Deep Tendon/Superficial Reflexes

Question 1

Deep tendon reflexes are graded:

Answer 1

0 - Absent
1+ Hypoactive
2+ Normal
3+ Hyperactive
4+ Markedly hyperactive

Question 2

Grades considered normal are:

Answer 2

1-3

Question 3

0 & 4 are considered:

Answer 3

Abnormal

Question 4

Two reinforcement techniques used are:

Answer 4

Waist up: Clench teeth

Waist down: Push hands together & squeeze

Question 5

Deep tendon reflexes are:

Answer 5

Biceps
Brachioradialis
Triceps
Patellar
Achilles

Question 6

To test biceps reflex, place the thumb:

Answer 6

Over the biceps tendon in antecubital space

Question 7

To test achilles reflex have client seated with legs dangling & hold foot in

Answer 7

Slight dorsiflexion

Question 8

When would we test for ankle clonus?

Answer 8

When other reflexes are hyperactive

Question 9

Clonus is associated with:

Answer 9

Upper motor neuron lesions

Question 10

When testing for ankle clonus, have the client supine, and…

Answer 10

Place hand under knee & raise leg horizontally. Briskly dorsiflex foot.

Question 11

What would you see to suggest clonus?

Answer 11

Oscillation & Rapid contraction of the ankle or foot.

Question 12

When testing plantar reflex, we stroke:

Answer 12

Lateral aspect of sole, from heel to ball curving inwards towards ball.

Question 13

Toes should:

Answer 13

Flex

Question 14

Dorsiflexion of great toe & extension of toes is:

Answer 14

Abnormal - Positive Babinski’s Response

Question 15

Positive Babinski’s Response in adults suggests:

Answer 15

Upper motor neuron lesion, damage to corticospinal tract

Question 16

T/F In elders plantar may be absent/difficult to elicit.

Answer 16

TRUE

Question 17

When would we not see an abdominal reflex?

Answer 17

Pregnancy or Obesity

Question 18

T/F Only conduct Brudzinskis Sign test if certain there is no neck injury.

Answer 18

TRUE

Question 19

With client supine, bring the chin towards the chest. If ___________________ it is a positive sign for meningeal inflammation.

Answer 19

Knees & Hips Flex

Question 20

To test for Kernigs sign?

Answer 20

Have client supine, raise one leg & flex at knee & hip. Leg Up!

Question 21

T/F Discomfort behind knee with full extension is common in many people.

Answer 21

TRUE

Question 22

Pain in the hamstring & resistance to extesnion are:

Answer 22

Positive for Meningeal Irritation