OH SHIT LAST TEST!!! Flashcards
“Equals” decisions are supported when.
MER findings are at least equivalent in severity & duration to the findings required of a listed MDI
How to establish disability per SSA?
determination by DDS team
Name the 14 body systems
- Musculoskeletal
- Special Senses and Speech
- Respiratory
- Cardiovascular
- Digestive
- Genitourinary
- Hematological
- Skin
- Endocrine
- Congenital Disorders that affect multiple body systems
- Neurological
- Mental
- Cancer (Malignant Neoplastic Diseases)
- Immune System
Advanced Age refers to which age range?
45-49
55+
60-64
both 2 & 3
55+
Which agency is responsible for preparing PD determinations?
Both field office and dds
What are the 3 SVP levels and their corresponding numbers?
1-2 unskilled
3-4 semi skilled
5+ skilled
Which agency is responsible for resolving insured status?
Field Office
Definition of Metastasis
The spread of tumor cells by blood/lymph/other bodily fluids
What is your next action to the following scenario?
MER from September shows onset of severe MDI on Jan. 4 and expects regained capacity for work by November of same year.
allow w/ closed period of disability
allow & establish medical re-exam diary
deny the claim d/t lack of duration
deny development until November
Deny the claim due to lack of duration.
Speech often difficult to understand due to stroke residuals is what kind of restriction/limitation?
Non-exertional
Which specialist treats an MDI of OA?
Orthopedics
True or False
Same/Similar pay rate is not considered for TSA
True
True of False
Title XVI is contributory
False
Title II is contributory
True or False
Both T2 & T16 have nationwide uniform standards
True
Name the body system associated with this diagnosis.
Carcinoma
Neoplastic
Lifting limited to 15# max is what kind of restriction/limitation?
Exertional
Which specialist treats an MDI of angina?
Cardiology
What do these 3 entitlement factors ( DIB insured status, DWB prescribed period, CDB proof of age) have in common?
They all establish time frames for the MER range
TSA stands for
Transferrable Skills Assessment
What can the information from a report covering a PE done by a general practitioner be used for?
Indication of the principal disorder, medical hx of clmt, and possible documentation of onset & duration.
Which SSA program has rights clearly defined by law
Both Title II and Title XVI
Which agency is responsible for making SGA determinations?
Field office - can also be DDS in certain scenarios
Which body system has no listings?
9.00 Endocrine Disorders
What is NOT a consideration in determining PRW?
-work environment
-SGA
-duration of employment
-recency
Work environment
Which of the following is the most complete RFC?
“can lift up to 50# occ, but not repeatedly”
“standing/walking shouldn’t happen a lot”
“can only lift medium things & should sit when tired.”
“can occ lift 20# & freq lift 10#, crouching in unimpaired.”
“can occ lift 20# & freq lift 10#, crouching is unimpaired.”
Walking limited to 3hrs/day & avoid work requiring regular contact with the public is what kind of restriction/limitation?
Mild
If the claimant can engage in PRW, the next step for the adjudicator is…?
prepare a “not disabled” determination. This is step 4 of the sequential trail.
Which agency is responsible for evaluating income and resources?
Field Office
Establishing the severity of impairment is what kind of function?
Medical Function
This SSA program is means tested
T16
5 Steps of the Sequential Trail
- Can the claimant perform SGA
- Does the claimant have an MDI that is severe
- Does that impairment meet or equal a listing
- Can the claimant return to past relevant work
- Can the claimant do other than past work
Consider degree of interference with ___ when evaluating MDI severity caused by persistent disorganization of motor function:
Use of arms, use of hands, use of fingers, movement
True or False
Title II is an earned right
True
True or False
The best definition of “impairment not severe” is: the claimant retains capacity to perform basic work related functions that aren’t significantly limited.
True
A claimants medical-vocational profile consists of what?
Age & education, prior work experience, and RFC
Name the body system associated with this diagnosis.
Colitis
Digestive
Which agency is responsible for evaluation of medical evidence?
DDS
Under which specialty is a treadmill exercise (stress) test most often used to evaluate an MDI?
Cardio
Which specialist treats an MDI of glaucoma?
Opthamology
What are the 4 physical ratings?
Medium, Light, Sedentary, Less than Sedentary
Which agency is responsible for developing and determining capability?
Both field office and dds
Unable to tolerate noxious fumes is what kind of restriction/limitation?
Environmental
3 criteria of an UWA
30 day break in SGA, stopped working in the last 6 months, stopped working due to illness.
What are the 3 mental ratings?
Semi-skilled, unskilled, less than unskilled
Consultative Exams should not be purchased routinely. What is not a valid reason for obtaining a CE?
Establishing a course of treatment
CLMT=55+. Considering age, which would be the STRONGEST INDICATION he/she could make a successful voc adjustment to other work?
-HS diploma at 18y/o
-work hx w/ steady employment in same job x15yrs
-Readily transferrable work skills
-work hx w/ highly-skilled PRW
Readily transferrable work skills.
Disability determination is what kind of function?
Legal/Admin
Which agency is responsible for preparing final UWA determinations?
DDS
Limited Education is what grade level range?
7th to 11th grade
This SSA program is NOT means tested
T2
For a complete work history, the voc evidence should typically contain what?
-Include dates for every type of work experience
-Cover prior 15 years
-Note industry of past work (agriculture, transportation, etc)
Where do you find jobs as they are performed in the National Economy?
DOT- Dictionary of Occupational Titles
Name the body system associated with this diagnosis.
Intermittent Claudication
Cardio/MSK
At which age are IQ scores valid for future use?
at 16 or older
Name the body system associated with this diagnosis.
Ankylosis
Immune/MSK
True or False
Chronicity of impairment resulting from hematological d/o is indicated by persistence of the condition for at least 3 months
True
Define Disability
The inability to engage is substantial gainful activity due to a physical, mental, or both impairment that is expected to result in death, or will last/has lasted a continuous 12 months.
Which specialist treats an MDI of a cerebrovascular accident?
Neurology
Symptoms are considered during which Sequential Eval steps?
Severe MDI & MDI meets/equals
5 important parts of a medical record/office visit
- cc -chief complaint
- Hx - history of present illness
- PE - physical exam
- Dx- diagnosis/assessment
- Plan
Which specialist treats an MDI of anemia?
Hematology
Marginal is what level of education?
6th grade or less
Spot the RFC untruth:
-RFCs consider all the relevant MER
-RFCs consider & address MSOs
-RFCs reflect maximum CLMT can handle on a sustained basis
-RFCs = age & weight unrelated to MDIs
RFCs = age & weight unrelated to MDIs
RFC definition?
capacity to perform work-related PY & MN activities
for purposes of evaluating disability, the four general areas of mental function are:
understanding & memory/sustained concentration & persistence/social interaction/adaptation
Which of the following is NOT a major cardio surgery?
coronary artery by-pass procedure
valve replacement
pacemaker implant
major arterial graft
pacemaker implant
One of the principle weight bearing bones of concern in fractures is what?
femur
An RFC is mostly?
admin assessment of limitations d/t MDI
Reg Basis Code for a Title II meets listing
A1
What designation is when a person can perform activities for up to 1/3 of the day?
Occasionally
What body system fights diseases and the impairments related to such?
Immune System
When ordering x-rays, focus on these parts of the body:
Weight bearing joints
What rating is given to a claimant with no significant limitations?
Not Severe
What is the only mental rating that allows everyone?
Less than unskilled
What claim type has an age range of 50-60 and is filed on a spouses’ social security number?
DWB
What is the vocational rule that has no exertional restrictions?
204.00
IQ scores are generally valid for future use if obtained
after age 16
Which of the following is not a general area of mental function?
understanding and memory
sustained concentration/persistence
social interaction
anxiety level
anxiety level
Process of initiating a case and requesting records
SD
RFC is not considered in cases adjudicated under which of the following denial codes:
H2
A61
N43
G1
A61
What physical RFC would allow a 26 y/o?
Less than Sedentary
Which of the following meets the requirements of the law for establishing disability for SSA purposes?
- 100% VA disability certification
- A determination by a DDS Team
- Statement by the treating physician
- Inability to obtain/find work
A determination by a DDS Team
