3- LA in dent Flashcards

1
Q

unpleasant sensation usually initiated by a noxious stimulus and over specialized neural network to the CNS

A

pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

biochemical mediators of pain

A
acetylcholine
prostaglandin
histamine
serotonin
kallikrinogen
plasma factor 
glass factor
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

concentration gradient of resting state

A

-70 to 90mV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

return to resting potential takes about ___

A

3 to 4 msec

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

period of time after an action potential has been fired during which another action potential cannot be fired no matter how strong the stimulus

A

absolute refractory period

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

when the ionic imba;ance begins to return to the polarized state

A

relative refractory period

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

period of time when a nerve can be stimulated to fire an action potential again but with a larger than threshould stimulus

A

relative refractory period

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

explain saltatory conduction

A

stimulation takes place only at the nodes of ranvier in myelinated fibers therefore it is a faster transmission of impulse because it will not travel the whole length of the fiber

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

all or none law of nerve conduction

A

whole nerve fiver is stimulated or not at all

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

dual nature of pain

A

pain perception -physio-anatomical process

pain reaction -psychophyshiologic process (manifestation of the pain)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

theories on pain

A
  1. specificity theory
  2. pattern theory/summation theory
  3. gate control theory
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

person: specificity theory

A

descartes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

explain specificity theory

A

specific nerve fibers for specific nerve sensations

free nerve endings for pain sensation
pacinian corpuscle for pressure
karuse and bulb for temp

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

person: pattern theory

A

Goldscheider

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

explain pattern theory

A

a combination of different sensations or intensity of different sensation can confuse the CNS and will interpret this as pain only

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

management: specificity theory

A

cutting off the specific nerve

17
Q

management: pattern theory

A

tourniquet to numb the area

18
Q

person: gate control theory

A

melzack and wall

19
Q

explain gate control theory

A

there are different nerve fibers present in the body

A fibers, Ganglionic/B fibers, C fibers

20
Q

A fibers

A

large, myelinated
fast: 100-120 m/s
associated with touch, pressure, temp
sharp pain

21
Q

B fibers/Ganglionic

A

sympathetic and parasympathetic functions

22
Q

C fibers

A

small, unmyelinated
slow: 10-40 m/s
asssociated with diffused pain
dull pain

23
Q

factors affecting pain reaction

A
gender
race
emotional state
fear and apprehension
fatigue
age
socio-economic background
24
Q

methods of pain control

A
remove cause
block painful pathways
raise threshold
corical depression
psychosomatic methods
25
Q

other kinds of pain

A

psychogenic pain
referred pain
phantom pain