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NU 545 Advance Pathophysiology Unit 2 Exam- University of South Alabama Questions With Correct Answers

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NU 545 Advance Pathophysiology Unit 2 Exam- University of South Alabama Questions With Correct Answers A Beta fibers - Answer-Large myelinated fibers *transmit touch and vibration sensations *Do NOT normally transmit pain, but play a role in pain modulation /.Abnormal ocular movements such as strabismus, nystagmus, and paralysis of extra ocular muscles can be a result of damage to which cranial nerves? - Answer-Oculomotor, trochlear, abducens /.Afferent - Answer-Towards (towards the spinal cord) /.autonomic nervous system (ANS) - Answer-located in both CNS and PNS Maintains steady-state among visceral organs Preganglionic (myelinated ) and Post ganglionic (non mylinated) nerve fibers Divided into sympathetic and parasympathetic /.Brain receives how much cardiac output? - Answer-20% 800 to 1000ml of blood flow per minute /.Broca's speech area (Brodmann area 34, 45) is responsible for? - Answer-Motor aspect of speech. Speech and language processing, Dysfunction can result in inability to form words. "Expressive aphasia" /.Cauda Equina - Answer-Nerve bundle at the end of the spinal cord /.Cerebrospinal fluid analysis - Answer- /.Cognitive cerebral functions require a functioning what? - Answer-Reticular Activating System (regulates aspects of attention, information processes and maintains consciousness /.Concerning the nervous system, what happens with age? - Answer-decreased number of neurons decreased brain size and weight fibrosis and thickening of the meninges Narrowed gyri and widened sulci Increased ventricles /.Control of the opposite side of the body is called what? - Answer-Contralateral control /.Conus Medullaris - Answer-End of spinal cord /.Damage to the Cerebellum causes ipsilatereal damage or contralateral damage? - Answer-Ipsilateral (same side) /.Define Acute pain - Answer-normal protective mechanism that alerts the individual to a condition or experience that is immediately harmful. Prompts body to mobilize and take prompt action. Duration: seconds to days. up to 3 months. /.Define chronic neuropathic pain - Answer-long term plastic changes along the somatosensory pathways from the periphery to the cortex and abnormal processing of sensory info by PNS and CNS /.Define Chronic pain - Answer-pain lasting well beyond the expected normal healing time. more than 3-6 months. can be constant or intermittent. Persistent pain can allow for physiologic adaptation such as BP and HR returning to normal range even though pain is ongoing. /.Define neuropathic pain - Answer-chronic pain initiated or caused by primary lesion or dysfunction in the nervous system. Leads to long-term changes in pain pathway structures and abnormal processing of sensory information /.Define Referred Pain - Answer-pain felt in an area removed or distant from its point of origin. The area of referred pain is supplied by spinal segment as the actual site of pain /.Define Somatic pain - Answer-arises from muscle, bone, joints, and skin. Either sharp and well-localized or dull, aching, throbbing. depending on which fibers are carrying the impulse. (a-fibers vs c fibers) /.Define Visceral Pain - Answer-transmitted by C fibers and refers to pain in internal organs and the lining of the body cavities with an aching, gnawing, throbbing, or intermittent cramping quality. Radiates from actual site /.Describe Cognitive evaluative system - Answer-mediated through the cerebral cortex. *overlies the individual's learned behavior concerning the experience of pain and can modulate perception of pain /.Describe pain threshold - Answer-point at which a stimulus is perceived as pain and it does not vary significantly among people or in the same person over time /.Describe Pain tolerance - Answer-duration of time or the intensity of pain that an individual will endure before initiating overt pain responses *Generally decreased by a person's cultural perceptions, expectations, role behaviors, physical and mental health, gender, age, fatigue, anger, boredom, apprehension, and sleep deprivation *tolerance may be INCREASED by alcohol consumption, persistent use of pain medications, hypnosis, warmth, distracting activities, and strong beliefs or faith /.Describe the Affective-motivational system - Answer-mediated through the reticular formation, limbic system, and brainstem with projections to the prefrontal cortex *determines an individual's condition avoidance behaviors and emotional responses to pain /.Describe the Sensory-discriminative system - Answer-Mediated by the somatosensory cortex *responsible for identifying the presence, character, location, and intensity of pain /.Difference between type 1 and type 2 Sympathetically mediated pain/ Complex regional pain syndromes? - Answer-Type 1: associated with injury but no apparent nerve injury Type 2: evidence of nerve injury /.Dysfunction of the Substantia nigra can cause what diseases/disorders? - Answer-Parkinson's disease, Drug addiction, schizophrenia, Huntington's disease, multi-system atrophy /.Efferent - Answer-Away From (away from the spinal cord) /.Enkephalins - Answer-*Best known and most prevalent *1st endogenous opioids extracted in research *Location = hypothalamus, periaqueductal gray matter (PAG), nucleus raphe magnus of the medulla, dorsa, horns of the spinal cord /.Epicritic vs Protopathic sensation - Answer-epicritic are nerve fibers that can distinguish fine sensations such and being touched at two close points. you can tell two things are touching you. Protopathic are nerve fibers than can only distinguish vague things like heat or cold /.Explain Gate Control Theory - Answer-Pain transmission is modulated by a balance of impulses. Cells in the substantia gelatinosa function as a gate. /.Explain Pain transmission - Answer-conduction of pain impulses along the A-delta and C fibers into the dorsal horn of the spinal cord and brainstem, thalamus, and cortex /.Function of Arachnoid Villi - Answer-Function as one way valves directing CSF outflow into the blood /.Function of Temporal lobe? - Answer-Secondary function of balance /.Function of Wernicke's area of the brain. What Happens if a stroke occurs in this area? - Answer-Reception and interpretation of speech. Damage to this area results in

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NU 545 Advance Pathophysiology
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NU 545 Advance Pathophysiology

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A Beta fibers - Answer-Large myelinated fibers
*transmit touch and vibration sensations
*Do NOT normally transmit pain, but play a role in pain modulation

/.Abnormal ocular movements such as strabismus, nystagmus, and paralysis of extra
ocular muscles can be a result of damage to which cranial nerves? - Answer-
Oculomotor, trochlear, abducens

/.Afferent - Answer-Towards (towards the spinal cord)

/.autonomic nervous system (ANS) - Answer-located in both CNS and PNS
Maintains steady-state among visceral organs
Preganglionic (myelinated ) and Post ganglionic (non mylinated) nerve fibers
Divided into sympathetic and parasympathetic

/.Brain receives how much cardiac output? - Answer-20% 800 to 1000ml of blood flow
per minute

/.Broca's speech area (Brodmann area 34, 45) is responsible for? - Answer-Motor
aspect of speech. Speech and language processing, Dysfunction can result in inability
to form words. "Expressive aphasia"

/.Cauda Equina - Answer-Nerve bundle at the end of the spinal cord

/.Cerebrospinal fluid analysis - Answer-

/.Cognitive cerebral functions require a functioning what? - Answer-Reticular Activating
System (regulates aspects of attention, information processes and maintains
consciousness

/.Concerning the nervous system, what happens with age? - Answer-decreased number
of neurons
decreased brain size and weight
fibrosis and thickening of the meninges
Narrowed gyri and widened sulci
Increased ventricles

/.Control of the opposite side of the body is called what? - Answer-Contralateral control

, /.Conus Medullaris - Answer-End of spinal cord

/.Damage to the Cerebellum causes ipsilatereal damage or contralateral damage? -
Answer-Ipsilateral (same side)

/.Define Acute pain - Answer-normal protective mechanism that alerts the individual to a
condition or experience that is immediately harmful. Prompts body to mobilize and take
prompt action.
Duration: seconds to days. up to 3 months.

/.Define chronic neuropathic pain - Answer-long term plastic changes along the
somatosensory pathways from the periphery to the cortex and abnormal processing of
sensory info by PNS and CNS

/.Define Chronic pain - Answer-pain lasting well beyond the expected normal healing
time. more than 3-6 months. can be constant or intermittent.
Persistent pain can allow for physiologic adaptation such as BP and HR returning to
normal range even though pain is ongoing.

/.Define neuropathic pain - Answer-chronic pain initiated or caused by primary lesion or
dysfunction in the nervous system. Leads to long-term changes in pain pathway
structures and abnormal processing of sensory information

/.Define Referred Pain - Answer-pain felt in an area removed or distant from its point of
origin. The area of referred pain is supplied by spinal segment as the actual site of pain

/.Define Somatic pain - Answer-arises from muscle, bone, joints, and skin. Either sharp
and well-localized or dull, aching, throbbing. depending on which fibers are carrying the
impulse. (a-fibers vs c fibers)

/.Define Visceral Pain - Answer-transmitted by C fibers and refers to pain in internal
organs and the lining of the body cavities with an aching, gnawing, throbbing, or
intermittent cramping quality. Radiates from actual site

/.Describe Cognitive evaluative system - Answer-mediated through the cerebral cortex.
*overlies the individual's learned behavior concerning the experience of pain and can
modulate perception of pain

/.Describe pain threshold - Answer-point at which a stimulus is perceived as pain and it
does not vary significantly among people or in the same person over time

/.Describe Pain tolerance - Answer-duration of time or the intensity of pain that an
individual will endure before initiating overt pain responses
*Generally decreased by a person's cultural perceptions, expectations, role behaviors,
physical and mental health, gender, age, fatigue, anger, boredom, apprehension, and
sleep deprivation

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NU 545 Advance Pathophysiology
Vak
NU 545 Advance Pathophysiology

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