Orthopaedic Technologist
Certification Exam: Casting &
Splinting Questions and Answers
Updated 2026
Bi-valvingA-
AAnswerAInvolvesAcuttingAtheAcastAasAforAremoval,AandAslightlyAseparatingAedgesAwithAaAcast
Asplitter.AUsedAwhenAcausingAdiscomfortAbutANOTAcompromisingANVAstatus.
Uni-valvingA-
AAnswerAInvolvesAmakingAaAsingleAcutAinAtheAcast.AUsedAwhenAcausingAdiscomfortAbutANOTAc
ompromisingANVAstatus.
ValvingAshouldAbeAusedAif.....A-AAnswerA....surgeryAisAinAtheAnearAfuture.
....ptAisAuncomfortable,AbutANVAstatusAisAintact.
CastApadding,AAKAA-AAnswerAWebril
PlasterAcastsAareAmadeAfrom....A-
AAnswerA....rollsAofAdryAmuslinAthatAhaveAbeenAcoatedAwithACALCIUMASULFATE.
TemperatureAofAH20Aused:A-AAnswerA-WarmerAincreasesAtheAheatAgivenAoffAbyAplaster.
-AffectsAsettingAtime
-ColdAwaterAtakesAlongerAtoAset
SettingA-AAnswerAFeelsAhardAinA10-15mins.
TrulyAtakesA24-48hrs.
MunsterAcastA-
AAnswerAAKAAsupracondylarAcast:ALimitsAsuppinationAandAportionAofAarmAw/outAcompletelyApre
ventionAflx/extAofAelbow.AAppliedAinAmannerAofAlongAarmAcast,AbutAcastAisAextendedAjustAab
oveAdistalAbiceps.AOnceAhardened,AproxAportionAisAtrimmedAaroundAelbowAjt.APtAcomplianceAis
Acrucial,AbcAofAamyAofAmovementAcastAallows.AHelpsApreventAstiffness,AbutAimmobAisAstillAim
portant.
, DelbertAcastA-
AAnswerAShortAlegAcast.APreventsAlateralAmovement,AallowsADF/PF.AAppliedAthenAtrimmedAawa
yAfromAanteriorAandAposteriorAankleAandAheel.
DehneAcastA-AAnswerAAKAAthree-
fingerAspicaAcast:AusedAtoAtxAnavicularAfx's.ASectionAthatAcoversAtheAthumb,AseparateAsectionAe
nclosingAindexAandAmiddleAfingers.
GauntletAcastA-
AAnswerAFx's/dislocationsAofAMC'sAandAphalanges.AShortAcastAthatAextendsAfromAaboveAtheAwo
rstAtoAcoverApartAofAtheApalmAofAtheAhand.AOftenAhasAanAextensionAtoAcontrolA1AorAmoreAo
fAtheAdigits.
AdvantagesAofAFiberglassA-AAnswerA-Ligher
-MoreAcomfortable
-MoreAdurableA(lessAlikelyAtoAneedArepair/replacement)
-MoreAradioluscent
-MoreAwaterAresistantA(paddingAstillAgetsAwet)
---->AMOREAEXPENSIVEA:\
CastAremovalA-AAnswerAMarkAonAcast.
AvoidAcuttingAoverAbonyAprominences.
MakingAcutsAonAoppositeAsides.
Retract,Adon'tAdragAtheAsaw.
UseAspreaderAtool,AthenAbandageAscissorsAforApadding.
ShortAlegAcastA-AAnswerATX:Afoot,AankleAfx's
ProximalAendAmustAstopAbelowAtibialAtubercleAtoApreventAdamage/irritationAtoAtibialAtubercleAa
ndApatellarAtendon.ADistalAendAcoversAplantarAsurfaceAofAfoot,AextendsAtoAMTAheads.AToesAexp
osed.AAnkleA@A90*AtoApreventAtighteningAofAAchilles.AAdditionalAlayersAofAcastingAtapeAapplie
dAaroundAheelAtoApreventAcastAbreakdown.
PADAWELL:Amedial,AlateralAmalleoli;AcareAaroundAanteriorAankleAjoint,Aheel.
LongAarmAcastA-AAnswerATX:AunstableAwristAfx's,Aradial+ulnarAfx's
ExtendsAtoAatAleastAmid-
biceps.AElbowA@A90*.AForearmAinAneutral.APreventsAwristAflx/ext,AeliminatesAradial-
Certification Exam: Casting &
Splinting Questions and Answers
Updated 2026
Bi-valvingA-
AAnswerAInvolvesAcuttingAtheAcastAasAforAremoval,AandAslightlyAseparatingAedgesAwithAaAcast
Asplitter.AUsedAwhenAcausingAdiscomfortAbutANOTAcompromisingANVAstatus.
Uni-valvingA-
AAnswerAInvolvesAmakingAaAsingleAcutAinAtheAcast.AUsedAwhenAcausingAdiscomfortAbutANOTAc
ompromisingANVAstatus.
ValvingAshouldAbeAusedAif.....A-AAnswerA....surgeryAisAinAtheAnearAfuture.
....ptAisAuncomfortable,AbutANVAstatusAisAintact.
CastApadding,AAKAA-AAnswerAWebril
PlasterAcastsAareAmadeAfrom....A-
AAnswerA....rollsAofAdryAmuslinAthatAhaveAbeenAcoatedAwithACALCIUMASULFATE.
TemperatureAofAH20Aused:A-AAnswerA-WarmerAincreasesAtheAheatAgivenAoffAbyAplaster.
-AffectsAsettingAtime
-ColdAwaterAtakesAlongerAtoAset
SettingA-AAnswerAFeelsAhardAinA10-15mins.
TrulyAtakesA24-48hrs.
MunsterAcastA-
AAnswerAAKAAsupracondylarAcast:ALimitsAsuppinationAandAportionAofAarmAw/outAcompletelyApre
ventionAflx/extAofAelbow.AAppliedAinAmannerAofAlongAarmAcast,AbutAcastAisAextendedAjustAab
oveAdistalAbiceps.AOnceAhardened,AproxAportionAisAtrimmedAaroundAelbowAjt.APtAcomplianceAis
Acrucial,AbcAofAamyAofAmovementAcastAallows.AHelpsApreventAstiffness,AbutAimmobAisAstillAim
portant.
, DelbertAcastA-
AAnswerAShortAlegAcast.APreventsAlateralAmovement,AallowsADF/PF.AAppliedAthenAtrimmedAawa
yAfromAanteriorAandAposteriorAankleAandAheel.
DehneAcastA-AAnswerAAKAAthree-
fingerAspicaAcast:AusedAtoAtxAnavicularAfx's.ASectionAthatAcoversAtheAthumb,AseparateAsectionAe
nclosingAindexAandAmiddleAfingers.
GauntletAcastA-
AAnswerAFx's/dislocationsAofAMC'sAandAphalanges.AShortAcastAthatAextendsAfromAaboveAtheAwo
rstAtoAcoverApartAofAtheApalmAofAtheAhand.AOftenAhasAanAextensionAtoAcontrolA1AorAmoreAo
fAtheAdigits.
AdvantagesAofAFiberglassA-AAnswerA-Ligher
-MoreAcomfortable
-MoreAdurableA(lessAlikelyAtoAneedArepair/replacement)
-MoreAradioluscent
-MoreAwaterAresistantA(paddingAstillAgetsAwet)
---->AMOREAEXPENSIVEA:\
CastAremovalA-AAnswerAMarkAonAcast.
AvoidAcuttingAoverAbonyAprominences.
MakingAcutsAonAoppositeAsides.
Retract,Adon'tAdragAtheAsaw.
UseAspreaderAtool,AthenAbandageAscissorsAforApadding.
ShortAlegAcastA-AAnswerATX:Afoot,AankleAfx's
ProximalAendAmustAstopAbelowAtibialAtubercleAtoApreventAdamage/irritationAtoAtibialAtubercleAa
ndApatellarAtendon.ADistalAendAcoversAplantarAsurfaceAofAfoot,AextendsAtoAMTAheads.AToesAexp
osed.AAnkleA@A90*AtoApreventAtighteningAofAAchilles.AAdditionalAlayersAofAcastingAtapeAapplie
dAaroundAheelAtoApreventAcastAbreakdown.
PADAWELL:Amedial,AlateralAmalleoli;AcareAaroundAanteriorAankleAjoint,Aheel.
LongAarmAcastA-AAnswerATX:AunstableAwristAfx's,Aradial+ulnarAfx's
ExtendsAtoAatAleastAmid-
biceps.AElbowA@A90*.AForearmAinAneutral.APreventsAwristAflx/ext,AeliminatesAradial-
