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I posted this in the Step 1 discussion forum, but no answers so far. I'm not sure if this is too detailed or picky for the Step 1 exam, but its in the FA, and I'm just stuck on this 1 concept.
As far as I remember, Ach has the Opposite effect of Dopamine, in the Striatum.
Dopamine excites the direct pathway. And inhibits the indirect pathway. Both leading to movement.
So you'd think that Ach inhibits the direct pathway, and excites the indirect pathway.
In FA, Ach is shown to excite the indirect pathway. But its also illustrated (in 2010 FA), that it EXCITES THE DIRECT PATHWAY TOO, which doesn't make sense to me.
This has been bugging me for sometime now. Am I overlooking something here?
As far as I remember, Ach has the Opposite effect of Dopamine, in the Striatum.
Dopamine excites the direct pathway. And inhibits the indirect pathway. Both leading to movement.
So you'd think that Ach inhibits the direct pathway, and excites the indirect pathway.
In FA, Ach is shown to excite the indirect pathway. But its also illustrated (in 2010 FA), that it EXCITES THE DIRECT PATHWAY TOO, which doesn't make sense to me.
This has been bugging me for sometime now. Am I overlooking something here?