T2 L8: Physiology of Pain 1 (AD)

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56 Questions

According to the text, what is the definition of pain?

An unpleasant sensory experience associated with injuring tissues

What is the purpose of feeling pain, according to the text?

To warn us of harmful situations

What can happen to individuals who cannot feel pain?

They have a mutation in a sodium channel associated with motion sensors

Which region of the spinal cord is known as the substantial gelatinous?

Substantial gelatinous

What are the layers one and two of the spinal cord's grey matter called?

Substantial gelatinous

Which neurotransmitters are released when the second order neurons in the dorsal horn are activated?

Glutamate and substance P

What can activate motion sensors?

Chemicals

What are the peripheral transduction mechanisms?

All of the above

Which ion channel responds to very hot temperatures?

Trip V one

What chemical activates the V one receptor and makes curries feel hot?

Capsaicin

Which of the following can directly activate motion sensors and switch on the pain pathway?

Lactic acid

What term is used to describe a painful response that is exaggerated compared to the stimulus?

Hyperalgesia

What term is used to describe a stimulus that is not painful but produces a painful response?

Aladin

What is the main cause of neurogenic inflammation?

Direct activation of nociceptors

Which nerve fibers respond predominantly to light touch?

Alpha and beta nerve fibers

What type of nerve fibers are responsible for a sharp pricking sensation when activated?

Delta and C fibers

Which type of nerve fibers are responsible for a slow, dull ache when activated?

Beta and C fibers

Which type of nerve fibers are poorly localized and innovating the organs of the body?

Delta and C fibers

What are the two main types of pain classified in the text?

Deceptive and neuropathic

What are the characteristics of alpha and beta nerve fibers mentioned in the text?

Large diameter, lots of myelin, fast conduction

What is the average conduction speed of C fibers mentioned in the text?

Approximately one meter per second

What is the relationship between itch and pain pathways mentioned in the text?

They share the same spinal thalamic tracts

What is peripheral sensitisation triggered by?

Tissue damage and inflammation

What is the major mechanism in neuropathic pain?

Central sensitisation

What is the purpose of hyperalgesia or hypersensitivity?

It helps healing by ensuring contact with injured tissues

What causes an exaggerated pain response in peripheral sensitisation?

Activation of transient receptor potential Lloyd one receptor

What is the average conduction speed of A delta fibers mentioned in the text?

5-30 meters per second

What is the purpose of itch, according to the text?

It is a normal function of our pain fibers

What are the two main types of pain classified in the text?

Deceptive and neuropathic

What is the major mechanism in peripheral sensitization, according to the text?

Activation of C fibers

What is the term used to describe a painful response that is exaggerated compared to the stimulus?

Hyperalgesia

What chemical can directly activate motion sensors and switch on the pain pathway?

ATP

What is the major cause of neurogenic inflammation?

Activation of nose receptors

What is the purpose of hyperalgesia or hypersensitivity?

To enhance the perception of pain

What type of nerve fibers are responsible for a sharp pricking sensation when activated?

Delta nerve fibers

What is the purpose of feeling pain, according to the text?

To locate the source of the pain

Which region of the spinal cord is known as the substantial gelatinous?

Delta nerve fibers

What are the two main types of pain classified in the text?

Localised and poorly localised pain

According to the text, what is the purpose of feeling pain?

To warn us of harmful situations and prevent injury

What is the relationship between itch and pain pathways mentioned in the text?

Itch and pain pathways are interconnected and can influence each other

What can happen to individuals who cannot feel pain, according to the text?

They may end up injuring themselves or even dying

What is the major mechanism in neuropathic pain, as mentioned in the text?

Peripheral sensitisation

What type of ion channels respond to acids and are also mechanically responsive?

Acid sensing ion channels

Which channel responds to very hot temperatures and is also activated by capsaicin?

Trip V one channels

What is the purpose of the transient receptor potential (TRP) family of channels?

To respond to different temperatures

What is the main characteristic of poly modal CE fiber nociceptors?

They respond to different stimuli

Which type of pain is associated with peripheral sensitisation?

Hyperalgesia

What are the two major mechanisms of pain hypersensitivity mentioned in the text?

Peripheral and central sensitisation

What is the purpose of hyperalgesia or hypersensitivity, according to the text?

To avoid resting injured tissue on objects that may cause more injury

What is the main cause of peripheral sensitisation?

Tissue damage and inflammation

Which region of the spinal cord is responsible for the activation of second order neurons in the dorsal horn?

Substantial gelatinous

What is the function of the lamina in the grey matter of the spinal cord?

To divide the grey matter into different layers

Which neurotransmitters are released when the second order neurons in the dorsal horn are activated?

Glutamate and substance P

What is the role of the second order neurons in the pain pathway?

To cross the midline and ascend the introduction column

What is the average conduction speed of C fibers mentioned in the text?

Slow

What is the purpose of hyperalgesia or hypersensitivity?

To enhance the pain response

Test your knowledge on neuropathic pain and its association with sensory abnormalities. Learn about the unusual sensations experienced by patients and their triggers.

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