Orthopaedic Technologist Certified Spinal and Pelvic Immobilization Questions and Answers

Question 1

An Orthopaedic Technologist is assisting with the application of a pelvic binder on a trauma patient.
To be MOST effective at reducing pelvic volume and controlling hemorrhage, the center of the binder should be positioned over which anatomical landmark?

Accepted Answer

The greater trochanters

Answer

The iliac crests

Answer

The umbilicus

Answer

The lumbar spine at L4-L5

Question 2

A patient with a suspected spinal injury needs to be moved from the floor onto a backboard. Which of the following is an essential principle of the log-rolling maneuver?

Accepted Answer

The rescuer maintaining manual in-line stabilization of the head is in command of the roll.

Answer

The rescuer at the feet is responsible for giving the command to roll.

Answer

The patient's arms should be crossed over their abdomen to keep them secure.

Answer

The roll should be a segmented movement, starting with the shoulders then the hips.

Question 3

Prolonged immobilization of a patient on a rigid long spine board is MOST associated with an increased risk of which of the following complications?

Accepted Answer

Pressure ulcer formation

Answer

Hypertension

Answer

Improved respiratory function

Answer

Deep vein thrombosis

Question 4

What is the primary therapeutic purpose of applying a pelvic binder or circumferential sheet to a patient with a suspected unstable pelvic fracture?

Accepted Answer

To reduce pelvic volume and provide compression to control hemorrhage.

Answer

To provide definitive anatomical reduction of the fracture fragments.

Answer

To immobilize the femurs and prevent lower extremity rotation.

Answer

To allow for early, partial weight-bearing during transport.

Question 5

Which of the following spinal orthoses is specifically designed to limit flexion of the thoracolumbar spine by applying a three-point pressure system?

Accepted Answer

Jewett brace

Answer

Soft lumbar corset

Answer

Milwaukee brace

Answer

Philadelphia collar

Question 6

When applying a rigid cervical collar to a trauma patient, what is the MOST critical initial action before the device is placed around the neck?

Accepted Answer

Maintaining manual in-line stabilization of the head and neck.

Answer

Log-rolling the patient to inspect the posterior neck.

Answer

Asking the patient to actively move their neck to assess the range of motion.

Answer

Selecting the collar size based on the patient's weight.