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GENERAL EXTERORECEPTORS

GENERAL EXTERORECEPTORS

10
Q. 1 Which of the following types of nerve fibres carry fast pain:
 A A alpha
 B A beta
 C A gamma
 D A delta
Q. 2 Ruffini end organ is associated with sensation of:
 A Pain
 B

Heat

 C

Stretch

 D

Pressure

Q. 3

Activation of which of the following fiber result in first pain which help to localize the site and intensity of the noxious stimulus:

 A

A beta fiber

 B

A delta fiber

 C

B fiber

 D

C fiber

Q. 4

Ruffini end organ is associated with sensation of:

 A

Sustained Pressure

 B

Heat

 C

Touch

 D

None of the above

Q. 5

Which of the following phrase adequately describes Pacinian corpuscles

 A

A type of pain receptors

 B

Slowly adapting touch receptors

 C

Rapidly adapting touch receptors

 D

Located in the joints

Q. 6

Ablation of the ‘somatosensory area I’ of the cerebral cortex leads to :

 A

Total loss of pain sensation

 B

Total loss of touch sensation

 C

Loss of tactile localization but not of two point discrimination

 D

Loss of tactile localization and two point discrimination

Q. 7

Pacinian corpuscles transmit which sensation:

 A

Touch

 B

Taste

 C

Cold

 D

Heat

Q. 8

Kinesthetic sensation is:

 A

Transmitted by the (3-type of sensory nerve)

 B

Located in Merkl’s disc

 C

Transmitted by Meissner’s corpuscles

 D

Means abnormal perception of sensation

Q. 9

Sensory organ for responding to texture is:

September 2009

 A

Meissner corpuscles

 B

Merkel cells

 C

Ruffini corpuscles

 D

Pacician corpuscles

Q. 10

Vibrations are felt by ‑

 A

Meissner’s corpuscle

 B

Merkel’s disc

 C

Pacinian corpuscle

 D

Ruffini’s end organ

Q. 1 Which of the following types of nerve fibres carry fast pain:
 A A alpha
 B A beta
 C A gamma
 D A delta
Ans. D
Explanation:

A delta


Q. 2

Ruffini end organ is associated with sensation of:

 A

Pain

 B

Heat

 C

Stretch

 D

Pressure

Ans.
C
Explanation:

Ruffini’s corpuscles are Stretch receptors. They are spindle shaped encapsulated structures located in the lower part of the dermis and resembles the golgi tendon organs in the musculotendineous junction. They respond to stimulation over large areas of skin. They are associated with slowly adapting (SA) fibers that respond as long as the stimulus is present.

Cutaneous Mechanoreceptors: A mechanoreceptor is a sensory receptor that responds to mechanical pressure or distortion. The encapsulated cutaneous receptors include Meissner corpuscles, Pacinian corpuscles and Ruffini corpuscles. Other cutaneous receptors are unencapsulated and include the free hair endings  and the Merkel complex.
  • Low-threshold (or high-sensitivity) mechanoreceptors: because even weak mechanical stimulation of the skin induces them to produce action potentials. All low-threshold mechanoreceptors are innervated by relatively large myelinated axons (type Aβ;, ensuring the rapid central transmission of tactile information. 
 

Classification of the cutaneous mechanoreceptors by function

Receptor type

Anatomy

Axon type

Location

Function

Rate of adaptation

Threshold of activation

Freenerve endings

Minimally specializednerve endings

C, Aδ

All skin

Pain, temperature, crude touch

Slow

High

Meissner’s corpuscles

Encapsulated Between dermal papillae

Aβ 6–12 μm

Principally glabrous skin

Touch, pressure (dynamic)

Rapid

Low

Pacinian corpuscles

Encapsulated Onionlike covering

Aβ 6–12 μm

Subcutaneous tissue, interosseous membranes, viscera

Deep pressure, vibration (dynamic)

Rapid

Low

Merkel’s disks

Associated with peptide- releasing cells

All skin, hair follicles

Touch, pressure (static)

Slow

Low

Ruffini’s corpuscles

Encapsulated Oriented along stretch lines

Aβ 6–12 μm

All skin

Stretching of skin

Slow

Low

Ref: Neuroscience, 2nd edition, Edited by Dale Purves, George J Augustine, chapter 9.


Q. 3 Activation of which of the following fiber result in first pain which help to localize the site and intensity of the noxious stimulus:
 A A beta fiber
 B

A delta fiber

 C

B fiber

 D

C fiber

Ans.
B
Explanation:
Activation of A delta  fiber releases glutamate, and is responsible for first pain (also called fast pain or epicritic pain) which is a rapid response and mediates the discriminative aspect of pain or the ability to localize the site and intensity of the noxious stimulus. Adelta fibers are thinly myelinated, 2-5 microns in diameter and conduct at rates of 12–35 m/s.
 
Activation of C fibers releases a combination of glutamate and substance P, and is responsible for the delayed second pain (also called slow pain or protopathic pain) which is the dull, intense, diffuse, and unpleasant feeling associated with a noxious stimulus. Unmyelinated C fibers are 0.4 –1.2 m in diameter and they conduct at low rates of 0.5–2 m/s.
 
Ref: Barrett K.E., Barman S.M., Boitano S., Brooks H.L. (2012). Chapter 8. Somatosensory Neurotransmission: Touch, Pain, and Temperature. In K.E. Barrett, S.M. Barman, S. Boitano, H.L. Brooks (Eds), Ganong’s Review of Medical Physiology, 24e. 

Q. 4

Ruffini end organ is associated with sensation of:

 A

Sustained Pressure

 B

Heat

 C

Touch

 D

None of the above

Ans.
A
Explanation:
Meissner’s corpuscles are dendrites encapsulated in connective tissue and respond to changes in texture and slow vibrations. Merkel cells are expanded dendritic endings, and they respond to sustained pressure and touch. Ruffini corpuscles are enlarged dendritic endings with elongated capsules, and they respond to sustained pressure. Pacinian corpuscles consist of unmyelinated dendritic endings of a sensory nerve fiber, 2 m in diameter, encapsulated by concentric lamellae of connective tissue that give the organ the appearance of a cocktail onion. Theses receptors respond to deep pressure and fast vibration. 
 
Ref :Barrett K.E., Barman S.M., Boitano S., Brooks H.L. (2012). Chapter 8. Somatosensory Neurotransmission: Touch, Pain, and Temperature. In K.E. Barrett, S.M. Barman, S. Boitano, H.L. Brooks (Eds), Ganong’s Review of Medical Physiology, 24e.

Q. 5

Which of the following phrase adequately describes Pacinian corpuscles

 A

A type of pain receptors

 B

Slowly adapting touch receptors

 C

Rapidly adapting touch receptors

 D

Located in the joints

Ans.
C
Explanation:

Pacinian corpuscles are rapidly acting touch receptors. They are ovoid structures about 1mm in length. They contain the axon terminal which is surrounded by several concentric lamellae made of very thin flat cells separated by narrow gel filled spaces. 

 
Slowly adapting deep tactile receptors are meant for signalling sustained pressure. Rapidly adapting deep receptors stop discharging in response to sustained pressure. They are useful only when the pressure fluctuates rapidly.
 
Meissner’s corpuscles are dendrites encapsulated in connective tissue and they respond to changes in texture and slow vibrations.
 
Merkel cells are expanded dendritic endings, and they respond to sustained pressure and touch.
 
Ref: Principles of Medical Physiology  By Sabyasachi Sarkar page 647, Ganong’s Review of Medical Physiology, 24e chapter 8

Q. 6 Ablation of the ‘somatosensory area I’ of the cerebral cortex leads to :
 A

Total loss of pain sensation

 B

Total loss of touch sensation

 C

Loss of tactile localization but not of two point discrimination

 D

Loss of tactile localization and two point discrimination

Ans.
D
Explanation:

D i.e. Loss of tactile localization & two point discrimination

Functions & Lesions

Somatosensory area I (SI)

Primary somatosensory area (SI) is Brodmann’s area 1, 2, 3 situated in postcentral gyrus. Ablation of SI would lead to cortical pattern of sensory loss. Lesion in this area produce contralateral impairment of:

TouchQ                                                          – Sterognosis

Pressure                                                       – Barognosis

–  Proprioception                                              – Cutaneographia

Two point discrimationQ

Spinal cord lesion

Brainstem lesion

Thalamic lesion

Cortical lesion

Five patterns are seen depending

Loss of pain & temperature

Hemisensory loss of

Patients is able to recognize all

upon whether there is:

on ipsitateral face and

all modalitiesQ

sensation but localizes them

– Complete transaction

opposite side of bodyQ.

 

poorly

– Hemisection

(Lateral medullary

 

– Loss of two point

Central cord section

syndrome)Q

 

discriminationQ

Posterior column section

[Mn: TOP = Temp & Pain

 

AsteregnosisQ (loss of touch

Anterior column section

Opposite side]

 

sensation)

 

 

 

Sensory inattention



Q. 7

Pacinian corpuscles transmit which sensation:

 A Touch
 B Taste
 C

Cold

 D

Heat

Ans.
A
Explanation:

A i.e. Touch


Q. 8

Kinesthetic sensation is:

 A

Transmitted by the (3-type of sensory nerve)

 B

Located in Merkl’s disc

 C

Transmitted by Meissner’s corpuscles

 D

Means abnormal perception of sensation

Ans.
A
Explanation:

A i.e. Transmitted by the 13- type of sensory nerve

Kinesthetic sensation is ability to perceive the extent, direction or rate of movements. i.e. perception of touch and pressure and is therefore transmitted by Afl type of fibersQ.


Q. 9 Sensory organ for responding to texture is:

September 2009

 A

Meissner corpuscles

 B

Merkel cells

 C

Ruffini corpuscles

 D

Pacician corpuscles

Ans.
A
Explanation:

Ans. A: Meissner corpuscles

Sensory organs and their responses:

  • Meissner corpuscles-Responds to changes in texture and slow vibrations
  • Merkel cells-responds to sustained pressure and touch
  • Ruffini corpuscles-respond to sustained pressure
  • Pacician corpuscles-respond to deep pressure and fast vibration

Q. 10 Vibrations are felt by ‑
 A Meissner’s corpuscle
 B

Merkel’s disc

 C

Pacinian corpuscle

 D

Ruffini’s end organ

Ans.
C
Explanation:

Ans. is ‘c’ i.e., Pacinian corpuscle

Tactile (touch) receptors

These are general exteroreceptors for epicritic senses. These are divided into superficial and deep receptors.

Superficial receptors are present in the epidermis or papillary layer of dermis. In glabrous (nonhairy) skin these receptors are Merkel’s disc (slowly adapting) and Meissner ‘s corpuscle (rapidly adapting). In hairy skin there are hair follicle receptors.

Deep receptors are present in deeper dermis or in the subcutaneous tissues. The deep receptors are same in both hair and nonhairy skin and include Ruffini’s end organ (slowly adapting) and Pacinian corpuscle (Rapidly adapting).

Touch, pressure and vibration are different forms of same sensation. Pressure is felt when the force applied on the skin is sufficient to reach the deep receptors, whereas touch is felt when the force is insufficent to reach the deep receptors, therefore detected by superficial receptors (Merkel’s disc, meissner’s corpuscle). Vibrations are rhythmic variations in pressure (i.e. rhymic variations of force that reaches the deep receptors). Whether a tactile receptor senses pressure or vibration depends on whether the receptor is slowly adapting or slowly adaping :‑

i)  Slowly adapting (Ruffini’s end organ) :- Are meant to detect sustained pressure; they are useless for vibrations.

ii) Rapidly adapting (Pacinian corpuscle) :- Stop discharge in response to sustained pressure; they are useful only when the pressure fluctuates rapidly, i.e. during vibrations. The higher the rate of adaptation of a receptor, the greater is the vibration frequency it can detect.

Thus, tactile (touch) sensation can be divided into :‑

A) Superficial (generally considered as touch) :- Detected by Meissner ‘s corpuscle (detect texture of sur­face, i.e. rough or smooth) and Merkel’s disc (detect two point discrimination).

B) Deep

i) Pressure (Deep touch) :- Detected by Ruffini’s end organ.

ii) Vibrations :- Detected by Pacinian corpuscle