medium · MCAT bio-biochem

A 35-year-old male is treated with a drug that inhibits the enzyme acetylcholinesterase at the neuromuscular junction.

What is the most likely physiological consequence for the skeletal muscles?

  1. Prolonged muscle contraction and potential spasms due to the persistence of acetylcholine in the synaptic cleft.
  2. Increased rate of repolarization occurring rapidly in the postsynaptic muscle membrane after each stimulus.
  3. Blocking of the voltage-gated sodium channels on the muscle fiber's sarcolemma, preventing an action potential.
  4. Flaccid paralysis resulting from the motor neuron terminal's inability to release stored acetylcholine into the synaptic cleft.

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