Deep Tendon Reflexes Overview
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Questions and Answers

Which nerve root is responsible for the biceps reflex?

  • C7
  • L3-L4
  • C5 (correct)
  • C6
  • The quadriceps reflex tests which of the following nerve roots?

  • L3-L4 (correct)
  • L5-S1
  • C5
  • S1-S2
  • Which muscle is tested by the triceps reflex?

  • Semimembranosus
  • Brachioradialis
  • Biceps brachii
  • Triceps brachii (correct)
  • The Achilles tendon reflex tests which nerve root?

    <p>S1-S2</p> Signup and view all the answers

    Which reflex tests the L5-S1 nerve roots?

    <p>Semimembranosus reflex</p> Signup and view all the answers

    The C5 nerve root reflex tests the ______ muscle

    <p>Biceps Brachii</p> Signup and view all the answers

    The L3-L4 nerve roots reflex tests the ______ muscle

    <p>Quadriceps</p> Signup and view all the answers

    The S1-S2 nerve roots reflex tests the ______ muscle

    <p>Biceps Femoris</p> Signup and view all the answers

    The C7 nerve root reflex tests the ______ muscle

    <p>Triceps Brachii</p> Signup and view all the answers

    The L4-L5 nerve roots reflex tests the ______ muscle

    <p>Tibialis Posterior</p> Signup and view all the answers

    The biceps brachii reflex tests the C7 nerve root.

    <p>False</p> Signup and view all the answers

    The semimembranosus reflex tests the L4-L5 nerve roots.

    <p>False</p> Signup and view all the answers

    The triceps brachii reflex tests the C6 nerve root.

    <p>False</p> Signup and view all the answers

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

    <p>False</p> Signup and view all the answers

    The achilles tendon reflex tests the S2 nerve root.

    <p>True</p> Signup and view all the answers

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

    <p>To assess the integrity of the specific motor neuron and determine whether damage has occurred to the upper or lower motor neuron</p> Signup and view all the answers

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

    <p>L5</p> Signup and view all the answers

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

    <p>Inform the patient about the general procedure and show them the reflex hammer</p> Signup and view all the answers

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

    <p>C5-C7</p> Signup and view all the answers

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

    <p>A reflex hammer with a sharp and dull end</p> Signup and view all the answers

    Which nerve root is responsible for the Achilles tendon reflex?

    <p>S1-S2</p> Signup and view all the answers

    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 _____

    <p>quadriceps</p> Signup and view all the answers

    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 _____

    <p>Achilles tendon</p> Signup and view all the answers

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

    <p>reflex</p> Signup and view all the answers

    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

    <p>triceps</p> Signup and view all the answers

    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 _____

    <p>neuron</p> Signup and view all the answers

    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 _____

    <p>biceps</p> Signup and view all the answers

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

    <p>False</p> Signup and view all the answers

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

    <p>False</p> Signup and view all the answers

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

    <p>True</p> Signup and view all the answers

    The triceps reflex tests the C8 nerve root.

    <p>False</p> Signup and view all the answers

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

    <p>False</p> Signup and view all the answers

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

    <p>True</p> Signup and view all the answers

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

    <p>C5 nerve root</p> Signup and view all the answers

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

    <p>To assess the integrity of the specific motor neuron and determine whether damage has been to the upper or lower motor neuron</p> Signup and view all the answers

    Which nerve root is responsible for the Achilles tendon reflex?

    <p>S2 nerve root</p> Signup and view all the answers

    Which muscle is tested by the triceps reflex?

    <p>Triceps brachii</p> Signup and view all the answers

    Which nerve root is responsible for the biceps reflex?

    <p>C7 nerve root</p> Signup and view all the answers

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

    <p>C5</p> Signup and view all the answers

    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 _____.

    <p>tendon</p> Signup and view all the answers

    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 _____.

    <p>tendon</p> Signup and view all the answers

    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 _____.

    <p>reflex</p> Signup and view all the answers

    The tibialis posterior reflex tests the _____ nerve roots.

    <p>L3-L4</p> Signup and view all the answers

    The triceps brachii reflex tests the _____ nerve root.

    <p>C6</p> Signup and view all the answers

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

    <p>True</p> Signup and view all the answers

    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.

    <p>True</p> Signup and view all the answers

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

    <p>False</p> Signup and view all the answers

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

    <p>False</p> Signup and view all the answers

    The triceps reflex tests the C8 nerve root.

    <p>True</p> Signup and view all the answers

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

    <p>False</p> Signup and view all the answers

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

    <p>Exaggerated</p> Signup and view all the answers

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

    <p>Grade 0 or Grade 1</p> Signup and view all the answers

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

    <p>Clonus</p> Signup and view all the answers

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

    <p>Grade 2</p> Signup and view all the answers

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

    <p>Very Brisk (hyperreflexia)</p> Signup and view all the answers

    The triceps brachii reflex tests the ______ nerve root.

    <p>C6</p> Signup and view all the answers

    The quadriceps reflex tests which of the following nerve roots?

    <p>L2-L4</p> Signup and view all the answers

    The Achilles tendon reflex tests which nerve root?

    <p>S1</p> Signup and view all the answers

    The biceps brachii reflex tests the ______ nerve root.

    <p>C7</p> Signup and view all the answers

    The tibialis posterior reflex tests the _____ nerve roots.

    <p>L4-L5</p> Signup and view all the answers

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

    <p>To assess the integrity of the C5 nerve root</p> Signup and view all the answers

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

    <p>Seated position with sleeve rolled up past the elbow</p> Signup and view all the answers

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

    <p>Elbow flexion</p> Signup and view all the answers

    Which nerve root is examined in the biceps reflex test?

    <p>C7</p> Signup and view all the answers

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

    <p>Request full body relaxation</p> Signup and view all the answers

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

    <p>Biceps muscle flexion</p> Signup and view all the answers

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

    <p>To assess the integrity of the motor neurons and detect upper or lower motor neuron lesions</p> Signup and view all the answers

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

    <p>Ask if the patient has any questions and if they are comfortable proceeding</p> Signup and view all the answers

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

    <p>C5</p> Signup and view all the answers

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

    <p>Use their thumb to lightly rest on the tendon without applying pressure</p> Signup and view all the answers

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

    <p>Grade 4</p> Signup and view all the answers

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

    <p>Reposition and attempt the tap again while checking in with the patient</p> Signup and view all the answers

    The triceps brachii reflex tests the ______ nerve root.

    <p>C8</p> Signup and view all the answers

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

    <p>brisk</p> Signup and view all the answers

    The achilles tendon reflex tests the _____ nerve root.

    <p>S2</p> Signup and view all the answers

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

    <p>assess</p> Signup and view all the answers

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

    <p>flexion</p> Signup and view all the answers

    The quadriceps reflex tests which of the following nerve roots?

    <p>L3-L4</p> Signup and view all the answers

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

    <p>thumb</p> Signup and view all the answers

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

    <p>thumb</p> Signup and view all the answers

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

    <p>response</p> Signup and view all the answers

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

    <p>pathology</p> Signup and view all the answers

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

    <p>tissues</p> Signup and view all the answers

    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 ______.

    <p>neuron</p> Signup and view all the answers

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

    <p>False</p> Signup and view all the answers

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

    <p>False</p> Signup and view all the answers

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

    <p>True</p> Signup and view all the answers

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

    <p>False</p> Signup and view all the answers

    The triceps brachii reflex primarily tests the C6 nerve root.

    <p>False</p> Signup and view all the answers

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

    <p>False</p> Signup and view all the answers

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

    <p>False</p> Signup and view all the answers

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

    <p>False</p> Signup and view all the answers

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

    <p>False</p> Signup and view all the answers

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

    <p>True</p> Signup and view all the answers

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

    <p>False</p> Signup and view all the answers

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

    <p>True</p> Signup and view all the answers

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