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Multiple Choice
Stretch reflexes would be hypoactive in all of the following conditions EXCEPT __________.
A
coma
B
stroke patients with lesions of the corticospinal tract
C
chronic diabetes mellitus
D
neurosyphilis
Verified step by step guidance
1
Understand the concept of stretch reflexes: Stretch reflexes are involuntary contractions of muscles in response to stretching within the muscle. They are important for maintaining muscle tone and posture.
Identify conditions that affect stretch reflexes: Conditions that can lead to hypoactive (reduced) stretch reflexes include coma, chronic diabetes mellitus, and neurosyphilis. These conditions typically affect the nervous system's ability to conduct signals properly.
Consider the exception: Stroke patients with lesions of the corticospinal tract may have hyperactive stretch reflexes instead of hypoactive ones. This is because the corticospinal tract is involved in voluntary motor control, and damage can lead to increased reflex activity due to loss of inhibitory control.
Analyze the role of the corticospinal tract: The corticospinal tract is a major pathway for motor signals from the brain to the spinal cord. Lesions in this tract can disrupt normal motor control, often resulting in exaggerated reflexes.
Conclude the exception: Based on the understanding of the conditions and the role of the corticospinal tract, stroke patients with lesions of the corticospinal tract are the exception where stretch reflexes would not be hypoactive.