PRACTICAL: REFLEXES

Question 1

Reflexes root value

Answer 1

Brachioradialis reflex = Supinator = Radial Periosteal

Question 2

Superficial REFLEXES
🧠⚡ C³A²P²⚡

Answer 2

Question 3

Reflex ARC
🧠⚡ RACEE⚡

Answer 3

Question 4

Corneal Reflex
🧠⚡FETA ⚡

Answer 4

Question 5

Gag reflex
🧠⚡ gAvE⚡

Answer 5

Question 6

Plantar Reflex SEGMENTAL INNERVATION

BABINSKI( Plantar extensor) Reflex SEGMENTAL INNERVATION

Answer 6

⭐ S1

⭐ L5

Question 7

Absent Plantar Reflex seen in

Answer 7

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

Question 8

EXTENSOR RESPONSE on PLANTAR Reflex
BABINSKI’S Reflex

Answer 8

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

Question 9

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

Answer 9

Negative BABINSKI

Question 10

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

Answer 10

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

Question 11

Afferent Nerve in PLANTAR REFLEX

Answer 11

Tibial Nerve

Question 12

Jaw Jerk reflex
Afferent
Center
Efferent

Answer 12

⭐ TRIGEMINAL
⭐ MID PONS
⭐ TRIGEMINAL

Question 13

LATENT REFLEX
Clinical significance
🧠⚡ WT⚡

Answer 13

If ➕ U/L ➡️ PYRAMIDAL LESION ➕

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

Question 14

Reinforcement maneuver for DEEP TENDON Reflexes

Answer 14

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

Question 15

Identify

Answer 15

Jendrassik Manauver
⬇️
Done for Lower Limb Reflexes

Question 16

Hammers for Reflex Assessment

Answer 16

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

Question 17

Clonus indicates

Answer 17

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

Question 18

Clonus definition

Answer 18

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

Question 19

Types of Clonus

Answer 19

1. Ankle Clonus
2. Patellar Clonus
3. Wrist Clonus

Question 20

How to do Ankle Clonus

Answer 20

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

Question 21

Right Ankle Clonus is done on

Answer 21

Standing Right side of Patient

Question 22

Sustained Clonus meaning

Answer 22

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

Question 23

How to do Patellar Clonus

Answer 23

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

Question 24

Wrist Clonus: How to do?

Answer 24

Sudden Extension of Wrist
⬇️
Wrist Clonus