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First-Year Medicine

Block 3: Musculoskeletal System

Musculoskeletal Block in Year 1 includes the structure, function and development of the body wall and limbs, and serves as a vehicle for introducing basic concepts about muscles and the nervous and vascular systems. The following topics are covered during this block:

General Principles

  • Biology of Cells
    • Structure and composition of cell membranes, ion channels and pumps
    • Organelles
    • Secretion, exocytosis, endocytosis and pinocytosis
    • Muscle structure and regulation of contractile elements, excitation-contraction coupling, ryanodine receptors
    • Excitable cells, voltage- and ligand-gated channels and receptors
    • Cell-to-cell communication
  • Human Development and Genetics
    • Embryogenesis, programmed gene expression, tissue morphogenesis
    • Congenital abnormalities, principles and patterns of anomalies, dysmorphogenesis

Musculoskeletal System

  • Normal Processes
    • Embryonic development, fetal maturation
    • Organ structure and function
    • Cell/tissue structure and function; biology of bones, joints, skeletal muscle, tendons
  • Abnormal Processes
    • Genetic disorders; congenital disorders; infectious, inflammatory and immunologic disorders; traumatic and mechanical disorders; metabolic and regulatory disorders; vascular disorders; degenerative disorders; systemic disorders affecting the musculoskeletal system; idiopathic disorders
  • Principles of Therapeutics
    • Mechanisms of action and therapeutic effects of drugs for treatment of disorders of the musculoskeletal system

Central and Peripheral Nervous Systems

  • Normal Processes
    • Embryonic development, fetal maturation; neural crest derivatives
    • Organ structure and function; spinal cord; autonomic nervous system
    • Cell/tissue structure and function; axonal transport, excitable properties of neurons, axons and dendrites; synthesis, storage, release, reuptake and degradation of neurotransmitters and neuromodulators; pre- and postsynaptic receptor interactions, trophic and growth factors; glia, myelin
  • Abnormal Processes
    • Congenital disorders; neural tube defects
    • Infectious, inflammatory and immunologic disorders; demyelinating disorders; multiple sclerosis, Guillain-Barre; myasthenia gravis
  • Principles of Therapeutics
    • Therapeutic mechanisms of action and therapeutic effects of drugs for treatment of disorders of the nervous system; neuromuscular junction blocking agents

The extremities are studied in the anatomy laboratory and reinforced with corresponding X-ray and MRI images.