Muscle physiology: Golgi tendon organ: 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: Golgi tendon organ

Sample item

A man with an upper motor neurone lesion has a limb that resists passive stretch strongly and then suddenly gives way, the clasp-knife phenomenon. Which receptor mechanism produces the sudden relaxation?

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

The answer and the reasoning

B. Golgi tendon organ activation by high tension, with Ib-mediated inhibition of the homonymous motor neurone

Golgi tendon organs lie in series with muscle fibres at the musculotendinous junction and respond to tension. High tension activates Ib afferents that excite inhibitory interneurons, which inhibit the alpha motor neurone of the same muscle (autogenic inhibition). In spasticity, the stretch reflex initially resists movement, then the inhibition from high tension causes the muscle to give way.

Option by option

  • A. Pacinian corpuscle activation in the tendon, with excitation of the antagonist

    Pacinian corpuscles signal vibration and are not the pathway of this reflex.

  • B. Golgi tendon organ activation by high tension, with Ib-mediated inhibition of the homonymous motor neurone (correct)

    Tension-induced Ib inhibition causes the sudden give of the clasp-knife response.

  • C. Muscle spindle activation by stretch, with Ia excitation of the homonymous motor neurone

    Spindle Ia excitation is the stretch reflex, which causes the initial resistance, not the release.

  • D. Free nerve ending activation in the joint, with a crossed extensor reflex

    The crossed extensor reflex is a nociceptive reflex that supports the opposite limb, not a tendon reflex.

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, Golgi tendon organ activation by high tension, with Ib-mediated inhibition of the homonymous motor neurone. Golgi tendon organs lie in series with muscle fibres at the musculotendinous junction and respond to tension.

Why is "Pacinian corpuscle activation in the tendon, with excitation of the a…" not the answer?

Pacinian corpuscles signal vibration and are not the pathway of this reflex.

Why is "Muscle spindle activation by stretch, with Ia excitation of the homon…" not the answer?

Spindle Ia excitation is the stretch reflex, which causes the initial resistance, not the release.

Why is "Free nerve ending activation in the joint, with a crossed extensor re…" not the answer?

The crossed extensor reflex is a nociceptive reflex that supports the opposite limb, not a tendon reflex.

What concept does this question test?

It tests Muscle physiology: Golgi tendon organ in Physiology. High tension activates Ib afferents that excite inhibitory interneurons, which inhibit the alpha motor neurone of the same muscle (autogenic inhibition). In spasticity, the stretch reflex initially resists movement, then the inhibition from high tension causes the muscle to give way.

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: Golgi tendon organ?

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.