module 11 reflexes

Question 1

abdominal reflex

Answer 1

superficial reflex
draw line from umbilicus away, muscle follows
- equal movement of umbilicus

Question 2

cremasteric reflex

Answer 2

superficial reflex
stroke inner thigh of male patient
- testicle and scrotum should rise on same side

Question 3

plantar reflex

Answer 3

superficial reflex

• stroke lateral side of foot from heel to ball then across ball
• plantar flexion of all toes should be seen
• • Babinski sign: dorsiflexion of the great toe
• – indicates pyramidal tract disease in adults

Question 4

biceps reflex

Answer 4

elbow flexion

Question 5

brachioradial reflex

Answer 5

forearm pronation and elbow flexion

Question 6

triceps reflex

Answer 6

elbow extension

Question 7

patellar reflex

Answer 7

lower leg extension

Question 8

achilles reflex

Answer 8

plantar foot flexion

Question 9

clonus

Answer 9

if hyperactive reflexes noted

• briskly dorsiflex foot and maintain foot in flexion
• no rhythmic oscillating movements should be observed
• sustained clonus: upper motor neuron disease

Question 10

scoring DTR

Answer 10

0: No response
1: sluggish or diminished
2: active or expected
3: more brisk than expected
4: brisk, hyperactive, with intermittent or transient clonus

Question 11

rooting

Answer 11

birth to 3-4months

Question 12

palmar grasp

Answer 12

birth to 3 months

Question 13

plantar grasp

Answer 13

till 8 months

Question 14

moro

Answer 14

birth to 6 months

Question 15

asymmetric tonic neck

Answer 15

present by 2-3 months, disappears by 6 months

Question 16

plantar/babinski

Answer 16

till 2 years