Page: 3-5 (Superficial, Visceral Organic, Pathological Reflexes) Flashcards
_____: refers to involuntary motor responses to potentially harmful stimuli?
Reflexes
- When testing reflexed they should ALL be done bilaterally with the normal side tested first.
_____: refers to the absence of any DTR, especially patellar (knee jerk)?
Westphal’s sign
_____: refers to bringing out reflexes by cortical distraction?
Jendrassik’s Maneuver (aka: “Reinforcement test”)
DTR: Wexler Scale = NORMAL??
0+ - \_\_\_\_\_? 1+ - \_\_\_\_\_? 2+ - \_\_\_\_\_? 3+ - \_\_\_\_\_? 4+ - \_\_\_\_\_? 5+ - \_\_\_\_\_?
2+
DTR: Wexler Scale = ABSENT WITH REINFORCEMENT??
0+ - \_\_\_\_\_? 1+ - \_\_\_\_\_? 2+ - \_\_\_\_\_? 3+ - \_\_\_\_\_? 4+ - \_\_\_\_\_? 5+ - \_\_\_\_\_?
0+
DTR: Wexler Scale = HYPERACTIVE WITH SUSTAINED CLONUS??
0+ - \_\_\_\_\_? 1+ - \_\_\_\_\_? 2+ - \_\_\_\_\_? 3+ - \_\_\_\_\_? 4+ - \_\_\_\_\_? 5+ - \_\_\_\_\_?
5+
DTR: Wexler Scale = NORMAL WITH REINFORCEMENT??
0+ - \_\_\_\_\_? 1+ - \_\_\_\_\_? 2+ - \_\_\_\_\_? 3+ - \_\_\_\_\_? 4+ - \_\_\_\_\_? 5+ - \_\_\_\_\_?
1+
DTR: Wexler Scale = HYPERACTIVE WITH TRANSIENT CLONUS??
0+ - \_\_\_\_\_? 1+ - \_\_\_\_\_? 2+ - \_\_\_\_\_? 3+ - \_\_\_\_\_? 4+ - \_\_\_\_\_? 5+ - \_\_\_\_\_?
4+
DTR: Wexler Scale = HYPOACTIVE WITH NO REINFORCEMENT??
0+ - \_\_\_\_\_? 1+ - \_\_\_\_\_? 2+ - \_\_\_\_\_? 3+ - \_\_\_\_\_? 4+ - \_\_\_\_\_? 5+ - \_\_\_\_\_?
1+
DTR: Wexler Scale = HYPERACTIVE??
0+ - \_\_\_\_\_? 1+ - \_\_\_\_\_? 2+ - \_\_\_\_\_? 3+ - \_\_\_\_\_? 4+ - \_\_\_\_\_? 5+ - \_\_\_\_\_?
3+
Which of the following nerves is associated with the “Jaw Jerk” DTR?
a. ) Radial
b. ) Musculocutaneous
c. ) Trigeminal
d. ) Facial
c.) Trigeminal
Which of the following nerves is associated with the “Biceps” DTR?
a. ) Ulnar
b. ) Axillary
c. ) Musculocutaneous
d. ) Radial
c.) Musculocutaneous
Which of the following nerves is associated with the “Brachioradialis” DTR?
a. ) Axillary
b. ) Musculocutaneous
c. ) Ulnar
d. ) Radial
d.) Radial
Which of the following nerves is associated with the “Triceps” DTR?
a. ) Ulnar
b. ) Radial
c. ) Median
d. ) Musculocutaneous
b.) Radial
Which of the following nerves is associated with the “Patellar (aka: Knee Jerk)” DTR?
a. ) Genitofemoral
b. ) Common peroneal
c. ) Femoral
d. ) Tibial
c.) Femoral
Which of the following nerves is associated with the “Medial Hamstring” DTR?
a. ) Sciatic
b. ) Obturator
c. ) Genitofemoral
d. ) Tibial
a.) Sciatic
Which of the following nerves is associated with the “Achilles (aka: Ankle Jerk)” DTR?
a. ) Sural
b. ) Sciatic
c. ) Pudendal
d. ) Tibial
d.) Tibial
Which of the following NR is associated with the “Jaw Jerk” DTR?
a. ) CN VII
b. ) CN III
c. ) CN V
d. ) CN X
c.) CN V
Which of the following NR is associated with the “Biceps” DTR?
a. ) C3
b. ) C4
c. ) C5
d. ) C6
c.) C5
Which of the following NR is associated with the “Triceps” DTR?
a. ) T1
b. ) C8
c. ) C6
d. ) C7
d.) C7
Which of the following NR is associated with the “Brachioradialis” DTR?
a. ) C5
b. ) C6
c. ) C7
d. ) C8
b.) C6
Which of the following NR is associated with the “Patellar (aka: Knee Jerk)” DTR?
a. ) L3
b. ) L4
c. ) L5
d. ) S1
b.) L4
Which of the following NR is associated with the “Medial Hamstring” DTR?
a. ) L5
b. ) L4
c. ) S1
d. ) S2
a.) L5
Which of the following NR is associated with the “Achilles (aka: Ankle Jerk)” DTR?
a. ) S3
b. ) S2
c. ) S1
d. ) L5
c.) S1
Which of the following NR is associated with the “Cremasteric” Superficial Reflex?
a. ) T12
b. ) L1
c. ) L5
d. ) S1
b.) L1
Which of the following NR is associated with the “Plantar” Superficial Reflex?
a. ) T12-L3
b. ) L1-L4
c. ) L5-S1
d. ) L4-S2
d.) L4-S2
_____: refers to a withdrawal reflex to noxious stimuli?
a. ) Deep tendon reflex
b. ) Pathological reflex
c. ) Superficial reflex
d. ) Visceral organic reflex
c.) Superficial reflex
_____: presence indicates an UMNL?
a. ) Deep tendon reflex
b. ) Pathological reflex
c. ) Superficial reflex
d. ) Visceral organic reflex
b.) Pathological reflex
_____: the brainstem integrates these reflexes?
a. ) Deep tendon reflex
b. ) Pathological reflex
c. ) Superficial reflex
d. ) Visceral organic reflex
d.) Visceral organic reflex
_____: graded via the Wexler Scale?
a. ) Deep tendon reflex
b. ) Pathological reflex
c. ) Superficial reflex
d. ) Visceral organic reflex
a.) Deep tendon reflex
CORNEAL Superficial Reflex
a. ) Afferent: _____?
b. ) Efferent: _____?
a. ) CN V
b. ) CN VII
PHARYNGEAL Superficial Reflex
a. ) Afferent: _____?
b. ) Efferent: _____?
a. ) CN IX
b. ) CN X
CREMASTERIC (L1) Superficial Reflex
a. ) Afferent: _____?
b. ) Efferent: _____?
a. ) Femoral nerve
b. ) Genitofemoral nerve
GEIGEL’S Superficial Reflex
a. ) Afferent: _____?
b. ) Efferent: _____?
a. ) Femoral nerve
b. ) Genitofemoral nerve
PLANTAR (L4-S2) Superficial Reflex
a. ) Afferent: _____?
b. ) Efferent: _____?
a. ) Tibial
b. ) Tibial
“Upper” ABDOMINAL Superficial Reflex
a. ) Afferent: _____?
b. ) Efferent: _____?
a. ) T7-T9
b. ) T7-T9
“Lower” ABDOMINAL Superficial Reflex
a. ) Afferent: _____?
b. ) Efferent: _____?
a. ) T10-T12
b. ) T10-T12
“Upper” BEEVOR’S Superficial Reflex
a. ) Afferent: _____?
b. ) Efferent: _____?
a. ) T7-T9
b. ) T7-T9
“Lower” BEEVOR’S Superficial Reflex
a. ) Afferent: _____?
b. ) Efferent: _____?
a. ) T10-T12
b. ) T10-T12
_____ reflex: stroke up the inner Female thigh; Poupart’s ligament contracts?
a. ) Cremasteric
b. ) Geigel’s
c. ) Gonadal
d. ) Internal hamstring
b.) Geigel’s
_____ reflex: stroke up the inner Male thigh; Ipsilateral rise in testes?
a. ) Cremasteric
b. ) Geigel’s
c. ) Gonadal
d. ) Internal hamstring
a.) Cremasteric
_____ reflex: pinch neck while noting dilation of the eyes?
a. ) Carotid sinus
b. ) Oculocardiac
c. ) Ciliospinal
d. ) Corneal
c.) Ciliospinal
_____ reflex: press on carotid sinus, note slowing of heart and decreased pressure?
a. ) Carotid sinus
b. ) Oculocardiac
c. ) Ciliospinal
d. ) Corneal
a.) Carotid sinus
_____ reflex: press on eye, note slowing of heart by 10 BPM?
a. ) Carotid sinus
b. ) Oculocardiac
c. ) Ciliospinal
d. ) Corneal
b.) Oculocardiac
CILIOSCPINAL Visceral Organic Reflex
a. ) Afferent: _____?
b. ) Efferent: _____?
a. ) Sensory from neck
b. ) Cervical sympathetics
OCULOCARDIAC Visceral Organic Reflex
a. ) Afferent: _____?
b. ) Efferent: _____?
a. ) CN V
b. ) CN X
CAROTID SINUS Visceral Organic Reflex
a. ) Afferent: _____?
b. ) Efferent: _____?
a. ) CN IX
b. ) CN X
Muscle Grading: No evidence of contractility?
5 - \_\_\_\_\_? 4 - \_\_\_\_\_? 3 - \_\_\_\_\_? 2 - \_\_\_\_\_? 1 - \_\_\_\_\_? 0 - \_\_\_\_\_?
0
Muscle Grading: Complete ROM against gravity?
5 - \_\_\_\_\_? 4 - \_\_\_\_\_? 3 - \_\_\_\_\_? 2 - \_\_\_\_\_? 1 - \_\_\_\_\_? 0 - \_\_\_\_\_?
3
Muscle Grading: Complete ROM with gravity eliminated?
5 - \_\_\_\_\_? 4 - \_\_\_\_\_? 3 - \_\_\_\_\_? 2 - \_\_\_\_\_? 1 - \_\_\_\_\_? 0 - \_\_\_\_\_?
2
Muscle Grading: Complete ROM against gravity with some resistance?
5 - \_\_\_\_\_? 4 - \_\_\_\_\_? 3 - \_\_\_\_\_? 2 - \_\_\_\_\_? 1 - \_\_\_\_\_? 0 - \_\_\_\_\_?
4
Muscle Grading: Evidence of slight contractility with no joint motion?
5 - \_\_\_\_\_? 4 - \_\_\_\_\_? 3 - \_\_\_\_\_? 2 - \_\_\_\_\_? 1 - \_\_\_\_\_? 0 - \_\_\_\_\_?
1
Muscle Grading: Complete ROM against gravity with full resistance?
5 - \_\_\_\_\_? 4 - \_\_\_\_\_? 3 - \_\_\_\_\_? 2 - \_\_\_\_\_? 1 - \_\_\_\_\_? 0 - \_\_\_\_\_?
5
_____ reflex: stroke up lateral aspect of foot to great toe?
a. ) Chaddock
b. ) Oppenheim
c. ) Babinski
d. ) Gordon’s
c.) Babinski
(+) Response: Dorsiflexion of great toe with splaying of other toes
_____ reflex: stroke lateral malleolus to fifth toe?
a. ) Chaddock
b. ) Oppenheim
c. ) Babinski
d. ) Rossolimo
a.) Chaddock
(+) Response: Babinski-like response
_____ reflex: stroke down tibial crest to the ankle?
a. ) Schaefer
b. ) Oppenheim
c. ) Rossolimo
d. ) Gordon’s
b.) Oppenheim
(+) Response: Babinski-like response
_____ reflex: squeeze the calf below the knee?
a. ) Chaddock
b. ) Oppenheim
c. ) Schaefer
d. ) Gordon’s
d.) Gordon’s
(+) Response: Babinski-like response
_____ reflex: squeeze the Achilles tendon?
a. ) Chaddock
b. ) Oppenheim
c. ) Schaefer
d. ) Gordon’s
c.) Schaefer
(+) Response: Babinski-like response
_____ reflex: tap the ball of the foot?
a. ) Babinski
b. ) Rossolimo
c. ) Tromner
d. ) Hoffman
b.) Rossolimo
(+) Response: Plantar flexion of great toe with curling of the other toes
_____ reflex: examiner extends middle phalanx and flicks distal phalanx inferior?
a. ) Gordon’s finger
b. ) Tromner
c. ) Chaddock’s wrist
d. ) Hoffman
d.) Hoffman
(+) Response: flexion and adduction of the thumb and flexion of the fingers
_____ reflex: examiner sharply taps the tips of the middle 3 fingers?
a. ) Gordon’s finger
b. ) Chaddock’s wrist
c. ) Tromner
d. ) Hoffman
c.) Tromner
(+) Response: flexion and adduction of the thumb and flexion of the fingers
_____ reflex: examiner strokes the pisiform of the patient?
a. ) Hoffman
b. ) Tromner
c. ) Chaddock’s wrist
d. ) Gordon’s finger
d.) Gordon’s finger
(+) Response: Flexion of wrist and fingers or thumb and index finger
_____ 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
c.) Chaddock’s wrist
(+) Response: Flexion of wrist and extension and fanning of the fingers
UMNL Characteristics
- ) Paralysis: Flaccid or Spastic?
- ) DTR: Hyperactive or Hypoactive
- ) Pathological reflexes: Present or Absent?
- ) Clonus: Present or Absent?
- ) Tone: Hypertonic or Hypotonic?
- ) Reaction to Degeneration: Present or Absent?
- ) Atrophy: Present or Absent?
- ) Fasiculation: Present or Absent?
- ) Superficial reflexes: Present or Absent?
- ) Spastic
- ) Hyperactive
- ) Present
- ) Present
- ) Hypertonic
- ) Absent
- ) Absent
- ) Absent
- ) Absent
LMNL Characteristics
- ) Paralysis: Flaccid or Spastic?
- ) DTR: Hyperactive or Hypoactive
- ) Pathological reflexes: Present or Absent?
- ) Clonus: Present or Absent?
- ) Tone: Hypertonic or Hypotonic?
- ) Reaction to Degeneration: Present or Absent?
- ) Atrophy: Present or Absent?
- ) Fasiculation: Present or Absent?
- ) Superficial reflexes: Present or Absent?
- ) Flaccid
- ) Hypoactive
- ) Absent
- ) Absent
- ) Hypotonic
- ) Present
- ) Present
- ) Present
- ) Absent
