Questions based on the article, "On the Road to Controlling Workers’ Compensation"

1. A primary concern for most business leaders is the control of :

job modifications by employees.
an emerging national market for goods and services.
the influence of the local Chamber of Commerce over business.
workers’ compensation costs.

2. States that have, in recent years, reformed their Workers’ Compensation laws include all except which of the following:

Texas
South Carolina
Colorado
Maine

3. Progressive work organizations have stopped giving their power away to:

unions and other bargaining units.
lawmakers and insurers.
the ADA and the federal government.
middle management and white-collar supervisors.

4. In the U.S. in 1990, employers paid out for Workers’ Compensation more than:

$6.3 billion.
$ 63 billion.
$3.6 billion.
$ 36 billion.

5. The Paredo’s Law of disability costs suggests that:

   20% of all disabilities are caused by 80% of the employees.
   80% of the nation’s employers rely heavily on Workers’ Compensation programs.
   80% of all employers employ 20% of the nation’s workers.
   20% of disability cases result in 80% of all disability costs.

6. True workers’ compensation reform takes place within the legal system and not within a work organization:

   True.
   False.

7. Workplace disability problems have been shifted from government to business due to:

   decreased costs of disability.
   decreased claims of disability.
   legislative reform of workers’ compensation and the sheer costs of workplace disability.
   all of the above.

8. A Total Quality Management approach makes it necessary for employers to:

   show that management cares by initiating contact with disabled individuals.
   offer growth experiences by training and promoting employees regardless of disability.
   provide workplace responsiveness through accommodation to the needs of disabled individuals.
   all of the above.

9. Collaboration should take place among which of the following in order to afford the entire organization dramatic cost-saving opportunities:

   risk managers, claims administrators, and rehabilitation professionals.
   lawyers, judges, and Congress.
   doctors, physical therapists, and nurses.
   none of the above.

10. DMPs are based on a philosophy of passive or reactive compliance with legislative mandates:

    True.
    False.

Questions based on the two-part article, "Part I: Ethics In Disability Management" and "Part II: Disabler: A Game Rehabilitation Professionals Play"

1. Responsibility in an ethical company is on:

only individuals
the collective employees
both of the above
neither of the above

2. Which one of the following is an ethical consideration in respect to an individual employee in a work organization:

persistent absenteeism
inability to get along with other employees
trustworthiness
promptness

3. The primary basis for developing specific ethical strictures when dealing with injured workers should be predicated on the proposition that the company wants all injured employees to be returned to full productivity if they are physically and psychologically capable of doing so.

true
false

4. The responsibility for creating and implementing the policies and procedures that will assure that a company measures up to its ethical standards belongs to:

the CEO
individual employees
each department
the collective employees of the company

5. A Code of Ethics is all of the following except a way to:

establish the company’s belief in an ethical approach to all of the activities of the company
instill awareness and sensitivity to ethical issues
establish required operating values and behaviors
weed out unproductive or uncooperative employee

6. In vocational rehabilitation there is a tripartite relationship that includes all except the following:

the insurance carrier
the client’s attorney
the rehabilitation professional
the injured worker

7. Human services workers are academically trained to:

function as a client advocate
determine if the client is sincere
approach new clients with skepticism
place the welfare of the program over that of the client

8. Sympathy for the injured worker often provides her/him with an additional reason to accept her/his impairment as an overwhelming handicap rather than a relative limitation:

true
false

9. The novice rehabilitation worker all too often engages in the Disabler Game as a result of which one of the following:

attempting to please her/his supervisor
insufficient training
wanting to be “liked” by clients
having a “hidden agenda”

10. Social games serve particular purposes within the context or system in which they are played:

true
false

Questions based on the article, "Strategies for the Use of Independent Medical Examinations"  

1. The purpose of the IME is to:

produce a comprehensive medical report.
involve the medical profession in employment issues.
produce a report that can be used to defend “the notion of disability.”
make certain the injured employee isn’t faking it.

2. In liability matters, damages are usually:

earning capacity.
employability.
employability and earning capacity.
none of the above.

3. Disability is:

a social concept that is often induced.
a congenital defect.
an imagined and frequently faked condition.
a very serious impairment.

4. The term “malingering” can be extended to the concept of:

non-malingering.
auto-malingering.
pseudo-malingering.
co-malingering.

5. Independent Medical Examiners are not qualified to address “disability” issues because disability is an occupational, not medical, concept.

True
False

6. Which of the following is true: People can be:

disabled but not impaired.
impaired and still work.
impaired and psychologically and medically sound.
disabled and therefore unskilled.

7. A physician who must align herself/himself with a patient in a therapeutic          process is called a/an:

medical specialist.
IME physician.
Osteopathic physician.
treating physician.

8. An attorney who does not receive a favorable IME from the physician must often wait how long to have a re-evaluation?

six months
two months
one year
a year and a half

9. In legal cases it is important to match your IME expert’s qualifications with the:

type of case you are dealing with.
availability of employment for your client.
length of time the client has been employed.
general labor market conditions at the time of the IME.

10. Generally speaking, when selecting an independent medical examiner, the specialty of the  examiner is not relevant.

True
False

has specialized.
is well known and respected throughout the legal community.
has a strong record of prevailing in litigation.
is accessible and flexible.

12. IME physicians should not have a “vested interest” in:

meeting the expectations of the attorney.
writing client-favorable reports.
maintaining a person in the medical system.
a specific legal outcome.

13. The introductory letter to the IME physician should give the examiner/expert:

an idea of what the attorney wants.
how the attorney wants the information.
the information the attorney already has to share with the physician.
all of the above.  

14. Some IME physicians will only “testify by videotape.”

True
False

15. Which of the following is not a way an IME physician’s testimony can be presented?

live
videotape
transcript
deputized physician’s assistant

16. The “best thing” is to have:

live testimony.
certified deposition.
videotaped deposition.
transcripts entered into the records of the proceedings.

17. Questions may arise if the IME physician and the attorney:

attended the same undergraduate program.
belong to the same political party.
socialize.
are known to be critical of malingers.

18. It is important that attorneys presenting IME cases know:

psychiatry.
psychosomatic symptoms.
anatomy.
basic medical realities such as vital signs.

19. Attorneys working with IME physicians should tell the physician:

what to say.
how to say it.
when in the case to say it.
none of the above.

20. Forensic psychiatry is related to psychiatry as:

an equivalent specialty.  
a sub-specialty.
a totally unrelated field.
none of the above.

21. Section 9.07 of the Code of Medical Ethics as developed by the American Medical Association deals with:

medical testimony.
the administration of justice.
psychiatric treatment.
psychiatric diagnoses.

22. It is a potential conflict of interest for a treating physician to be an expert witness.

True
False

23. The first thing required in any forensic evaluation is to obtain:

a complete medical history.
a contract from the attorney to perform the IME.
a schedule of court appearances for the case.
the informed consent of the individual being examined.

24. In medicine, physicians take a history, do an examination, do studies, and finally arrive at a:

prognosis.
rationale for the testimony.
symptomatic analysis.
diagnosis.

25. RSD is a medical acronym for:

Reis Syndrome Diagnosis.
reflex sympathetic dystrophy.
regenerative symptomatic disorder.
reflexive systems diagnosis.

26. In assessing pain, Dr. Korevaar wants to see whether all except which of the following is present:

musculature asymmetries.
behaviors.
underlying medical conditions.
symptomatic dystrophies.

27. In trying to understand the mechanism of the injury, the IME pain specialist needs to know:

whether there was bruising and/or swelling.
whether there were broken bones.
which body parts were affected.
all of the above.

28. The IME physician specializing in pain diagnosis in this presentation suggested she cannot put herself in the role of:

family physician.
treating physician.
pain specialist.
all of the above.

29. Not an absolute but a “rule of thrumb” is that if it “aches and throbs,” it is:

an abrasion or contusion.
psychiatric in derivation.
musculosketal or joint.
psychosomatic in derivation.

30. The most frequent reason the IME pain specialist is asked to develop an IME report is related to:

PMS.
immobilization of a limb.
RSD.
TOS.

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