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Questions and Answers

What characteristic is NOT typically associated with a poorly made plaster cast?

  • 'Onion skinning' effect
  • Uneven plaster thickness
  • Smooth surface texture (correct)
  • Fuzziness in appearance

Which symptom indicates that a plaster cast may have been improperly constructed?

  • Presence of onion skinning (correct)
  • Regular drying pattern
  • Consistent thickness throughout
  • Even application of plaster

How might a badly made cast visually present itself?

  • With a shiny finish
  • Maintaining a rigid structure
  • Displaying uniform color
  • Exhibiting fuzzy edges (correct)

What is one potential consequence of an uneven plaster thickness in a cast?

<p>Improperly set structure (B)</p> Signup and view all the answers

What does the term 'onion skinning' refer to in the context of plaster casts?

<p>A defect showing layer separation (A)</p> Signup and view all the answers

What should you do if the splint material exceeds the length of the limb?

<p>Cut it to size or fold it back. (D)</p> Signup and view all the answers

Which type of bandage should be used to secure the splint after application?

<p>An elastic or self-adherent bandage. (C)</p> Signup and view all the answers

What is the initial step before securing the splint to the limb?

<p>Position the splint correctly on the limb. (B)</p> Signup and view all the answers

What is the function of the splint material in this context?

<p>To immobilize the limb for treatment. (D)</p> Signup and view all the answers

Which of the following is a potential issue if the splint is applied incorrectly?

<p>Decreased stability of the limb. (D)</p> Signup and view all the answers

ما هو الهدف الرئيسي من ترقيق الجبس أثناء لف كل طبقة من الجبيرة؟

<p>لإزالة أي فقاعات هواء متبقية (D)</p> Signup and view all the answers

ما الذي قد يحدث إذا تم إهمال عملية الترقق أثناء لف الجبيرة؟

<p>قد تتكون جيوب هوائية داخل الجبيرة (B)</p> Signup and view all the answers

أي من الخيارات التالية يمثل الممارسة الصحيحة عند إعداد الجبيرة؟

<p>التأكد من أن كل طبقة من الجبس سلسة وغير متبقية فيها فقاعات هواء (C)</p> Signup and view all the answers

ما هي النتيجة المحتملة لفشل الترقق بشكل صحيح عند تطبيق الجبيرة؟

<p>تدهور حالة الطرف بسبب ضغط غير متساوٍ (B)</p> Signup and view all the answers

ما هو الغرض من استخدام الجبس الناعم خلال عملية الترقق في الجبيرة؟

<p>لضمان عدم وجود أي جيوب هوائية (D)</p> Signup and view all the answers

ما هي الوضعية الصحيحة للمريض عند استخدام تقنية "دراما كوين"؟

<p>الاستلقاء مع اليد على الجبين (B)</p> Signup and view all the answers

ما هو الموقف الصحيح لثني المرفق عند إعادة وضع المريض باستخدام تقنية "دراما كوين"؟

<p>منثني بزاوية 90 درجة (A)</p> Signup and view all the answers

ما الخطوة المطلوبة بعد إعادة وضع المريض باستخدام تقنية "دراما كوين"؟

<p>تطبيق لفافة جبيرة على الذراع والمرفق (C)</p> Signup and view all the answers

أي من الخيارات التالية هو الوضع المثالي لوضع اليد أثناء استخدام تقنية "دراما كوين"؟

<p>اليد على الجبين (C)</p> Signup and view all the answers

ما هي الزاوية المناسبة التي يجب أن يكون عليها المرفق أثناء استخدام تقنية "دراما كوين"؟

<p>زاوية 90 درجة (D)</p> Signup and view all the answers

What is the main focus when applying a coaptation splint?

<p>Making sure the splint comes above the arm onto the shoulder (C)</p> Signup and view all the answers

What action should a patient take to facilitate the proper application of the splint?

<p>Turn their head to the contralateral side (C)</p> Signup and view all the answers

What is the primary benefit of using cast padding before applying the elastic bandage?

<p>To cushion the arm against the rigid splint (B)</p> Signup and view all the answers

Which of the following is a recommended practice during the application of a sling?

<p>Swathing the arm to the body with cast padding first (A)</p> Signup and view all the answers

Which improper technique can lead to a poorly applied splint?

<p>Failing to have the patient turn their head appropriately (B)</p> Signup and view all the answers

Which step follows the measurement of the splint length according to standard practice?

<p>Perform a three-point mold. (A)</p> Signup and view all the answers

What is the primary purpose of applying a splint after preparing plaster?

<p>To immobilize the limb until the cast hardens. (C)</p> Signup and view all the answers

Which of the following is NOT a recommended method for securing the splint after application?

<p>Incorporating a non-elastic adhesive. (D)</p> Signup and view all the answers

In the context of applying a splint, what is the purpose of performing a three-point mold?

<p>To distribute pressure evenly across the limb. (D)</p> Signup and view all the answers

How should the length of the splint be determined according to best practices in casting?

<p>Using the measurement of the limb on the opposite side. (C)</p> Signup and view all the answers

ما هي الخطوة الأساسية التي تلي وضع القماش القطني على الطرف؟

<p>تأكيد استقرار القماش على الطرف (C)</p> Signup and view all the answers

أي من الخيارات التالية تضمن فعالية استخدام القماش القطني عند وضعه على الطرف؟

<p>ضمان أن يكون القماش مستويًا دون تجاعيد (A)</p> Signup and view all the answers

ما الأهمية من وضع القماش القطني على الطرف بشكل صحيح قبل تطبيق الجبيرة؟

<p>يقلل من خطر الإصابة بتهيج البشرة (C)</p> Signup and view all the answers

ما الذي ينبغي تجنبه عند وضع القماش القطني على الطرف؟

<p>تشكيل التجاعيد والقوام غير المستوي (A)</p> Signup and view all the answers

ما اللازمة عند الانتهاء من وضع القماش القطني على الطرف؟

<p>اختيار نوع الجبيرة المناسبة (B)</p> Signup and view all the answers

ما هو الهدف الأساسي من ضبط ضمادة figure-of-8 بحيث تكون مشدودة قدر الإمكان وفي نفس الوقت مريحة للارتداء؟

<p>تأمين الدعم الكافي للجرح أو الإصابة (A)</p> Signup and view all the answers

أي من الخيارات التالية يُستخدم بشكل شائع كذراع sling لعلاج العديد من الحالات؟

<p>الضمادات القطنية (D)</p> Signup and view all the answers

أي من التالي يعتبر خطوة مهمة قبل تطبيق ضمادة figure-of-8؟

<p>تنظيف المنطقة المصابة (A)</p> Signup and view all the answers

ما هي الميزة الأساسية لاستخدام sling شاملة عند معالجة إصابات الذراع؟

<p>يساعد في تقليل تلف الأنسجة (C)</p> Signup and view all the answers

ما هو الخطر المحتمل الناتج عن عدم ضبط ضمادة figure-of-8 بشكل صحيح؟

<p>زيادة الالتهاب في المنطقة المصابة (A)</p> Signup and view all the answers

Flashcards

What is a double spica cast used for?

A cast that is used for concomitant pelvic or hip injuries. It's typically long and covers the entire leg, the pelvis, and sometimes the torso.

What is "onion skinning" in a plaster cast?

A sign of poor craftsmanship in a plaster cast. It signifies uneven plaster thickness, resembling multiple thin layers.

What is a 1 1/2 spica cast used for?

Used for proximal or mid-diaphyseal femoral fractures. It involves the thigh bone and is typically used for older children.

What is a single leg spica cast used for?

A cast that is used for distal femoral fractures. It covers the thigh and sometimes extends down to the foot.

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What does 'laminating' mean in the context of applying a plaster cast?

The technique of smoothing plaster by laminating (rolling and applying layers) removes air pockets and creates a more uniform cast.

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What is a common mistake to avoid when applying a long leg cast?

Incorrect placement of medial and lateral slabs in a cast, resulting in them merging at the front of the leg. This can lead to pressure and discomfort.

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What is a "fuzzy appearance" in a plaster cast?

A sign of a poorly made plaster cast. It indicates a rough or uneven surface with a fuzzy appearance.

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What is a thumb spica cast?

A type of splint used for thumb fractures or sprains. It supports the thumb and extends up the forearm.

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What is an arm sling?

A splint used to immobilize the arm after a fracture or surgery. It supports the arm and helps to keep the bone in place.

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What is "rolling" in the context of plaster casting?

The technique of applying layers of moistened plaster to create a cast. It involves rolling the plaster and smooth it into place to ensure proper adhesion.

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What is "compressing" in plaster casting?

The process of compressing the plaster to remove air pockets and create a smooth, even cast. It helps improve the cast's strength and appearance.

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What is a thumb spica cast used for?

A splint that supports the thumb and extends up the forearm. It's used for injuries like scaphoid fractures.

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What is a sugar-tong splint?

A type of splint used for forearm fractures or sprains. It provides support and immobilization to the forearm.

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What is a long leg cast?

A type of cast that covers the entire leg extending from the hip to just above the ankle and uses either plaster or fiberglass. It's used for injuries like tibial fractures.

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What is a cylinder cast?

A type of cast used for injuries to the forearm. It's a cylindrical cast that provides support and immobilization to the forearm.

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What is a coaptation splint?

A type of splint that supports the arm after a fracture or surgery. It immobilizes the elbow and is meant to be comfortable and supportive.

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What is a spica cast?

A type of cast that covers the leg and extends to the torso. It's often used for injuries involving the hip or femur.

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How can you make the process of measuring for a sugar-tong splint more comfortable for the patient?

It should be done by taking a hematoma block injection into the area to decrease pain.

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What is a potential complication of excessive hip flexion during the application of a cylinder cast?

It can cause nerve damage and loss of sensation in the foot and lower leg.

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What is the standard positioning when applying a plaster cast?

Positioning the patient supine with their hand on their forehead and elbow flexed at a 90-degree angle during cast application.

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Why is it important to avoid excessive wrist flexion when applying a plaster cast to the elbow and arm?

It's crucial to prevent acute carpal tunnel syndrome during plaster cast application.

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What is "molding" in the context of plaster casting?

It's a process of applying plaster to the arm, ensuring proper alignment of the forearm and upper arm.

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What is a potential complication of excessive valgus molding during the application of a cylinder cast?

It can lead to nerve damage and loss of sensation in the foot and lower leg.

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What is the advantage using a sugar-tong splint?

It ensures the thumb has freedom of movement.

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What are potential complications of wearing a plaster cast?

They can occur due to pressure from the cast or due to the patient's limited mobility.

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How should the coaptation splint be secured?

The splint should be secured over the elbow using cast padding.

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What is a crucial detail to consider when applying a thumb spica cast?

The plaster should not go any further than the palmar crease.

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Study Notes

Plaster Cast

  • Uneven plaster thickness in a cast is a sign of poor craftsmanship.
  • A poorly made cast shows "onion skinning" and a fuzzy appearance.

Long Leg Cast

  • Medial and lateral slabs should be placed slightly posterior on the leg.
  • This prevents the slabs from joining at the anterior aspect.
  • Prepare the plaster using standard wetting and laminating techniques.

Double Spica Cast

  • This cast is used for concomitant pelvic or hip injuries.

1 1/2 Spica Cast

  • This cast is used for proximal or mid-diaphyseal femoral fractures.
  • This cast is used for older children.

Single Leg Spica Cast

  • This cast is used for distal femoral fractures.

Plaster Cast

  • When applying a plaster cast, ensure to laminate (smooth plaster into any remaining air pockets) as you roll each layer.
  • The patient should be supine (laying on their back) with their hand on their forehead and elbow flexed at 90 degrees.
  • When applying a plaster roll to the elbow and arm, do not mold the splint in a way that flexes the wrist past 10-15 degrees to avoid acute carpal tunnel syndrome.
  • A sugar-tong splint is used to allow for freedom of the thenar eminence around the thumb.
  • Before measuring for a sugar-tong splint, it may be beneficial to perform a hematoma block to allow the block to become effective while the splint is being measured.

Thumb Spica Cast

  • A thumb spica cast is used to treat scaphoid fractures (nonacute).
  • When applying a thumb spica cast, ensure the plaster does not extend beyond the palmar crease.

Coaptation Splint

  • The splint should go above the arm onto the shoulder

  • When applying the splint instruct the patient to turn their head to the opposite side preventing the neck from pushing down the splint

Cylinder Cast

  • Wrap the extremity in cast padding

  • Excessive hip flexion and valgus molding can cause femoral and peroneal nerve palsy respectively

  • Skin breakdown and decubitus ulcers can occur

Arm Sling/Arm Sling and Swath

  • The arm sling is used for a variety of medical conditions
  • Applying a splint:
    • Start at the axilla or at the appropriate starting point based on the fracture site
    • Secure the splint with cast padding at the middle arm
    • Loop the splint around the elbow
    • Position the midpoint of the cast padding roll directly over the elbow flexion crease to minimize skin pressure
    • An assistant should help the patient maintain this position during application to prevent bunching or creasing of the casting material

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Description

This quiz covers various orthopedic casting techniques, including the preparation and application of different types of casts such as long leg, double spica, and single leg spica casts. Understand the signs of poorly made casts and the specific uses for each type in injury management.

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