Sentence:  At this time a detailed neuromuscular examination revealed diffuse muscle atrophy that was moderate in the hands and feet , but more marked in the shoulders , hips , and pelvic girdle , with hypoactive <WSD>deep</WSD> tendon reflexes . 
Meaning of the word marked with <WSD> tags:  having great spatial extension or penetration downward or inward from an outer surface or backward or laterally or outward from a center; sometimes used in combination