Regional - Quiz 1
Review of material for test one going over pain pathways and pain management.
- 1.Which of the ascending pathways innervates the peripheral tissue and sends stimuli to the dorsal horn?
- A.
First Order neurons
- B.
Second Order Neurons
- C.
Third Order Neurons
- D.
All The Above
- 2.Which of the ascending pathways cross the spinal cord and ascend on the contralateral tract?
- A.
First Order Neurons
- B.
Second Order Neurons
- C.
Third Order Neurons
- D.
All The Above
- 3.Which of the ascending pathways sends stimuli from the thalamus to the postcentral gyrus?
- A.
First order Neurons
- B.
Second order Neurons
- C.
Third order Neurons
- D.
All the Above
- 4.Which of the following ascending pathways transmits noxious stimuli?
- A.
First Order Neurons
- B.
Second order neurons
- C.
Third order Neurons
- D.
All the Above
- 5.Which area of the parietal cortex received noxious stimuli from third order neurons?
- A.
PostCentral Gyrus
- B.
Limbic System
- C.
Amygdala
- D.
Medulla
- 6.Which of the ascending pathways releases Substance P?
- A.
None, released by glands.
- B.
First Order Neurons
- C.
Second Order Neurons
- D.
Third order neurons
- 7.Substance P works on what receptors to facilitate transmission of pain?
- A.
Mu receptors
- B.
Lamina 2 receptors
- C.
NK-1 receptors
- D.
P45 receptors
- 8.You are the SRNA today Mr. Payne. You have just given him a dose of opioids post op when your preceptor asks what the major site of action for opioids is. What is your response?
- A.
Lamina I
- B.
Lamina V
- C.
Lamina IV
- D.
Lamina II
- 9.You were doing some exercise today and decided to ride your bike. While out riding you hit a rock, went flying over the handle bars, and landed on your back. Now you are all sore as you walk home. When you get home you decided to take some Tylenol to relieve your pain. Being a good student you reflect back to pharmacology and ponder how Tylenol is able to relieve you pain. You are happy and feel so smart because you know that Tylenol….
- A.
Is a COX inhibitor, so it prevents arachidonic acid from converting to Prostaglandins which causes pain.
- B.
Blocks activation of phospholipase A to inhibit prostanglandin production.
- C.
Is a leukotriene inhibitor and breaks down bradykinin.
- D.
Inhibits transmission of Substance P by blocking NK-1 receptors.
- 10.You have just made a horrible mistake. You bought yourself a nice cold milkshake and slurped half of it down as fast as you could. Suddenly, as the cold shake cools your throat you feel the most horrendous brain freeze you have ever felt. As you attempt to relieve yourself from the excruciating brain freeze you realize this is an example of ‘referred pain’… and then begin to curse which lamina of the second order neurons for being responsible for this?
- A.
Lamina I
- B.
Lamina V
- C.
Lamina VII
- D.
Lamina II
- 11.Which type of nerve fiber would most likely be used to transmit pain associated with an IV stick?
- A.
A alpha fibers
- B.
C Fibers
- C.
A delta fibers
- D.
D fiber
- 12.Which form of nerve fiber is responsible for post-op pain after a colectomy?
- A.
A Alpha fibers
- B.
D fibers
- C.
A delta fibers
- D.
C fibers
- 13.Which form of nociceptor would respond to the pain associated a pinch or pinprick?
- A.
Mechanonociceptor
- B.
Silent Nociceptor
- C.
Polymodal mechoheat nociceptors
- D.
Somatic Nociceptors
- 14.Which form of nociceptor would transmit the pain associated an inflamed gallbladder?
- A.
Mechanonociceptor
- B.
Silent Nociceptor
- C.
Polymodal mechoheat nociceptors
- D.
Somatic Nociceptors
- 15.Which form of nociceptor would be involved in feeling heat when holding your hand over a candle?
- A.
Mechanonociceptor
- B.
Silent Nociceptor
- C.
Polymodal mechoheat nociceptors
- D.
Somatic Nociceptors
- 16.Which of the following does not enhance pain transmission?
- A.
Histamine
- B.
Serotonin
- C.
Prostaglandins
- D.
Norepinephrine
- 17.Mrs. Terren broke her elbow last week when she tripped over her son’s toys in the middle of the night. She is still having dull and aching pain in that elbow, even after it was set and put into a cast. How would you classify this type of pain?
- A.
Acute Deep Somatic Pain
- B.
Acute Visceral Pain
- C.
Chronic Pain
- D.
Acute Superficial Somatic Pain
- 18.Mrs. Terren is still having pain in her elbow. She broke it 6 months ago and the cast has been off for 4 months. The X-rays all say it is healed but it still hurts her on a regular basis. How would you classify this type of pain?
- A.
Acute Somatic Pain
- B.
Chronic Pain
- C.
Acute Visceral
- D.
None of above
- 19.Which lamina are involved in the immediate transmission of pain resulting shutting a car door on your finger?
- A.
Lamina II, III, V
- B.
Lamina V only
- C.
Lamina I, V
- D.
Lamina I, II, III
- 20.Which lamina would be involved in transmitting the pain associated with multiple sclerosis?
- A.
Lamina I, II, III
- B.
Lamina V only
- C.
Lamina I, V
- D.
Lamina I, II, V
- 21.Which of the following is the major neurotransmitter released from A delta fibers?
- A.
Glutamate
- B.
Substance P
- C.
Dynorphin
- D.
Capsaicin
- 22.Which of the following is the major neurotransmitter released from C fibers?
- A.
Glutamate
- B.
Substance P
- C.
Dynorphin
- D.
Capsaicin
- 23.Which of the following is responsible for modulating pain?
- A.
Dorsal Horn
- B.
Posterior Thalamus
- C.
Dorsolateral Funiculus
- D.
Substantia gelatinosa
- 24.You are caring for Mr. Dorsey today is having a sharp in the right lower quadrant of his abdomen. He has been diagnosed with acute appendicitis. You realize this is an acute pain, but what type?
- A.
True Parietal Acute Visceral
- B.
True Visceral Acute Visceral
- C.
Acute Deep Somatic
- D.
Acute Referred visceral
- 25.You are taking care of Ms. Batiste today. She is asleep in bed and all tangled up. You decide to fluff out her sheets to straighten them. As the soft, fluffy sheets touch her skin she yelps out in pain. Fluffy sheets are ordinarily a non-noxious stimulus, yet she is feeling pain. What is this an example of?
- A.
Parasthesia
- B.
Allodynia
- C.
Hyperalgesia
- D.
Neuralgia
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