Practical 1

Question 1

DTR grade 0

Answer 1

normal

Question 2

DTR grade 1+

Answer 2

brisk

Question 3

DTR grade 2+

Answer 3

very brisk

Question 4

DTR grade 3+

Answer 4

exhaustabile clonus

Question 5

DTR grade -1

Answer 5

moderately low

Question 6

DTR grade -2

Answer 6

low response

Question 7

DTR grade -3

Answer 7

just elicitable

Question 8

DTR grade -4

Answer 8

absent

Question 9

Modified ashworth 0

Answer 9

no increase in tone

Question 10

Modified ashworth 1

Answer 10

slight increase
catch/release at end ROM

Question 11

Modified ashworth 1+

Answer 11

slight increase in tone
catch/release and resistance through rest ROM (1/2 ROM)

(catch occurs earlier in ROM)

Question 12

Modified ashworth 2

Answer 12

marked increase in tone through ROM, but affected part moved easily

(catches in beginning but able to move after)

Question 13

Modified ashworth 3

Answer 13

considerable increase in tone
passive movement difficult

(catches in beginning, then difficult to move throughout)

Question 14

Modified ashworth 4

Answer 14

affected part in rigid flex/ext

(can’t move out of rigid pos)

Question 15

Glascow mTBI range

Answer 15

13-15

Question 16

Glascow mod TBI range

Answer 16

9-12

Question 17

Glascow severe TBI range

Answer 17

3-8

Question 18

Glascow - 4 eye opening responses

Answer 18

4 - spontaneously open
3 - verbal
2 - pain
1 - no eye opening

Question 19

Glascow verbal response 5

Answer 19

oriented

Question 20

Glascow verbal response 4

Answer 20

confused conversation, but able to answer questions

Question 21

Glascow verbal response 3

Answer 21

inappropriate responses, words discernible

Question 22

Glascow verbal response 2

Answer 22

incomprehensible sounds or speech

Question 23

Glascow verbal response 1

Answer 23

no verbal response

Question 24

Glascow motor response 6

Answer 24

obeys commands for movement

Question 25

Glascow motor response 5

Answer 25

purposeful movement to painful stimulus (moves pain creator away)

Question 26

Glascow motor response 4

Answer 26

withdraws from pain

Question 27

Glascow motor response 3

Answer 27

abnorm flexion (spastic), decorticate posture

Question 28

Glascow motor response 2

Answer 28

extensor (rigid) response, decerebrate posture

Question 29

Glascow motor response 1

Answer 29

no motor response

Question 30

Pain assess what tract/pathway? Along with what other sensations?

Answer 30

Anterolateral pathway (spinithalamic) Pain, temp, crude touch

Question 31

What does vibration assess? What other sensations?

Answer 31

Dorsal column Fine touch, proprioception, discriminative touch

Question 32

What fibers are assessed in each tract?

Answer 32

Anterolateral - delta and C (small myelinated) Dorsal - beta (lg myelinated)

Question 33

CN 7

Answer 33

Facial M&S - eyebrows, frontalis mus - eyes, orbicularis oculi - cheeks, orbicularis oris - show teeth and smile, buccinator assymetries -anterior 2/3 of tongue

Question 34

CN 5

Answer 34

Trigeminal, S&M Light touch, opthalamic, maxillary, mandibular - jaw reflex - open jaw strength - palpate masseter