Orthopaedic Technologist Practice Test

There are 165 multiple choice questions, with 150 scored and 15 unscored pretest items blended in. You pick from four options per question, and it's all computer based.

It covers patient assessment and management (30 percent), equipment and supplies (30 percent), and casting, splinting, plus orthopaedic appliances (40 percent). Questions hit on anatomy, fractures, safety protocols, and tools like traction devices.

Choose one path:

• 24 months of full-time orthopaedic technologist experience in a U.S. hospital, clinic, or practice.
• Completion of an NBCOT-approved training program plus three months experience
• Athletic trainer certification with six months experience. Submit proof when you apply.

Review NBCOT's exam outline and role delineation study first. Then use Prephow practice questions to target areas like casting methods, and time yourself on full mocks to get comfortable with the pace.

Yes, every five years. Renew with 60 continuing education units from approved ortho-related courses, plus a fee of about $200. For 2025 renewals.

You can work as a certified tech applying casts, fitting braces, and assisting surgeons in hospitals, outpatient clinics, or sports medicine settings. It often leads to supervisory roles.

It validates your expertise in safe patient care and procedures, helping you land jobs, negotiate higher pay, and meet employer requirements for handling fractures or appliances confidently.

Entry-level pay starts around $38,000 a year, up to $60,000 with experience, based on location and employer. Certification typically adds 10 to 20 percent over non-certified positions.