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The neospinothalamic tract transmits which of the following?


A) Vibration sense
B) Proprioceptive information
C) Fast pain impulses
D) Slow pain impulses

E) C) and D)
F) A) and D)

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Stimulation of which brain area can modulate the sensation of pain?


A) Superior olivary complex
B) Locus coeruleus
C) Periaqueductal gray
D) Amygdala

E) A) and C)
F) All of the above

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C

The highest degree of pain localization comes from which of the following?


A) Simultaneous stimulation of free nerve endings and tactile fibers
B) Stimulation of free nerve endings by bradykinin
C) Nerve fibers traveling to the thalamus by way of the paleospinothalamic tract
D) Stimulation of type A fibers

E) B) and C)
F) A) and D)

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Which of the following is paired correctly?


A) Nucleus raphe magnus and -endorphin
B) Periaqueductal gray and serotonin
C) Enkephalin and presynaptic inhibition of type A fibers
D) Intracranial headache and eye strain

E) A) and D)
F) C) and D)

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C

Which substance is responsible for activating pain receptors?


A) Gamma-aminobutyric acid
B) Serotonin
C) Bradykinin
D) Beta-endorphin

E) A) and D)
F) C) and D)

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Referred pain results from an intermingling of pain fibers in which of the following structures?


A) Anterolateral system
B) Dorsal horn of spinal cord
C) Midbrain periaqueductal gray
D) Primary somatosensory cortex
E) Ralph nuclei

F) A) and E)
G) A) and C)

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Neurons located in which of the following areas release serotonin as their neurotransmitter?


A) Periaqueductal gray area
B) Interneurons of spinal cord
C) Periventricular area
D) Nucleus raphe magnus

E) A) and B)
F) A) and D)

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Which of the following sensory modalities uses unmyelinated fibers to convey information to the central nervous system?


A) Proprioception
B) Vision
C) Vibration
D) Pain

E) B) and C)
F) All of the above

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All the following stimuli are likely to cause bowel pain except:


A) Chemical irritation
B) Cut with sharp knife
C) Ischemia
D) Overextension
E) Spasm

F) C) and D)
G) A) and E)

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Which of the following is true regarding the paleospinothalamic tract?


A) Contains type A nerve fibers
B) Terminates exclusively in the thalamus
C) Transmits the "fast pain" sensation
D) Terminates predominantly in the lower brain regions

E) B) and C)
F) C) and D)

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D

Massaging the skin or application of an irritant to the skin can suppress the transmission of pain signals from the corresponding body area by suppressing the sensory fibers transmitting the pain signal. Which of the following best describes this phenomenon?


A) Release of enkephalin from local neurons in the spinal cord
B) Presynaptic and postsynaptic inhibition of type C fibers by serotonin
C) Lateral inhibition of pain fibers by tactile fibers from adjacent skin areas
D) Activation of periaqueductal gray neurons

E) B) and C)
F) A) and D)

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Which of the following is paired correctly?


A) Dorsal column system: pain and temperature sensation
B) Layers I and II of somatosensory cortex: incoming signals from the thalamus
C) Free nerve ending: type C fiber
D) Large representation on post central gyrus: the foot

E) B) and C)
F) A) and D)

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Slow pain (also called second pain) often occurs after injury to the surface of the body. Slow pain depends neurologically on the existence of fast pain (also called first pain) .


A) Both statements are correct
B) Both statements are incorrect
C) The first statement is correct; the second statement is not correct
D) The first statement is not correct; the second statement is correct

E) All of the above
F) None of the above

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Neurons involved with the endogenous analgesia system and cell bodies in the Raphe nucleus are most likely to secrete which of the following substances?


A) Acetylcholine
B) Enkephalin
C) Glutamate
D) Norepinephrine
E) Serotonin

F) B) and D)
G) B) and E)

Correct Answer

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