Neuro - Nociception Flashcards

1
Q

where are the somas of all somatosensory neurones located

A

dorsal root ganglia

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

where do the 2 branches of the soma depart to

A

one to the PNS
other to CNS

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

where do 1st order neurones enter

A

into the dorsal root and joins the dorsal column

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

what are examples of what 1st order neurones detect and where are they terminated

A

pain/temperature fibre
dorsal root

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

what are 1st order neurones classified as and why

A

pseudounipolar
2 axon branches

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

features of a Aβ neurone

A

touch
6-12micrometers
35-75m/s

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

features of Aδ

A

pain and temperature
free nerve endings
1-5 micrometer diameter
5-30m/s

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

features of C neurones

A

pain, temperature and itch
free nerve endings
0.2 - 1.5 micometer
0.5 - 2 m/s

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

what contains a complete representation of the somatic sensory periphery

A

thalamus

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

where is are 2nd order neurones terminated

A

thalamus

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

what does a painful heat cause (>43 degrees C)

A

TRPN1 channels open in C fibre endings

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what mediates the affective-motivational aspect of the brain

A

multiple signals from the antolateral system to the reticular formation of the midbrain

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

features of Aβ - fast pain neurones

A

small and thinly myelinated
10% nociceptive fibres
sharp/quick pain
mechanical stimuli
afferent portion of the reflex arc

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

features of C fibres - slow pain

A

small and unmyelinated
90% of afferent sensory fibres
mechanical/thermal and chemical
potentially long term - aching, deep, visceral pain

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

what are the inflammatory mediators after tissue damage

A

prostaglandins
bradykinin
substance P

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

what do inflammatory mediators do

A

increase the sensitivity of nociceptors by reducing the threshold for depolarisation

17
Q

what is the function of non-steroidal anti-inflammatory drugs (NSAID)

A

target the production of prostaglandins by inhibiting the enzyme COX

18
Q

what is a feature of prostaglandins

A

they are vasodilators
inhibit aggregation of platelets

19
Q

what is the substantia gelatinosa of the dorsal horn

A

gating mechanism in the spinal cord that can be open or closed in varying degrees
modulates incoming signals before they reach the brain

20
Q

outline the descending control from the brains dorsolateral tract

A

stress
hypothalamus
periaqueductal grey
nuclease raphe
interneurons spinal cord
projection neurone

21
Q

what is required to get to the periaqueductal grey from the hypothalamus

A

endorphines

22
Q

what is needed to move from the periaqueductal grey to the nucleus raphe

A

enkaphilin

23
Q

what is needed to reach the interneurons of the spinal cord from the nucleus raphe

A

seretonin

24
Q

what is needed to move from the interneurones of the spinal cord to the projection neurone

A

enkaphilin

25
Q

what is enkaphilin mediated inhibition

A

an endogenous opiod

26
Q

what is the effect of enkaphilin mediated inhibition pre-synaptically

A

narrows the AP
limits neurotransmitter release

27
Q

what is the effect of enkaphilin mediated inhibition post-synaptically

A

generates inhibitory potential
stops cell from reaching the threshold