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BMS291 Topic 4 Revision Quiz 1 :Pain and Analgesics

Total questions: 39

Worksheet time: 10hrs 45mins

Name
Class
Date
1.

Opioids are pain medications.

a)

True

b)

False

2.

The category of medication used to treat pain is

a)

Analgesic

b)

Analogous

c)

Anti- pain

d)

anti-inflammatory

3.

Which medication is an Opioid Agonist used to reverse opioid overdose?

a)

tramadol (Ultram)

b)

naloxone (Narcan)

c)

fentanyl (Duragesic)

d)

oxycodone (Oxycontin)

4.

Nociceptors are sensory receptors that detect signals from damaged tissue or the threat of damage and indirectly also respond to chemicals released from the damaged tissue.

a)

True

b)

False

5.

Nociceptors are free (bare) nerve endings found in the skin , muscle, joints, bone and viscera.

a)

True

b)

False

6.

Nociceptors initiate action potentials in the pain nerve fibers. which is then transmitted to the spinal cord .

a)

True

b)

False

7.

The cell bodies of nociceptors are mainly in the ventral root of the spinal cord.

a)

True

b)

False

8.

Nociceptors are found inside the brain and spinal cord.

a)

True

b)

False

9.

What aspect of pain is associated with this picture?

a)

Sensory

b)

Emotional

10.

The second pain pathway is associated with aspect of pain?

a)

sensory

b)

emotional

11.

Three classes of opioid receptors have been identified: μ-mu, δ-delta and κ-kappa. All three classes are widely distributed in the brain.

a)

True

b)

False

12.

Five major classes of endogenous opioid peptides that interact with the opiate receptors have been recognized in the CNS.

a)

True

b)

False

13.

Endogenous opioids reduce pain by.....

a)

depolarising nociceptors

b)

hyperpolarising nociceptors

14.

The concept of the gate control theory is that non-painful input opens the gates to painful input, which results in prevention of the pain sensation from traveling to the CNS.

a)

True

b)

False

15.

At the spinal level, opiate receptors are located at the presynaptic ends of the nociceptors in the dorsal horn.

a)

True

b)

False

16.

Pain is an unpleasant (a)   and emotional experience associated with actual or potential tissue damage or described in terms of such damage.

17.

Pain is an unpleasant sensory and (a)   experience associated with actual or potential tissue damage or described in terms of such damage.

18.

Pain is an unpleasant sensory and emotional experience associated with (a)   or potential tissue damage or described in terms of such damage.

19.

Pain is an unpleasant sensory and emotional experience associated with actual or (a)   tissue damage or described in terms of such damage.

20.

Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such (a)   .

21.

Pain is a mechanism of defense, constructed

in the brain, to protect the body from danger.

a)

True

b)

False

22.

What is a nociceptor?

a)

a type of sensory neuron

b)

a type of motor neuron

23.

What kind of stimuli causes nociceptors to fire action potentials?

a)

pleasant stimuli like a feather tickling you

b)

noxious stimuli like fire burning you

24.

An opioid is a molecule that resembles opium in its physiological effects.

a)

True

b)

False

25.

An _________is a drug naturally derived from the flowering opium poppy plant.

a)

opioid

b)

opiate

26.

How many pain pathways are you required to learn about in this subject?

a)

3

b)

1

c)

2

27.

Out of the three pain pathways that you need to know for this subject, how many are ascending?

a)

1

b)

2

c)

3

28.

Out of the three pain pathways that you need to know for this subject, how many are descending?

a)

1

b)

2

c)

3

29.

What is this ascending pain pathway called? It starts at the spinal cord then goes to the parabrachial nucleus and then ends at the amygdala.

a)

spino-parabrachial-amygdaloid pathway

b)

spino-amygdaloid-parabrachial-pathway

30.

What is this ascending pain pathway called? It starts at the spinal cord then goes to the thalamus and then ends at the somatosensory cortex?

a)

spino-parabrachial-amygdaloid pathway

b)

somatosensory pathway

31.

There is a pain pathway that goes from the brain to the body, what kind of pathway is this?

a)

ascending

b)

descending

32.

There is a pain pathway that goes from the brain to the body. Which structures does it involve?

a)

It starts at the thalamus and ends up in the spinal cord.

b)

It starts at the brain stem and ends up in the spinal cord.

33.

Look at the image above and determine whether this statement is true or false. The location where pain is reduced is in the junction where the nociceptor synapse and where the dendrite of the ascending neuron meet.

a)

True

b)

False

34.

The details regarding how pain is transmitted, even today, is not fully understood completely. What we do know, however, is that both the nociceptor and the ascending neuron both have receptors in their plasma membrane that are designed to bind to opioids.

a)

True

b)

Fase

35.

What is an endogenous opioid?

a)

A pain relieving molecule that we make in our bodies.

b)

A pain relieving molecule that we can take as a medicine.

36.

What happens when an opioid binds to an opioid receptor?

a)

It stops the action potential from travelling from the nociceptor to the ascending neuron.

b)

It stops the action potential from travelling from the nociceptor to the descending neuron.

37.

Which pain pathway is responsible for releasing the endorphins?

a)

the descending neuron

b)

the ascending neuron

38.

All opioid analgesics mimic endogenous (meaning produced by the human body) endorphins by stimulating opioid receptors in the central and peripheral nervous systems which results in relief of pain.

a)

True

b)

False

39.

Nociception is the sensory process that provides the signals that lead to pain. This occurs through nociceptors, primary sensory neurons that are activated by stimuli that cause tissue damage.

a)

True

b)

False