Tuesday, June 30, 2020

tendon reflex exam

Q: Brachioradialis tendon reflex should be tested? (select one) 

A) 5 cm above the wrist 
B) 10 cm above the wrist


Answer: B

Tendon reflexes are an integral part of neurological exam. There are five places where tendon reflexes are checked. Biceps, triceps, brachioradialis, knee (patellar), and ankle (Achilles). For proper tendon reflex exam the joint should be at about 90 degrees and fully relaxed, and the head of the hammer drop like a pendulum so that it strikes the tendon. For brachioradialis tendon reflex, cradle the wrist joint in your own arm to support it, and with your other arm use the hammer. Hammer should be dropped about 10 cm above the wrist on the radial aspect of the forearm for proper response.


#physical-exam

#neurology


Reference:


Gelb, DJ. The Neurologic Examination. In: Introduction to clinical neurology. Butterworth Heinemann, Woburn, MA 2000.

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