Nociceptors - Pain Flashcards

1
Q

What is pain?

A

It is a perceived sensation rather than a stimulus

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2
Q

What are the two sensations of pain?

A
  • pain

- itch

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3
Q

How is pain a protective mechanism?

A

It makes you consciously aware that tissue damage is occurring or is going to occur

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4
Q

True/False : pain is a subjective perceptions

A

True

It can be influenced by past or present experiences

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5
Q

What are the three categories of nociceptors ?

A
  • mechanical
  • thermal
  • polymodal
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6
Q

Are nociceptors adaptive receptors?

A

No

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7
Q

What inhibits the Synthesis of prostaglandins (which enhances receptor response to harmful stimuli )?

A

Aspirin like drugs

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8
Q

How is nociceptor activation modulated?

A

By local chemicals that are released when a tissue is injured e.g.

  • postassium
  • prostaglandins
  • histamine
  • serotonin
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9
Q

How do the local chemicals modulate nociceptors?

A

They either activate them or sensitise them

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10
Q

What is inflammatory pain?

A

It is increased sensitivity at sites of tissue damage

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11
Q

Describe a fast pain pathway?

A

Sharp and brief sensation that is localised

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12
Q

Describe a slow pain pathway

A

A dull,achey and poorly localised sensation that lasts longer and is unpleasant

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13
Q

What are the two pathways that nociceptors activate?

A
  • reflex like protective responses integrated at the spinal cord
  • ascending pathways to the cerebral cortex that become a conscious sensation
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14
Q

What are the primary sensory fibres that afferent signals from nociceptors are Carried to the CNS in?

A
  • alpha beta fibres
  • alpha delta fibres
  • c fibres
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15
Q

Fibres involved in the fast pain pathway

A

Alpha delta ; they respond signals of mechanical and thermal nociceptors

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16
Q

What fibres are involved in the slow pain pathway?

A

The unmyelinated c fibres that respond to signals from polymodal nociceptors

17
Q

Where do the unmyelinated c fibres travel?

A

> spino-mesencephalic tract
spino-reticular tract
spino-hypothalamic tract

> sub thalamic

18
Q

Where do the myelinated a fibres travel?

A

> spinothalamic tract -> thalamus -> parietal lobe

> supra thalamic

19
Q

What are pain receptors called?

A

Nociceptors

20
Q

What neurotransmitters do afferent pain fibres release?

A
  • substance p

- glutamate

21
Q

What two plasma membrAne receptors does glutamate act on?

A
  • AMPA receptors (transmits pain to higher receptors)

- NMDA receptors (makes calcium enter into dorsal horn which excites dorsal horn neurons)