S1_L2: Cutaneous Receptors Flashcards
These provide input to nervous system and detect sensory stimuli such as touch, sound, light, pain, cold, and warmth
Cutaneous Receptors
TRUE OR FALSE: Mechanoreceptors detecting mechanical compression. It also detects the stretching of the receptor or of tissues adjacent to receptor.
A. Both statements are true
B. Both statements are false
C. Only the 1st statement is true
D. Only the 2nd statement is true
A. Both statements are true
The following statements are true, EXCEPT:
A. Joint has a low threshold for mechanoreceptors
B. Krause’s End-Bulb and Hair End Organ are examples of mechanoreceptors
C. Mechanoreceptors are able to detect stimuli such as touch, pressure, vibration, and sound from internal environments
D. All of the above
E. None of the above
A. Joint has a low threshold for mechanoreceptors
NOTE: It has a high threshold
Match the following sensations subserved by the kinds of mechanoreceptors.
- tickle
- velocity of touch
- changes on texture
- continuous touch of objects against skin
- pain
A. Free Nerve Ending
B. Meissner’s corpuscles
C. Merkel’s discs
- A
- C
- B
- C
- A
Match the following sensations subserved by the kinds of mechanoreceptors.
- constant indentation of the skin
- localized spatial sensations
- low frequency vibration
- light touch
- pressure
A. Free Nerve Ending
B. Meissner’s corpuscles
C. Merkel’s discs
- C
- B
- B
- A
- A
Match the following sensations subserved by the kinds of mechanoreceptors.
- heavy prolonged touch
- movement of objects on the surface of the body
- cold
- rapid local compression of tissues
- movement of any hair in the body
A. Hair End Organ
B. Ruffini’s end organ
C. Pacinian Corpuscles
D. Krause’s End-Bulb
- B
- A
- D
- C
- A
Match the following sensations subserved by the kinds of mechanoreceptors.
- tissue vibration
- initial contact with the body
- pressure signal
- perception of touch and pressure
- tension or stretch
A. Hair End Organ
B. Ruffini’s end organ
C. Pacinian Corpuscles
D. Krause’s End-Bulb
- C
- A
- B
- D
- B
Skin tolerates until _______ºC until it burns
45
TRUE OR FALSE: Free nerve endings can be stimulated mechanically, thermally, and chemically
True
The following statements are true about free nerve endings, EXCEPT:
A. able to detect itch sensations
B. able to detect temperature
C. found in the cornea and everywhere in the superficial layer of the skin
D. All of the above
E. None of the above
E. None of the above
TRUE OR FALSE: Meissner’s corpuscles are localized on the hairy areas of the skin. It is encapsulated in a myelin sheath and contain many branching nerve filaments within the capsule.
A. Both statements are true
B. Both statements are false
C. Only the 1st statement is true
D. Only the 2nd statement is true
D. Only the 2nd statement is true
NOTE: it is located in non0hairy areas such as the fingertips and lips
Meissner’s corpuscles are located in areas where one’s ability to discern (1)_______ of (2)_______ sensations is highly developed
- spatial locations
- touch
TRUE OR FALSE: Meissner’s corpuscles play an important role in discriminative touch and movement of objects over skin.
True
______ is a system of touch reading and writing for visually impaired persons in which raised dots represent the letters of the alphabet
Braille / Braille System
TRUE OR FALSE: Merkel’s discs have the same location as free nerve endings. It plays an important role in both two-point discrimination and localization of touch.
A. Both statements are true
B. Both statements are false
C. Only the 1st statement is true
D. Only the 2nd statement is true
D. Only the 2nd statement is true
NOTE: It has the same location as Meissner’s corpuscles, but is also present in skin with hair
Meissner’s corpuscles are (1)_______ adapting receptors, while Merkel’s discs
are (2)_______ adapting receptors
- rapid
- slow
The entire group of Merkel’s discs is innervated by a single large myelinated nerve fiber. Which nerve fiber is being referred?
type Aβ
Merkel discs are often grouped together in this receptor organ. This causes the epithelium at this point to protrude outward, thus creating a dome. What is the structure being referred?
Iggo Dome Receptor
Topic: Hair End Organ
At the base of each (1)_______, a (2)_______ is entwined.
- hair follicle
- free nerve ending
TRUE OR FALSE: Ruffini’s end organ can detect warmth.
True
To remember: Ruff-init
TRUE OR FALSE: Ruffini’s end organ are located in the deeper layers of skin. It is present in internal tissues such as joint capsules.
A. Both statements are true
B. Both statements are false
C. Only the 1st statement is true
D. Only the 2nd statement is true
A. Both statements are true
TRUE OR FALSE: Ruffini’s end organ also encapsulated in a myelin sheath. They are known to be fast adapting receptors.
A. Both statements are true
B. Both statements are false
C. Only the 1st statement is true
D. Only the 2nd statement is true
C. Only the 1st statement is true
The following statements are true about Pacinian Corpuscles, EXCEPT:
A. also respond to superficial pressure and slow vibration
B. located immediately beneath the skin
C. located deep fascial tissues such as tendons and joints
D. encapsulated in a myelin sheath
E. None of the above
A. also respond to superficial pressure and slow vibration
NOTE: it responds to deep pressure and fast vibration
Krause’s End-Bulb are located where?
dermis and conjunctiva of the eye
These receptors are specialized in detecting changes in temperature, some receptors detecting cold, and others, warmth
Thermoreceptors
These receptors are specialized in detecting taste in mouth, smell in nose, O2 level in arterial blood, osmolality of fluids, CO2 concentration in body, and other factors making up chemistry of body
Chemoreceptors
These receptors are specialized in detecting light on the retina of the eye
Electromagnetic receptors
These receptors are specialized in detecting damage occurring in the tissues, whether physical or chemical damage
Nociceptors
Which mechanoreceptors are encapsulated receptors?
- Meissner’s corpuscles
- Pacinian Corpuscles
- Ruffini’s end organ
This principle talks about the specificity of nerve fibers for transmitting only one modality of sensation
Labeled Line Principle
TRUE OR FALSE: A receptor can only transmit their own designated signal. However, when the threshold becomes too high, it can reach the pain receptor and send a nociceptive stimulus.
A. Both statements are true
B. Both statements are false
C. Only the 1st statement is true
D. Only the 2nd statement is true
A. Both statements are true
This is an unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage
Pain
Determine the kind of pain.
- diffused
- poorly localized
- electric pain
- projects in the thalamus and the cortex 3,1,2
- arise 1 second or more then increases slowly over many seconds to minutes
A. Fast pain
B. Slow Pain
- B
- B
- A
- A
- B
Determine the kind of pain.
- well localized
- originates from skin and subcutaneous tissue
- bright sharp pain
- burning and throbbing pain
- can give emotional problem
A. Fast pain
B. Slow Pain
- A
- A
- A
- B
- B
What pathway is responsible in transmitting fast pain?
neospinothalamic tract
What pathway is responsible in transmitting slow pain?
paleospinothalamic tract
What is the neurotransmitter for fast pain?
glutamate
What is the neurotransmitter for slow pain?
substance p & glutamate
What fibers are used to conduct fast pain?
a-delta fibers
What fibers are used to conduct slow pain?
unmyelinated c fibers / Type 4
Both fast and slow pain terminate at the ______
cerebral cortex
TRUE OR FALSE: The greater rate of tissue metabolism, the faster time that pain will be felt.
True
This tract allows extra fibers that will transmit pain and temperature sensation 2-3 segments above and below the segment
Posterior tract of Lissauer
The following statements are true about Brown Sequard Syndrome, EXCEPT:
A. Patient cannot feel pain at the level of the lesion
B. C/L loss of pain and temperature sensations
C. Ipsilateral loss of proprioception
D. Ipsilateral loss of light touch
E. None of the above
A. Patient cannot feel pain at the level of the lesion
NOTE: In this syndrome, for example, if L2 is transected, pain sensation can still be felt because it can reach L3 and L1 segments.
Sensory pathways terminate at the _________
primary somatosensory cortex (BA 3,1,2)
TRUE OR FALSE: Dorsal column is less myelinated than the anterior & lateral spinothalamic tracts
False
What is the 1st order neuron of the DCML pathway?
dorsal root ganglion
Neospinothalamic tract is also known as ___________,
while Paleospinothalamic tract is also known as
- lateral spinothalamic tract
- anterior spinothalamic tract
Spinothalamic tracts are diffuse pathways concerned with _________sensations
non-discriminative
Enumerate the three major tracts of the spinothalamic system.
- anterior spinothalamic tract
- lateral spinothalamic tract
- spino-reticular tract
Match the tract and their sensations transmitted.
- pain and temperature
- crudely localized touch and pressure
- diffuse pain sensations
A. anterior spinothalamic tract
B. lateral spinothalamic tract
C. spino-reticular tract
- B
- A
- C
Determine which description fits the following pathways.
- Large, rapidly conducting afferent fibers
- Poor spatial orientation relative to origin of stimulus
- Originates from skin, joints, and tendons
- Precise localization
- Fibers cross and move up spinal cord, through medulla, pons, and midbrain
A. Anterolateral spinothalamic
B. Dorsal Column-
Medial Lemniscal
- B
- A
- B
- B
- A
This is a vascular lesion of thalamus resulting in sensory disturbances and partial/complete paralysis of one side, associated with severe, boring-type pain.
Thalamic syndrome
Determine the impairment with the given description below.
Pain is produced by a non-noxious stimulus
A. Abarognosis
B. Allesthesia
C. Allodynia
D. Analgesia
E. Astereognosis
C. Allodynia
Determine the impairment with the given description below.
Complete loss of pain sensitivity
A. Abarognosis
B. Allesthesia
C. Causalgia
D. Analgesia
E. Astereognosis
D. Analgesia
Determine the impairment with the given description below.
Also known as Tactile Agnosia
A. Abarognosis
B. Allesthesia
C. Causalgia
D. Analgesia
E. Astereognosis
E. Astereognosis
Determine the impairment with the given description below.
Inability to recognize shapes and form of an object by touch
A. Abarognosis
B. Allesthesia
C. Allodynia
D. Analgesia
E. Astereognosis
E. Astereognosis
Determine the impairment with the given description below.
Inability to perceive temperature (hot/cold)
A. Thermanalgesia
B. Ageusia
C. Thigmanesthesia
D. Therm-hypesthesia
E. Therm-hyperesthesia
B. Thermanesthesia
Determine the impairment with the given description below.
Decreased sensitivity to temperature
A. Thermanalgesia
B. Ageusia
C. Thigmanesthesia
D. Akinesthesia
E. Therm-hyperesthesia
D. Therm-hypesthesia
Determine the impairment with the given description below.
Loss of light touch
A. Thermanalgesia
B. Ageusia
C. Thigmanesthesia
D. Akinesthesia
E. Therm-hyperesthesia
C. Thigmanesthesia
Match the following impairments.
- Increased sensitivity to pain
- Decreased sensitivity to sensory stimuli
- Touch sensation is experienced as pain
A. Hypoalgesia
B. Hyperalgesia
C. Hyperesthesia
D. Hypesthesia
E. None of the above
- B
- D
- E
Match the following impairments.
- Abnormal sensation (numbness, tingling, pins and needles)
- Increased sensitivity to temperature
- Inability to perceive motion/position
A. Akinesthesia
B. Hyperalgesia
C. Paresthesia
D. Therm-hyperesthesia
E. None of the above
- C
- D
- A
Determine the impairment by the description given below.
Painful, burning sensations, usually along distribution of nerve (lower motor neuron lesion)
Causalgia
Determine the impairment by the description given below.
Inability to localize sensation
Atopognosia
Determine the impairment by the description given below.
Inability to perceive heat
Thermanalgesia
Determine the impairment.
Loss of taste
A. Ageusia
B. Pallanesthesia
A. Ageusia
Determine the impairment.
Touch sensation is experienced as pain
A. Dysesthesia
B. Pallanesthesia
A. Dysesthesia
Determine the impairment.
Loss or absence of vibration sense (deep)
A. Allesthesia
B. Pallanesthesia
B. Pallanesthesia
Determine the impairment.
Inability to recognize weight
A. Allesthesia
B. Abarognosis
B. Abarognosis
Determine the impairment.
Sensation experienced at a site remote from point of stimulation
A. Hypoalgesia
B. Hyperesthesia
C. Allesthesia
D. Ageusia
E. Atopognosia
C. Allesthesia
Determine the impairment.
Decreased sensitivity to pain
A. Hypoalgesia
B. Hyperesthesia
C. Allesthesia
D. Hypesthesia
E. Dysesthesia
A. Hypoalgesia
Determine the impairment.
Increased sensitivity to sensory stimuli
A. Hypoalgesia
B. Hyperesthesia
C. Allesthesia
D. Hypesthesia
E. Dysesthesia
B. Hyperesthesia
______ is a topographic representation of the sensory distribution of the body found in the cerebral cortex
sensory homunculus
TRUE OR FALSE: The sensory homunculus helps discerns small changes in texture. It is proportioned with equal sizes.
A. Both statements are true
B. Both statements are false
C. Only the 1st statement is true
D. Only the 2nd statement is true
C. Only the 1st statement is true
Match the Brodmann’s Areas
- BA 17
- BA 18
- BA 5&7
A. secondary somatosensory cortex
B. primary visual area
C. secondary visual area
- B
- C
- A
Which sensations do not terminated in BA 3,1,2?
olfactory and optic
TRUE OR FALSE: The brain can naturally secrete opium mediated substances to block the pain sensation.
True
The _____ are opium mediated substances that the brain can secrete to block the pain sensation
What are the transmitters involved in the analgesic system?
Enkephalin and Serotonin
Activation of the analgesia system by nervous signals entering the (1)_____ and (2)_____ areas, or inactivation of pain pathways by (3)______, can almost totally suppress many pain signals entering through the (4)_______.
- periaqueductal gray
- periventricular
- morphine-like drugs
- peripheral nerves
Source: Guyton (Chapter 47-49)
This theory tackles the opening and closing of gates in response to nociceptive and non nociceptive receptors
Gate Control Theory
The gate control theory uses the stimulation of non nociceptive (1)______ to mask (2)______
- A fibers
- C fibers
This structure is where
80% of sensation pass through and is activated by non-noxious stimuli
Substantia gelatinosa
This system uses a fast stimulus to cover up and divert the sensation of pain that it is not as noxious as the previous one.
Pain induced masking system
TRUE OR FALSE: Enkephalin causes pre and post-synaptic inhibition of type A-delta and C pain fibers.
True
TRUE OR FALSE: Nerve tract for pressure can transmit different signals at multiple endpoints in the central nervous system
False
Primary Somatosensory Cortex is Brodmann’s area/s?
3,1,2
This mechanoreceptor can also detect warmth:
Ruffini’s end organ
This is previously known as Paleospinothalamic tract
Anterior spinothalamic tract
This mechanoreceptor can be found in the cornea
Free nerve ending
The second order of DCML is (1)______ for UE and (2)_____ for LE
- cuneate nuclei
- gracile nuclei
Based from the sensory homunculus, arrange the following from most sensitive to least
- lips
- thumbs
- trunk
- face
1423
Lips>Face>Thumbs>Trunk