Pain Flashcards

1
Q

What is the function of the descending pathway that acts at the dorsal horn?

A

Modulates pain

  • can increase or decrease its sensation
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2
Q

Which type of nociception fibres are myelinated?

A

A-delta

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2
Q

What is fibromyalgia?

A

Pain state that can’t be linked to any pathology

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3
Q

What is the difference between dysfunctional pain and neuropathic pain?

A

In neuropathic pain there is some damage to part of the NS involved in nociception while in the dysfunctional pain there is no obvious pathology

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4
Q

What is the nocebo effect?

A

A inoculous stimuli that causes pain because the subject is expecting it to be painful

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6
Q

Where are the cell bodies for the sensory nerves?

A

Dorsal root ganglia

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6
Q

Are all nociceptors the same?

A

No, different nociceptors are determined by their range of different TRPV1 receptors

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7
Q

What is secondary hyperalgesia?

A

Where increased pain sensation occurs around an area of original pain/wound

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9
Q

Which type of nociception fibres are unmyelinated?

A

C-fibres

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10
Q

What temperature will elicit the pain response?

A

>52C

<15C

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11
Q

Inflammation pain can lead to what changes to pain sensation?

A

Sensitisation to pain

Spontaneous pain

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11
Q

What is allodynia?

A

Painful response to non-noxious stimuli

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12
Q

Which laminae in the dorsal horn do C-fibres synapse with?

A

i and ii

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14
Q

Which type of pain fibres do glabrous skin lack? What are the implications?

A

Type II A fibres

They don’t have the fast response

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14
Q

What type of pain does stimulation of C-fibres cause?

A

Slow, throbbing pain

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15
Q

Which tract do pain fibres communicate with the CNS via?

A

The anterolateral tract

17
Q

What type of receptors receive nociceptive stimuli?

A

TRPV1

18
Q

What are the 4 step of pain sensation?

A

Transduction

Transmission

Perception

Modulation

19
Q

Which laminae in the dorsal horn do A-delta fibres synapse with?

A

i and v

20
Q

What reflex response to pain?

A

Withdrawal

21
Q

Can you have a nociceptive reflex without feeling pain?

A

Yes