OH SHIT LAST TEST!!! Flashcards

1
Q

“Equals” decisions are supported when.

A

MER findings are at least equivalent in severity & duration to the findings required of a listed MDI

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2
Q

How to establish disability per SSA?

A

determination by DDS team

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3
Q

Name the 14 body systems

A
  1. Musculoskeletal
  2. Special Senses and Speech
  3. Respiratory
  4. Cardiovascular
  5. Digestive
  6. Genitourinary
  7. Hematological
  8. Skin
  9. Endocrine
  10. Congenital Disorders that affect multiple body systems
  11. Neurological
  12. Mental
  13. Cancer (Malignant Neoplastic Diseases)
  14. Immune System
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4
Q

Advanced Age refers to which age range?
45-49
55+
60-64
both 2 & 3

A

55+

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5
Q

Which agency is responsible for preparing PD determinations?

A

Both field office and dds

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6
Q

What are the 3 SVP levels and their corresponding numbers?

A

1-2 unskilled
3-4 semi skilled
5+ skilled

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7
Q

Which agency is responsible for resolving insured status?

A

Field Office

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8
Q

Definition of Metastasis

A

The spread of tumor cells by blood/lymph/other bodily fluids

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9
Q

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

A

Deny the claim due to lack of duration.

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10
Q

Speech often difficult to understand due to stroke residuals is what kind of restriction/limitation?

A

Non-exertional

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11
Q

Which specialist treats an MDI of OA?

A

Orthopedics

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12
Q

True or False
Same/Similar pay rate is not considered for TSA

A

True

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13
Q

True of False
Title XVI is contributory

A

False
Title II is contributory

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14
Q

True or False
Both T2 & T16 have nationwide uniform standards

A

True

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15
Q

Name the body system associated with this diagnosis.
Carcinoma

A

Neoplastic

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16
Q

Lifting limited to 15# max is what kind of restriction/limitation?

A

Exertional

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17
Q

Which specialist treats an MDI of angina?

A

Cardiology

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18
Q

What do these 3 entitlement factors ( DIB insured status, DWB prescribed period, CDB proof of age) have in common?

A

They all establish time frames for the MER range

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19
Q

TSA stands for

A

Transferrable Skills Assessment

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20
Q

What can the information from a report covering a PE done by a general practitioner be used for?

A

Indication of the principal disorder, medical hx of clmt, and possible documentation of onset & duration.

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21
Q

Which SSA program has rights clearly defined by law

A

Both Title II and Title XVI

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22
Q

Which agency is responsible for making SGA determinations?

A

Field office - can also be DDS in certain scenarios

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23
Q

Which body system has no listings?

A

9.00 Endocrine Disorders

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24
Q

What is NOT a consideration in determining PRW?
-work environment
-SGA
-duration of employment
-recency

A

Work environment

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25
Q

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.”

A

“can occ lift 20# & freq lift 10#, crouching is unimpaired.”

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26
Q

Walking limited to 3hrs/day & avoid work requiring regular contact with the public is what kind of restriction/limitation?

A

Mild

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27
Q

If the claimant can engage in PRW, the next step for the adjudicator is…?

A

prepare a “not disabled” determination. This is step 4 of the sequential trail.

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28
Q

Which agency is responsible for evaluating income and resources?

A

Field Office

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29
Q

Establishing the severity of impairment is what kind of function?

A

Medical Function

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30
Q

This SSA program is means tested

A

T16

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31
Q

5 Steps of the Sequential Trail

A
  1. Can the claimant perform SGA
  2. Does the claimant have an MDI that is severe
  3. Does that impairment meet or equal a listing
  4. Can the claimant return to past relevant work
  5. Can the claimant do other than past work
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32
Q

Consider degree of interference with ___ when evaluating MDI severity caused by persistent disorganization of motor function:

A

Use of arms, use of hands, use of fingers, movement

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33
Q

True or False
Title II is an earned right

A

True

34
Q

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.

A

True

35
Q

A claimants medical-vocational profile consists of what?

A

Age & education, prior work experience, and RFC

36
Q

Name the body system associated with this diagnosis.
Colitis

A

Digestive

37
Q

Which agency is responsible for evaluation of medical evidence?

A

DDS

38
Q

Under which specialty is a treadmill exercise (stress) test most often used to evaluate an MDI?

A

Cardio

39
Q

Which specialist treats an MDI of glaucoma?

A

Opthamology

40
Q

What are the 4 physical ratings?

A

Medium, Light, Sedentary, Less than Sedentary

41
Q

Which agency is responsible for developing and determining capability?

A

Both field office and dds

42
Q

Unable to tolerate noxious fumes is what kind of restriction/limitation?

A

Environmental

43
Q

3 criteria of an UWA

A

30 day break in SGA, stopped working in the last 6 months, stopped working due to illness.

44
Q

What are the 3 mental ratings?

A

Semi-skilled, unskilled, less than unskilled

45
Q

Consultative Exams should not be purchased routinely. What is not a valid reason for obtaining a CE?

A

Establishing a course of treatment

46
Q

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

A

Readily transferrable work skills.

47
Q

Disability determination is what kind of function?

A

Legal/Admin

48
Q

Which agency is responsible for preparing final UWA determinations?

A

DDS

49
Q

Limited Education is what grade level range?

A

7th to 11th grade

50
Q

This SSA program is NOT means tested

A

T2

51
Q

For a complete work history, the voc evidence should typically contain what?

A

-Include dates for every type of work experience
-Cover prior 15 years
-Note industry of past work (agriculture, transportation, etc)

52
Q

Where do you find jobs as they are performed in the National Economy?

A

DOT- Dictionary of Occupational Titles

53
Q

Name the body system associated with this diagnosis.
Intermittent Claudication

A

Cardio/MSK

54
Q

At which age are IQ scores valid for future use?

A

at 16 or older

55
Q

Name the body system associated with this diagnosis.
Ankylosis

A

Immune/MSK

56
Q

True or False
Chronicity of impairment resulting from hematological d/o is indicated by persistence of the condition for at least 3 months

A

True

57
Q

Define Disability

A

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.

58
Q

Which specialist treats an MDI of a cerebrovascular accident?

A

Neurology

59
Q

Symptoms are considered during which Sequential Eval steps?

A

Severe MDI & MDI meets/equals

60
Q

5 important parts of a medical record/office visit

A
  1. cc -chief complaint
  2. Hx - history of present illness
  3. PE - physical exam
  4. Dx- diagnosis/assessment
  5. Plan
61
Q

Which specialist treats an MDI of anemia?

A

Hematology

62
Q

Marginal is what level of education?

A

6th grade or less

63
Q

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

A

RFCs = age & weight unrelated to MDIs

64
Q

RFC definition?

A

capacity to perform work-related PY & MN activities

65
Q

for purposes of evaluating disability, the four general areas of mental function are:

A

understanding & memory/sustained concentration & persistence/social interaction/adaptation

66
Q

Which of the following is NOT a major cardio surgery?
coronary artery by-pass procedure
valve replacement
pacemaker implant
major arterial graft

A

pacemaker implant

67
Q

One of the principle weight bearing bones of concern in fractures is what?

A

femur

68
Q

An RFC is mostly?

A

admin assessment of limitations d/t MDI

69
Q

Reg Basis Code for a Title II meets listing

A

A1

70
Q

What designation is when a person can perform activities for up to 1/3 of the day?

A

Occasionally

71
Q

What body system fights diseases and the impairments related to such?

A

Immune System

72
Q

When ordering x-rays, focus on these parts of the body:

A

Weight bearing joints

73
Q

What rating is given to a claimant with no significant limitations?

A

Not Severe

74
Q

What is the only mental rating that allows everyone?

A

Less than unskilled

75
Q

What claim type has an age range of 50-60 and is filed on a spouses’ social security number?

A

DWB

76
Q

What is the vocational rule that has no exertional restrictions?

A

204.00

77
Q

IQ scores are generally valid for future use if obtained

A

after age 16

78
Q

Which of the following is not a general area of mental function?
understanding and memory
sustained concentration/persistence
social interaction
anxiety level

A

anxiety level

79
Q

Process of initiating a case and requesting records

A

SD

80
Q

RFC is not considered in cases adjudicated under which of the following denial codes:
H2
A61
N43
G1

A

A61

81
Q

What physical RFC would allow a 26 y/o?

A

Less than Sedentary

82
Q

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

A determination by a DDS Team