Free OTC Practice Test %currentyear%: Orthopaedic Technologist Exam Questions

Free OTC Practice Test : Orthopaedic Technologist Exam Questions

Professional male Orthopaedic Surgeon with fair skin in light blue scrubs and white coat, holding a tablet, confident expression, clean white medical background, 500x500px, high-quality studio portrait, soft professional lighting

Prepare for your Orthopaedic Technologist Certified (OTC) credential with our comprehensive study guide. The NBCOT OTC exam validates your specialized knowledge in casting, splinting, and assisting with orthopaedic procedures. Our OTC practice test questions cover essential topics like anatomy, physiology, and fracture management to help you pass on your first attempt.

Becoming an Orthopaedic Technologist requires a deep understanding of musculoskeletal care. Whether you are assisting an orthopaedic surgeon in the operating room or managing patient care in a clinic, this certification is the gold standard. Use our free resources to master the orthopaedic surgery concepts and clinical skills needed for success.

⏱️
3h
Time Limit
📝
165
Questions
73%
Passing Score
💵
$450
Exam Fee
📊
Scaled
Scoring
🖥️
CBT
Format
🔄
Unlimited
Retakes
🏢
Pearson
Centers
📍
Global
Based
🩺
Yes
Licensure
💻
Yes
Computer
🎓
No
Degree

The OTC exam is administered by the National Board for Certification of Orthopaedic Technologists (NBCOT). It assesses competence in casting, splinting, traction, surgery assisting, and patient assessment.

Orthopaedic specialist with fair skin examining a patient's knee in a modern clinic examination room, medical charts visible, realistic photography, natural lighting, 16:9 landscape format

Free OTC Practice Test Questions

Start your preparation with our free OTC practice test modules. These quizzes cover critical areas like orthopaedic surgery procedures, casting techniques, and anatomy to ensure you are ready for the NBCOT examination.

OTC Exam Flashcards

Quick review for Orthopaedic Technologist concepts

🦴
What is Colles' fracture?
A fracture of the distal radius in the forearm with dorsal (posterior) displacement of the wrist and hand.
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🛠️
Define Osteotomy
A surgical operation whereby a bone is cut to shorten or lengthen it or to change its alignment.
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🦵
What is Valgus deformity?
A condition where the bone segment distal to a joint is angled outward, away from the body's midline (e.g., knock-knees).
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🩹
Purpose of a Sugar Tong Splint?
Used to immobilize the wrist and forearm, preventing supination and pronation, often for distal radius fractures.
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🧬
What is Arthroplasty?
A surgical procedure to restore the function of a joint, which can involve resurfacing the bones or using an artificial joint.
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🦶
What is Plantar Fasciitis?
Inflammation of a thick band of tissue that connects the heel bone to the toes, causing heel pain.
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OTC Exam Study Guide

Our OTC study guide breaks down the NBCOT certification into key knowledge domains. Whether you are new to the field or an experienced orthopaedic surgeon assistant, these topics are essential.

What is the OTC exam?The OTC exam is the national certification test for Orthopaedic Technologists, verifying skills in casting, splinting, and assisting in orthopaedic surgery.
Who administers the OTC test?The exam is administered by the National Board for Certification of Orthopaedic Technologists (NBCOT).
Do I need to be an orthopaedic surgeon?No, the OTC is for technologists. An orthopaedic surgeon is a medical doctor, while an OTC assists them.
What is the difference between orthopaedic vs orthopedic?They are the same; "orthopaedic" is the traditional/British spelling often used by academic institutions like the American Academy of Orthopaedic Surgeons, while "orthopedic" is the Americanized version.
How many questions are on the OTC exam?The OTC exam consists of 165 multiple-choice questions.
What is the OTC exam time limit?Candidates have 3 hours to complete the examination.
What topics are covered on the OTC test?Topics include anatomy, physiology, casting/splinting, traction, surgery assisting, and medical terminology specific to orthopaedic surgery.
Is the OTC exam computer-based?Yes, the OTC exam is a computer-based test administered at Pearson VUE centers.
How do I register for the OTC exam?You can register online through the NBCOT website and schedule your exam with Pearson VUE.
What are the OTC eligibility requirements?You typically need 2 years of on-the-job training under an orthopaedic surgeon or completion of an accredited Orthopaedic Technologist program.
What is the OTC exam fee?The OTC exam fee is approximately $450 for the certification examination.
Can I retake the OTC exam?Yes, if you fail, you can retake the OTC exam after a waiting period and paying the re-examination fee.
What is a passing score for the OTC exam?The passing score is determined by a scaled score, typically requiring about 73% correct to pass.
When do I get my OTC results?Preliminary results are often available immediately at the testing center, with official confirmation sent later.
Does the OTC certification expire?Yes, OTC certification is valid for 6 years and requires continuing education (CEUs) to renew.
How hard is the OTC exam?The exam is challenging, requiring detailed knowledge of musculoskeletal anatomy and practical skills used in orthopaedic surgery.
What is the average OTC salary?The average salary for an Orthopaedic Technologist is around $55,000 per year, varying by experience and location.
Do OTCs work with orthopaedic surgeons?Yes, OTCs work directly under the supervision of an orthopaedic surgeon in clinics and operating rooms.
Is there a demand for OTCs?Yes, as the population ages and orthopaedic surgery volume increases, the demand for skilled technologists is growing.
Can I specialize as an OTC?OTCs can specialize in areas like pediatric orthopaedic surgery, trauma, or sports medicine assisting.

OTC Test Format and Requirements

The OTC certification exam covers seven major domain areas. Understanding the weight of each domain helps you focus your study on high-impact topics like fractures and orthopaedic surgery procedures.

🦴Anatomy & Physiology20%

Fundamental knowledge of the musculoskeletal system.

BonesMusclesNervesJoints
  • Topics: Skeletal structure, muscle function, vascular supply
  • Questions: ~33 questions
🩹Casting & Splinting25%

Core skills for immobilization techniques.

ApplicationRemovalMaterials
  • Topics: Cast types, splint fabrication, complication prevention
  • Questions: ~41 questions
⚙️Traction10%

Setup and management of traction devices.

SkinSkeletalSetupSafety
  • Topics: Bucks traction, skeletal pins, equipment assembly
  • Questions: ~17 questions
🩺Surgery Assisting15%

Role in the operating room environment.

Sterile TechPositioningInstrumentsDraping
  • Topics: Aseptic technique, surgical prep, assisting orthopaedic surgeon
  • Questions: ~25 questions
📋Patient Assessment15%

Evaluating patient condition and history.

HistoryPhysical ExamVitalsGait
  • Topics: Range of motion, neurovascular checks, wound assessment
  • Questions: ~25 questions
🦽Orthopaedic Equipment15%

Use of DME and specialized devices.

BracesWalkersCrutchesCane
  • Topics: Fitting walkers, crutches, orthotics, orthopaedic shoes
  • Questions: ~25 questions
💡 OTC Study Tip

Focus heavily on the "Casting & Splinting" domain. This is the core competency of an OTC. Understanding the specific uses for different splints (like sugar tong vs. volar) and potential complications like compartment syndrome is crucial for passing the OTC exam.

OTC Score Calculator

Estimate your readiness for the NBCOT OTC exam.

Total Scored Questions: 165
0165
120 out of 165 correct
73%
✓ PASS
Required to Pass:~73% (120/165)
Your Score:120 correct
Questions Wrong:45

OTC Salary and Job Outlook

Orthopaedic Technologists earn competitive salaries, especially when specialized or certified (OTC).

$56,000
Median Annual Salary
📊 OTC Salary Progression
$42k
Entry
$50k
Junior
$56k
Mid
$65k
Senior
$72k
Lead
Entry
$42k
Junior
$50k
Mid
$56k
Senior
$65k
Lead
$72k
*Salaries vary by location and employer. Data from industry averages.
Experience LevelAnnual SalaryMonthly IncomeTypical Timeline
🌱 Entry Level$42,000$3,5000-2 Years
🌿 Mid-Level$56,000$4,6663-7 Years
🌳 Experienced$65,000$5,4167-10 Years
✈️ Traveling OTC$80,000+$6,666+Various
🚀 Career Boost

Gaining the OTC certification significantly increases earning potential and opens doors to roles like Orthopaedic Surgical Assistant or specialized positions in pediatric orthopaedic surgery clinics.

How to Become an Orthopaedic Technologist

The path to becoming a certified OTC involves education, hands-on training under an orthopaedic surgeon, and passing the NBCOT exam. Here is the typical timeline.

🎓
Year 1-2
Education
Associate Degree
🏥
Year 3
Experience
Clinical Work
✍️
Exam
NBCOT OTC
Certification
💼
Career
Work
Practice
Step-by-Step Process
  1. High School Diploma - Complete high school with a focus on biology and sciences.
  2. Associate Degree or Certificate - Enroll in an accredited Orthopaedic Technology program or Sports Medicine program.
  3. Clinical Experience - Gain 2 years of full-time experience working under an orthopaedic surgeon if not graduating from an accredited program.
  4. Apply for NBCOT Exam - Submit your application and proof of eligibility to the NBCOT.
  5. Pass OTC Exam - Score 73% or higher on the certification test.
  6. Maintenance - Maintain certification through continuing education units (CEUs).

OTC Certification Costs

Budgeting for your OTC certification involves more than just the exam fee. Consider training, study materials, and renewal costs.

💵
$450
Exam Fee
NBCOT Application
📚
$100-$300
Study Materials
Books & Prep Courses
🏫
$5k-$15k
Tuition
College Program (Optional)
🔄
$350
Retake Fee
If exam is failed
📅
$250
Renewal
Every 6 years
💊
$0
Experience Route
OJT Training (No tuition)
💰 Total Investment

The total cost for the OTC credential ranges from $600 to $16,000 depending on whether you choose a college program or on-the-job training (OJT) route.

Close-up of various stainless steel orthopaedic surgical instruments laid out on a sterile blue drape tray, professional medical setting, realistic photography, natural lighting, 16:9 landscape format

OTC Career Specialties

Orthopaedic Technologists can specialize in various fields of musculoskeletal care.

🧸
Pediatric Orthopaedic Surgery
Specializing in casting and correcting deformities in children, working closely with a pediatric orthopaedic surgeon.
🚑
Orthopaedic Trauma
Working in ERs and trauma centers to stabilize fractures and assist in emergency orthopaedic surgery.
🏃
Sports Medicine
Assisting athletes with bracing, splinting, and recovery from sports-related injuries alongside sports medicine physicians.
🔪
Surgical First Assistant
Advanced role assisting the orthopaedic surgeon directly during procedures, suturing, and exposure (requires OT-SC credential).
👴
Adult Reconstruction
Working with patients undergoing total joint replacements (hip, knee) and managing post-op care and mobility.

OTC Testing Contacts

For official information regarding the OTC exam, contact the National Board for Certification of Orthopaedic Technologists (NBCOT).

🏢
NBCOT
Certifying Board

Website: nbcot.net

Services: Exam Registration, Renewal

Contact: 866-466-2268

🧪
Pearson VUE
Testing Provider

Website: pearsonvue.com

Services: Scheduling, Locations

Contact: Support Online

🏥
NAOT
Professional Assoc.

Website: naot.org

Services: Membership, Education

Contact: info@naot.org

🎓
AAOS
Surgeon Academy

Website: aaos.org

Services: Resources, Guidelines

Contact: General Inquiries

🔍 Find Jobs

Many OTCs find employment through the NAOT job board or by networking with local orthopaedic surgeons and clinics.

OTC Test Day Checklist

Ready to Pass the OTC Exam?

Get started with our free practice questions and comprehensive study guide today.

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OTC Renewal Requirements

OTC certification is valid for six years. To maintain your credential, you must earn Continuing Education Units (CEUs) or retake the exam.

📅
Validity
6 Years
🎓
Requirements
60 CEUs
💵
Cost
$250
Stay Certified

Ensure your CEUs are relevant to orthopaedic surgery, casting, or patient care. Attending the American Academy of Orthopaedic Surgeons (AAOS) annual meeting is a great way to earn credits.

OTC Exam Questions and Answers

Both terms are correct. "Orthopaedic" is the traditional and British spelling often used by academic institutions like the American Academy of Orthopaedic Surgeons. "Orthopedic" is the simplified American spelling.

While an orthopaedic surgeon earns significantly more (often over $500,000/year), an Orthopaedic Technologist typically earns between $45,000 and $70,000 depending on experience and location.

You can search online directories from the AAOS or check local hospital listings. Many OTCs work in these clinics assisting with orthopaedic surgery prep and casting.

Orthopaedic urgent care clinics specialize in treating musculoskeletal injuries like fractures and sprains without an ER visit. OTCs are frequently employed in these settings to apply splints and casts.

Orthopaedic specialists diagnose and treat bone and joint issues. They perform surgeries, prescribe orthopaedic shoes or braces, and manage rehabilitation.

Orthopaedic pillows are designed to correct body positioning in bed or while lying down. They can provide support for the neck, back, or knees to relieve pain.

An orthopaedic mattress is a firm mattress designed to support the joints and back. OTCs may recommend them to patients recovering from spinal surgery or chronic back pain.

Orthopaedic rehabilitation is therapy to recover from musculoskeletal injuries or surgeries. It often involves exercises, manual therapy, and the use of adaptive equipment.

A paediatric orthopaedic surgeon specializes in treating children's bone, joint, and muscle problems. OTCs in this field need specific skills for casting small limbs.

Orthopaedic meaning relates to the branch of medicine dealing with the correction of deformities of bones or muscles. The term comes from Greek roots meaning "straight child".

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