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Question Results

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Question:

Visc-sens 5 pain route in image - abdominal organ above pain line

Response:

Visceral-sens 5

Dropzone	Correct Answers	Your answers
...course...	to spinal cord 4	from organ 3
From organ...	course 2	to spinal cord 1
...to the spinal cord	to spinal cord 1	course 1

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Question:

Visc-sens 8 pain route in image - abdominal organ below pain line

Response:

Visc-sens-Nl 8

Dropzone	Correct Answers	Your answers
...course...
From organ...	to spinal cord 3
...to the spinal cord	course 2

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Question:

Sensory pathways 2

Response:

Sensory pathways 2

Dropzone	Correct Answers	Your answers
...course...
Origin...	to the spinal cord 2
...to the spinal cord	via spinal nerve

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Question:

Visc-sens-ENG 9 pain route detailed - duodenal ulcer

Response:

Via which neural route does a pain stimulus go from a duodenal ulcer in the duodenal ampulla to the spinal cord? Put the structures in the correct order.

Duodenum->
periarterial nerve plexi
coeliac plexus and coeliac ganglion
greater splanchnic nerve
sympathetic trunk at the level of T6-T9 (T5-T10)
white rami communicantes at the level of T6-T9 (T5-T10)
intercostal nerves T6-T9 (T5-T10)
spinal (sensory) ganglia T6-T9 (T5-T10)
posterior horns spinal cord T6-T9 (T5-T10)
-> via spinal cord to brain

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Question:

Referred pain-ENG 1

Response:

The figure aims to illustrate the principle of referred pain. You see nerve impulses from splanchnic nerves (the red dotted line) and nerve impulses from (the anterior or posterior ramus of) spinal nerves (the blue dotted line) converge at the same location in the spinal cord. This mechanism underlies referred pain. Which remarks regarding referred pain as depicted by this figure apply? (multiple answers can be correct)

Answers	Your Answer	Correct
This can occur with disease processes in internal organs and structures in the chest, such as the heart, lungs and great vessels.
This can occur with disease processes in upper abdominal organs such as liver, gallbladder and bile ducts, stomach, duodenum.
This can occur with disease processes in mid and lower abdominal organs such as jejunum, ileum, caecum and appendix, and colon to mid-sigmoid.
This can occur with disease processes in the distal part of the sigmoid, rectum, bladder (except for dome or roof of the bladder), cervix of uterus and vagina.
This can occur with disease processes in retroperitoneal organs such as the kidneys, adrenal glands and ureters.
The pain stimulus runs via the splanchnic nerve (the red dotted line).
The pain stimulus passes through the anterior or posterior ramus of the spinal nerve (the blue dotted line).
This can lead to referred pain in the spinal nerve dermatome.
This can lead to referred pain in the organs that are sensory innervated via the splanchnic nerve.
This may be accompanied by allodynia (normally non-painful stimuli, such as stroking the skin, are painful) in the spinal nerve dermatome.
This concerns somato-somatic referred pain.
This concerns viscero-somatic referred pain.
This concerns viscero-visceral referred pain.

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Question:

Visc-sens-ENG 11 pain route detailed - heart/lungs

Response:

Via which neural route does a pain stimulus go from the heart (e.g. angina pectoris) or lungs to the spinal cord? Put the structures in the correct order.

Heart ->
cardiac plexus and pulmonary plexus
cardiopulmonary splanchnic nerves
sympathetic trunk at the level of T1-T5
white rami communicantes at the level of T1-T5
intercostal nerves T1-T5
spinal (sensory) ganglia T1-T5
posterior horns spinal cord T1-T5
-> via spinal cord to brain

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Question:

Visc-sens-ENG 13 - pain table

Response:

Visc-sens-ENG 13 - pain table

Dropzone	Correct Answers	Your answers
T1-T5	T8-T10
C3-C5
T6-T9	L1-L2
T8-T10	S2-S4 pudendal
T10-T11
T10-L1	T10-T11
L1-L2	T10-L1
S2-S4	T6-T9
pudendal	C3-C5 Phrenic