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Reflex hammer — reference view
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Rubber head

Rubber head: located on the reference instrument. Compare its shape and position with the apparatus used in your practical.

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Reflex hammer — reference view

Image: Samir at English Wikipedia · Source / original · CC BY-SA 3.0

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Reflex hammer

Nerve & muscle

Reflex hammer

Tendon hammer · percussion hammer

THE FIRST VIVA QUESTION

What is its use?

Elicits deep tendon reflexes as part of a neurological examination.

Tap a number to locate its part. Zoom, drag or use full screen to inspect the reference. Models and graduations can differ; check the actual apparatus used in your laboratory.

01 / IDENTIFICATION

How to recognise it.

  1. Weighted head with a rubber contact surface
  2. Handle allows a controlled swing
  3. Different patterns include Taylor and Queen Square designs
Tell the difference.

The response is a stretch reflex; it is not caused by directly stimulating the tendon organ as the principal afferent.

02 / NUMBERED PARTS

Point them out.

Choose a part to bring its numbered marker into view.

03 / WORKING PRINCIPLE

The science behind the reading.

A tendon tap briefly stretches muscle spindles and activates the stretch-reflex pathway.

04 / VIVA PRACTICE

Think first. Then reveal.

Explain your answer aloud before opening it.

01What is the principal afferent for a tendon jerk?
SUGGESTED ANSWER

Group Ia afferents from muscle spindles.

02Which spinal segments are mainly tested by the knee jerk?
SUGGESTED ANSWER

L2–L4, particularly L4, through the femoral nerve.

03Which segments are mainly tested by the ankle jerk?
SUGGESTED ANSWER

S1–S2, particularly S1, through the tibial nerve.

04Why compare both sides?
SUGGESTED ANSWER

Symmetry and the broader clinical pattern help interpret the response.

Read the references.

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