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26 Cards in this Set

  • Front
  • Back
The dorsolateral fasciculus contains axons that will:
A. cross to the opposite side of the CNS
B. ascend to the medulla before synapsing
C. synapse in laminae I and V
D. enter the ventral white commissure
E. mediate proprioceptive sensation
C synapse in laminae I and V
When you injure yourself, you immediately feel a sharp pain from the site of injury followed
by a throbbing painful sensation. Which of the following statements about this is FALSE:
A. the immediate pain sensation is carried by Aδ fibers
B. the immediate pain sensation travels via the lateral spinothalamic pathway
C. the throbbing pain sensation travels via the spinoreticulothalamic pathway
D. the throbbing pain sensation is mediated by the ventroposterior lateral nucleus
E. the immediate pain sensation is localized on the body by the postcentral gyrus
D the throbbing pain sensation is mediated by the ventroposterior lateral nucleus
Which of the following statements is NOT TRUE about the pathway that transmits
information about the emotional aspects of pain:
A. there are multiple synapses between the spinal cord and thalamus
B. it is mediated by type C fibers
C. this pathway terminates in the cingulate gyrus
D. this pathway synapses in the ventral posterior lateral thalamic nucleus
E. this pathway is part of the anterolateral system (ALS)
D
Damage to the spinal trigeminal nucleus on the right side of the brainstem, would result in :
A. loss of pain and temperature sensation on the ipsilateral face
B. loss of pain and temperature sensation on the contralateral face
C. loss of pain, temperature, and touch sensation on the contralatetal face
D. loss of only touch sensation on the ipsilateral face
E. loss of only touch sensation on the contralateral face
A
1. When a noxious stimulus is applied to a nociceptor, the receptor will discharge

1. only when the stimulus is first applied
2. when the stimulus is first applied and again when the stimulus is withdrawn
3. only while the noxious stimulus is increasing but not when it remains constant
4. as long as the noxious stimulus is present
5. any of the above, depending upon the specific nociceptive ending
1. D. Nociceptors are (more-or-less) nonadapting
2. Aspirin, an agent that inhibits prostaglandin synthesis, can reduce the pain of headache by

1. reducing the sensitivity of cranial nociceptors
2. reducing synaptic excitability in the spinal trigeminal nucleus
3. releasing enkephalin in the spinal trigeminal nucleus
4. depressing the thalamic intralaminar nuclei
5. preventing action potential transmission in C-fibers
A. Aspirin is a prostaglandin synthesis inhibitor which reduces the sensitivity of nociceptive sensory endings
3. "Phantom limb" is a example of

1. sensitization of cutaneous pain endings due to injury
2. sensory projection
3. referred pain
4. pain modulation
5. psychological hallucination
B. It is not referred pain (choice "C") as it does not result from a stimulus to pain endings
4. Substance P is released from

1. nociceptive afferent endings
2. first order nociceptive terminal in the dorsal horn
3. first order mechanosensitive terminals in the dorsal horn
4. terminals of descending fibers from the raphe nucleus in the dorsal horn
5. both A and B above
e
5. Opioid peptides are released from

1. nociceptive afferent endings
2. first order nociceptive terminal in the dorsal horn
3. first order mechanosensitive terminals in the dorsal horn
4. terminals of descending fibers from the raphe nucleus in the dorsal horn
5. both C and D above
e
6. Which of the following would not be expected to reduce the intensity of pain sensation?

1. electrical stimulation of the dorsal columns
2. electrical stimulation of the spinothalamic and spinoreticular tracts
3. electrical stimulation of the periaqueductal gray (PAG)
4. electrical stimulation of the raphe nucleus
5. none of the above, as all of the above would reduce pain sensation
B. In fact, stimulating the anterolateral tracts would likely increase pain intensity
You step on a tack with your left foot, eliciting the sensation of pain
descri[be the pathway of pain
Sensory endings: nociceptors in the left foot; both "fast" pain (A-delta) and "slow" pain (C-fibers) endings, are depolarized (generator potential) by the noxious stimulus, causing action potentials to be generated on the axons innervating the endings. These action potentials are conducted to the spinal cord. .
"Lateral inhibition" is a mechanism for

1. preventing excess stimulation of sensory endings
2. increasing the precision of stimulus localization
3. selectively reducing the intensity of pain sensation
4. increasing sensitivity to low intensity stimuli
5. responding to complex stimuli, such as "wetness"
increasing the precision of stimulus localization
Lateral inhibition also increases contrast
Pacinian corpuscles are characterized by all of the following except

1. rapid adaptation
2. axons travel in the dorsal column system
3. innervated by small myelinated axons (Ad)
4. sense rapid vibration
5. project to the somatosensory cortex
3 Pacinian corpuscles are innervated by A-beta fibers
When skin temperature is rapidly raised from 25 C to 35 C, the expected sequence of sensation during and after the temperature change is

1. sensation of gradual warming after the skin temperature has reached 35 C
2. initial sensation of intense warmth followed by a sensation of mild warmth
3. initial sensation of warmth followed by a rebound sensation of cold
4. no particular sensation, since cutaneous thermoreceptors are sensitive only to temperature below 25 C or above 35 C
5. no particular sensation, since at 35 C warm and cold receptors fire at the same rate
2 Due to adaptation of the thermosensitive endings
he spinoreticular tract is important for which of the following?

1. sensation localization
2. determining the modality of the sensation
3. cerebral cortex arousal
4. increasing sensation acuity (discrimination of detail)
5. none of the above, since the reticular formation is important in motor activity, not sensation
3 One of the functions of the ascending reticular system is cortical arousal
If a patient shows sensory loss at one dermatome and all ipsilateral dermatomes below it, then it is likely that the lesion is located in:

1. a peripheral nerve
2. a spinal nerve
3. a spinal root
4. the spinal cord
5. the brainstem
4 & 5
Coding of sensory messages is accomplished by:
a) changing the frequency of firing of action potentials.
b) changing amplitude of action potentials.
c) changing number of sensory neurons activated.
d) a and c
e) a, b and c
D
25. The stretch receptor neurons associated with the muscle spindle are derived from
a) mesoderm
b) neural tube
c) neural crest
d) neural UltraBrite
C
34. If you cut the right optic tract you would be blind in the
a) left monocular crescent only.
b) right monocular crescent only.
c) left visual field.
d) right visual field.
c
52. You are caught in a mosh pit and someone with big, black, clunky, Doc Martin-like shoes stomps on your foot. What is the first thing that will happen in your nervous system?
a) Action potentials carried by A-beta fibers innervating your foot will reach your CNS.
b) Action potentials carried by C fibers innervating your foot will reach your CNS.
c) Action potentials carried by A-delta fibers innervating your foot will reach your CNS.
d) An ensemble of premotor neurons in Brocas area coding for "Son of a ___" will fire.
a
The sensory homunculus in primary somatosensory cortex
a) is an example of placecoding.
b) reflects the variations in innervation density found in the skin of the body.
c) reflects the amount of use skin gets on different parts of the body.
d) all of the above.
D
You place your hand on a hot waffle iron. What happens first?
a) You feel an agonizing, aching pain.
b) You fell a stinging, sharp pain.
c) You feel the texture of the waffle iron.
d) Someone pours maple syrup on your hand and starts to eat it.
C
The cause of phantom limb pain is thought to involve
a) a rewiring of neuronal circuitry in the spinal cord.
b) a rewiring of neuronal circuitry in primary somatosensory cortex.
c) continued nociceptor activity in the severed limb.
d) the same mechanism responsible for referred pain
D
It would be great if we could not feel pain.
a) True
b) False
B
You wake up one morning to discover that you have lost the ability to make fine finger movements, but you can move your hand and arm. Where might the damage be that is causing this problem?
a) corticospinal tract
b) spinothalamic tract
c) rubrospinal tract
d) medial lemniscus
e) ventromedial pathway
A
Your roommate wakes up on the same morning to discover that he/she has lost the ability to sit upright, but has no problem with fine finger movements. Where might the damage be that is causing this problem?
a) corticospinal tract
b) spinothalamic tract
c) rubrospinal tract
d) medial lemniscus
e) ventromedial pathway
E