OCC OCC Patient Assessment & Preparation 2

Question 1

Which sensory test is used to assess nerve function in the hand before upper extremity casting?

Accepted Answer

Two-point discrimination

Answer

Two-point discrimination evaluates sensory nerve integrity in the digits and is a key pre-cast neurological check.

Question 2

Why is skin temperature assessed on both extremities before casting?

Accepted Answer

To detect unilateral coolness indicating vascular compromise

Answer

A cool extremity compared to the contralateral side may indicate impaired arterial flow requiring investigation before casting.

Question 3

Before applying a long arm cast, the technician should document motor function by asking the patient to:

Accepted Answer

Flex and extend the fingers and wrist

Answer

Active range of motion of fingers and wrist documents baseline motor nerve function before the cast is applied.

Question 4

What does the acronym 'CSM' stand for in orthopedic casting assessment?

Accepted Answer

Circulation, Sensation, Movement

Answer

CSM — Circulation, Sensation, Movement — is the standard neurovascular checklist performed before and after cast application.

Question 5

A patient reports numbness and tingling in the fingers before cast application. This finding should be:

Accepted Answer

Documented and reported to the supervising clinician before proceeding

Answer

Pre-existing neurological symptoms must be documented and reviewed by the clinician to distinguish pre-cast from post-cast nerve involvement.

(OCC) Orthopedic Casting Certification Practice Test