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Deep Tendon Reflexes Overview

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96 Questions

Which nerve root is responsible for the biceps reflex?

C5

The quadriceps reflex tests which of the following nerve roots?

L3-L4

Which muscle is tested by the triceps reflex?

Triceps brachii

The Achilles tendon reflex tests which nerve root?

S1-S2

Which reflex tests the L5-S1 nerve roots?

Semimembranosus reflex

The C5 nerve root reflex tests the ______ muscle

Biceps Brachii

The L3-L4 nerve roots reflex tests the ______ muscle

Quadriceps

The S1-S2 nerve roots reflex tests the ______ muscle

Biceps Femoris

The C7 nerve root reflex tests the ______ muscle

Triceps Brachii

The L4-L5 nerve roots reflex tests the ______ muscle

Tibialis Posterior

The biceps brachii reflex tests the C7 nerve root.

False

The semimembranosus reflex tests the L4-L5 nerve roots.

False

The triceps brachii reflex tests the C6 nerve root.

False

The tibialis posterior reflex tests the L3-L4 nerve roots.

False

The achilles tendon reflex tests the S2 nerve root.

True

What is the primary purpose of performing a deep tendon reflex test?

To assess the integrity of the specific motor neuron and determine whether damage has occurred to the upper or lower motor neuron

Which nerve root is best tested with the patient in the prone position?

L5

What should the candidate do to prepare the patient for the deep tendon reflex test?

Inform the patient about the general procedure and show them the reflex hammer

Which nerve root is best tested with the patient in the seated position?

C5-C7

What should the candidate use to perform the deep tendon reflex test?

A reflex hammer with a sharp and dull end

Which nerve root is responsible for the Achilles tendon reflex?

S1-S2

The patient with L4 nerve root being assessed should be seated on the table with their lower legs hanging free, this position is best for testing the _____

quadriceps

The patient with S1 nerve root being assessed can be tested in the prone position with their feet off the table, this position is best for testing the _____

Achilles tendon

The tool with a sharp and dull end that is often used for the deep tendon reflex test is a _____ hammer

reflex

The candidate should inform the patient whether they will be supporting the limb on which the test will be performed, this is important for the patient to know before testing the _____ reflex

triceps

The deep tendon reflex test is performed to assess the integrity of the specific motor neuron and determine whether damage has been to the upper or lower motor _____

neuron

The patient with C5-7 nerve root being assessed should be tested in the seated position where the candidate can access the tendon and support the arm appropriately, this position is best for testing the _____

biceps

The patient with L4 nerve root being assessed should be tested in the supine position.

False

The deep tendon reflex test assesses for a disturbance of the blood circulation to the tissues.

False

The candidate should inform the patient whether they will be supporting the limb on which the test will be performed.

True

The triceps reflex tests the C8 nerve root.

False

The patient with S1 nerve root being assessed can be tested with their feet off the table in the seated position.

False

The candidate uses a tool with a sharp and dull end to perform the deep tendon reflex test.

True

Which nerve root is best tested with the patient in the seated position?

C5 nerve root

What is the primary purpose of performing a deep tendon reflex test?

To assess the integrity of the specific motor neuron and determine whether damage has been to the upper or lower motor neuron

Which nerve root is responsible for the Achilles tendon reflex?

S2 nerve root

Which muscle is tested by the triceps reflex?

Triceps brachii

Which nerve root is responsible for the biceps reflex?

C7 nerve root

The example used in this deep tendon reflex test is the _____ DTR.

C5

The candidate will properly support the limb if relevant. If having difficulty locating and landmarking the tendon, they may ask the patient to perform the muscle action against resistance. The supporting or freehand of the candidate should palpate and landmark the _____.

tendon

Once the tendon is landmarked, the candidate must tell the patient to relax the limb. The candidate can tap the tendon directly, using the pointed or flat side of the hammer, or keep their thumb over the tendon and tap their own thumb with the hammer. Using the second method, it is important that the candidate’s thumb is not squeezing or applying pressure on the tendon and is only lightly resting on the _____.

tendon

The patient with C5-7 nerve root being assessed should be tested in the seated position where the candidate can access the tendon and support the arm appropriately, this position is best for testing the _____.

reflex

The tibialis posterior reflex tests the _____ nerve roots.

L3-L4

The triceps brachii reflex tests the _____ nerve root.

C6

The patient in the DTR test is typically seated during the procedure.

True

In the DTR test, if the candidate is having trouble finding the tendon, they may ask the patient to perform a muscle action against resistance.

True

The candidate must squeeze or apply pressure on the tendon while tapping in the DTR test.

False

The DTR test is primarily performed to assess blood circulation to the tissues.

False

The triceps reflex tests the C8 nerve root.

True

The tool used for the DTR test typically has a sharp and dull end.

False

What is the expected response for a Grade 3 on the deep tendon reflex grading scale?

Exaggerated

Which grade on the deep tendon reflex grading scale indicates a lower motor neuron lesion?

Grade 0 or Grade 1

What does a Grade 5 response on the deep tendon reflex grading scale indicate?

Clonus

Which grade on the deep tendon reflex grading scale suggests no pathology?

Grade 2

What does a Grade 4 response on the deep tendon reflex grading scale indicate?

Very Brisk (hyperreflexia)

The triceps brachii reflex tests the ______ nerve root.

C6

The quadriceps reflex tests which of the following nerve roots?

L2-L4

The Achilles tendon reflex tests which nerve root?

S1

The biceps brachii reflex tests the ______ nerve root.

C7

The tibialis posterior reflex tests the _____ nerve roots.

L4-L5

What is the primary purpose of the C5 deep tendon reflex test?

To assess the integrity of the C5 nerve root

Where should the patient be positioned for the C5 deep tendon reflex test?

Seated position with sleeve rolled up past the elbow

What is the expected response when performing the C5 deep tendon reflex test on the biceps muscle?

Elbow flexion

Which nerve root is examined in the biceps reflex test?

C7

How should the candidate instruct the patient during the C5 deep tendon reflex test?

Request full body relaxation

Which muscle action is associated with the C5 deep tendon reflex test?

Biceps muscle flexion

What is the primary purpose of the deep tendon reflex test?

To assess the integrity of the motor neurons and detect upper or lower motor neuron lesions

What should the candidate do when checking in with the patient during the deep tendon reflex test?

Ask if the patient has any questions and if they are comfortable proceeding

Which of the following nerve roots is tested by the biceps brachii reflex?

C5

What should the candidate do when palpating and landmarking the biceps tendon during the deep tendon reflex test?

Use their thumb to lightly rest on the tendon without applying pressure

Which grade on the deep tendon reflex grading scale indicates a possible upper motor neuron pathology?

Grade 4

What should the candidate do if no reflex is elicited during the deep tendon reflex test?

Reposition and attempt the tap again while checking in with the patient

The triceps brachii reflex tests the ______ nerve root.

C8

What is the expected response for a Grade 3 on the deep tendon reflex grading scale?

brisk

The achilles tendon reflex tests the _____ nerve root.

S2

What is the primary purpose of the deep tendon reflex test?

assess

Which muscle action is associated with the C5 deep tendon reflex test?

flexion

The quadriceps reflex tests which of the following nerve roots?

L3-L4

The candidate should provide resistance to the elbow flexion while palpating and landmarking the biceps tendon with their ______.

thumb

The candidate performs the tap on the tendon or on their own ______.

thumb

The C5 deep tendon reflex was a 2, which is the grade for an average reflex ______.

response

A grade higher than 2 indicates an upper motor neuron pathology, and a grade less than 2 indicates a lower motor neuron ______.

pathology

The deep tendon reflex test assesses for a disturbance of the blood circulation to the ______.

tissues

The deep tendon reflex test is performed to assess the integrity of the specific motor neuron and determine whether damage has been to the upper or lower motor ______.

neuron

During the deep tendon reflex test, the candidate should always perform the test bilaterally to compare reflexes.

False

The C5 deep tendon reflex graded as a 2 indicates a below average reflex response.

False

A grade higher than 2 on the deep tendon reflex grading scale suggests an upper motor neuron pathology.

True

During the deep tendon reflex test, if no reflex is elicited, the candidate should not reposition and attempt the tap again.

False

The triceps brachii reflex primarily tests the C6 nerve root.

False

The deep tendon reflex test primarily assesses blood circulation to the tissues.

False

The C5 deep tendon reflex test is used to assess the integrity of the C7 nerve root.

False

During the C5 deep tendon reflex test, the candidate should tap the triceps tendon with a reflex hammer.

False

The primary purpose of the C5 deep tendon reflex test is to evaluate sensory function.

False

In the seated position, the patient should have their sleeve rolled up past their elbow for the C5 deep tendon reflex test.

True

The candidate should expect an extension movement of the elbow during the C5 deep tendon reflex test.

False

The purpose of supporting the patient's arm during the C5 deep tendon reflex test is to ensure relaxation of the biceps muscle.

True

Learn about deep tendon reflexes, a pre-programmed muscle response to a stretch stimulus within the muscle. Explore common deep tendon reflexes associated with specific nerve roots and muscles.

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