OTC Orthopaedic Technologist Certified Traction Principles and Application 4

Question 1

Which neurovascular check finding warrants IMMEDIATE notification of the supervising physician in a patient in traction?

Accepted Answer

Absent distal pulse with paresthesia

Answer

Absent distal pulse combined with paresthesia indicates vascular compromise or compartment syndrome and is a surgical emergency requiring immediate intervention.

Question 2

Pin site care for skeletal traction typically includes:

Accepted Answer

Cleaning with prescribed solution and monitoring for signs of infection

Answer

Pin sites require routine cleaning with an approved solution (e.g., chlorhexidine or normal saline) and monitoring for erythema, drainage, or loosening.

Question 3

A patient in traction reports burning and itching under the foam boot. The FIRST action should be to:

Accepted Answer

Remove the boot, inspect the skin, and reapply if intact

Answer

Burning and itching suggest skin irritation or early breakdown; the boot must be removed for skin inspection before any further intervention.

Question 4

Which complication is most unique to skeletal traction compared to skin traction?

Accepted Answer

Osteomyelitis from pin tract infection

Answer

Pin tract infection leading to osteomyelitis is a risk specific to skeletal traction because the pin breaches the skin and cortex, providing a pathway for bacteria.

Question 5

To monitor for foot drop in a patient in lower extremity traction, the technologist assesses:

Accepted Answer

Ability to dorsiflex the foot against resistance

Answer

Foot drop results from peroneal nerve injury; assessment of dorsiflexion strength is the primary functional test for this complication.

Orthopaedic Technologist Certified Test Practice Test

Orthopaedic Technologist Certified Test Practice Test

OTC Orthopaedic Technologist Certified Traction Principles and Application 4