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Complications Cast and Splint Immobilization

General Knowledge Test


Seminar 9/24/2009

Name ____________________________________ Academic Position __________

1. I rate my General Knowledge about the correct cast and splint application techniques as well
as its complications as:
a. Excellent
b. Good
c. Regular
d. Poor

2. How many plaster plies does the pre made plaster splint available at ASEM ER and OR has:
a. 8
b. 10
c. 15
d. 20

3. What cast material creates the most heat while setting up and thus has the greatest potential
for thermal injury to the skin:
a. 8 plies of Fiberglass
b. 15 plies of Plaster
c. 8 plies of Plaster
d. 15 plies of Fiberglass

4. The optimal measure for the sagittal-to-coronal ratio for an anatomically molded cast is:
a. 0.5
b. 0.7
c. 1.0
d. 1.5

5. Select the correct statement:


a. Using hot water as dipping water to decrease the cast setting time is a good technique
because you protect the patient with shorter periods of high setting temperatures
b. Using hot water as dipping water to decrease the cast setting time is a dangerous
technique in that the temperatures created can be dangerously high to cause skin burns
in short periods of setting time
c. Using hot water as dipping water does not creates a difference in the setting time or
peak temperatures so it is as safe as cold water
d. Using hot water as dipping water to decrease the cast setting time is a dangerous
technique in that the temperatures created can be dangerously high to cause skin burns
in long periods of setting time

6. Select the correct statement:


a. Used dipping water is as safe as clean water and does not affect the peak
temperatures of time-temperature curves
b. Dipping a cast into used water may increase the peak setting temperature of the cast
and broaden the time-temperature curve
c. Used dipping water may increase the peak setting temperature and time-temperature
curves but this increase is not statistically significant
d. Used dipping water may decrease the peak setting temperature and time-temperature
curves but this increase is not statistically significant

7. Regarding the use of LMWH in patients with lower extremity casts:


a. The literature supports the use of LMWH as prevention of DVT and PE in patients with
lower extremity casts
b. The latest studies have shown no difference in the incidence of DVT or PE in patients
with lower extremity casts using LMWH
c. The literature shows a significant decrease in DVT and fatal events with the use of
LMWH in patients with lower extremity casts
d. The literature shows a decrease in fatal events secondary to DVT or PE in patients
with lower extremity casts using LMWH but this decrease is not statistically significant

8. The adequate technique for cast removal using an electronic cast saw could be described as:
a. First cut is made downwards then the cast is carefully cut in a liner fashion with the
cast saw
b. First cut is made downwards and sideways then the cast is carefully cut lifting and
moving the cast saw sideways
c. First cut is made downwards then the cast is cut by forcing the cast saw downwards
until you feel the cast is cut
d. Send the patient to the cast technician; he will know how to do it correctly

9. When removing a cast using an electric cast saw:


a. You must be careful of burning the skin even with a stockinette because the skin burns
before the stockinette
b. You must be careful of burning the skin after you burn the stockinette, that’s why you
used the stockinette for protection on removal
c. You must be careful of burning the skin if stockinette was not used
d. You need to have no precautions, the electric saw is designed to cut the cast not the
skin

10. The time period needed to cause a first degree burn in skin exposed to temperatures ≥ 50°
is:
a. 2 – 3 minutes
b. 5 minutes
c. 8 minutes
d. 15 minutes

11. After taking this exam I can rate my General Knowledge about the correct cast and splint
application techniques as well as its complications as:
a. Excellent
b. Good
c. Regular
d. Poor