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(3) Pediatric Rehabilitation > Infantile Reflexes > Flashcards

Infantile Reflexes Flashcards

1
Q

Stages of Reflex: Age of Onset

  1. birth
  2. 2-3 months
  3. 5-6 months

A. Cortical
B. Spinal
C. Brainstem

A
  1. B
  2. C
  3. A
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2
Q

What is the expected response when the Palmar grasp reflex is elicited?

A

Flexion of all fingers, hand fisting

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3
Q

What is the expected response when the placing reflex is elicited?

A

Extremity flexion to place hand or foot over an obstacle

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4
Q

What is the expected response when the Tonic labyrinthine reflex is elicited in prone?

A

predominant flexor tone

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5
Q

What is the expected response when the Tonic
labyrinthine reflex is elicited in supine?

A

Predominant extensor tone

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6
Q

Enumerate the stimulus and response of the Neck righting or body derotational reflex.

A

Stimulus: Neck rotation in supine
Response: Sequential body rotation from shoulder to pelvis toward direction of face

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7
Q

Identify the RESPONSE of the Protective
extension or parachute reactions reflex.

A

Extension / abduction of lateral extremity
towards displacement to prevent falling

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8
Q

TRUE OR FALSE: Head and body righting reflex emerges at 5 months

A

True

It emerges at 4-6 months

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9
Q

TRUE OR FALSE: Head righting reflex emerges at 1 month in prone. In supine, it emerges in 3-4 months

A. Both statements are true
B. Both statements are false
C. Only the 1st statement is true
D. Only the 2nd statement is true

A

D. Only the 2nd statement is true

Prone - 2 months

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10
Q

In which month does the Equilibrium reflex emerge in sitting and standing?

A

Sitting - 6-8 months
Standing - 12-14 months

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11
Q

Match the reflexes based on the stimulus presented.

  1. Touch or pressure on palm or stretching finger flexors
  2. Visual and vestibular
  3. Supine or Prone position
  4. Displacement of center of gravity
  5. pressure on sole distal to MT heads

A. Palmar grasp
B. Plantar grasp
C. Tonic labyrinthine
D. Equilibrium or tilting reactions
E. Head righting

A
  1. A
  2. E
  3. C
  4. D
  5. B
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12
Q

Match the reflexes based on the age of suppression.

  1. 5-6 months
  2. 4-6 months
  3. 12-14 months

A. Palmar grasp
B. Plantar grasp
C. Tonic labyrinthine
D. Equilibrium or tilting reactions
E. Head righting

A
  1. A
  2. C
  3. B
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13
Q

Name 2 infantile reflex that is suppressed by 6-7 months.

A
  1. Symmetric tonic neck reflex
  2. Asymmetric tonic neck reflex
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14
Q

Name 2 infantile reflex that is suppressed by 4-6 months.

A
  1. Moro reflex
  2. Startle reflex
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15
Q

Enumerate the stimulus and response of the Symmetric tonic neck reflex.

A

Stimulus: Neck flexion or extension

Response: Arms flex, legs extend (flexion stimulus); arms extend, legs flex (extension stimulus)

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16
Q

Enumerate the stimulus and response of the Automatic neonatal walking reflex.

A

Stimulus: plantar contact and passive tilting of body forward and side to side on vertical support
Response: Alternating automatic steps with support

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17
Q

Determine which reflex is being described.

Stimulus: Displacement of center of gravity
Response: Adjustment of tone and posture of trunk

A. Head righting
B. Head and body righting
C. Protective extension or parachute reactions
D. Equilibrium or tilting reactions

A

D. Equilibrium or tilting reactions

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18
Q

Determine which reflex is being described.

Stimulus: Tactile, vestibular, proprioceptive
Response: Align body parts in anatomic
position relative to each other and gravity

A. Head righting
B. Head and body righting
C. Protective extension or parachute reactions
D. Equilibrium or tilting reactions

A

B. Head and body righting

19
Q

This reflex’s RESPONSE is flexion of all toes. What reflex is being described?

A

Plantar grasp reflex

20
Q

This reflex’s RESPONSE is the alignment of face/head vertically. What reflex is being described?

A

Head righting reflex

21
Q

This reflex’s STIMULUS is tactile
contact on dorsum of foot or hand. What reflex is being described?

A

Placement or placing reflex

22
Q

This reflex’s STIMULUS is displacement
of center of gravity outside supporting base in sitting or standing. What reflex is being described?

A

Protective extension or parachute reactions

23
Q

Match the reflexes based on the stimulus presented.

  1. Sudden noise
  2. Light pressure or weight bearing on plantar surface
  3. Stroking lips / around mouth
  4. Head turning to side
  5. Sudden neck extension

A. Moro
B. Startle
C. Rooting
D. Positive Supporting
E. Asymmetric tonic neck

A
  1. B
  2. D
  3. C
  4. E
  5. A
24
Q

Match the reflexes based on the response presented. You may choose 1-2 answers per number.

  1. Extremities extend on face side, flex on occiput side
  2. Moving mouth, head toward stimulus in search of nipple
  3. Shoulder abd, elbow & finger ext followed by arm flex add
  4. Legs extend for partial support of body weight

A. Moro
B. Startle
C. Rooting
D. Positive Supporting
E. Asymmetric tonic neck

A
  1. E
  2. C
  3. A & B
  4. D
25
Q

Determine the age of suppression of the following reflex.

  1. Automatic neonatal walking
  2. Positive supporting
  3. Placement or placing reflex
  4. Rooting reflex
  5. Neck righting or body derotational reflex

A. 3-5 months
B. 3-4 months
C. 4 months
D. <12 months
E. 6-7 months

A
  1. B
  2. A
  3. D
  4. C
  5. C
26
Q

Stages of Reflex: Age of Integration

  1. 2-3 months
  2. 5-6 months
  3. does not integrate

A. Spinal
B. Cortical
C. Brainstem

A
  1. A
  2. C
  3. B
27
Q

Determine the category of reflexes.

  1. Flexor withdrawal reflex
  2. Cross extension response
  3. Parachute Reaction
  4. Sucking Reflex
  5. Protective Extension

A. Spinal
B. Brainstem
C. Cortical
D. Unclassified

A
  1. A
  2. A
  3. D
  4. D
  5. C
28
Q

Determine the category of reflexes.

  1. Moro
  2. Equilibrium Reactions
  3. Rooting Reflex
  4. Landau Reaction
  5. Startle

A. Spinal
B. Brainstem
C. Cortical
D. Unclassified

A
  1. A
  2. C
  3. D
  4. D
  5. A
29
Q

Determine the category of reflexes.

  1. Traction response
  2. ATNR/ STNR
  3. Grasp reflex
  4. Tonic Labyrinthine/ Lumbar
  5. Positive/ Negative supporting

A. Spinal
B. Brainstem
C. Cortical
D. Unclassified

A
  1. A
  2. B
  3. A
  4. B
  5. B
30
Q

The following reflexes are unclassified, EXCEPT:

A. Primary Standing
B. Primary Walking
C. Writhing Reaction
D. Placing Reaction
E. Trunk Incurvation

A

C. Writhing Reaction

31
Q

Identify the reflex.

STIMULUS: Noxious stimulus on the sole
RESPONSE: Ipsilateral LE flexion, ankle DF, and toe extension

A

Flexor withdrawal reflex

32
Q

Identify the reflex.

STIMULUS: Noxious stimulus on ball of the foot
RESPONSE: C/L total LE flexion, adduction, or extension

A

Cross extension response

33
Q

Identify the reflex.

STIMULUS: Passive pull at the forearm
RESPONSE: Rigid UE flexion, Good head control

A

Traction Response

34
Q

What response is expected when a child has a (+) negative supporting reflex?

A

Rigid LE flexion

35
Q

What response is expected when a child elicits tonic lumbar reflex by rotating on the left?

A

L UE flexion, R UE extension
L LE extension, R LE flexion

36
Q

Determine the response.

Writhing reaction: neck on body/ body on neck stimulus

A

● NOB: When the neck moves, the upper body should follow
● BON: When the upper body moves, the neck follows

37
Q

Determine the response.

Writhing reaction: body on body

A

● When the upper body moves, the lower segment follows
● When the lower segment moves, the upper body follows

38
Q

Determine the response.

Writhing reaction: optical on neck/ neck on optical

A

● OON: When the eyes move, the neck follows
● NOO: When the neck moves, the eyes follows

39
Q

Determine the reflex.

STIMULUS: Deep moving pressure
RESPONSE: I/L trunk lateral flexion

A

Trunk Incurvation / Galant

40
Q

Determine the reflex.

STIMULUS: Anterior Suspension (“Belly Flop”)
RESPONSE: Total body extension

A

Landau Reaction

41
Q

Determine the reflex.

STIMULUS: Supported standing position
RESPONSE: Standing position

A

Primary Standing

42
Q

Determine the reflex.

STIMULUS: Suspension, Vertical (“Head
Down”)
RESPONSE: Total body extension

A

Parachute
Reaction

43
Q

Determine the reflex.

STIMULUS: Supported standing position + forward lean
RESPONSE: Automatically Walk or
Step

A

Stepping Reflex/ Primary Walking

(3) Pediatric Rehabilitation (13 decks)

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