NMS 5 Flashcards
if there is a LMNL, what kind of paralysis can you see?
flaccid
if there is an UMNL, what kind of paralysis can you see?
spastic
if there is a LMNL, what kind of DTR can you see?
hypoactive/absent
if there is an UMNL, what kind of DTR can you see?
hyperactive
if there is a LMNL, would you see a pathological reflex?
no
if there is an UMNL, would you see a pathological relfex?
yes
if there is a LMNL, would you see clonus?
no
if there is a UMNL, would you see a clonus?
yes
if there is a LMNL, what kind of tone would you see?
hypotonic
if there is an UMNL, what kind of tone would you see?
hypertonic
if there is a LMNL, would reaction of degeneration be present?
yes (won’t respond properly)
if there is an UMNL, would reaction of degeneration present?
absent
if there is a LMNL, would atrophy be present?
yes
is there is an UMNL, would atrophy be present?
no
if there is a LMNL, would fasciculations be present?
yes
if there is an UMNL, would fasciculations be present?
no
if there is a LMNL, superficial reflexes be present?
no
if there is an UMNL, superficial reflexes be present?
no
beevor’s
while observin the umbilicus, the patient does a partial situp
normal: umbilicus stays midline
afferent/efferent nerves for beevor’s
upper: T7-9
lower: T10-12
abdominal relfex
stroke in all 4 abdominal quadrants toward from umbilicus
normal: umbilicus movees toward side stroked
afferent/efferent nerves for abdominal reflex
upper: T-79
lower: T10-12
plantar reflex
stroke up sole of foot see curing of toes and pulling away from foot
afferent/efferent nerves for plantar reflex
tibial
geigel’s
stroke up inner female thigh
poupart’s ligament contracts
afferent nerve for geigel’s reflex
femoral nerve
efferent nerve for geigel’s reflex
genitofemoral nerve
cresmasteric relfex
stroke inner thigh of male
ipsilateral rise in testes
afferent nerve for cremasteric relfex
femoral nerve
efferent nerve for cremasteric reflex
genitofemoral nerve
pharyngeal reflex
touch back fo tongue with tongue blade produces gagging
afferent nerve for pharyngeal reflex
CN IX
efferent nerve for pharyngeal reflex
CN X
corneal reflex
touch with cotton wisp produces blinking or tearing
afferent nerve for corneal reflex
CN V
efferent nerve for corneal reflex
CN VII
nerve and nerve root for jaw jerk
trigeminal
CN V
nerve and nerve root for bicepts
musculocutaneous
C5
nerve and nerve root for brachioradialis
radial
C6
nerve and nerve root for triceps
radial
C7
nerve and nerve root for patellar (knee jerk)
femoral
L4
nerve and nerve root for medial hamstring
sciatic
L5
nerve and nerve root for achilles (ankle jerk)
tibial
S1
if there is a hypoactive DTR, what lesion is that?
LMNL
if there is a hyperactive DTR, what lesion is that?
UMNL
westphal sign
absence of any DTR, especially patellar (LMNL)
jendrassik’s maneuver (reinforcement test)
brings out reflex by cortical distraction
reflexes defined and testing
defined: involuntary motor responses to potentially harmful stimuli
testing: all tests are done bilaterally with normal side tested first
