Question 5: Reflexes

Grade Description
0 Absent
1+ or + Hypoactive
2+ or ++ "Normal"
3+ or +++ Hyperactive without clonus
4+ or ++++ Hyperactive with clonus

You proceed to examining the patient's reflexes

Reflexes can be graded according to the scale


O/E:

There is bilateral loss of ankle reflex

Which nerve root mediates the ankle jerk reflex?

L3 / L4    
L4 / L5    
L5 / S1    
S1 / S2     green tick

Well done, correct.