OCC OCC Pediatric & Special Population Casting

Question 1

Why is extra padding used when casting pediatric patients compared to adults?

Accepted Answer

Children have more prominent bony areas and less subcutaneous tissue

Answer

Children require thicker casts for activity restriction

Answer

Pediatric skin is thicker and requires more compression

Answer

Children move less, so padding prevents cast loosening

Question 2

The 'three-point mold' technique is especially important in pediatric casting because:

Accepted Answer

Children have softer bones that may angulate if the cast is not properly molded

Answer

Children require casts to be removed more frequently

Answer

Pediatric casts use faster-setting plaster

Answer

Children cannot tolerate fiberglass materials

Question 3

In toddlers and infants, which type of cast is commonly used to treat developmental dysplasia of the hip (DDH)?

Accepted Answer

Spica cast

Answer

Short arm cast

Answer

Long leg cast

Answer

Slipper cast

Question 4

Which color-coded system is used to guide padding at vulnerable areas in pediatric casts?

Accepted Answer

There is no color system; anatomy landmarks guide extra padding placement

Answer

Red padding for high-risk areas, green for low-risk

Answer

Blue marks for bony prominences, yellow for skin folds

Answer

Standard hospital color bands matching allergy status

Question 5

When casting a child with an upper extremity fracture, the wrist is typically positioned in:

Accepted Answer

Slight extension (10-15 degrees) for most forearm fractures

Answer

Full flexion to relax the flexor tendons

Answer

Neutral (0 degrees) for all pediatric wrist injuries

Answer

Full extension to maximize immobilization

Question 6

A parent asks if their child can bathe with a fiberglass cast. The correct response is:

Accepted Answer

The cast must be kept dry; use a waterproof cast cover for bathing

Answer

Fiberglass casts are fully waterproof and bathing is allowed

Answer

Sponge bath only is needed and the cast can get minimally wet

Answer

Bathing must be avoided entirely until cast removal