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A 23-year-old male presents severe face and arm muscle spasms. He can…

- - - - Calcium channels open
        
        Calcium enters the terminal
        
        Acetylcholine releases by exocytosis
        
        Acetylcholine binds to receptors in sarcolemma
        
        Opens passage for Sodium into muscle fiber and Potassium out of muscle fiber
        
        End plate potential
- - - - Vesicle membrane attaches to cell membrane
        
        Proteins exocytose out
  - - - Produces two toxins
        
        Tetanolysin
        
        Local tissue destruction
        
        Tetanospasmin
        
        Causes clinical tetanus
        
        Binds to terminals