B2.3.9 (HL)—Cardiac and striated muscle

Cardiac and striated muscle cells are specialized with sarcomeres, mitochondria, branching, multinucleation, and intercalated discs for coordinated contraction and force.

Syllabus
First assessment 2025
Objective
B2.3.9
Level
HL

Exam analysis

Chance of appearing7%of analysed past papers
Latest appearanceMay 2025
Most common paperPaper3
Typical marks1–3

Common command terms

  • Label
  • Describe
  • Identify
  • Outline
  • Explain

Scoring notes

Common mistake
Calling myogenic a structure when the row asks for structural features.

Recent exam appearances

May 2025Paper1A ["HL"] · TZ315[ 1 ]B2.3.9 (HL)—Cardiac and striated muscle
May 2023Paper1 ["HL"] · TZ138[ 1 ]B2.3.9 (HL)—Cardiac and striated muscle
May 2021Paper1 ["HL"] · TZ22[ 1 ]B2.3.9 (HL)—Cardiac and striated muscle
November 2019Paper2 ["HL"] · TZ05(a)(iii)[ 1 ]B2.3.9 (HL)—Cardiac and striated muscle
November 2019Paper2 ["HL"] · TZ05(a)(ii)[ 1 ]B2.3.9 (HL)—Cardiac and striated muscle
Practice this objective

Coverage 2017–2025 · Updated 15 Jul 2026

Muscle Cell Structure Matches Contractile Demand

HL only

Cardiac muscle cells and striated skeletal muscle fibres both contain contractile myofibrils, but their branching, length and numbers of nuclei match different functions.

Cardiac cells are relatively short and branched, usually with one central nucleus, and join end-to-end at intercalated discs so force and excitation spread through the heart. Skeletal muscle fibres are long, unbranched and contain many peripheral nuclei.

Both show striations because actin and myosin are arranged into repeating sarcomeres. Skeletal fibres are multinucleate because many precursor cells fuse; this supports a large cytoplasmic volume packed with parallel myofibrils.

Branching lets one cardiac cell connect with several neighbours for coordinated pumping, whereas a long skeletal fibre transmits force along the line of pull from tendon to tendon.

A skeletal muscle fibre is a single, unusually long cell enclosed by one plasma membrane, despite having many nuclei. 'Striated' describes sarcomere organization and applies to both skeletal and cardiac muscle.

Cardiac and striated muscle

HL only

Assessment in practice

1–3 marks
How it is assessed

This objective is assessed through structured response, commonly using Label / Describe / Identify.

Command terms

Label / Describe / Identify / Outline / Explain

What earns marks

Build the answer around this relationship: Cardiac muscle cells are branched and connected by intercalated discs.

Watch for

Calling myogenic a structure when the row asks for structural features.

Representative question

Question 1

[Maximum number: 3]

Explain how the structure of cardiac muscle cells is adapted to their function.

Link Specialized Cells To Function

HL only

A strong answer identifies the cell, names the structural adaptation, and states the function it improves. Erythrocytes and PCT cells show exchange and transport adaptations; pneumocytes show diffusion versus secretion; muscles show contraction coordination; gametes show fertilization roles.

  • For exchange, use biconcave shape, microvilli, thin pneumocytes, or surfactant when appropriate.
  • For contraction, use intercalated discs/gap junctions in cardiac muscle and multinucleate myofibril-packed skeletal fibres.
  • For fertilization, use acrosome, midpiece mitochondria, flagellum, nutrient-rich oocyte, zona pellucida, and cortical granules.

Concept essentials

  • Cardiac muscle cells are branched and connected by intercalated discs.
  • Gap junctions in intercalated discs support rapid impulse spread and coordinated contraction.
  • Skeletal muscle fibres are long, striated, and multinucleate.
  • Sarcomeres, myosin filaments, and mitochondria support muscle contraction.