PRACTICAL: REFLEXES Flashcards

1
Q

Reflexes root value

A

Brachioradialis reflex = Supinator = Radial Periosteal

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2
Q

Superficial REFLEXES
🧠⚡ C³A²P²⚡

A
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3
Q

Reflex ARC
🧠⚡ RACEE⚡

A
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4
Q

Corneal Reflex
🧠⚡FETA ⚡

A
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5
Q

Gag reflex
🧠⚡ gAvE⚡

A
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6
Q

Plantar Reflex SEGMENTAL INNERVATION

BABINSKI( Plantar extensor) Reflex SEGMENTAL INNERVATION

A

⭐ S1

⭐ L5

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7
Q

Absent Plantar Reflex seen in

A
  1. Loss of SENSATION to Sole (L5-S1)
  2. Thick sole
  3. Paralysis of EXTENSOR HALLUCIS
  4. Lesion of Reflex Arc
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8
Q

EXTENSOR RESPONSE on PLANTAR Reflex
BABINSKI’S Reflex

A

Extension(Dorsi flexion) of great toe
±
Fanning of other toes

Physiological
1. Infant < 6 months
2. Deep sleep
3. General Anaesthesia

Pathological:Seen in UMN lesion
1. CST lesion above S1
2. DEEP COMA
3. POST SEIZURE
4. ALCOHOL INTOXICATION
5. HYPOGLYCEMIA
6. METABOLIC ENCEPHALOPATHY

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9
Q

Fanning of other toes without DORSIFLEXION of Great Toe is POSITIVE/NEGATIVE BABINSKI

A

Negative BABINSKI

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10
Q

Modifications of BABINSKI
Alternative Ways to ellicit BABINSKI
🧠⚡COB is Good Sign! ⚡

A
  1. Chaddock’s Sign
  2. Oppenheim’s Sign
  3. Bing’s sign
  4. Gordon’s Sign
  5. Gonda’s sign
  6. Stransky Sign
  7. Schaeffer’s Sign
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11
Q

Afferent Nerve in PLANTAR REFLEX

A

Tibial Nerve

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12
Q

Jaw Jerk reflex
Afferent
Center
Efferent

A

⭐ TRIGEMINAL
⭐ MID PONS
⭐ TRIGEMINAL

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13
Q

LATENT REFLEX
Clinical significance
🧠⚡ WT⚡

A

If ➕ U/L ➡️ PYRAMIDAL LESION ➕

  1. Wartenberg’s Sign
  2. Tromner’s/ Finger Flexor Reflex/ Hoffman’s Sign
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14
Q

Reinforcement maneuver for DEEP TENDON Reflexes

A
  1. Distraction
  2. Clenching the teeth or clenching the fist of other arm
  3. Jendrassik Manauver
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15
Q

Identify

A

Jendrassik Manauver
⬇️
Done for Lower Limb Reflexes

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16
Q

Hammers for Reflex Assessment

A
  1. Queen Square Reflex Hammer
  2. Taylor Hammer
  3. Tromner
  4. Babinski
  5. Buck
17
Q

Clonus indicates

A

UMN Lesion
✨ Multiple Sclerosis
✨ Spinal Cord Injury
✨ Spastic Paraparesis
✨ Other diseases (NORMAL Newborn)

18
Q

Clonus definition

A

Series of Rhythmic Involuntary Muscular Contractions induced bye SUDDEN PASSIVE Stretching of Muscle (OR) TENDON

19
Q

Types of Clonus

A
  1. Ankle Clonus
  2. Patellar Clonus
  3. Wrist Clonus
20
Q

How to do Ankle Clonus

A

Support leg with 1 hand under Knee
⬇️
Hold the Foot from below
⬇️
Quickly Dorsiflex

21
Q

Right Ankle Clonus is done on

A

Standing Right side of Patient

22
Q

Sustained Clonus meaning

A

Clonus persists as long as the examiner continues to hold slight doraiflexion pressure on Foot

23
Q

How to do Patellar Clonus

A

Hold the patella from above with index & thumb finger
⬇️
Sudden sharp downward Thrust on Patella

24
Q

Wrist Clonus: How to do?

A

Sudden Extension of Wrist
⬇️
Wrist Clonus