OCC OCC Cast Removal & Bivalving 3

Question 1

After cast removal, which skin finding requires the clinician's evaluation before the patient is discharged?

Accepted Answer

Open pressure sore or wound

Answer

Any open wound or pressure injury discovered post-removal must be assessed by the clinician for infection and wound care planning.

Question 2

A patient reports a burning sensation under the cast just before scheduled removal. The correct response is:

Accepted Answer

Remove the cast immediately and assess the skin

Answer

Burning under a cast suggests pressure necrosis or skin breakdown; prompt removal and assessment is required.

Question 3

What is the correct instruction for skin care immediately after cast removal?

Accepted Answer

Gently wash with mild soap and water; apply moisturizer

Answer

Gentle cleansing and moisturization remove accumulated dead skin and restore normal hydration without traumatizing fragile post-cast skin.

Question 4

When converting a circumferential cast to a bivalved cast for home use, how are the two shells secured?

Accepted Answer

With an elastic (ACE) bandage wrapped over both halves

Answer

An elastic bandage holds bivalved cast shells in place while allowing removal for skin inspection and physical therapy.

Question 5

Which cast saw blade type is recommended for cutting fiberglass casts?

Accepted Answer

Fine-toothed oscillating blade designed for synthetic materials

Answer

Fine-toothed blades designed for synthetic casting materials cut fiberglass efficiently while minimizing heat generation.

(OCC) Orthopedic Casting Certification Practice Test