Muscle Physiology and Contraction · USMLE Step 1

During muscle relaxation after a contraction, which mechanism primarily reduces cytosolic Ca²⁺ concentration to stop contraction?

  1. Calcium freely diffuses out into the extracellular space
  2. SERCA pumps Ca²⁺ into the sarcoplasmic reticulum
  3. Myosin hydrolyzes more ATP to absorb the Ca²⁺
  4. Troponin is enzymatically degraded
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Correct answer: SERCA pumps Ca²⁺ into the sarcoplasmic reticulum

Relaxation requires removal of Ca²⁺ from the cytosol; the sarcoplasmic/endoplasmic reticulum Ca²⁺-ATPase (SERCA) actively pumps Ca²⁺ back into the SR, ending cross-bridge formation.

Difficulty: Medium Question 10 of 20

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