NURS 612 Neuro EXAM QUESTIONS AND ANSWERS

NURS 612 Neuro EXAM QUESTIONS AND ANSWERS Name the superficial reflexes. - Answer-plantar reflex, cremasteric, and abdominal reflex. How do you test the plantar reflex? - Answer-use the end of a reflex hammer to stroke the lateral side of the foot from the heel to the ball and then across the ball fo the foot to the medial side. You do not want a positive Babinski sign. What is a positive Babinski sign? - Answer-when there is dorsiflexion of the great toe with or without fanning of the other toes. What does the Babinski sign indicate? - Answer-a pyramidal tract disease in patients. How do you test the abdominal reflex? - Answer-stroke supine patient's quadrants of the abdomen with the end of a reflex hammer or edge of a tongue blade. Stroke up or down to illicit the same movement of the umbilicus. How do you test the cremasteric reflex? - Answer-stroke the inner thigh of the males patient (proximal to distal) to elicit the cremasteric reflex. Expect the testicle and scortum to rise on the stroked side. What are the deep tendon reflexes? - Answer-biceps, brachioradial, triceps, patellar, achilles, and clonus. What do absent reflexes reflect? - Answer-indicate neuropathy or lower motor neuron disorder. What do hyperactive reflexes mean? - Answer-an upper motor neuron disorder. What are the scores for deep tendon reflexes? - Answer-0: absent; 1+ sluggish or diminished; 2+ active or expected response; 3+ more brisk than expected, slightly hyperactive; 4+ brisk, hyperactive, with intermittent or transient clonus.