PACES MRCP UK - Where MRCPians Meet Since 2006

MRCP is well establised as an entry exam for advanced specialist training in many countries including Malaysia. It consists of 3 paper i.e. Part1, Part2(written tests) and PACES. PACES in full means Practical Assessment of Clinical Examination Skills. It is the third part and the candidate is assessed by fellows of RCP. I passed my PACES in 2005. I am glad that many seniors had guided me throughout my preparation for PACES and I wish to share my experiences with PACES candidates via this blog.


Monday, May 15, 2006

Plantar Response

The testing of reflexes involving the lower extremities is a pivotal part of the neurological examination. Abnormal plantar response means extension of the great toe and fanning of other toes. It implies upper motor neuron dysfunction. There are several techniques to demonstrate this response.

Babinski: The sole of the foor is firmly stroked with orange stick (NOT tandem hammer!)




Chanddock: Stroke the side of the foot from external malleolus to the small toe with a orange stick. In a positive test, there is dorsiflexion of the great toe.



Oppenheim: Firmly press down on the shin and run down the thumb and the knuckles along the anterior medial tibial toward the foot. In a positive test, there is dorsiflexion of the great toe.

Gordon: Firmly squeeze the calf. In a positive test, there is dorsiflexion of the great toe.

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1 Comments:

At 4/16/2010 04:20:00 AM, Anonymous mutasim omara said...

how do you demonsterate plantar response in apatient with big toe

 

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