Who applies the cast?

• A. Nurse practitioner
• B. Physician assistant
• C. Medical assistant
• D. Physician

Answer: (D)

Casting a limb is a procedure that requires clinical assessment and medical decision-making. Before applying a cast, the practitioner evaluates the injury, checks alignment, assesses swelling, and examines neurovascular status to ensure the fracture is immobilized safely. This level of evaluation and judgment, along with choosing the appropriate casting material and monitoring for complications like skin irritation or circulation changes, is traditionally within a physician’s scope. The medical assistant typically assists with preparing supplies and supporting the patient, but the actual cast application is performed by the physician. In some settings, mid-level clinicians such as nurse practitioners or physician assistants may contribute under supervision, but the physician is the standard provider responsible for applying the cast.