Classification of Pain

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Questions and Answers

What is the primary function of acute pain according to the withdrawal reflex?

  • To persist long after recovery from an injury
  • To result from inflammation or nerve injury
  • To induce unconscious activity in sense receptors
  • To serve as an important protective mechanism (correct)

What is the key distinction between nociception and pain?

  • Nociception is an unconscious activity, while pain is a conscious experience (correct)
  • Nociception is a type of chronic pain, while pain is acute
  • Nociception is an emotional experience, while pain is sensory
  • Nociception is a conscious activity, while pain is unconscious

What type of pain is often refractory to common analgesic agents?

  • Inflammatory pain
  • Pathologic pain (correct)
  • Acute pain
  • Physiologic pain

What is the term for pain that serves as an important protective mechanism?

<p>Good pain (A)</p> Signup and view all the answers

What is the primary cause of neuropathic pain?

<p>Nerve injury (B)</p> Signup and view all the answers

According to the IASP definition, what is the primary characteristic of pain?

<p>It is an emotional experience associated with tissue damage (A)</p> Signup and view all the answers

What is the term for pain that persists long after recovery from an injury?

<p>Chronic pain (A)</p> Signup and view all the answers

What is the primary characteristic of hyperalgesia?

<p>An exaggerated response to a noxious stimulus (C)</p> Signup and view all the answers

What is the primary mechanism by which bradykinin contributes to inflammatory pain?

<p>By increasing the synthesis and release of prostaglandins (D)</p> Signup and view all the answers

What is the role of prostaglandin E2 in pain sensation?

<p>It produces hyperalgesia (A)</p> Signup and view all the answers

What is the primary mechanism by which injured tissues release chemicals that contribute to inflammatory pain?

<p>Through the release of chemicals from damaged cells (A)</p> Signup and view all the answers

What is the significance of histamine in the context of pain sensation?

<p>It is a stimulator of nociceptors (B)</p> Signup and view all the answers

What is the primary characteristic of allodynia?

<p>A sensation of pain in response to a normally innocuous stimulus (C)</p> Signup and view all the answers

What is the primary mechanism by which serotonin contributes to inflammatory pain?

<p>By activating or sensitizing nociceptors (D)</p> Signup and view all the answers

Why do aspirin and other NSAIDs alleviate pain?

<p>By inhibiting the production of prostaglandins, which sensitize nociceptors (B)</p> Signup and view all the answers

What is the main difference between superficial and deep or visceral pain?

<p>The nature of the pain evoked by noxious stimuli (B)</p> Signup and view all the answers

Why is deep pain often poorly localized?

<p>Due to the relative deficiency of As nerve fibers in deep structures (D)</p> Signup and view all the answers

What is the result of muscle spasms caused by injuries to bones, tendons, and joints?

<p>Stimulation of pain receptors in the muscle (A)</p> Signup and view all the answers

Where are the cell bodies of visceral afferent fibers located?

<p>In the dorsal root ganglia and cranial nerve ganglia (C)</p> Signup and view all the answers

Which of the following nerves carries visceral afferent fibers?

<p>Facial, glossopharyngeal, and vagus nerves (B)</p> Signup and view all the answers

What is the characteristic of visceral pain receptors?

<p>They are highly sensitive to distention of visceral organs (D)</p> Signup and view all the answers

Which nerve is responsible for relaying touch and proprioception from the head?

<p>Trigeminal nerve (C)</p> Signup and view all the answers

What is the characteristic clinical picture caused by a functional hemisection of the spinal cord?

<p>Brown-Sequard syndrome (D)</p> Signup and view all the answers

Which tract is responsible for transmitting discriminative touch, vibration, and proprioception below the level of the lesion?

<p>Fasciculus gracilis or facilis cuneatus (A)</p> Signup and view all the answers

What is the effect of damage to the spinothalamic tract?

<p>Contralateral loss of pain and temperature sensation (D)</p> Signup and view all the answers

What is the result of damage to the corticospinal tract?

<p>Weakness and spasticity on the same side of the body (B)</p> Signup and view all the answers

What is often necessary after spinal trauma?

<p>Spinal or vertebral stabilization (D)</p> Signup and view all the answers

What can cause a Brown-Sequard syndrome?

<p>All of the above (D)</p> Signup and view all the answers

What is the primary mechanism by which corticosteroids decrease inflammation in brown-sequard syndrome?

<p>By suppressing polymorphonuclear leukocytes and reversing capillary permeability (A)</p> Signup and view all the answers

What is the role of the amygdala in stress-induced analgesia?

<p>It is involved in mediating the motivational affective responses to pain (B)</p> Signup and view all the answers

What is the likely source of norepinephrine release in stress-induced analgesia?

<p>Brainstem catecholaminergic neurons (B)</p> Signup and view all the answers

What is the primary goal of physical therapy in treating brown-sequard syndrome?

<p>To maintain strength and joint mobility and improve respiratory function (A)</p> Signup and view all the answers

What is the term for the phenomenon where soldiers wounded in battle feel no pain until after the battle is over?

<p>Stress-induced analgesia (A)</p> Signup and view all the answers

What is the likely role of 2-arachidonoylglycerol and anandamide in stress-induced analgesia?

<p>They are released in response to stress and decrease pain sensitivity (A)</p> Signup and view all the answers

What is the primary benefit of administering corticosteroids soon after the onset of a spinal cord injury?

<p>They reduce pain and inflammation (B)</p> Signup and view all the answers

What is the likely outcome of inadequate physical therapy in treating brown-sequard syndrome?

<p>Decreased strength and joint mobility (B)</p> Signup and view all the answers

What is the primary mechanism by which corticosteroids reduce pain in brown-sequard syndrome?

<p>By suppressing polymorphonuclear leukocytes and reversing capillary permeability (C)</p> Signup and view all the answers

What is the likely outcome of untreated stress-induced analgesia?

<p>Decreased pain sensitivity (C)</p> Signup and view all the answers

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