General Neuro/DTR/Cap Refil/Edema Ranges

Question 1

Define for DTR

4/4
3/4
2/4
1/4
0/4

Answer 1

4/4 - very brisk, hyperactive WITH clonus (rhythmic oscillation between flexion and extension)

3/4 - brisker than average, possibly but not necessarily indicative of disease

2/4 - she good

1/4 - somewhat diminished

0/4 - well that’s not good

Question 2

Define for Muscle Strength

5/5
4/5 
3/5
2/5
1/5
0/5

Answer 2

5/5 - normal

4/5 - active movement against gravity and some resistance

3/5 - active movement against gravity only (not with resistance)

2/5 - active movement with gravity eliminated (think of spotting someone benching)

1/5 - barely detectable contraction

0/5 - yo muscles is dead

Question 3

Cap refill time?

Answer 3

Normal = <2 sec.

Question 4

Define for pulses

4/4
3/4
2/4
1/4
0/4

Answer 4

4/4 - bounding 
3/4 - strong, full
2/4 - normal
1/4 - diminished 
0/4 - begin CPR

Question 5

Define for Edema

0
\+1
\+2
\+3
\+4

Answer 5

0 - absent

+1 - barely detectable (2mm)

+2 - slight indentation - (4mm or 10-15 sec)

+3 - deeper indentation (6mm or >1min.)

+4 - very marked (8mm or 2-5 min.)