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What are somatic reflexes?
skeletal muscle contractions
When testing the patellar reflex, what should occur?
Knee extension
When counting backward while testing for the patellar reflex, does the reflex increase or decrease in amplitude?
Increase reflex amplitude
With the increase in reflex amplitude for the patellar reflex, is this effect caused by an increase or decrease in cortical inhibition?
Decrease in cortical inhibition
When testing the patellar reflex with the Jendrassik maneuver (clenching fist and pulling arms apart), does the reflex increase or decrease in amplitude?
Increase in reflex amplitude
With the increase in reflex amplitude (Jendrassik maneuver) when testing for the patellar reflex, what caused this effect, an increase or decrease in cortical facilitation (excitation)?
Increase in cortical facilitation
When tapping the Achilles tendon on the back of the ankle using the reflex hammer. What ankle motion occurs?
Ankle Plantar flexion
When testing the biceps brachii tendon reflex. What elbow or forearm motion occurs?
-Elbow flexion
-Forearm supination
When testing the triceps brachii tendon reflex. What elbow motion occurs?
Elbow extension
Testing these reflexes is a rapid way to assess the....
function of the spinal cord
Babinski reflex is an example of a...
superficial cord reflex
Superficial reflexes are initiated by...
stimuli to the skin or mucous membrane
What is the normal negative Babinski response?
flexion of the toes, especially the large toe
What is the abnormal positive Babinski response?
extension of the big toe, and flaring of the other toes
When do you get the abnormal positive Babinski response?
-newborn (whose motor pathways are incompletely myelinated)
-someone with damage to the corticospinal tract
Why might one do the Babinski test in a well-child checkup?
To check for the completion of myelination
Why might one do the Babinski test in an adult neurological checkup?
to check for damage or disease in the central nervous system, specifically the corticospinal tract
What type of reflex is the glabellar-blink reflex
superficial somatic reflex
What is the glabellar-blink reflex mediated through...
the cranial nerves and brainstems rather than through the spinal nerves and spinal cord
Absence of a blink reflex is an ominous sign and usually indicates...
compression of the brainstem from a tumor or trauma
What is the response of tapping the forehead just above each eye?
Eyes should blink
What is the purpose or function of the blink reflex?
For protection
Reflex is mediated through two cranial nerves. Sensory input utilizes the major sensory nerve of the face, which is ________ nerve, while the outer motor output is carried by the ______nerve.
1. CN V - Trigeminal
2. CN VII - Facial nerve
When briefly shining a light into a person's left eye only. What happens to the size of the left pupil?
Constricts
What happens to the size of the right pupil while shining the light into the left pupil?
Constricts
What can you say about the pathways involved if you see this type of response (pupillary light reflex)?
Consensual reflex: The pupil of the other eye shrinks at the same time, even though no light is shining directly into it.
What is the function of the pupillary light reflex?
Protecting the retina from too much light
What cranial nerve controls this motor function (pupillary light reflex)?
CN III - Oculomotor
When testing the pupillary accommodation reflex, having a person focus on a pen close to their face, what is the response?
-Pupil constriction
-Eyes converge
-Lens becomes short and fat
When testing the ciliospinal reflex, stroking the skin on the left side of the back of the neck at the hairline, what is the response?
-Pupil dilation ipsilateral (same side)
-eyes diverge to normal
-the lens becomes long and flat
Pupillary constriction gives less visual information and is used for close vision. Constriction is mediated by the ________ division of the autonomic nervous system while pupillary dilation is mediated by the ________ division of the autonomic system
1. parasympathetic
2. sympathetic
What takes longer, reflexes or reactions?
Reactions
Based on the average responses across both subjects, which mode of presentation resulted in shorter reaction time: Random interval or Fixed interval?
Fixed interval
Why was the fixed interval faster than the random interval?
We are able to anticipate when the next sound will come
Why do we get faster at reacting to fixed intervals from the first sound to the last sound?
We are able to practice and train our thumbs to get faster.
Why does using your dominant hand result in a quicker reaction time?
Frequent use of dominant builds stronger and more efficient neural pathways
What is faster, reflexive or voluntary movements?
Reflexive
When reaction times to visual and auditory stimuli are measured repeatedly, the response to an auditory stimulus is faster than the response to a visual stimulus. How might you explain this difference, neurologically?
The number of synapses is fewer. More synapses result in longer times.