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23 Cards in this Set
- Front
- Back
Pain can be modulated in the central nervous system by two different mechanisms
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1- Gate control theory
2- Descending control from higher brain centers |
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Why does it feel better to rub an injury?
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Modulation of pain signals by "touch" pathways
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Gate neuron in the spinal cord
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- Found in substantia gelatinosa (layer 1 of spinal cord gray matter)
- Indirectly inhibited by C fibers (pain) -- Activated by AB fibers (touch) _ It inhibits second order neuron of ALS pathway decreasing its conduction of pain messages (releases enkephalin |
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Analgesia induced by descending control from higher brain centers
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1. Not always adaptive to attend to injury-flighting, fleeing, mating
2. Temporarily decreases..., nociception, subjective experience 3. Endorphins- stress induced analgesia, another endogenous opiod 4. Blocked by naloxone |
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Placebo Effect
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-Inert pills can reduce perception of pain
- The placebo effect can be blocked by naloxone, a competitive antagonist of opiod receptors - The placebo effect is based on a biochemical change in the brain |
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Endorphins (descending control from higher brain centers)
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-Mostly beta-endorphin
-31 amino acid peptide -Synthesized from precursor that also creates melanocyte stimulating hormone and adrenalcorticotropic (adrenal cortex-stimulating hormone) -Found in pituitary and hypothalamus - Reduces perception of pain - Endogenous opiod -> hyperpolarization |
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Exogenous opiates Examples Morphine, codeine
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- Act by mimicking endogenous opiates
- Major actions of exogenous opiates like morphine ar via mu receptor - Problems due to side-effects, tolerance and addiction - Side-effects, euphoria/dysphoria, constipation, respiratory depression, nausea/ vomitting |
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Antagonist
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Naloxone, naltrexone. Excellent, selective antagonists for exogenous and endogenous opiods
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Opiate receptors
Types |
Mu (MOR) (most common)
Delta (DOR) ( less common than Mu) Kappa (KOR) (least common) |
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Opiate Receptors
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-All G-protein/cAMP linked
- Can also be coupled to ion cnannels independent of G-proteins - Mu most important for analgesics actions - Delta predominantly analgesia Kappa more complex, can be analgesic or hyperalgesic |
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Enkephalins (gate theory and descending control)
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- Endoginous opiods
- small peptides, leucine enkephalin, methionine enkephalin, differ by one amino acid - Synthesised in parallel, similar actions - Inhibitory neurotransmitters - Found mostly in small interneurons |
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Synthesize dopamine. Explain the life cycle of dopamine. Explain the pathway affected in Albinism
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COMT and MOA responsible for the breakdown of dopamine. MOA react with Tyramine can induce blood vessels constriction and an increase in blood pressure
Dopamine is produced in substanical nigra and ventral Tegmentum area which gives two projections nigro-striatal projection and mesocortial projection |
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The auditory system is divided into four areas
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1-External ear
2-Middle ear 3-Inner ear 4-Neural auditory pathways |
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External ear
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consists of the pinna and external auditory canal
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Pinna
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collects and funnels sound into the external auditory meatus
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External auditory meatus
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small tube leading from the medial opening in the pinna to the temporal bone. bound internally by the tympanic membrane
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Middle Ear
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consists of tympanic cavity, three bones and two muscles
air filled space in the temporal bone that is bound externally by the tympanic membrane. on the medial side there are two openings into the inner ear, the oval and round window |
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Three bones(ossicles) connect the tympanic membrane to the oval window
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Tympanic membrane-> malleus-> incus-> stapes-> oval window
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Why have the malleus, incus, stapes?
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Amplification
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Two skeletal muscles connected to the ossicles
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-Tensor tympani, connected to the malleus
-Stapedius, connected to the stapes |
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contraction of the tensor tympani and stapedius do what
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reduce ossicular motion, thereby decreasing amplitude of sound
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Tensor tympani inervated by
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cranial nerve V used to dampen the sound of chewing
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Stapedius is innervated by
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Cranial nerve VII, has effects used when yawning and speaking
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