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iRubric: Sensory, Reflexes and Special Tests rubric

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Sensory, Reflexes and Special Tests 
Rubric Code: QXAC587
By lesliemccoy
Draft
Public Rubric
Subject: Medical  
Type: Assessment  
Grade Levels: Graduate

Powered by iRubric Sensory, Reflexes and Special
  Not attempted

(N/A)

Fair

(N/A)

Excellent

(N/A)

Light touch and pain

Not attempted

Not attempted
Fair
Excellent

The examiner tested the following:
1. lightly stroked the skin with a cotton wisp, asking the patient to identify
2. touch the skin with sharp and smooth edges of a broken tongue blade, asking the patient to identify sensation and location
Vibration and joint position

Not attempted

Not attempted
Fair
Excellent

The examiner:
1. Placed the stem of a vibrating tuning fork over bony prominences on upper extremities
2. Placed the stem of vibrating tuning fork over bony prominences on lower extremities
3. Move great toe or a finger up or down on each hand. Have the patient accurately identify each movement.
Biceps reflex

Not attempted

Not attempted
Fair
Excellent

The examiner:
Held thumb over biceps tendon and strike thumb with reflex hammer. This should cause elbow flexion.
Brachioradial reflex

Not attempted

Not attempted
Fair
Excellent

The examiner:
Struck the brachioradial tendon (about 1-2 inches above the wrist) with the reflex hammer. This should cause forearm pronation and elbow flexion.
Tricpes reflex

Not attempted

Not attempted
Fair
Excellent

The examiner:
Put the patient in the proper position, struck the tendon directly.
This should cause elbow extension.
Patellar reflex

Not attempted

Not attempted
Fair
Excellent

The examiner:
Struck the patellar tendon just below the patella. This should cuase lower leg extension.
Achilles reflex

Not attempted

Not attempted
Fair
Excellent

The examiner:
dosiflexed the foot and struck the achilles tendon at the level of the ankle malleoli.
Babinksi's and ankle clonus

Not attempted

Not Attempted
Fair
Excellent

The examiner:
strokes the lateral side of the foot from the heel to the ball and then aross the ball to the medial side. the expected response is plantar flexion of all toes.
If the reflexes are hyperactive, Briskly dorsiflex the patient's foot and hod it in place. You should feel no clonus.
Brudzinski sign

Not attempted

Not attempted
Fair
Excellent

The examiner:
Passively flexes the patient's neck toward the chest. If the patient flexes knees and hips, the test is positive.




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