OTC Orthopaedic Technologist Certified Spinal and Pelvic Immobilization 5

Question 1

Which skin area requires the most vigilant monitoring in a patient wearing a thoracolumbar TLSO brace?

Accepted Answer

Xiphoid process and iliac crests

Answer

The xiphoid process and iliac crests are prominent bony areas most prone to pressure injury under rigid orthosis contact.

Question 2

Which imaging modality is preferred for evaluating ligamentous injury of the cervical spine in a trauma patient?

Accepted Answer

MRI

Answer

MRI best visualizes soft tissue and ligamentous structures, which are not visible on CT or plain radiographs.

Question 3

A cruciform anterior spinal hyperextension (CASH) brace is most appropriate for which spinal condition?

Accepted Answer

Thoracic compression fracture (stable)

Answer

The CASH brace applies a three-point hyperextension force that offloads the anterior thoracic vertebral body in stable compression fractures.

Question 4

If a halo vest pin site shows early signs of infection (erythema, serous drainage), the most appropriate initial management is:

Accepted Answer

Local pin site care with antiseptic cleaning and topical antibiotic

Answer

Early pin site infections are managed with meticulous local care; removal or systemic therapy is reserved for refractory or deep infections.

Question 5

When documenting spinal orthosis use, which element is considered most legally and clinically important to record?

Accepted Answer

Wearing schedule, skin checks, and patient education provided

Answer

Documentation of wearing schedule, skin inspection, and patient education demonstrates appropriate care and compliance monitoring.

Orthopaedic Technologist Certified Test Practice Test