Musculoskeletal anatomy · USMLE Step 1

A clinician tests the Achilles tendon reflex. Which spinal nerve roots primarily mediate this reflex?

  1. L2–L3
  2. L3–L4
  3. L4–L5
  4. S1–S2
Show answer and explanation

Correct answer: S1–S2

The Achilles reflex tests S1–S2 nerve roots, which innervate the gastrocnemius and soleus. A diminished reflex suggests S1 pathology.

Difficulty: Medium Question 14 of 20

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