Page 192 - ASOP Orthopedic Casting Manual

Orthopedic Thumb Spica Cast Application and Removal

1. What is the primary purpose of folding back the edges of the stockinette when applying a
thumb spica cast?
A) To improve patient comfort and prevent rolling or bunching
B) To create a tight seal that prevents movement
C) To eliminate the need for additional padding
D) To provide additional support for the fiberglass layers

2. During the application of a thumb spica cast, what is the ideal position of the thumb?
A) Fully extended and adducted
B) Slightly abducted and extended
C) Flexed at 90 degrees to the palm
D) Fully adducted and immobilized against the palm

3. Why is extra padding applied around bony prominences such as the wrist and elbow when
applying a thumb spica cast?
A) To ensure the cast remains flexible
B) To allow the cast to be easily removed
C) To reduce the risk of pressure sores and irritation
D) To minimize sweating inside the cast

4. Why are small strips of padding placed between the fingers during a thumb spica cast
application?
A) To improve circulation to the fingers
B) To provide extra comfort for the patient
C) To make the cast more rigid
D) To reduce the risk of maceration from skin-to-skin contact

5. What is the purpose of dipping fiberglass casting tape in lukewarm water before application?
A) To soften the fibers for better molding
B) To activate the resin that allows the material to harden
C) To make the tape more flexible for wrapping
D) To reduce patient discomfort during application