Week 4- pharmacology Flashcards

1
Q

Where do spinal interneurons receive input from?

A

Primary sensory axons
Descending axons from the brain
Collateral branches of LMNs
Other interneurons

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2
Q

NOTE- Input into spinal interneurons can be excitatory or inhibitory. But they themselves can also be excitatory or inhibitory.

A

:)

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3
Q

For a muscle movement to occur you need…

What is this called?

A

One group of muscles to contract
The opposing group of muscles to contract.

Termed- reciprocal inhibition

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4
Q

Describe the process of reciprocal inhibition

A

The myototic reflex causes the extensor muscle to contract, but for the leg to extend the flexor muscle must also relax.
The 1a afferent from the muscle spindle interacts with a spinal interneuron. It has an excitatory effect on the alpha motor neurone supplying the quad muscles and an inhibitory effect on the alpha motor neurone supplying the hamstrings.
This is called a polysynaptic reflex.

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5
Q

Voluntary movement arises from the motor cortex. Describe its innervation.

A

It travels from the cell body within the motor cortex to two sets of targets. Alpha motor neurones of the extensor and inhibitory neurones of the flexor.

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6
Q

What is the flexor reflex?

A

Noxious stimulus causes limb to flex by-
Contraction of flexor muscles via excitatory interneurones
Relaxation of extensor muscles via excitatory and inhibitory interneurons

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7
Q

What is the extensor reflex?

A

Noxious stimulus causes limb to extend by
Contraction of extensor muscles via excitatory interneurons
Relaxation of flexor muscles via excitatory and inhibitory interneurons.

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8
Q

For an activity like walking to occur, you need rhythmic, alternating activity that moves the limb. What do you need for this to occur?

A

A pacemaking interneuron that rhythmically discharges APs

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9
Q

Describe the set up of pacemaking interneurons and how they extend and flex muscles?

A

The pacemaker interneuron synapses an excitatory and inhibitory interneuron. These then synapse with the excitatory to an inhibitory and an inhibitory to an excitatory interneuron.
There are two rhythmic interneurons and they can’t be active at the same time.

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10
Q

Which areas of the brain have input into the actions of muscle movement?

A

Neocortex and basal ganglia- strategy- what is the aim of the movement
Motor cortex and cerebellum- which muscles need to move to carry out this strategy
Brainstem and spinal cord- execution of the activity.

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11
Q

What is pain?

A

An unpleasant sensory and emotional experience related to actual tissue damage or described in terms of such damage.

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12
Q

How can pain be classified?

A

Three forms

  • Nociceptive- acute pain e.g. pin prick
  • Inflammatory-prolonged pain e.g. sunburn, wound infection
  • Pathological- neurogenic pain e.g. IBS, fibromyalgia, diabetes, cancer
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13
Q

If there is a problem with the skin, how will the pain feel?

A

Well localised to a specific area.

Pricking, stabbing or burning.

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14
Q

If there is a problem with the viscera, how will the pain feel?

A

Poorly localised

Dullness, vagueness, fullness and nausea.

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15
Q

If there is a problem with the muscles, how will the pain feel?

A

Poorly localised

Aching, soreness/tenderness, cramping stabbing burning.

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16
Q

What are nociceptors?

A

Peripheral primary sensory afferent neurones normally activated by intense stimuli.

17
Q

Where are the cell bodies of nociceptors found?

A

Dorsal root ganglion.

18
Q

What are A delta fibres?

A

Mechanical/thermal nociceptors that are thinly myelinated. They respond to noxious mechanical and thermal stimulus.
Mediate first/fast pain

19
Q

What are C fibres?

A

Unmyelinated nociceptors. They are polymodal and mediate slow/secondary pain.

20
Q

What can A delta fibres be further classified into?

A

Type 1

Type 2

21
Q

Describe type 1 A delta fibres?

A

They are high threshold mechanoceptors which require strong mechanical stimuli for activation. Activated by noxious heat.

22
Q

Describe type 2 A delta fibres?

A

Respond to noxious mechanical stimulus and also noxious heat. Sensitive to capsaicin.
Mediates first pain to heat.

23
Q

How can C fibres be sub-classified?

A

C-MH
C-M
C-H
C-MiHi

24
Q

What is first pass pain?

A

Lacinating, stabbing, pricking sensations. occur before second pass pain.

25
Q

What is second pass pain?

A

Burning, throbbing, cramping and aching type pains.

26
Q

What is the role of C-MH fibres?

A

Respond to noxious mechanical stimuli activated by noxious heat. Sensitive to capsaicin (component of chilli peppers). Can locate the source through these.

27
Q

What is the role of C-M fibres?

A

Respond to noxious mechanical stimuli however insensitive to heat and capsaicin.

28
Q

What is the role of C-H fibres?

A

Respond to noxious heat, normally insensitive to mechanical stimuli and sensitive to capsaicin. Mediates heat hyperalgesia. Can not locate the source from these. Acquire sensitivity to mechanical stimulation in the context of inflammation.

29
Q

What is the role of C-MiHi fibres?

A

Normally insensitive to both mechanical and heat stimuli but acquires sensitivity following sensitisation by inflammatory mediators. Sensitive to capsaicin and other algesic or pro-algesic substances.