Page 199 - ASOP Orthopedic Casting Manual

7. Why is it important to use palms rather than fingers when molding the fiberglass cast?
A) Fingers create indentations that may cause pressure sores
B) Palms generate more heat, speeding up the setting time
C) Using fingers weakens the fiberglass structure
D) The cast will dry too quickly if molded with fingers

8. What is the safest way to remove a long leg cast?
A) Use a handsaw to cut along the lateral side of the cast
B) Crack the cast with a hammer before removing the padding
C) Use a cast saw to cut along marked lines, followed by spreaders and bandage scissors
D) Apply heat to soften the fiberglass before pulling it apart

9. Which of the following is a potential complication of improper long leg cast application?
A) Compartment syndrome
B) Hyperextension of the knee
C) Increased joint flexibility
D) Reduced risk of deep vein thrombosis (DVT)

10. What should be done if a patient experiences numbness or tingling after cast application?
A) Encourage the patient to wait 24 hours to see if symptoms improve
B) Check for tightness and consider bivalving or removing the cast
C) Apply an ice pack to the cast to reduce swelling
D) Have the patient elevate the leg for one week before reassessment

11. How should the distal end of the cast be managed during application?
A) It should be left unpadded for better structural support
B) Padding and fiberglass should be extended over the toes
C) The stockinette should be folded back over the padding before sealing with fiberglass
D) The fiberglass should be loosely wrapped around the ankle to allow movement

12. Which of the following is a key post-cast application instruction for patients?
A) Keep the leg elevated to reduce swelling
B) Apply lotion to the exposed skin inside the cast
C) Remove the cast at home after three weeks
D) Place weight on the cast immediately to ensure it is properly set