November 2026 - Muscular System Study Guide for nursing students in
Skeletal muscle is voluntary and striated, cardiac muscle is involuntary and striated, and smooth muscle is involuntary and non-striated. Muscles can only pull, never push, which is why they are arranged in opposing pairs.
Science guide
Human anatomy and physiology
· 18 scored questions
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Skeletal and cardiac muscle are striated, while smooth muscle is not. During contraction, actin slides farther over myosin so the sarcomere shortens without either filament becoming shorter.
The three muscle types
Two properties tell them apart: whether you control them, and whether they appear striped under a microscope.
Type
Control
Striated?
Found in
Skeletal
Voluntary
Yes
Attached to bone — biceps, quadriceps
Cardiac
Involuntary
Yes
The heart only
Smooth
Involuntary
No
Blood vessels, gut, bladder, airways
Cardiac muscle is the one that breaks the pattern: striated like skeletal muscle, but involuntary like smooth muscle. Questions are built on that combination, because a student who has learned "striated means voluntary" gets it wrong.
Muscles pull, so they work in pairs
A contracting muscle shortens and pulls the bone it is attached to. Nothing in muscle can push, so returning a limb to its original position requires a second muscle pulling the other way. These opposing pairs are called antagonistic.
At the elbow, the biceps contracts to bend the arm while the triceps relaxes; to straighten it, the triceps contracts and the biceps relaxes. The muscle doing the work is the agonist, and its opposite number is the antagonist — the roles swap depending on the direction of movement.
Question 1 of 4
Which type of muscle is both striated and involuntary?
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Correct answer: C. Cardiac
Cardiac muscle combines the striped appearance of skeletal muscle with involuntary control, which is exactly what makes it the exam's favourite question here. Skeletal muscle is striated but voluntary, and smooth muscle is involuntary but not striated.
How a contraction happens
Enough of the mechanism to answer what the exam asks, without the full biochemistry.
A motor neuron delivers a signal at the neuromuscular junction.
Calcium is released inside the muscle fibre.
Protein filaments — actin and myosin — slide past one another, shortening the fibre.
ATP supplies the energy. Without it, the filaments cannot release, which is why muscle stiffens after death.
Question 2 of 4
When the biceps contracts to bend the elbow, what is happening in the triceps?
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Correct answer: B. It relaxes and lengthens.
In an antagonistic pair, one muscle relaxing is what allows the other to shorten the joint. Muscles cannot push, and the triceps is far from uninvolved — it becomes the agonist when the arm straightens.
Attachment and the wider role
Skeletal muscle attaches to bone by tendons, which transmit the pull.
The origin is the attachment that stays relatively fixed; the insertion is the one that moves.
Muscle also generates heat — shivering is muscular contraction used for warmth.
Smooth muscle does slow, sustained work: moving food along the gut by peristalsis, and narrowing or widening blood vessels.
Identifying muscle type from a description
Worked example
Which type of muscle lines the walls of the small intestine, and how would you know from a description of its behaviour?
Ask whether it is under conscious control. Nobody decides to move food along the gut, so it is involuntary.
That narrows it to cardiac or smooth.
Ask where it is. Cardiac muscle exists only in the heart.
So it is smooth muscle — and it will be non-striated.
Smooth muscle: involuntary, non-striated, producing the slow rhythmic peristalsis that moves food through the intestine.
Terms to know
Skeletal muscle
Voluntary, striated muscle attached to bone.
Cardiac muscle
Involuntary, striated muscle found only in the heart.
Smooth muscle
Involuntary, non-striated muscle in organs and vessels.
Striated
Showing a striped appearance under a microscope.
Antagonistic pair
Two muscles that pull a joint in opposite directions.
Agonist
The muscle producing a given movement.
Antagonist
The muscle that opposes it and relaxes during that movement.
Origin and insertion
The fixed attachment and the moving attachment of a muscle.
Neuromuscular junction
Where a motor neuron meets a muscle fibre.
What the TEAS asks most
The same core ideas appear in different wording. If you can answer these without stopping to think, you have what this section requires.
Which type of muscle is this?
Voluntary and striated is skeletal; involuntary and striated is cardiac; involuntary and non-striated is smooth.
Why do muscles work in pairs?
Because a muscle can only pull. A second muscle is needed to reverse the movement.
What happens to the antagonist during a movement?
It relaxes and lengthens while the agonist contracts.
What supplies the energy for contraction?
ATP, produced largely by the mitochondria in the muscle fibres.
Question 3 of 4
What directly supplies the energy for muscle contraction?
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Correct answer: B. ATP
ATP is the energy currency the filaments actually use, both to slide and to release afterwards. Calcium triggers the contraction rather than fuelling it, while glucose and oxygen are the raw materials from which ATP is made.
Muscles pull and never push, so they are arranged in antagonistic pairs.
The agonist contracts while the antagonist relaxes, and the roles reverse.
Tendons attach skeletal muscle to bone.
Contraction is driven by calcium and powered by ATP.
Question 4 of 4
Peristalsis, the wave of contraction that moves food through the intestine, is produced by
Choose one answer, then check it.
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Correct answer: C. smooth muscle under involuntary control.
Gut movement is automatic and its muscle is non-striated, which makes it smooth muscle. Cardiac muscle is confined to the heart, nobody controls digestion consciously, and tendons are connective tissue that cannot contract at all.
TEAS · Muscular system
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