OTC Practice Test 2026 — Free OTC Exam Prep Questions
The OTC exam from the National Board for Certification of Orthopaedic Technologists certifies orthopaedic technologists who assess patients, apply and remove casts and splints, fit orthopaedic devices and assist in clinic and surgical procedures. Our practice set follows NBCOT's 2023 content outline, with clinic scenarios on neurovascular checks, radiographs, casting and splinting technique, complications, traction and procedure support.
The physician asks for 3 mL of 1% lidocaine to be drawn up for a joint injection. How many milligrams of lidocaine is that?
OTC format, scoring & key facts
Facts last verified Oct 5, 2026. Source: img1.wsimg.com/blobby/go/0817e19c-16ac-48d8-9b55-24c1122d525d/downloads/NBCOT%20OTC%202023%20Content%20Outline.pdf. Always confirm details with NBCOT before your exam.
When can you take the OTC?
Plan backwards from your exam date
What the OTC covers
Every PrepBanq OTC test mirrors the official domain weights.
Domain distribution
% of the exam| Content domain | Weight | ≈ Questions on exam | Our practice questions |
|---|---|---|---|
Patient Assessment and ManagementHistory, physical and neurovascular exam, radiographic views and findings, patient education, anatomy, terminology, common orthopaedic conditions and emergencies. | 30% | ~45 | 8 questions → |
Office and Clinic ManagementInventory and equipment maintenance, privacy and confidentiality, infection control and sterilization, and safety/hazard regulations. | 10% | ~15 | 2 questions → |
Casting, Splinting, and Orthopaedic AppliancesCasting/splinting materials; upper, lower and specialty casts and splints; removal and modification; DME fitting; patient education; and complications. | 40% | ~60 | 10 questions → |
Clinic and Hospital Surgical ProceduresAseptic technique and procedures, positioning/prep/draping, postoperative wound care and suture/staple removal, surgical assisting, injections, specimens and traction. | 20% | ~30 | 5 questions → |
Your path to passing the OTC
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OTC FAQ
How many questions are on the OTC?
The OTC has 165 questions (150 of them scored) and you have 3 hours to finish. Question types: Multiple choice with four options; 15 unscored research (pretest) items.
How long is the OTC exam?
Testing time for the OTC is 3 hours.
What is on the OTC?
The OTC covers Patient Assessment and Management (about 30%), Office and Clinic Management (about 10%), Casting, Splinting, and Orthopaedic Appliances (about 40%), Clinic and Hospital Surgical Procedures (about 20%).
Who administers the OTC?
The Orthopaedic Technologist Certified (OTC) Exam is administered by NBCOT.
Is there a free OTC practice test?
Yes. PrepBanq has 3 free OTC practice tests with 25 exam-style questions in the real OTC formats, and every answer is explained. No credit card is needed.
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