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

Bony prominences in children have less protective fat and are at greater risk for pressure injury, requiring additional padding.

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

Proper three-point molding maintains fracture alignment in children whose immature bone remodeling relies heavily on correct cast geometry.

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

A hip spica cast holds the hips in the abducted, flexed position required to seat the femoral head in the acetabulum during DDH treatment.

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

Padding placement in pediatric casts is guided by anatomical landmarks rather than a color-coded system; extra padding is placed over identified bony prominences.

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

Slight wrist extension is the standard functional position for most pediatric forearm and wrist fractures unless otherwise specified by the clinician.

(OCC) Orthopedic Casting Certification Practice Test

(OCC) Orthopedic Casting Certification Practice Test

OCC OCC Pediatric & Special Population Casting