Solutions
A deep tendon reflex with a normal response is scored as:
Correct Answers 2+ is considered an active or expected
response for deep tendon reflex; this is a normal response.
0 indicates no response for deep tendon reflex; this is an
abnormal response.
1+ indicates a sluggish or diminished response for deep tendon
reflex; this is an abnormal response.
3+ is a brisker-than-expected or slightly hyperactive response;
this is an abnormal response.
deep tendon reflexes (pg 356) Correct Answers patellar- base
of knee cap, tap
bracheal- find with thumb first
triceps reflex- arm supported in a 90degree angle w/ hand
toward floor, tap funnybone
brachialradialis- hold arm up by holding thumb, tap radial nerve
How would you assess sensitivity to superficial pain? Correct
Answers Assessment of superficial pain can be done by
touching the patient with the sharp side of a broken tongue
blade. Assessment of superficial pain is performed with the
patient's eyes closed. Allow 2 seconds between stimuli to avoid
a summative effect.
, Lab: Additional assessment for protective sensation Correct
Answers protective sensation on the foot (diabetes melitus)
Lab: Assess balance (4) Correct Answers 1. Romberg test
2. balance recovery
3. one foot, eyes closed balance
4. hop on one foot, alternate
Lab: Assess balance and gait Correct Answers 1. Observe gait
for symmetry, and rhythm
2. If necessary, heel-toe forward and backward, eyes open
Lab: Assess coordination and fine motor skills (2) Correct
Answers 1. rapid rhythmic alternating movements
2. accuracy of movement
Lab: Assess cortical sensory function (5) Correct Answers 1.
stereognosis
2. two-point discrimination
3. extinction phenomenon
4. graphesthesia
5. point location
Lab: Assess deep tendon reflexes (5) Correct Answers 1.
biceps reflex
2. brachioradial reflex
3. triceps reflex
4. patellar reflex
5. Achilles reflex
Lab: Assess for ankle clonus Correct Answers