OTC Orthopaedic Technologist Certified Surgical Procedure Assistance 2

Question 1

When passing a scalpel to the surgeon during an orthopaedic procedure, the OT should hand it with the blade:

Accepted Answer

Resting flat on a sterile towel for the surgeon to pick up

Answer

The safest scalpel-passing technique uses a neutral zone (kidney basin or sterile towel) to avoid sharps injuries to either party.

Question 2

During an open reduction internal fixation (ORIF) of a distal radius fracture, the OT is asked to hold retractors. The correct technique is to:

Accepted Answer

Maintain steady, firm retraction only as directed and release periodically to prevent ischemia

Answer

Sustained excessive retractor pressure causes tissue ischemia; the OT should maintain gentle steady traction and release as directed by the surgeon.

Question 3

Which power tool is most commonly used in orthopaedic surgery to ream the medullary canal during intramedullary nail placement?

Accepted Answer

Flexible intramedullary reamer

Answer

A flexible intramedullary reamer sequentially enlarges the medullary canal to accept the nail while following the canal's natural curve.

Question 4

A pneumatic tourniquet cuff pressure for an adult lower extremity procedure is typically set at:

Accepted Answer

100 mmHg above systolic blood pressure

Answer

Standard lower extremity tourniquet pressure is set at 100 mmHg above the patient's systolic blood pressure to ensure adequate occlusion without excessive tissue injury.

Question 5

During arthroscopic knee surgery, the OT's primary responsibility when managing the irrigation system is to:

Accepted Answer

Monitor fluid inflow and outflow to maintain joint distension without extravasation

Answer

The OT monitors arthroscopic irrigation to maintain adequate joint distension while preventing compartment syndrome from fluid extravasation.

Orthopaedic Technologist Certified Test Practice Test

Orthopaedic Technologist Certified Test Practice Test

OTC Orthopaedic Technologist Certified Surgical Procedure Assistance 2