Page: 3-5 (Superficial, Visceral Organic, Pathological Reflexes)

Question 1

_____: refers to involuntary motor responses to potentially harmful stimuli?

Answer 1

Reflexes

• When testing reflexed they should ALL be done bilaterally with the normal side tested first.

Question 2

_____: refers to the absence of any DTR, especially patellar (knee jerk)?

Answer 2

Westphal’s sign

Question 3

_____: refers to bringing out reflexes by cortical distraction?

Answer 3

Jendrassik’s Maneuver (aka: “Reinforcement test”)

Question 4

DTR: Wexler Scale = NORMAL??

0+ - \_\_\_\_\_?
1+ - \_\_\_\_\_?
2+ - \_\_\_\_\_?
3+ - \_\_\_\_\_?
4+ - \_\_\_\_\_?
5+ - \_\_\_\_\_?

Answer 4

2+

Question 5

DTR: Wexler Scale = ABSENT WITH REINFORCEMENT??

0+ - \_\_\_\_\_?
1+ - \_\_\_\_\_?
2+ - \_\_\_\_\_?
3+ - \_\_\_\_\_?
4+ - \_\_\_\_\_?
5+ - \_\_\_\_\_?

Answer 5

0+

Question 6

DTR: Wexler Scale = HYPERACTIVE WITH SUSTAINED CLONUS??

0+ - \_\_\_\_\_?
1+ - \_\_\_\_\_?
2+ - \_\_\_\_\_?
3+ - \_\_\_\_\_?
4+ - \_\_\_\_\_?
5+ - \_\_\_\_\_?

Answer 6

5+

Question 7

DTR: Wexler Scale = NORMAL WITH REINFORCEMENT??

0+ - \_\_\_\_\_?
1+ - \_\_\_\_\_?
2+ - \_\_\_\_\_?
3+ - \_\_\_\_\_?
4+ - \_\_\_\_\_?
5+ - \_\_\_\_\_?

Answer 7

1+

Question 8

DTR: Wexler Scale = HYPERACTIVE WITH TRANSIENT CLONUS??

0+ - \_\_\_\_\_?
1+ - \_\_\_\_\_?
2+ - \_\_\_\_\_?
3+ - \_\_\_\_\_?
4+ - \_\_\_\_\_?
5+ - \_\_\_\_\_?

Answer 8

4+

Question 9

DTR: Wexler Scale = HYPOACTIVE WITH NO REINFORCEMENT??

0+ - \_\_\_\_\_?
1+ - \_\_\_\_\_?
2+ - \_\_\_\_\_?
3+ - \_\_\_\_\_?
4+ - \_\_\_\_\_?
5+ - \_\_\_\_\_?

Answer 9

1+

Question 10

DTR: Wexler Scale = HYPERACTIVE??

0+ - \_\_\_\_\_?
1+ - \_\_\_\_\_?
2+ - \_\_\_\_\_?
3+ - \_\_\_\_\_?
4+ - \_\_\_\_\_?
5+ - \_\_\_\_\_?

Answer 10

3+

Question 11

Which of the following nerves is associated with the “Jaw Jerk” DTR?

a. ) Radial
b. ) Musculocutaneous
c. ) Trigeminal
d. ) Facial

Answer 11

c.) Trigeminal

Question 12

Which of the following nerves is associated with the “Biceps” DTR?

a. ) Ulnar
b. ) Axillary
c. ) Musculocutaneous
d. ) Radial

Answer 12

c.) Musculocutaneous

Question 13

Which of the following nerves is associated with the “Brachioradialis” DTR?

a. ) Axillary
b. ) Musculocutaneous
c. ) Ulnar
d. ) Radial

Answer 13

d.) Radial

Question 14

Which of the following nerves is associated with the “Triceps” DTR?

a. ) Ulnar
b. ) Radial
c. ) Median
d. ) Musculocutaneous

Answer 14

b.) Radial

Question 15

Which of the following nerves is associated with the “Patellar (aka: Knee Jerk)” DTR?

a. ) Genitofemoral
b. ) Common peroneal
c. ) Femoral
d. ) Tibial

Answer 15

c.) Femoral

Question 16

Which of the following nerves is associated with the “Medial Hamstring” DTR?

a. ) Sciatic
b. ) Obturator
c. ) Genitofemoral
d. ) Tibial

Answer 16

a.) Sciatic

Question 17

Which of the following nerves is associated with the “Achilles (aka: Ankle Jerk)” DTR?

a. ) Sural
b. ) Sciatic
c. ) Pudendal
d. ) Tibial

Answer 17

d.) Tibial

Question 18

Which of the following NR is associated with the “Jaw Jerk” DTR?

a. ) CN VII
b. ) CN III
c. ) CN V
d. ) CN X

Answer 18

c.) CN V

Question 19

Which of the following NR is associated with the “Biceps” DTR?

a. ) C3
b. ) C4
c. ) C5
d. ) C6

Answer 19

c.) C5

Question 20

Which of the following NR is associated with the “Triceps” DTR?

a. ) T1
b. ) C8
c. ) C6
d. ) C7

Answer 20

d.) C7

Question 21

Which of the following NR is associated with the “Brachioradialis” DTR?

a. ) C5
b. ) C6
c. ) C7
d. ) C8

Answer 21

b.) C6

Question 22

Which of the following NR is associated with the “Patellar (aka: Knee Jerk)” DTR?

a. ) L3
b. ) L4
c. ) L5
d. ) S1

Answer 22

b.) L4

Question 23

Which of the following NR is associated with the “Medial Hamstring” DTR?

a. ) L5
b. ) L4
c. ) S1
d. ) S2

Answer 23

a.) L5

Question 24

Which of the following NR is associated with the “Achilles (aka: Ankle Jerk)” DTR?

a. ) S3
b. ) S2
c. ) S1
d. ) L5

Answer 24

c.) S1

Question 25

Which of the following NR is associated with the "Cremasteric" Superficial Reflex? a. ) T12 b. ) L1 c. ) L5 d. ) S1

Answer 25

b.) L1

Question 26

Which of the following NR is associated with the "Plantar" Superficial Reflex? a. ) T12-L3 b. ) L1-L4 c. ) L5-S1 d. ) L4-S2

Answer 26

d.) L4-S2

Question 27

_____: refers to a withdrawal reflex to noxious stimuli? a. ) Deep tendon reflex b. ) Pathological reflex c. ) Superficial reflex d. ) Visceral organic reflex

Answer 27

c.) Superficial reflex

Question 28

_____: presence indicates an UMNL? a. ) Deep tendon reflex b. ) Pathological reflex c. ) Superficial reflex d. ) Visceral organic reflex

Answer 28

b.) Pathological reflex

Question 29

_____: the brainstem integrates these reflexes? a. ) Deep tendon reflex b. ) Pathological reflex c. ) Superficial reflex d. ) Visceral organic reflex

Answer 29

d.) Visceral organic reflex

Question 30

_____: graded via the Wexler Scale? a. ) Deep tendon reflex b. ) Pathological reflex c. ) Superficial reflex d. ) Visceral organic reflex

Answer 30

a.) Deep tendon reflex

Question 31

CORNEAL Superficial Reflex a. ) Afferent: _____? b. ) Efferent: _____?

Answer 31

a. ) CN V | b. ) CN VII

Question 32

PHARYNGEAL Superficial Reflex a. ) Afferent: _____? b. ) Efferent: _____?

Answer 32

a. ) CN IX | b. ) CN X

Question 33

CREMASTERIC (L1) Superficial Reflex a. ) Afferent: _____? b. ) Efferent: _____?

Answer 33

a. ) Femoral nerve | b. ) Genitofemoral nerve

Question 34

GEIGEL'S Superficial Reflex a. ) Afferent: _____? b. ) Efferent: _____?

Answer 34

a. ) Femoral nerve | b. ) Genitofemoral nerve

Question 35

PLANTAR (L4-S2) Superficial Reflex a. ) Afferent: _____? b. ) Efferent: _____?

Answer 35

a. ) Tibial | b. ) Tibial

Question 36

"Upper" ABDOMINAL Superficial Reflex a. ) Afferent: _____? b. ) Efferent: _____?

Answer 36

a. ) T7-T9 | b. ) T7-T9

Question 37

"Lower" ABDOMINAL Superficial Reflex a. ) Afferent: _____? b. ) Efferent: _____?

Answer 37

a. ) T10-T12 | b. ) T10-T12

Question 38

"Upper" BEEVOR'S Superficial Reflex a. ) Afferent: _____? b. ) Efferent: _____?

Answer 38

a. ) T7-T9 | b. ) T7-T9

Question 39

"Lower" BEEVOR'S Superficial Reflex a. ) Afferent: _____? b. ) Efferent: _____?

Answer 39

a. ) T10-T12 | b. ) T10-T12

Question 40

_____ reflex: stroke up the inner Female thigh; Poupart's ligament contracts? a. ) Cremasteric b. ) Geigel's c. ) Gonadal d. ) Internal hamstring

Answer 40

b.) Geigel's

Question 41

_____ reflex: stroke up the inner Male thigh; Ipsilateral rise in testes? a. ) Cremasteric b. ) Geigel's c. ) Gonadal d. ) Internal hamstring

Answer 41

a.) Cremasteric

Question 42

_____ reflex: pinch neck while noting dilation of the eyes? a. ) Carotid sinus b. ) Oculocardiac c. ) Ciliospinal d. ) Corneal

Answer 42

c.) Ciliospinal

Question 43

_____ reflex: press on carotid sinus, note slowing of heart and decreased pressure? a. ) Carotid sinus b. ) Oculocardiac c. ) Ciliospinal d. ) Corneal

Answer 43

a.) Carotid sinus

Question 44

_____ reflex: press on eye, note slowing of heart by 10 BPM? a. ) Carotid sinus b. ) Oculocardiac c. ) Ciliospinal d. ) Corneal

Answer 44

b.) Oculocardiac

Question 45

CILIOSCPINAL Visceral Organic Reflex a. ) Afferent: _____? b. ) Efferent: _____?

Answer 45

a. ) Sensory from neck | b. ) Cervical sympathetics

Question 46

OCULOCARDIAC Visceral Organic Reflex a. ) Afferent: _____? b. ) Efferent: _____?

Answer 46

a. ) CN V | b. ) CN X

Question 47

CAROTID SINUS Visceral Organic Reflex a. ) Afferent: _____? b. ) Efferent: _____?

Answer 47

a. ) CN IX | b. ) CN X

Question 48

Muscle Grading: No evidence of contractility? ``` 5 - _____? 4 - _____? 3 - _____? 2 - _____? 1 - _____? 0 - _____? ```

Answer 48

0

Question 49

Muscle Grading: Complete ROM against gravity? ``` 5 - _____? 4 - _____? 3 - _____? 2 - _____? 1 - _____? 0 - _____? ```

Answer 49

3

Question 50

Muscle Grading: Complete ROM with gravity eliminated? ``` 5 - _____? 4 - _____? 3 - _____? 2 - _____? 1 - _____? 0 - _____? ```

Answer 50

2

Question 51

Muscle Grading: Complete ROM against gravity with some resistance? ``` 5 - _____? 4 - _____? 3 - _____? 2 - _____? 1 - _____? 0 - _____? ```

Answer 51

4

Question 52

Muscle Grading: Evidence of slight contractility with no joint motion? ``` 5 - _____? 4 - _____? 3 - _____? 2 - _____? 1 - _____? 0 - _____? ```

Answer 52

1

Question 53

Muscle Grading: Complete ROM against gravity with full resistance? ``` 5 - _____? 4 - _____? 3 - _____? 2 - _____? 1 - _____? 0 - _____? ```

Answer 53

5

Question 54

_____ reflex: stroke up lateral aspect of foot to great toe? a. ) Chaddock b. ) Oppenheim c. ) Babinski d. ) Gordon's

Answer 54

c.) Babinski (+) Response: Dorsiflexion of great toe with splaying of other toes

Question 55

_____ reflex: stroke lateral malleolus to fifth toe? a. ) Chaddock b. ) Oppenheim c. ) Babinski d. ) Rossolimo

Answer 55

a.) Chaddock (+) Response: Babinski-like response

Question 56

_____ reflex: stroke down tibial crest to the ankle? a. ) Schaefer b. ) Oppenheim c. ) Rossolimo d. ) Gordon's

Answer 56

b.) Oppenheim (+) Response: Babinski-like response

Question 57

_____ reflex: squeeze the calf below the knee? a. ) Chaddock b. ) Oppenheim c. ) Schaefer d. ) Gordon's

Answer 57

d.) Gordon's (+) Response: Babinski-like response

Question 58

_____ reflex: squeeze the Achilles tendon? a. ) Chaddock b. ) Oppenheim c. ) Schaefer d. ) Gordon's

Answer 58

c.) Schaefer (+) Response: Babinski-like response

Question 59

_____ reflex: tap the ball of the foot? a. ) Babinski b. ) Rossolimo c. ) Tromner d. ) Hoffman

Answer 59

b.) Rossolimo (+) Response: Plantar flexion of great toe with curling of the other toes

Question 60

_____ reflex: examiner extends middle phalanx and flicks distal phalanx inferior? a. ) Gordon's finger b. ) Tromner c. ) Chaddock's wrist d. ) Hoffman

Answer 60

d.) Hoffman (+) Response: flexion and adduction of the thumb and flexion of the fingers

Question 61

_____ reflex: examiner sharply taps the tips of the middle 3 fingers? a. ) Gordon's finger b. ) Chaddock's wrist c. ) Tromner d. ) Hoffman

Answer 61

c.) Tromner (+) Response: flexion and adduction of the thumb and flexion of the fingers

Question 62

_____ reflex: examiner strokes the pisiform of the patient? a. ) Hoffman b. ) Tromner c. ) Chaddock's wrist d. ) Gordon's finger

Answer 62

d.) Gordon's finger (+) Response: Flexion of wrist and fingers or thumb and index finger

Question 63

_____ reflex: examiner strokes the distal ulnar side of the forearm near the wrist? a. ) Hoffman b. ) Gordon's finger c. ) Chaddock's wrist d. ) Tromner

Answer 63

c.) Chaddock's wrist (+) Response: Flexion of wrist and extension and fanning of the fingers

Question 64

UMNL Characteristics 1. ) Paralysis: Flaccid or Spastic? 2. ) DTR: Hyperactive or Hypoactive 3. ) Pathological reflexes: Present or Absent? 4. ) Clonus: Present or Absent? 5. ) Tone: Hypertonic or Hypotonic? 6. ) Reaction to Degeneration: Present or Absent? 7. ) Atrophy: Present or Absent? 8. ) Fasiculation: Present or Absent? 9. ) Superficial reflexes: Present or Absent?

Answer 64

1. ) Spastic 2. ) Hyperactive 3. ) Present 4. ) Present 5. ) Hypertonic 6. ) Absent 7. ) Absent 8. ) Absent 9. ) Absent

Question 65

LMNL Characteristics 1. ) Paralysis: Flaccid or Spastic? 2. ) DTR: Hyperactive or Hypoactive 3. ) Pathological reflexes: Present or Absent? 4. ) Clonus: Present or Absent? 5. ) Tone: Hypertonic or Hypotonic? 6. ) Reaction to Degeneration: Present or Absent? 7. ) Atrophy: Present or Absent? 8. ) Fasiculation: Present or Absent? 9. ) Superficial reflexes: Present or Absent?

Answer 65

1. ) Flaccid 2. ) Hypoactive 3. ) Absent 4. ) Absent 5. ) Hypotonic 6. ) Present 7. ) Present 8. ) Present 9. ) Absent