Pain Pathways Types of Pain Receptors and Neurotransmitters Pharmacology of Opioids Potpourri
100
What are nociceptors?
Peripheral neurons that transmit noxious stimuli to the CNS
100
What is allodynia?
When a normally, non-painful stimulus is perceived as painful.
100
What are glutamate and Substance P?
These are the two most influential excitatory neurotransmitters involved in pain transmission.
100
What are morphine and meperidine?
These two opioid agonists are known to produce active metabolites after hepatic biotransformation and should be used with caution in elderly and renal patients.
100
What is respiratory depression?
Action on mu and delta receptors results in this centrally-mediated side effect.
200
What is transmission?
This phase of the pain pathway involves conduction of the action potential from the periphery to the CNS
200
What is neuropathic pain?
This type of pain is the result of damage to peripheral or central neural tissue.
200
What is the delta receptor?
This opioid receptor is responsible for negative side effects such as respiratory depression and physical dependence.
200
What is lipid-solubility?
One of the most important pharmacokinetic parameters for the action of opioids that determines the speed of absorption.
200
What is the intrathecal route?
Administration of opioid agonists via this route generally require a much smaller dose than systemic administration?
300
What is the spinothalamic (or anterolateral) pathway?
The name of the primary sensory, dorsal, afferent pathway.
300
What is referred pain?
Pain that is felt in a part of the body remote from the actual source.
300
What are endorphins?
The endogenous opioid agonists that best pair with the Mu receptor.
300
What is remifentanil?
This opioid agonist is unique in that it is primarily metabolized by hydrolysis in the plasma, requiring a constant infusion to be effective.
300
What is sensory homunculus?
The cortical representation of body parts where pain is perceived in the somatosenory cortex.
400
What are a-delta and c-fibers?
These two types of neurons are responsible for the transmission of pain signals.
400
What is visceral pain?
The type of pain that is associated with the distention of a hollow body cavity.
400
What are the arachidonic acid pathway and prostaglandin?
Inhibition of this pathway interrupts the synthesis of what peripheral mediator of pain. (2 answers)
400
What is pharmacogenetics?
This principle explains individual differences in the speed with which opioids are metabolized.
400
What are wide dynamic range neurons?
These neurons, abundant in the dorsal horn of the spinal cord, are sensitive to both noxious and non-noxious stimuli and associated with wind-up phenomenon.
500
What are the periaqueductal gray and raphe magnus nucleus?
Descending modulation of pain originates in these two areas of the medulla.
500
What is opioid-induced hyperalgesia?
A type of pain that is caused by rapidly escalating doses of potent mu-receptor agonists.
500
What is the kappa receptor?
Due to its antinociceptive activity and low abuse potential, this receptor is the focus of analgesic pharmacologic development.
500
What is non-ionized drug?
An opioid with a pKa much lower than physiologic pH (7.4) will have much greater fraction of:
500
What is Suboxone?
This combination agonist-antagonist/antagonist drug is used in medication-assisted therapy for patients with a history of opioid dependence.






Opioid Jeopardy

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