Muscle physiology: practice question

A Physiology question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Physiology · Muscle physiology

Sample item

In skeletal muscle excitation–contraction coupling, calcium released from the sarcoplasmic reticulum binds to which protein?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

B. Troponin C

Calcium binds troponin C on the thin filament, moving tropomyosin off the myosin-binding sites on actin and allowing cross-bridge cycling. In smooth muscle, calcium instead binds calmodulin, which activates myosin light chain kinase.

Option by option

  • A. Tropomyosin

    Tropomyosin is moved by troponin; it does not bind calcium itself.

  • B. Troponin C (correct)

    Correct. This is the trigger of skeletal muscle contraction.

  • C. Myosin light chain

    Myosin light chain is phosphorylated in smooth muscle contraction, not triggered directly by calcium in skeletal muscle.

  • D. Calmodulin

    Calmodulin is the calcium-binding protein in smooth muscle, not skeletal muscle.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this Physiology question

What is the answer to this Physiology question?

The best answer is B, Troponin C. Calcium binds troponin C on the thin filament, moving tropomyosin off the myosin-binding sites on actin and allowing cross-bridge cycling.

Why is "Tropomyosin" not the answer?

Tropomyosin is moved by troponin; it does not bind calcium itself.

Why is "Myosin light chain" not the answer?

Myosin light chain is phosphorylated in smooth muscle contraction, not triggered directly by calcium in skeletal muscle.

Why is "Calmodulin" not the answer?

Calmodulin is the calcium-binding protein in smooth muscle, not skeletal muscle.

What concept does this question test?

It tests Muscle physiology in Physiology. In smooth muscle, calcium instead binds calmodulin, which activates myosin light chain kinase.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Muscle physiology?

For each system, sketch the key graph (pressure–volume loop, oxygen dissociation curve, nephron handling) and explain it aloud. Then use the flashcards and the other Physiology questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.