Basic and Clinical Sciences (BCSE) Practice Exam

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What effect does hypokalaemia have on resting membrane potential (RMP)?

  1. RMP becomes more positive

  2. No effect on RMP

  3. RMP becomes more negative

  4. RMP fluctuates unpredictably

The correct answer is: RMP becomes more negative

Hypokalaemia, which refers to lower than normal levels of potassium in the blood, has a significant impact on resting membrane potential (RMP) due to its role in maintaining the balance of ions across cell membranes. Under normal conditions, potassium ions (K+) have a major influence on RMP, typically driving it to a negative value because of the higher concentration of potassium inside the cell compared to the outside. When potassium levels decrease in hypokalaemia, there is a tendency for the concentration gradient to become less steep. As a result, the movement of potassium out of the cell through potassium channels is reduced. This causes the RMP to become more negative, a condition known as hyperpolarization. The cell's interior becomes less positive relative to the outside, which can impact cellular excitability and overall function. In summary, hypokalaemia leads to a more negative resting membrane potential due to the decreased availability of potassium ions to maintain the typical balancing effect they have on the inside of the cell. This understanding clarifies why the correct answer reflects this physiological change.