Neurophysiology and Synapses · USMLE Step 1

In the classic sequence of synaptic transmission, which of the following happens *first* after an action potential arrives at the presynaptic terminal?

  1. Opening of postsynaptic ligand-gated ion channels
  2. Neurotransmitter binding to receptors
  3. Influx of calcium into the presynaptic terminal
  4. Exocytosis of synaptic vesicles
Show answer and explanation

Correct answer: Influx of calcium into the presynaptic terminal

Arrival of the action potential causes depolarization of the presynaptic terminal, which opens voltage-gated calcium channels and leads to calcium influx — the first step triggering vesicle fusion and release.

Difficulty: Medium Question 13 of 28

Practice all 28 Neurophysiology and Synapses questions

Keep practicing

More Neurophysiology and Synapses questions