuron's axon (activation threshold unchanged). During an action potential, Na+^+ channels normally inactivate quickly, and delayed rectifier K+^+ channels open to repolarize the membrane. The toxin does not affect K+^+ channels. Which outcome is most consistent with slowed Na+^+ channel inactivation?

Parameters: Na+^+ channel inactivation slowed; K+^+ channel kinetics unchanged; Vrest70 mVV_{\text{rest}}\approx -70\ \text{mV}.

  1. The action potential duration increases because inward Na+^+ current persists longer before repolarization completes. (correct answer)
  2. Neurotransmitter release decreases because Na+^+ channels in the postsynaptic membrane are required for vesicle fusion in the presynaptic terminal.
  3. The action potential amplitude decreases because prolonged Na+^+ channel opening drives the membrane toward EKE_{\text{K}} instead of ENaE_{\text{Na}}.
  4. Action potentials propagate only toward the soma because delayed Na+^+ channel inactivation reverses the direction of current flow along the axon.

Explanation: This question tests understanding of action potential kinetics and the role of Na+ channel inactivation. During a normal action potential, Na+ channels rapidly inactivate after opening, allowing K+ channels to repolarize the membrane. When a toxin slows Na+ channel inactivation, Na+ channels remain open longer, continuing to allow Na+ influx even as K+ channels try to repolarize the membrane. This prolongs the depolarization phase and increases action potential duration. The correct answer (A) accurately describes this prolongation. Answer C incorrectly suggests the amplitude would decrease and that prolonged Na+ opening would drive the membrane toward EK rather than ENa. To analyze channel kinetics problems, consider how changes in channel opening/closing times affect the balance between depolarizing and repolarizing currents.