Question

which physical exam finding indicates cervical myelopathy?
reduced biceps reflex
positive lhermitte sign
negative hoffman sign
normal plantar response

Explanation:

Cervical myelopathy involves spinal cord compression in the cervical region. A positive Lhermitte sign (electric-shock sensations down the spine/limbs with neck flexion) is a classic physical exam finding linked to this condition. Reduced biceps reflex points to root, not cord, issues; a negative Hoffman sign and normal plantar response are not indicative of cervical myelopathy (abnormal/positive Hoffman and upgoing plantar response would be concerning).

Answer:

Positive Lhermitte sign