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Physiology · Nerve and muscle: compound action potential
Sample itemDuring a nerve conduction study of the median nerve, the recorded compound action potential grows larger as stimulus intensity is increased and then stops growing. What explains this behaviour?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Fibres have different thresholds, and more are recruited until all are activated
A single axon obeys the all-or-none law, but a nerve contains many fibres with different thresholds. Stronger stimuli recruit more fibres until all fire, giving a maximal compound potential.
Option by option
A. Each fibre generates a larger action potential as stimulus strength rises
Single action potentials are all-or-none and do not grow with stimulus strength.
B. Refractory periods shorten with stimulus strength
Refractory periods are intrinsic to channel kinetics and do not shorten with stimulus strength.
C. Fibres have different thresholds, and more are recruited until all are activated (correct)
Correct. The summed response rises with fibre recruitment until all fibres fire.
D. Conduction velocity rises with stimulus strength
Conduction velocity depends on fibre diameter and myelination, not stimulus strength.
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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