Flex Therapist CEUs

Guidelines for Determining Permanent Impairment and Capacity

Chapter 1: Introduction

1. Medical evidence may be submitted by all of the following, except:

A. The patient B. The patient's health provider C. A medical consultant for the employer D. An independent medical examiner

2. Disability is a medical determination made by a medical professional, and is defined as any anatomic or functional abnormality or loss.

A. True B. False

3. Evaluation of permanent disability occurs when there is a permanent impairment remaining after the claimant has reached maximum medical improvement.

A. True B. False

4. In cases that do not involve surgery or fracture, MMI cannot be determined prior to _____ months from the date of injury or disablement, unless otherwise agreed to by the parties.

A. 3 B. 6 C. 9 D. 12

5. Health providers are obligated to provide the Board and the parties their best professional opinion based upon the Guidelines of which of the following?

A. Claimant's medical condition B. Claimant's degree of impairment C. Claimant's functional abilities D. All of the above

6. Physicians should infer findings or manifestations from any sources available, including sources other than the physical examination and test reports.

A. True B. False

7. In order to prepare a report on permanent impairment, the physician should do which of the following?

A. Review the Guidelines. B. Perform a thorough history and physical examination and recount the relevant medical history, examination findings, and appropriate test results. C. Follow the recommendations to establish a level of impairment. D. All of the above.

8. A schedule award is given for an injury sustained, as well for the residual permanent physical and functional impairments.

A. True B. False

9. All of the following are examples of impairments of the extremities not amenable to a schedule award, except:

A. Mal union of the long bones. B. Tumors. C. Loss of vision. D. Recurrent dislocations (shoulders).

Chapter 2: Upper Extremities

10. A 100% loss of use of the thumb equals 75 weeks. In cases of amputation above the MCP joint, there is a load of 100% which means an additional 75 weeks. This total of 150 weeks is equal to _____% loss of use of the hand.

A. 20 B. 40 C. 60 D. 80

11. Loss of any portion of the middle phalanx equals 100% loss of use of the finger.

A. True B. False

12. Loading is the amount added to a schedule to allow for weakness of grasp or major loss of function when multiple digits are affected.

A. True B. False

13. Which of the following is the highest valued digit and the most important?

A. The index finger B. The thumb C. The middle finger D. The ring finger

14. Amputation at the wrist equals 100% loss of use of the hand and _____% loss of use of the arm.

A. 80 B. 60 C. 40 D. 20

15. Marked defects in all wrist motions should not receive a total of more than 55% since ankylosis is rated 60% loss of use of the hand.

A. True B. False

16. All of the following are true with regard to dislocation of the shoulder, except:

A. A schedule award is not to be given until no recurrence has occurred for one year. B. A schedule award should be given one year after the successful corrective surgery. C. Pre-existent recurrent dislocation of the shoulder calls for an overall schedule and apportionment. D. All of the above are true.

17. The schedule is focused on the highest valued part of the extremity.

A. True B. False

Chapter 3: Lower Extremities

18. Amputation at knee joint equals 80% loss of use of the leg.

A. True B. False

Chapter 4: Nervous System

19. Which of the following is the most common cause of anosmia?

A. Upper respiratory infection B. Poor air quality C. Nasal polyps D. Injury

20. Which of the three branches of the fifth nerve may be associated with a basal skull fracture due to trauma?

A. Ophthalmic B. Maxillary C. Mandibular D. Any of the above

21. Upper brachial plexopathy results in weakness and wasting of the small muscles of the hand and is usually given a high schedule loss of use of the hand.

A. True B. False

Chapter 5: Visual System

22. Evaluation of visual impairment is based on all of the following functions, except:

A. Loss of uncorrected or corrected visual acuity for objects at distance. B. Loss of uncorrected or corrected visual acuity for objects that are near. C. Visual field loss. D. Diplopia.

Chapter 6: Loss of Hearing

23. For every decibel that the hearing level of an ear exceeds 25 dB, hearing loss is calculated at _____%.

A. 0.5 B. 1.0 C. 1.5 D. 2.0

Chapter 11: Spine and Pelvis

24. The medical impairment ranking is used as a direct translation to loss of wage earning capacity.

A. True B. False

Chapter 15: Brain

25. Episodic sleep disturbances, fatigue, or lethargy are moderate-severe (e.g. they require supervision for daily living), describes sleep/alertness for which medical impairment class?

A. Class 2 B. Class 3 C. Class 4 D. Class 6


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