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Clinical assessment maneuvers and reflexes Quiz

#1

Which reflex is commonly tested by tapping the patellar tendon?

Patellar reflex
Explanation

Assesses integrity of the reflex arc involving the quadriceps muscle and spinal cord segments L2-L4.

#2

Which maneuver is used to assess for appendicitis by applying pressure to the lower left quadrant of the abdomen?

Rovsing's sign
Explanation

Indicates rebound tenderness and suggests possible appendicitis.

#3

What does a positive Babinski reflex indicate?

Upper motor neuron lesion
Explanation

Abnormal response where the big toe extends and other toes fan out, suggesting damage to the corticospinal tract.

#4

Which reflex is tested by lightly stroking the lateral aspect of the sole of the foot?

Babinski reflex
Explanation

Elicits an abnormal response in adults, indicating potential neurological dysfunction.

#5

Which maneuver is used to assess for a meniscal injury in the knee?

McMurray's test
Explanation

Maneuver used to assess for tears in the medial or lateral meniscus of the knee joint.

#6

What does a positive Romberg test indicate?

Loss of proprioception
Explanation

Inability to maintain balance with eyes closed, indicating dysfunction of proprioceptive or vestibular pathways.

#7

Which reflex is assessed by tapping the biceps tendon?

Biceps reflex
Explanation

Tests the integrity of the C5-C6 nerve roots and the musculocutaneous nerve.

#8

Which maneuver is used to assess for a ruptured Achilles tendon?

Thompson's test
Explanation

Compression of the calf muscle while observing for plantar flexion of the foot, indicating an intact Achilles tendon.

#9

What is the normal response for the Brachioradialis reflex?

Extension of the elbow
Explanation

Contraction of the brachioradialis muscle leading to extension of the forearm at the elbow joint.

#10

Which maneuver is used to assess for carpal tunnel syndrome by flexing the patient's wrist and tapping over the median nerve?

Tinel's sign
Explanation

Provocation test for carpal tunnel syndrome, eliciting tingling or paresthesia in the median nerve distribution.

#11

Which reflex is tested by tapping the triceps tendon?

Triceps reflex
Explanation

Tests the integrity of the C7-C8 nerve roots and the radial nerve.

#12

What does a positive Hoover's sign indicate?

Malingering or functional weakness
Explanation

Absence of true effort to move the contralateral leg during hip flexion, suggesting non-organic weakness.

#13

Which maneuver is used to assess for thoracic outlet syndrome by positioning the patient's arm in abduction and external rotation?

Adson's test
Explanation

Provocation test for thoracic outlet syndrome, assessing for vascular compression of the subclavian artery or brachial plexus.

#14

What does a positive Spurling's test indicate?

Cervical radiculopathy
Explanation

Compression of cervical nerve roots, causing radiating pain or paresthesia in the upper extremity.

#15

Which reflex is tested by tapping the Achilles tendon?

Achilles reflex
Explanation

Assesses the integrity of the S1-S2 nerve roots and the gastrocnemius and soleus muscles.

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