Lecture 1: Cutaneous Sensation - Receptors And Primary Afferents Flashcards

1
Q

What organ does cutaneous sensation refer to?

A

Skin.

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2
Q

Do Afferents sensory neurons enter the spinal cord via the dorsal or ventral root?

A

Dorsal root.

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3
Q

Which group of cutaneous receptors respond to distortion (touch and hair movement)?

A

Low threshold mechanoreceptors.

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4
Q

Which group of cutaneous receptors respond to non-damaging temperatures?

A

Thermoreceptors.

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5
Q

Which group of cutaneous receptors respond to stimuli that cause pain and potential tissue damage?

A

Nociceptors.

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6
Q

Which group of cutaneous receptors respond to itch-inducting stimuli?

A

Itch receptors.

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7
Q

Which group of cutaneous receptors may be a subset of nociceptors?

A

Itch receptors. Because they also respond to painful stimuli.

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8
Q

What are the specialised endings of low threshold mechanoreceptors?

A

Merkel’s disks
Ruffini endings
Meissner’s corpuscles
Pacinian corpuscles

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9
Q

Apart from specialised endings, there is another type of low threshold mechanoreceptor, what is it?

A

Hair follicle afferents.

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10
Q

Nociceptors, thermoreceptors and itch receptors all have what in common?

A

They all terminate as free nerve endings in the skin.

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11
Q

Which specialised ending of low threshold mechanoreceptors are fast with a small receptive field size?

A

Meissner’s corpuscles

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12
Q

Which specialised ending of low threshold mechanoreceptors are fast and have a large receptive field size?

A

Pacinian corpuscles.

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13
Q

Which specialised ending of low threshold mechanoreceptors are slow and have a small receptive field size?

A

Merkel’s disks.

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14
Q

Which specialised ending of low threshold mechanoreceptors are slow and have a large receptive field size?

A

Ruffini’s endings.

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15
Q

Do slowly adapting receptors detect displacement or movement?

A

Displacement. Rapidly adapting receptors detect movement.

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16
Q

Which specialised ending has “onion skin” of connective tissue surrounding the terminal part of the axon? And what property does it aid?

A

Pacinian corpuscle. It gives the receptor it’s rapidly adapting property.

17
Q

What range of temperatures do thermoreceptors detect?

A

10 degrees C to 45 degrees C. Outside this range it gets painful and nociceptors are responsible for detection.

18
Q

What are polymodal nociceptors?

A

Nociceptors that respond to different types of stimuli (mechanical thermal and chemical).

19
Q

What are “silent nociceptors”?

A

Nociceptors that only respond when sensitised (e.g. after tissue injury).

20
Q

Piezo2 is an example of what? Is it a small or large protein?

A

Mechanosensitive ion channel. It is a very large protein with >30 transmembrane domains.

21
Q

Which channels are used in thermal transduction? Give an example.

A

Transient receptor potential channels that signal various temperatures. Eg. TRPV1 which responds to temps of >43 degrees C.

22
Q

TRPM channels or TRPV channels are associated with hot or cold temperatures?

A

TRPM - cold

TRPV - hot

23
Q

Where do primary afferents have their cell body?

A

In the dorsal root ganglion.

24
Q

What are the two types of primary afferents?

A

Myelinated (A fibres - can be A beta or A delta) and Unmyelinated (C fibres).

25
Are there more myelinated or unmyelinated primary afferent cutaneous nerves?
Unmyelinated fibres outnumber myelinated fibres 4:1.
26
Which primary afferents correspond to: A beta fibres, A delta fibres, C fibres?
A beta fibres = large myelinated A delta fibres = small myelinated C fibres = unmyelinated
27
Most low threshold mechanoreceptors are large myelinated (A beta), small myelinated (A delta) or unmyelinated (C)?
Large myelinated (A beta).
28
Most nociceptors, thermoreceptors and itch receptors are what in terms of myelin?
Small myelinated (A delta) or unmyelinated (C).
29
What type of pain do C nociceptors pick up?
Slow pain, dull, poorly localised.
30
Which afferents send a branch up the dorsal columns to the medulla?
A beta afferents. | A delta and C fibres only give local branches to the dorsal horn.
31
The grey matter of the spinal cord is divided into what?
Laminae of Rexed.
32
Which afferents end mainly in the superficial dorsal horn (laminae I and II of Rexed)?
A delta and C afferents. Large (A beta) afferents branch deeper in the dorsal horn (laminae III - VI of Rexed) and have an ascending branch in the dorsal columns.
33
What neurotransmitter do all primary afferents use?
Glutamate.
34
Neuropeptides (e.g. substance P) are also released by which type of afferents?
Nociceptive afferents.