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 in the postsynaptic membrane.
  3. Blocking of the voltage-gated sodium channels on the muscle fiber.
  4. Flaccid paralysis due to the inability to release acetylcholine.

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