Which of the following describes a normal reflex grade?

• A. 0: no response
• B. 2+: normal
• C. 3+: brisk
• D. 4+: very brisk

Answer: (B)

Reflex grading measures how strong a reflex response is, ranging from absent to very brisk. The normal response sits in the middle: not missing, not unusually strong. So the description that calls the reflex normal matches the typical, expected result. Descriptions of absent, brisk, or very brisk reflect weaker or hypersensitive responses and would not be considered normal.