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You are testing a patient's patellar tendon reflex, and you notice after striking the tendon that the knee extends out, then relaxes, then extends, then relaxes, then extends. This phenomenon is called (a):

A. Manifestation of Oscillation
B. Pendullar reflex
C. Spasticity
D. Rhythmic activation

1 Answer

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Final answer:

The rhythmic pattern of knee extension and relaxation after striking the patellar tendon is termed 'Rhythmic activation'. It is part of reflex testing in a neurological exam and reflects the proper function of the lower motor neuron.

Step-by-step explanation:

Upon testing a patient's patellar tendon reflex and observing the knee extending and relaxing in a rhythmic pattern, the correct term for the phenomenon described is Rhythmic activation. Deep tendon reflexes, like the patellar tendon reflex, are part of the neurological exam and indicate that the lower motor neuron (LMN) is functioning properly. The process involves the muscle being quickly stretched, triggering a response from the muscle spindle that sends a signal into the spinal cord. There, it synapses directly on the ventral horn motor neuron, causing muscle contraction.

This reflexive action is physiologically useful for maintaining stability. If a muscle is unexpectedly stretched, it reflexively contracts to return to its original length. However, a normal reflex response typically involves a single contraction rather than repeated oscillations. If the oscillating response repeats, referred to as a clonus, it may signal neurological problems that warrant further investigation by a healthcare professional.

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