Pain Pathophysiology Flashcards

1
Q

What type of pain includes postoperative pain, mechanical lower back pain, and arthritis?

A

Nociceptive pain

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2
Q

Name a few conditions categorized as neuropathic pain.

A

Postherpetic neuralgia, trigeminal neuralgia, CRPSII

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3
Q

What does the biomedical model state about pain?

A

Pain reflects underlying disease or tissue damage

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4
Q

Where is the ‘gate’ located in the gate control theory of pain?

A

Dorsal horn of the spinal cord

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5
Q

Which fibers transmit non-painful stimuli like touch?

A

A-beta fibers

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6
Q

What closes the ‘gate’ in the gate control theory?

A

Activation of large-diameter fibers by non-painful stimuli

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7
Q

What neurotransmitters are involved in the brain’s descending pain pathway?

A

Serotonin and endorphins

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8
Q

How does rubbing a bruised area help reduce pain?

A

Activates large fibers, closing the ‘gate’

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9
Q

What is an interoceptive sensation related to pain?

A

Protection of injured tissues

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10
Q

What is physiological pain initiated by?

A

Nociceptors responding to noxious stimuli

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11
Q

Define neuronal plasticity.

A

The brain’s ability to change structure/function in response to stimuli

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12
Q

What happens to neurons detecting pain during chronic pain?

A

They display plasticity, altering function and structure

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13
Q

What causes nociceptive pain?

A

Ongoing activation of the nervous system by tissue injury

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14
Q

How does somatic pain differ from visceral pain?

A

Somatic pain arises from MSK tissues, visceral from internal organs

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15
Q

What is transduction in nociception?

A

Detection of noxious stimuli by nociceptors

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16
Q

What is the role of modulation in pain perception?

A

Suppressing or facilitating second-order neuron responses

17
Q

What is peripheral sensitization?

A

Increased responsiveness of nociceptors to stimuli

18
Q

What is central sensitization?

A

Enhanced response of CNS nociceptive neurons to input

19
Q

Define hyperalgesia.

A

Exaggerated response to painful stimuli

20
Q

Define allodynia.

A

Pain from non-painful stimuli

21
Q

What fibers are involved in fast pain transmission?

A

A-delta fibers

22
Q

What fibers are responsible for slow pain?

A

C fibers

23
Q

Name one condition that exemplifies central sensitization.

A

Allodynia

24
Q

What is the conduction phase in nociception?

A

Sensory input traveling from peripheral terminals to the spinal cord

25
Q

How does aging impair pain sensation?

A

Decline in fast pain fiber function

26
Q

What causes expansion of the receptive field in chronic pain?

A

Central sensitization

27
Q

What neurochemical process can lead to chronic pain?

A

Persistent neuronal plasticity

28
Q

How does TENS reduce pain?

A

Stimulates large fibers to block pain signals

29
Q

What increases conduction velocity in peripheral nerve fibers?

A

Myelination

30
Q

What is the primary function of nociceptors?

A

Detect noxious or damaging stimuli