Pathophysiology of Pain Flashcards

1
Q

What pain theory was characterized by phantom pain patients? What is the hallmark of this theory?

A

Neuromatrix Theory - people become hard-wired to feel pain that is no longer present

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2
Q

What are the three types of pain?

A

Nociceptive, neuropathic, nocioplastic

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3
Q

What is analgesia?

A

Absence of pain from a stimulus that would normally be painful

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4
Q

Pain is carried by what types of fibers?

A

Small, slow fibers

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5
Q

What neurotransmitter prolongs the action of glutamate?

A

Substance P

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6
Q

What symptoms often accompany widespread, nocioplastic pain?

A

Fatigue, sleep, memory changes, mood changes

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7
Q

This type of pain is associated with numbness and tingling.

A

Neuropathic/Central pain

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8
Q

What sensory fibers transmit sharp pain?

A

A-delta fibers

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9
Q

What fibers can prohibit impulses from small, slow fibers?

A

Large A-beta fibers

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10
Q

This type of pain occurs when nociceptors are activated in response to tissue damage.

A

Nociceptive pain

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11
Q

What compounds activate and sensitize nociceptors?

A

Bradykinin, histamine, prostaglandins, K+

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12
Q

How does the specificity theory characterize pain?

A

As an independent sensation with specific receptors that connect with specific regions of the brain

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13
Q

A patient states they experience pain when the wind blows against their skin outdoors. What term describes this pain?

A

Allodynia - pain from a non-painful stimulus

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14
Q

True/False. C fiber signals to WDR neurons can be amplified and produce a greater pain sensation.

A

True. This phenomenon is called windup

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15
Q

Where do the subjective sensation and modulation of pain take place?

A

Thalamus & somatosensory cortex

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16
Q

What type of pain is mediated by autonomics?

A

Visceral pain

17
Q

What term describes extreme sensitivity to pain?

A

Hyperalgesia

18
Q

A patient presents with pain after a shopping cart ran into their leg. The leg is red and swollen. What diagnosis may describe the exacerbated physiological response?

A

Complex Regional Pain Syndrome due to reflex sympathetic dystrophy

19
Q

What is hyperpathia?

A

The sensory threshold for pain is higher, but often results in a longer pain sensation once activated

20
Q

This type of pain arises from direct injury to nerves.

A

Neuropathic pain

21
Q

Visceral pain is carried by what autonomic fibers?

A

Sympathetic fibers

22
Q

How do paresthesia and dysesthesia differ?

A

Paresthesia is an abnormal alteration of pain sensation. Dysesthesia in an abnormal, unpleasant sensation that is not painful

23
Q

What neurotransmitters are associated with pain?

A

Glutamate, norepinephrine, substance P

24
Q

Individuals with chronic pain are at higher risk for depression. Why might this be?

A

Depletion of serotonin and endorphins

25
Q

This type of pain may be dull or burning, but is reproducible.

A

Somatic pain

26
Q

What pain theory combines the specificity and pattern theories and hypothesizes that pain is carried by specific fibers that can be inhibited or stimulated by other nerve impulses?

A

Gate Control Theory

27
Q

What is the action of A-beta fibers on wide dynamic range (WDR) neurons?

A

Inhibit nociceptive input to WDR neurons from A-delta and C fibers

28
Q

What sensory fibers are unmyelinated?

A

C Fibers. A-beta & A-delta fibers are myleinated

29
Q

What is a common cause of central pain?

A

Lesion or dysfunction of the pain-sensing system

30
Q

What information is transmitted via A-beta fibers?

A

Touch, pressure, vibration, proprioception

31
Q

How does the pattern theory characterize pain?

A

Pain shares endings with other sensory modalities, but different patterns of stimulation determine pain vs. non-pain