OTC Orthopaedic Technologist Certified Surgical Procedure Assistance 5

Question 1

During a surgical case, the scrub technician announces a break in sterile technique. The OT's immediate responsibility is to:

Accepted Answer

Stop the procedure, identify and correct the contamination, and replace any compromised items

Answer

Any break in sterile technique must be immediately identified, communicated to the team, and corrected by replacing contaminated items before the procedure continues.

Question 2

Intraoperative cell salvage (autotransfusion) during major orthopaedic surgery is contraindicated when:

Accepted Answer

The surgical field is contaminated with infection or malignant cells

Answer

Cell salvage is contraindicated if the surgical field is contaminated by infection or tumor cells, as reinfusing this blood could spread sepsis or malignancy.

Question 3

A surgeon requests a 'K-wire' during a percutaneous pinning procedure for a pediatric supracondylar humerus fracture. The OT should provide:

Accepted Answer

A smooth Kirschner wire of the surgeon's requested diameter loaded in a power drill

Answer

K-wires (Kirschner wires) are smooth, small-diameter stainless steel wires that are driven percutaneously with a power drill to temporarily stabilize pediatric fractures.

Question 4

Which measurement is most critical for the OT to verify and document when applying a fiberglass cast after surgical fracture fixation?

Accepted Answer

Capillary refill, sensation, and motor function distal to the cast before and after application

Answer

Neurovascular status (capillary refill, sensation, and movement) distal to the cast must be assessed and documented before and after application to detect compartment syndrome or nerve compromise.

Question 5

When handling a retrieved orthopaedic implant that has been removed during a revision surgery, the OT should:

Accepted Answer

Place it in a labeled specimen container, document it, and give it to the circulating nurse per protocol

Answer

Explanted implants are placed in a labeled container, documented (including lot/serial numbers), and processed per institutional protocol, which may include sending for laboratory analysis or returning to the patient.

Orthopaedic Technologist Certified Test Practice Test

Orthopaedic Technologist Certified Test Practice Test

OTC Orthopaedic Technologist Certified Surgical Procedure Assistance 5