OCC OCC Pediatric & Special Population Casting 2

Question 1

Which modification is typically made when casting an elderly patient with osteoporotic skin?

Accepted Answer

Increased padding and lower circumferential pressure

Answer

Elderly patients have fragile, atrophic skin prone to tearing and pressure injury, requiring extra padding and careful tensioning.

Question 2

In a patient with a spinal cord injury who lacks sensation, the primary casting concern is:

Accepted Answer

Pressure injury that the patient cannot feel or report

Answer

Lack of sensation means pressure sores can develop silently; aggressive padding and very frequent skin checks are mandatory.

Question 3

When casting a pregnant patient, which body position is recommended during the procedure?

Accepted Answer

Left lateral tilt or left lateral decubitus to prevent aortocaval compression

Answer

After the first trimester, supine positioning can compress the inferior vena cava; a left tilt maintains cardiac output.

Question 4

For obese patients requiring lower extremity casting, which casting consideration is most important?

Accepted Answer

Using stronger fiberglass layers and ensuring adequate support to prevent cast breakage

Answer

Increased body weight places greater mechanical stress on the cast; additional fiberglass layers and structural support prevent early cast failure.

Question 5

A child is very anxious and uncooperative during casting. The BEST approach is:

Accepted Answer

Involve the caregiver, explain each step simply, and work calmly and efficiently

Answer

Caregiver involvement, age-appropriate explanations, and a calm demeanor reduce anxiety and improve cooperation without restraint or medication.

(OCC) Orthopedic Casting Certification Practice Test