reflexes

Question 1

westphal’s sign

Answer 1

absence or decrease of DTR, esp patellar

LMNL

Question 2

DTR are graded on the __ scale

Answer 2

wexler
0+ absent with reinforcement
1+ hypoactive
2+ normal
3+ hyperactive
4+ hyperactive with transient clonus
5+ hyperactive with sustained clonus

Question 3

jaw jerk DTR nerve/root

Answer 3

trigeminal

CN V

Question 4

bicep DTR

Answer 4

musculocutaneous

C5

Question 5

brachioradialis DTR

Answer 5

radial

C6

Question 6

triceps DTR

Answer 6

radial

C7

Question 7

patellar/knee jerk DTR

Answer 7

femoral

L4

Question 8

medial ham DTR

Answer 8

sciatic

L5

Question 9

achilles/ankle jerk DTR

Answer 9

tibial

S1

Question 10

corneal superficial reflex

Answer 10

NOT PERFORMED

afferent: CN V
efferent: CN VII

Question 11

pharyngeal superficial reflex

Answer 11

NOT PERFORMED

a: CN IX
e: CN X

Question 12

cremasteric (L1) superficial reflex

Answer 12

NOT PERFORMED

a: femoral n
e: genitofemoral n

Question 13

geigel’s superficial reflex

Answer 13

NOT PERFORMED

a: femoral n
e: genitofemoral n

Question 14

plantar (L4-S2 normal) superficial reflex

Answer 14

NOT PERFORMED

a: tibial n
e: tibial n

Question 15

abdominal superficial reflex

-4 quadrants, moves to stroked side normal

Answer 15

NOT PERFORMED
a/e
-upper: T7-T9
-lower: T10-T12

Question 16

beevor’s superficial reflex

-normal stays midline with sit up

Answer 16

NOT PERFORMED
a/e
-upper: T7-T9
-lower: T10-T12

Question 17

ciliospinal reflex

Answer 17

NOT PERFORMED

pinch neck while noting dilation of eyes

Question 18

ciliospinal reflex inputs

Answer 18

sensory from neck

cervical sympathetics

Question 19

oculocardiac reflex

Answer 19

NOT PERFORMED

push on eye slow HR 10 BPM

Question 20

oculocardiac reflex inputs

Answer 20

CN V

CN X

Question 21

carotid sinus reflex

Answer 21

NOT PERFORMED

press on carotid sinus, slows HR and decreased pressure

Question 22

carotid sinus reflex inputs

Answer 22

CN IX

CN X

Question 23

chaddock

Answer 23

stroke LM to 5th toe

-babinski like response

Question 24

oppenheim

Answer 24

down tib crest to ankle

babinski response

Question 25

gordon’s calf

Answer 25

squeeze calf below knee

babinski response

Question 26

schaefer

Answer 26

squeeze achille’s tendon

babinski

Question 27

rossolimo

Answer 27

tap ball of foot

plantar flx of great toe with curling of the other toes

Question 28

hoffman

Answer 28

• extend middle phalanx and flicks distal phalanx inferior

- flx/add of thumb and flx of fingers

Question 29

tromner

Answer 29

• sharply taps tips of the middle 3 fingers

- flx/add of thumb and flx of fingers

Question 30

gordon’s finger

Answer 30

• stroke pisi of the pt

- flx of wrist and fingers or thumb and index finger

Question 31

chaddock’s wrist

Answer 31

• stroke distal ulnar side of forearm near wrist

- flx of wrist with extension and fanning of fingers

Question 32

normal muscle grade is

Answer 32

5

Question 33

above _ for muscle grading is with gravity, and below that is w/o gravity

Answer 33

3

Question 34

meningitis
MS
CP
CVA
brain tumor (HA)
ALS (LE)
all are due to

Answer 34

UMNL

Question 35

subluxation
myasthenia gravis
disc protrusion
polio
bells palsy
ALS (UE)
due to

Answer 35

LMNL