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21. What is the proper method for applying a short-arm cast for a scaphoid fracture?
               A. Including the thumb in the cast to prevent movement
               B. Keeping the wrist in full extension
               C. Applying the cast with the elbow flexed at 90 degrees
               D. Keeping the fingers free and mobile


               22. Which of the following signs suggests a cast is too tight?
               A. Warm sensation inside the cast
               B. Numbness, tingling, and increased pain
               C. Mild itching
               D. Skin dryness


               23. A cam boot is commonly used for which of the following injuries?
               A. Clavicle fractures
               B. Achilles tendon ruptures
               C. Humerus fractures
               D. Scaphoid fractures

               24. When educating a patient about cast care, which statement is correct?
               A. “You can insert objects inside the cast to relieve itching.”
               B. “Avoid elevating the casted limb.”
               C. “If discomfort occurs, remove the cast at home.”
               D. “Keep the cast dry and avoid exposure to moisture.”

               25. Which tool is used to remove a cast safely?
               A. Reciprocating cast saw
               B Bone saw.
               C. Scalpel
               D. Wire cutters

               26. What is the recommended action if a patient develops increased pain and swelling in a casted
               limb?
               A. Apply ice directly to the cast
               B. Instruct the patient to keep the limb elevated and return to the clinic
               C. Advise the patient to cut the cast off at home
               D. Recommend over-the-counter pain medication without further evaluation

               27. Which of the following is an indication for a patellar tendon-bearing (PTB) cast?
               A. Tibial plateau fractures
               B. Femoral neck fractures
               C. Midshaft tibia fractures
               D. Clavicle fractures
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