Pain Physiology and Receptors
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Questions and Answers

Which chemical transmitters are associated with pain responses from tissue injury?

  • Histamine (correct)
  • Serotonin
  • Acetylcholine
  • Epinephrine
  • What reaction is likely stimulated by severe pain?

  • Sympathetic changes like hypotension
  • Parasympathetic changes like hypotension (correct)
  • Sympathetic changes like bradycardia
  • Parasympathetic changes like tachycardia
  • Which type of pain is likely to be poorly localized and dull aching?

  • Visceral pain (correct)
  • Superficial somatic pain
  • Cutaneous pain
  • Deep pain (correct)
  • What type of fibers are associated with cutaneous pain?

    <p>A delta fibers (C)</p> Signup and view all the answers

    Which symptom is associated with autonomic reactions to mild pain?

    <p>Increase in BP (B)</p> Signup and view all the answers

    What is a common emotional response to pain?

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

    Which statement is true about visceral pain?

    <p>Dull aching and poorly localized (A)</p> Signup and view all the answers

    What distinguishes superficial somatic pain from deep somatic pain?

    <p>Arises from skin and subcutaneous tissue (A)</p> Signup and view all the answers

    What is the primary function of pain as described in the content?

    <p>To initiate the withdrawal reflex (A)</p> Signup and view all the answers

    Which type of stimuli can lead to the activation of pain receptors?

    <p>Mechanical, thermal, or chemical stimuli (A)</p> Signup and view all the answers

    Where are the cell bodies of pain receptors primarily located?

    <p>In the spinal ganglia and trigeminal nerve ganglia (C)</p> Signup and view all the answers

    Which of the following substances is NOT typically a pain-producing substance?

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

    What term is used to describe receptors that do not adapt to sustained stimulus?

    <p>Non-adapting receptors (A)</p> Signup and view all the answers

    What pathway does the pain signal take from the spinal cord to the brain?

    <p>Spinothalamic tract (B)</p> Signup and view all the answers

    What is the role of sensitized nociceptors in response to tissue injury?

    <p>Facilitate pain processing (C)</p> Signup and view all the answers

    Which of the following statements is correct regarding the transmission of pain signals?

    <p>Pain signals travel both to the brain and back to the site of injury. (C)</p> Signup and view all the answers

    Which statement best describes referred pain?

    <p>It is experienced in a location different from the site of injury. (A)</p> Signup and view all the answers

    What mechanism explains the perception of pain in both the skin and viscera?

    <p>Convergence projection theory. (D)</p> Signup and view all the answers

    Which area is most likely to experience referred pain from the heart?

    <p>Inner aspect of the left arm. (A)</p> Signup and view all the answers

    Which structure is NOT involved in the pain pathway to the brain?

    <p>Lateral geniculate nucleus. (C)</p> Signup and view all the answers

    What role does the thalamus play in the perception of pain?

    <p>It relays pain signals to the sensory cortex. (B)</p> Signup and view all the answers

    What is one result of the reflex contraction of overlying muscles in response to pain?

    <p>Ischaemia leading to more pain. (A)</p> Signup and view all the answers

    Which type of nerves transmit the pain signals from the skin to the spinal cord?

    <p>Somatic nerves. (A)</p> Signup and view all the answers

    In which dermatome is referred pain from the appendix most commonly felt?

    <p>Right lower quadrant. (B)</p> Signup and view all the answers

    What characterizes pain that serves a protective function?

    <p>It is associated with both behavioral and emotional responses. (D)</p> Signup and view all the answers

    What type of nerve fibers are pain receptors primarily composed of?

    <p>Unmyelinated C fibers and small diameter myelinated Aδ fibers. (C)</p> Signup and view all the answers

    Where are pain receptors most abundantly located in the body?

    <p>In the superficial layer of the skin. (D)</p> Signup and view all the answers

    What type of pain is characterized as unpleasant sensory and emotional experience?

    <p>Pain in general. (B)</p> Signup and view all the answers

    Which statement is true regarding the distribution of pain receptors?

    <p>They are absent in the brain tissue. (B)</p> Signup and view all the answers

    Which of the following best describes the free nerve endings that function as pain receptors?

    <p>They are unmyelinated and sensitive to tissue damage. (A)</p> Signup and view all the answers

    What is the primary role of nociceptors?

    <p>To detect pain associated with potential tissue damage. (B)</p> Signup and view all the answers

    What types of behaviors are typically associated with pain responses?

    <p>Social withdrawal and avoidance. (A)</p> Signup and view all the answers

    Flashcards

    Sympathetic Pain Response

    Pain signals travel through the sympathetic nervous system, causing increased heart rate, blood pressure, and respiration.

    Parasympathetic Pain Response

    Pain signals travel through the parasympathetic nervous system, causing decreased heart rate and blood pressure.

    Fast Pricking Pain

    Sharp, quick pain that travels through myelinated A-delta fibers, well localized in the skin.

    Slow Burning Pain

    Dull, aching pain that travels through unmyelinated C fibers, poorly localized, and can be felt in deeper tissues.

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    Cutaneous Pain

    Pain originating from the skin and subcutaneous tissues, well localized.

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    Deep Pain

    Pain originating from muscles, ligaments, joints, or bones, poorly localized.

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    Visceral Pain

    Pain originating from internal organs, poorly localized, often accompanied by autonomic disturbances.

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    Superficial Somatic Pain

    Pain that originates from superficial somatic structures like skin and subcutaneous tissues.

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    What is pain?

    An unpleasant sensation triggered by noxious stimuli that activate sensory nerve endings, often associated with actual or potential tissue damage.

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    Protective function of pain

    Pain serves a protective function by eliciting withdrawal reflexes, helping us avoid further harm.

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    Types of pain stimuli

    Pain can be caused by various stimuli, including mechanical forces (pressure), thermal changes (hot/cold), or chemical irritants.

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    What are pain receptors?

    Pain receptors are free nerve endings, meaning they lack a protective sheath, and their cell bodies are located in the spinal ganglia (for the body) or trigeminal nerve ganglia (for the face).

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    Distribution of pain receptors

    Pain receptors are widely distributed throughout the body, particularly in the skin, making us sensitive to potential damage.

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    Activation of pain receptors

    Pain receptors respond to different types of stimuli, but only when the intensity reaches a certain threshold known as the noxious threshold, triggering the pain signal.

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    Adaptability of pain receptors

    Pain receptors are considered non-adapting receptors, meaning they do not become less sensitive to pain over time, ensuring continued protection.

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    Chemical stimulation of pain receptors

    When tissue damage occurs, pain-producing substances (PPS) are released, such as bradykinin, histamine, serotonin, acids, excess potassium ions, and prostaglandins. These chemicals stimulate the pain receptors.

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    What is referred pain?

    Pain felt in a body area different from the source of the pain.

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    How is referred pain explained?

    Pain that originates from internal organs (like the heart or stomach) is perceived as coming from a specific area on the skin.

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    What is the convergence projection theory?

    Nerve fibers from the skin and internal organs converge on the same neuron in the spinal cord, causing the brain to misinterpret the pain's origin.

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    Why does the skin feel the pain in the convergence projection theory?

    The brain interprets pain as coming from the skin because it's more accustomed to receiving pain signals from the skin.

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    What is the facilitation theory?

    Pain signals from the diseased organ activate neurons in the spinal cord, making them hyperactive, amplifying pain signals from the skin.

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    What is a dermatome?

    A region of the skin supplied by a single spinal nerve root.

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    How is heart pain referred?

    Pain from the heart can be felt in the chest, left arm, jaw, and even the back. This is due to the convergence of nerve fibers from the heart and these areas on the same spinal cord neurons.

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    How is appendix pain referred?

    Pain from the appendix can be felt around the belly button. This is because nerve fibers from the appendix and this area both connect to the same spinal cord neurons.

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    How are pain receptors activated?

    Pain receptors are activated when the intensity of the stimuli reaches a certain threshold known as the noxious threshold, triggering the pain signal.

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    Do pain receptors adapt?

    Pain receptors are considered non-adapting receptors, meaning they do not become less sensitive to pain over time. This ensures continued protection from harmful stimuli.

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    What are pain-producing substances (PPS)?

    When tissue damage occurs, pain-producing substances (PPS) are released. These chemicals include bradykinin, histamine, serotonin, acids, excess potassium ions, and prostaglandins, which stimulate pain receptors.

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    Explain the convergence projection theory.

    The convergence projection theory explains referred pain by stating that nerve fibers from the skin and internal organs converge on the same neuron in the spinal cord. The brain misinterprets the pain's origin.

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    Explain the facilitation theory.

    The facilitation theory suggests that when pain signals from a damaged organ activate neurons in the spinal cord, these neurons become hyperactive, amplifying pain signals from the skin.

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    Study Notes

    Pain Physiology

    • Pain is an unpleasant sensation caused by noxious stimulation of sensory nerve endings due to actual or potential damage.
    • Pain has a protective function, initiating the withdrawal reflex.
    • Pain can be produced by mechanical, thermal, or chemical stimuli leading to tissue damage.

    Pain Receptors

    • Pain receptors are free nerve endings with cell bodies in spinal ganglia (body) and trigeminal nerve ganglia (face).
    • They are widely distributed, particularly in the skin.
    • Nociceptors respond to various stimuli when their intensity reaches a noxious threshold.
    • They are non-adapting receptors, meaning they continue to respond as long as the stimulus persists.

    Mechanism of Pain Receptor Stimulation

    • Pain receptors are stimulated chemically by substances released from damaged tissue.
    • Examples of pain-producing substances (PPS) include bradykinin, histamine, serotonin, acids, excess K+ ions, and prostaglandins.

    Mechanisms of Pain Receptors

    • Nociceptive pain involves thermal, chemical, and mechanical stimuli.
    • The DRG (dorsal root ganglion) carries pain signals to the spinal cord.

    Mechanism of Pain

    • Tissue injury releases substances like prostaglandins, bradykinin, and leukotrienes.
    • These substances sensitize nociceptors.
    • Sensitized nociceptors release neurotransmitters like aspartate, neurotensin, glutamate, and substance P.
    • These neurotransmitters transmit pain signals to the brain via the dorsal horn.

    Reactions Associated with Pain

    • Autonomic reactions: Mild pain stimulates the posterior hypothalamus triggering sympathetic changes (tachycardia, increased blood pressure, pupillary dilation, increased respiration). Severe pain stimulates the anterior hypothalamus triggering parasympathetic changes (bradycardia, hypotension).
    • Motor reactions: Withdrawal reflex and reflex contraction of overlying muscles (deep somatic and visceral pain).
    • Emotional effects: Crying, anxiety, and depression.

    Quality of Pain

    • Fast pricking pain is carried by A delta fibers and is immediate, short-lasting, and sharp.
    • Slow burning pain is carried by C fibers and follows fast pain, lasting longer, and is described as burning.

    Pain Localization

    • Well-localized pain originates from the skin; it is transmitted through the sensory cortex.
    • Poorly localized pain originates from subcutaneous tissues and viscera; it is transmitted through the thalamus.
    • Glutamate is the chemical transmitter for well-localized pain, while substance P is for poorly localized pain.

    Types of Pain

    • Cutaneous pain: Arise from the skin, transmitted by thin myelinated A delta fibers.
    • Deep somatic pain: Arise from muscles, ligaments, and joints; transmitted by non-myelinated C fibers; characterized as dull and aching, poorly localized.
    • Visceral pain: Arise from internal organs; transmitted by non-myelinated C fibers and autonomic fibers; also poorly localized and dull and aching.

    Pain Pathway

    • Pain signals travel from nociceptors to the posterior somatosensory cortex, where quality and location are determined.
    • The pathway involves the spinal cord, thalamus, and other brain regions like the midbrain, pons, reticular formation, and medulla.

    Referred Pain

    • Pain is referred to the dermatome supplied by the same dorsal nerve roots as the diseased structure.

    • Referred pain is explained by two theories:

      • Convergence projection theory: Pain fibers from the skin area and diseased viscera converge on the same second-order neuron, leading the brain to perceive the pain as originating from the skin. Diagram of the convergence projection theory is included.
      • Facilitation theory: Visceral pain fibers send collaterals to facilitate the second-order neuron of the pain pathway from the skin, leading to pain perception in the skin area. Diagram of the facilitation theory is included.
    • Examples of organs and their referred pain locations

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    Physiology of Pain PDF

    Description

    This quiz covers the essential concepts of pain physiology and the role of pain receptors. It explores how pain is facilitated by nociceptors and the stimulation mechanisms involved. Test your understanding of the protective functions and responses of pain receptors.

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