PA Neurology

Question 1

Patellar Deep Tendon Reflex/Reflex Scale

Answer 1

0 - No response
1+ - Diminished response
2+ - Normal physiologic response*
3+ - Increased response "brisk"
4+ - Hyper-reactive

Question 2

Muscle Strength Scale

Answer 2

0 - no muscle contraction
1+ - Barely detectable muscle contractility
2+ - active muscle contractility but unable to work against gravity
3+ - active muscle contractility, able to work against gravity but not resistance
4+ - active muscle contractility; able to work against gravity and some resisitance
5+ - active muscle contractility; able to work against gravity and full resistance*

Question 3

Muscle Tone

Answer 3

Normal Tone = smooth w/ some resistance
Increased resistance - rigidity/spasticity
Decreased resistance - limp/flaccid

Question 4

Mental Status Exam

Answer 4

Short-term memory - normal short term memory
orientation - A&Ox3
Abstract thinking - normal abstract thinking

Question 5

Sensory Function/Graphestesia

Answer 5

normal graphestesia or abnormal

Question 6

Cerebellar function

Answer 6

finger to nose, normal cerebellar function

Question 7

Foot Exam

Answer 7

inspect
Sensory Exam -
+= normal sensation
- = reduced sensation