Reflexes

Question 1

What are the 5 places on the body to test for tendon reflex?

Answer 1

• AC fossa for bicep reflex
• back of elbow for tricep reflex
• radius for brachioradialis reflex
• knee for quadriceps/patellar reflex
• above the heel for the Achilles (ankle) reflex

Question 2

A normal deep tendon reflex in graded as what?

Answer 2

2

Question 3

Hypoactive or absent reflexes

Answer 3

hyporeflexia

Question 4

Hyperactive reflexes

Answer 4

hyperreflexia

Question 5

A depressed or sluggish reflex

Answer 5

1

Question 6

Remote muscle contraction that enhances the reflexes in a normal patient in known as

Answer 6

Reinforcement

Question 7

A type of neurological condition that creates involuntary muscle contractions- this results in uncontrollable, rhythmic, shaking movements

Answer 7

Clonus

Question 8

What does clonus indicate?

Answer 8

CNS disease - ALS, brain injury, cerebral palsy, MS, serotonin toxicity, spinal cord injury

Question 9

What components must be intact for a reflex to occur?

Answer 9

• sensory nerve fibers
• spinal cord synapse
• motor nerve fibers
• neuromuscular junction
• muscle fibers

Question 10

Using the Scale for Grading Reflexes, if a patient has a brisker than average reflex, you would grade it as:

Answer 10

3

Question 11

Using the Scale for Grading Reflexes, if a patient has an absent reflex, you would grade it as:

Answer 11

0

Question 12

Using the Scale for Grading Reflexes, if a patient has a very brisk, hyperactive reflex with clonus, you would grade it as:

Answer 12

4

clonus must be present to be graded a 4