OCC OCC Neurovascular Assessment & Monitoring

Question 1

The classic '5 P's' of neurovascular assessment include all of the following EXCEPT:

Accepted Answer

Perspiration

Answer

The 5 P's are Pain, Pallor, Paresthesia, Pulselessness, and Paralysis/Paresis — perspiration is not included.

Question 2

A capillary refill time greater than how many seconds is considered abnormal in a casted extremity?

Accepted Answer

2 seconds

Answer

Capillary refill greater than 2 seconds indicates impaired peripheral perfusion and requires prompt evaluation.

Question 3

Which nerve is assessed by testing sensation in the first dorsal web space (between the thumb and index finger) of the hand?

Accepted Answer

Superficial radial nerve

Answer

The superficial radial nerve provides sensory innervation to the first dorsal web space and dorsolateral hand.

Question 4

Which sign or symptom is typically the EARLIEST indicator of acute compartment syndrome?

Accepted Answer

Pain with passive stretch of muscles in the compartment

Answer

Pain with passive stretch is the earliest and most sensitive clinical indicator of compartment syndrome, preceding pulselessness and paralysis.

Question 5

Pallor of the fingers in a patient with a freshly applied long arm cast most likely indicates:

Accepted Answer

Arterial compromise

Answer

Pallor signifies lack of oxygenated blood reaching the digits, indicating arterial compromise that requires immediate intervention.

(OCC) Orthopedic Casting Certification Practice Test