24B15: Exam Report
Outline the general classification of nerve fibres including details on their function, size and conduction speed (30% of marks).
Describe the mechanisms of action potential generation and propagation along a myelinated peripheral nerve fibre (70% of marks).
47% of candidates passed this question.
The first component of this question required a list of the different nerve fibre types including the breakdown of A, B and C fibres along with their primary function, for example motor / sensory / parasympathetic / sympathetic, presence of myelin, size and velocity of conduction.
The second component of this question required the mechanism by which an action potential arises and is propagated in a myelinated nerve.
This required a detailed overview of electrolyte movement across the neuronal membrane during depolarisation, timing and explanation of the refractory period, the basis for unidirectional movement and the mechanism of saltatory conduction which occurs in a myelinated nerve.
K1vi / 24B15: Outline the general classification of nerve fibres including details on their function, size and conduction speed
Classification of nerve fibres
Fibre
Function
Diameter (μm)
Conduction velocity (m/s)
Aα
Skeletal motor, joint position
10-20
60-120
Aβ
Touch, pressure
5-10
40-70
Aγ
Muscle spindle motor
3-6
15-30
Aδ
Pain, temperature touch
2-5
10-30
B
Preganglionic autonomic
1-3
3-15
C
Pain
0.5-1
0.5-2
Nerve Action potential

Phases
1. Depolarization. Inward Na+ current
The action potential is all or none because, once the threshold is attained, there is a ‘positive feedback’ between membrane depolarization and the opening of more and more Na+ channels
- Tens of microseconds
2. Repolarization
Opening of voltage gated K+ channels – outward K+ current > over the next millisecond or so
3. Hyperpolarization (afterpotential)
Due to the Na+ and K+ channels not having returned to their previous states.
The K+ channels recover more slowly.
Refractory period
Absolute
- During the first millisecond of the nerve action potential, it is impossible to evoke another in the absolute refractory period because the Na+ channels are inactivated
Relative
- Period of 10−15 ms. responsive and open only to a larger-than-normal stimulus.
Propagation in a myelinated peripheral neuron
- Known as Saltatory Conduction
- Myelin formed by Schwann cells and glial cells acts as an insulator and greatly increases the resistance of the membrane.
- Between the myelin blocks are myelin-free sites called nodes of Ranvier
- Characterized by a high concentration of voltage-dependent Na+ channels> where action potentials are generated and jump along from node to node in a ‘saltatory’ manner.
- It is unidirectional since each node is refractory for a time after stimulation
Author: Nazma Navilehal Rajasab