1. What is the rating for a 30 year old heavy furniture B. 11%
assembler with a soft tissue injury to the cervical spine 15.01.02.02-8%-{5}10-470H-
causing a loss of range of motion resulting in an 8%
impairment standard? A. 9% B. 11% C. 15% D. 19%
2. What is the rating for a 40 year old forester with an C. 31%
elbow injury resulting in loss of motion and a 50% 16.03.01.00-30%-{2}34-213E
upper extremity impairment? A. 25% B. 28% C. 31% D.
40%
3. A 47 year old actor has a chemical burn to an upper ex- D. 13%
tremity producing a cosmetic disfigurment resulting 08.01.00.00-5%-{2}6-210J-1
in a 5% WPI. What is the rating? A. 0% B. 5% C. 11% D.
13%
4. A 27 year old chemist has a chemical burn to the eyes C. 19%
in 2010 producing a 14%whole person impairment. vision. D.
What is the rating? A. 14% B. 15% C. 19% D. 21% The standar
rating shall
5. A 100% upper extremity impairment is what percent- be based on
age of a whole person impairment? A. 20% B. 50% C. dis-
60% D. 75%
6. For an injury in 2005 what is the maximum permiss-
able add-on for subjectives? A. None. B. 3% C. 5% D.
Whatever is called for by the examining physician
7. In 2004 an employee becomes permanent and sta-
tionary for a bilateral loss of vision injury. How is the
disability rated? A. Ratings are based on vision with
best practicable correction. B. Whichever eye rates
highest is used. C. Ratings are based on uncorrected
,12.01.00.00-14%-{1}15-212i-2
C. 60% (page 1-3 in 2005 PD schedule)
B. 3% (Page 1-12 in 2005
PD schedule)
A. Ratings are based on vi- sion with best practiable correction
, ability found under reduction of vision plus 1/2 the
difference between disabilities 2.4 and 2.3.
8. Under AMA Guides apportionment is based on? A. A. Causation
Causation B. Medical report of treating physician C.
Pre-existing disability D. Informal rating
9. What is the rating for immobility of the hip where the B. 23%
arc of motion is 0 - 60 degreeS? A. 10% B. 23% C. 30%
D. 40%
10. When both instability and thigh atrophy are present D. The disability produc-
what is the rating? A. The rating for the instability. B. ing the greater rating only.
The rating for thigh atrophy. C. All of the rating for
the greatest disability And approximately one half of
the lesser disability. D. The disability producing the
greater rating only.
11. A cardiac condition results in preclusion from heavy C. 20%
lifting. What is the scheduled rating? A. 10% B. 15% C.
20% D.25%
12. In 2004 the employee has an injury to the knee. There C. 10%
is no loss of motion, no instability and no thigh atro-
phy. The employee has to wear a stretch knee brace.
What is the standard rating? A. 0% B. 7% C. 10% D. 15%
13. An employee's husband comes to where she works A
and shoots her as a result of a marital dispute. The
injury is: A. Not compensable because it did not arise
out of employment. B. Not compensable because it
did not occur in the course of employment. C. Com-
, pensable because ti arose out of the employment. D.
assembler with a soft tissue injury to the cervical spine 15.01.02.02-8%-{5}10-470H-
causing a loss of range of motion resulting in an 8%
impairment standard? A. 9% B. 11% C. 15% D. 19%
2. What is the rating for a 40 year old forester with an C. 31%
elbow injury resulting in loss of motion and a 50% 16.03.01.00-30%-{2}34-213E
upper extremity impairment? A. 25% B. 28% C. 31% D.
40%
3. A 47 year old actor has a chemical burn to an upper ex- D. 13%
tremity producing a cosmetic disfigurment resulting 08.01.00.00-5%-{2}6-210J-1
in a 5% WPI. What is the rating? A. 0% B. 5% C. 11% D.
13%
4. A 27 year old chemist has a chemical burn to the eyes C. 19%
in 2010 producing a 14%whole person impairment. vision. D.
What is the rating? A. 14% B. 15% C. 19% D. 21% The standar
rating shall
5. A 100% upper extremity impairment is what percent- be based on
age of a whole person impairment? A. 20% B. 50% C. dis-
60% D. 75%
6. For an injury in 2005 what is the maximum permiss-
able add-on for subjectives? A. None. B. 3% C. 5% D.
Whatever is called for by the examining physician
7. In 2004 an employee becomes permanent and sta-
tionary for a bilateral loss of vision injury. How is the
disability rated? A. Ratings are based on vision with
best practicable correction. B. Whichever eye rates
highest is used. C. Ratings are based on uncorrected
,12.01.00.00-14%-{1}15-212i-2
C. 60% (page 1-3 in 2005 PD schedule)
B. 3% (Page 1-12 in 2005
PD schedule)
A. Ratings are based on vi- sion with best practiable correction
, ability found under reduction of vision plus 1/2 the
difference between disabilities 2.4 and 2.3.
8. Under AMA Guides apportionment is based on? A. A. Causation
Causation B. Medical report of treating physician C.
Pre-existing disability D. Informal rating
9. What is the rating for immobility of the hip where the B. 23%
arc of motion is 0 - 60 degreeS? A. 10% B. 23% C. 30%
D. 40%
10. When both instability and thigh atrophy are present D. The disability produc-
what is the rating? A. The rating for the instability. B. ing the greater rating only.
The rating for thigh atrophy. C. All of the rating for
the greatest disability And approximately one half of
the lesser disability. D. The disability producing the
greater rating only.
11. A cardiac condition results in preclusion from heavy C. 20%
lifting. What is the scheduled rating? A. 10% B. 15% C.
20% D.25%
12. In 2004 the employee has an injury to the knee. There C. 10%
is no loss of motion, no instability and no thigh atro-
phy. The employee has to wear a stretch knee brace.
What is the standard rating? A. 0% B. 7% C. 10% D. 15%
13. An employee's husband comes to where she works A
and shoots her as a result of a marital dispute. The
injury is: A. Not compensable because it did not arise
out of employment. B. Not compensable because it
did not occur in the course of employment. C. Com-
, pensable because ti arose out of the employment. D.
