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CD 2303 - Neurological Exam questions well answered
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CD 2303 - Neurological Exam questions well answered
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CD 2303 - Neurological ExamNeurological Exam consists of - correct answer ✔✔•Reflexes
•Myotomes (Muscle Strength)
•Dermatomes (Sensation)
•Cerebellar Examination
•Mental Status Examination
•Cranial Nerve Examination
(DR. CMCM)
Reflexes are divided into - correct answer ✔✔UMN
LMN
Upper Motor Neuron (UMN) Reflexes - correct answer ✔✔UMN Reflexes, if positive, warrant immediate
emergency referral
Indicate that there is an issue at the level of the Central Nervous System (Spinal Cord/Brain)
Lower Motor Neuron (LMN) Reflexes - correct answer ✔✔LMN Reflexes are the more widely understood
reflexes by the general public
LMN Reflexes are involuntary contractions of a muscle when its tendon is struck
T or F:
LMN relate to certain nerve roots - correct answer ✔✔TRUE
C5 - correct answer ✔✔Biceps relfex
,C6 - correct answer ✔✔brachioradialis reflex
C7 - correct answer ✔✔Triceps reflex
L4 - correct answer ✔✔patellar reflex
S1 - correct answer ✔✔Achilles reflex
LMN Reflex Grading - correct answer ✔✔5 Categories
LMN Reflex Grade: 0 - correct answer ✔✔Absent
LMN Reflex Grade: 1 - correct answer ✔✔somewhat diminished, or requires reinforcement
LMN Reflex Grade: 2 - correct answer ✔✔average / normal
LMN Reflex Grade: 3 - correct answer ✔✔Brisker than average, possible but not necessarily indicative of
disease
LMN Reflex Grade: 4 - correct answer ✔✔very brisk, with clonus (rhythmic oscillations between flexion
and extension)
What should you do in the case someone has a a 3 or 4 grading on a particular reflex? - correct answer
✔✔perform UMN Reflex testing to confirm or refute the suspicion of a CNS lesion
What do you score the reflex if elicited only with Jendrassik technique? - correct answer ✔✔grade the
reflex a 1
LMN Reflex Rules - correct answer ✔✔1. Use ONE hand (dominant)
, 2. Compare BILATERALLY
3. Strike the reflex hammer BRISKLY
List 3 UMN Reflexes - correct answer ✔✔1. Hoffman's Test
2. Plantar Response
3. Clonus
List 4 Superficial Reflexes - correct answer ✔✔1. Hoffmans Test
2. Superficial Abdominal Reflex (SAR)
3. Anal Reflex
4. Cremasteric Reflex
Superficial Abdominal Reflex (SAR)
Above umbilicus tests _________
Below umbilicus tests __________ - correct answer ✔✔Above umbilicus tests T8-T10
Below umbilicus tests T10-T12
T or F:
Cremasteric reflex is performed on females only - correct answer ✔✔FALSE
performed on males only
Stroke the blunt end of your reflex hammer from the highest part of the inner thigh downwards toward
the middle of the ipsilateral medial thigh (This tests L1-2)
Normal response: Ipsilateral testicle rises
Motor System evaluation consist of - correct answer ✔✔-Inspection/Observation
-Palpation for muscle tone
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