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ELABORATE: ACTIVITY ALERT!

QUESTION FOR RESEARCH 01 – REFLEX TESTS

Using available references or online resources, briefly describe the procedure for testing reflexes
discussed previously and their respective expected normal response. You may include photos or
diagrams to better describe each step and the normal response.

REFLEXES PROCEDURES NORMAL RESPONSE

 The bright light that is

m
PUPILLARY directed in your eye

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LIGHT  First, you should dim the light. causes pupil

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REFLEX  Then ask the patient to look at an constriction in both

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object in the distance. eyes.
 Next you will show a light into the

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eyes of the patient from each side.
 rs e
Lastly, watch the patient’s pupils
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and determine whether or not his
pupils constrict in response to the
light, taking note of the size and
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shape of their pupils.


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 During
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accommodation, the
pupil constricts to
increases the depth of
focus of the eye by
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blocking the light


ACCOMODATI
scattered by the
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ON REFLEX
periphery of the
 The patient should direct his eyes cornea. The lens then
from a distant object to a nearby increases its
is

object. curvature, thus


increasing refractive
Th

power.
CILIOSPINAL  A stimulus such as pain is applied  Due to the painful
REFLEX to the neck, face, and upper trunk stimulus, the
(PUPILLARY- of a patient ipsilateral pupil dilates
sh

SKIN REFLEX) in response.

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 A

 A sudden kicking
KNEE JERK movement of the
OR PATELLAR lower leg will be the
REFLEX response of the
patient.
reflex hammer is tapped on
patient’s tendon below the
kneecap.

m
ACHILLES  The response is

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TENDON palpable and visible
REFLEX contraction of the calf.

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o.
 A

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reflex hammer is tapped on the
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patient’s deep tendon reflex.

 Place
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your
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The response is
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BICEPS a reflex contraction of
REFLEX the biceps brachii
muscle.
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thumb in the patient’s bicep


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tendon.
 Then briskly tap your thumb with
the reflex hammer
TRICEPS  The response is
is

REFLEX a reflex contraction of


the triceps muscle.
Th
sh


Abduct the patient’s shoulder.
 Then tap the triceps tendon with
the reflex hammer.

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 The response is
blinking of both eyes.
CORNEAL
REFLEX
 Lightly touch the cornea of the
patient with a thin strand of clean
cotton ball

m
er as
The response is visible

co

PHARYNGEAL

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contraction of the
REFLEX
pharyngeal wall.

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 rs e
Touch the posterior pharyngeal
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wall, tonsillar area, or the base of
the tongue of the patient using a
tongue depressor.
o
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 The response is the


SUPERFICIAL
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contraction of
ABDOMINAL
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underlying abdominal
REFLEX
wall muscle.

Stroke the skin of the patient’s
is

abdomen using a wooden


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applicator stick or pointed end of


reflex hammer.
PLANTAR  The response is the
REFLEX flexion of the toes and
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withdrawal of the foot.

 Stroke the sole of the patient’s foot

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using the pointed end of a reflex
hammer.

References:
Wolynski, B. (2020). How Doctors Test Pupil Reflexes. Retrieved from
https://www.verywellhealth.com/pupiltesting3421844#:~:text=4%EF%BB
%BF%20Your%20doctor%20will,and%20shape%20of%20your%20pupils.
Dragoi, V. (n.d.). Chapter 7: Ocular Motor System. Retrieved from
https://nba.uth.tmc.edu/neuroscience/m/s3/chapter07.html

Glass, D. (2007). The Knee Jerk Reflex. Retrieved from


https://indianapublicmedia.org/amomentofscience/thekneejerkreflex.php#:~:
text=To%20test%20your%20knee%20jerk,occurred%20within%20the
%20spinal%20cord

m
er as
Chandrasekhar, A. (n.d.). Muscle Stretch Reflexes of the Upper and Lower
Extremities. Retrieved from

co
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http://www.meddean.luc.edu/lumen/meded/medicine/pulmonar/pd/pstep56.ht
m

o.
rs e
Pullen, R. (2005). Testing the corneal reflex. Retrieved from
ou urc
https://journals.lww.com/nursing/Citation/2005/11000/Testing_the_corneal_refl
ex.58.aspx#:~:text=Approaching%20his%20eye%20from%20the,eye
%20(direct%20corneal%20reflex).
o

Bensard, D. (2012). Gag Reflex. Retrieved from


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https://link.springer.com/referenceworkentry/10.1007%2F978-3-642-00418-
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6_416
Shyu, S. (2018). Plantar Reflex. Retrieved from
https://www.sciencedirect.com/topics/medicineanddentistry/plantarreflex#:~:
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text=To%20test%20the%20plantar%20reflex,toe%20at%20the%20medial
ar stu

%20aspect
Mcgee, S. (2012). Abdominal Reflex. Retrieved from
https://www.sciencedirect.com/topics/medicineanddentistry/abdominalreflex#
is

:~:text=In%20the%20superficial%20abdominal%20reflexes,the%20umbilicus
Th

%20toward%20the%20stimulus.
sh

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