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Multiple Choice
Which ligament of the knee initiates the knee-jerk reflex when tapped?
A
Medial collateral ligament
B
Patellar ligament
C
Anterior cruciate ligament
D
Posterior cruciate ligament
Verified step by step guidance
1
Step 1: Understand the knee-jerk reflex. The knee-jerk reflex, also known as the patellar reflex, is a stretch reflex that occurs when the patellar ligament is tapped. This reflex tests the integrity of the nervous system, specifically the L2-L4 spinal segments.
Step 2: Identify the patellar ligament. The patellar ligament connects the patella (kneecap) to the tibial tuberosity of the tibia. It plays a key role in transmitting the force generated by the quadriceps muscle group during knee extension.
Step 3: Recognize the mechanism of the reflex. When the patellar ligament is tapped, it stretches the quadriceps tendon and muscle, activating muscle spindle receptors. These receptors send signals to the spinal cord, triggering a reflex contraction of the quadriceps muscle.
Step 4: Differentiate the patellar ligament from other knee ligaments. The medial collateral ligament, anterior cruciate ligament, and posterior cruciate ligament are involved in stabilizing the knee joint but are not directly involved in the knee-jerk reflex.
Step 5: Conclude that the patellar ligament is the correct answer because it is the structure tapped to initiate the knee-jerk reflex.