CA SIP EXAM TEST RIGHT QUESTIONS AND ANSWERS QUIZ BANK SOLVED AND VERIFIED 100%

CA SIP EXAM TEST RIGHT QUESTIONS AND ANSWERS QUIZ BANK SOLVED AND VERIFIED 100% What is the rating for a 30 year old heavy furniture assembler with a soft tissue injury to the cervical spine causing a loss of range of motion resulting in an 8% impairment standard? A. 9% B. 11% C. 15% D. 19% Ans- B. 11% 15.01.02.02-8%-{5}10-470H-13-11% What is the rating for a 40 year old forester with an elbow injury resulting in loss of motion and a 50% upper extremity impairment? A. 25% B. 28% C. 31% D. 40% Ans- C. 31% 16.03.01.00-30%-{2}34-213E-31-31% A 47 year old actor has a chemical burn to an upper extremity producing a cosmetic disfigurment resulting in a 5% WPI. What is the rating? A. 0% B. 5% C. 11% D. 13% Ans- D. 13% 08.01.00.00-5%-{2}6-210J-11-13% A 27 year old chemist has a chemical burn to the eyes in 2010 producing a 14%whole person impairment. What is the rating? A. 14% B. 15% C. 19% D. 21% Ans- C. 19% 12.01.00.00-14%-{1}15-212i-21-19% A 100% upper extremity impairment is what percentage of a whole person impairment? A. 20% B. 50% C. 60% D. 75% Ans- C. 60% (page 1-3 in 2005 PD schedule) For an injury in 2005 what is the maximum permissable add-on for subjectives? A. None. B. 3% C. 5% D. Whatever is called for by the examining physician Ans- B. 3% (Page 1-12 in 2005 PD schedule) In 2004 an employee becomes permanent and stationary 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 vision. D. The standard rating shall be based on disability found under reduction of vision plus 1/2 the difference between disabilities 2.4 and 2.3. Ans- A. Ratings are based on vision with best practiable correction Under AMA Guides apportionment is based on? A. Causation B. Medical report of treating physician C. Pre-existing disability D. Informal rating Ans- A. Causation What is the rating for immobility of the hip where the arc of motion is 0 - 60 degreeS? A. 10% B. 23% C. 30% D. 40% Ans- B. 23% When both instability and thigh atrophy are present what is the rating? A. The rating for the instability. B. 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. Ans- D. The disability producing the greater rating only. A cardiac condition results in preclusion from heavy lifting. What is the scheduled rating? A. 10% B. 15% C. 20% D.25% Ans- C. 20% In 2004 the employee has an injury to the knee. There is no loss of motion, no instability and no thigh atrophy. The employee has to wear a stretch knee brace. What is the standard rating? A. 0% B. 7% C. 10% D. 15% Ans- C. 10% An employee's husband comes to where she works 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. Compensable because ti arose out of the employment. D. Compensablle because it occurred in the course of employment. Ans- A An employee whose diabetes is out of control punches out at 3 pm, before leaving the company parking lot, he faints and fallls fracturing his elbow. You should: A. Pay for the treatment for the fracture and pay for the treatment for the diabetes so that the fracture can heal. B. Pay for just the fracture. C. Deny the claim ebcause it occurred after work. D. Deny the claim because it is not work related. Ans- A What is the role of the investigator assigned to pursue issues of compensability. A. Determine all the facts. B. Determine proof of claim being fraudulent. C. Determine compensability from all the facts gathered. D. Determine if benefits are due to the injured worker. Ans- A An accountant took work home for an annual report. The employee left work at the normally appointed hour and was not reimbursed for mileage. The employee was injured in an auto accident at an intersection one block from home and his supervisor calls to tell you they found paperwork for the end of the year report iin his briefcase in the car. You should: A. Accept as an exception to the coming and going rule. B. Delay and investigate. C. Deny. D. Close the file. Ans- A An employee is injured at the place of employment when he burns himself in the kitchen while cleaning up after a meeting with other employees and his supervisor. The injury would have not occurred had the employee not been drinking with other employees during the meeting. A. the injury is compensable because the drinking was condoned by the employee's supervisor. B. The injury is not compensable because the attendance at the meeting was voluntary. C. The injury is compensable because the attendance at the meeting was not voluntary. D. The injury is compensable because the consumption of alcohol occurred during work hours. Ans- A An employee is in the break room drinking vodka. A conveyor falls seriously injuring him and the doctor at the hospital says the employee was intoxicated. You should: A. Accept the claim. B. Deny the claim. C. Obtain a copy of the blood alcohol report and deny the claim. D. Deny the claim due to intoxication. Ans- A A high school teacher leaves schol after the end of the day. The school, located ina bad neighborhood provides parking for her in a district owned lot at the school . The teacher pulls out of the school lot onto the city street and approximately two blocks from the school while stopped at a red light a man forces his way into her car, assaults her and steas her purses. A. The injury is not compensable because of the coming and going rule. B. The injury is not compensable because it did not occur in the school districts's lot on their property. C. The injury is not compensable because it does not fall within any of the recognized exceptions to Labor Code 3600. D. The injury is compensable because the employment subjected the employee to a special risk. ` Ans- D The injured employee contracts Hepatitis C from a blood transfusion during surgery for a work related injury. You are responsible for: A. Temporary disability and permanent disability. B. Nothing, the Hepatitis C is not work related. C. Medical treatment for the Hepatitis C. D. The compensable consequences of the Hepatitis Ans- D An employee who does not receive mileage reimbursement for use of his car, while on an unpaid lunch hour, is injured whileon his way to the bank to cash his paycheck. You shoud: A. Deny due to a personal errand. B. Deny due to personal errand not related to work. C. Accept because of the personal comfort doctrine. D. Delay and investigate Ans- B The employee is receiving salary continuation from the employer in lieu of TD. Is DWC notice required? A. No, a separate notice is not required. B. Yes a regular DWC notice. C. Yes, a DWC notice with an explanaton of the salary continuation plan with the initial notice. D. No but an explanaton od the salary contiuation plan is required. Ans- C An employee is at home for a workers' compensation injury receiving TD. He contracts measles from one of his children. What are you liable for? A. Medical and indemnity. B. Medical treatment for both maladies. C. Medical treatment and indemnity for the injustrial injury only. D. Medical treatment ffor the measles pursuant to the compensable consequences doctrine. Ans- C You are in the process of stipulation to a permanent disability award wth the employee when you receive a call from a furniture company who says the employee owes them $2000. You should: A. Pay the furniture company debt from the F&A. B. Don't pay because the debt is not a valid lien under the Labor Code. C. Refer the furniture company to the WCAB. D. Tell the furniture company to file a lien with the WCAB. Ans- B While on scheduled break with the boss and coworkers at their usual place the employee has an injury. You subsequently receive a call from applicant attorney asking why havent paid benefits to the employee. You call the employer and the employer says they did not report it because they did not think it was compensable. A. The employer should have reported it because the employee reported the claim. B. The employer should have repoprted it because any injury us compensable. C. The employer should have reported it because the employee was recieving wages during the break. D. The employer should have reported it becayse the off premises breaks were customary and had the approval of the employer. Ans- D The employer encourages the employees to carpool and provides vans for the employees. An injury that occurs while commuting is: A. Noncompensable B. Noncompensable because of the coming and going rule. C. Compensable D. Compensable as an exception to the coming and going rule. Ans- D An employee is traveling on business at the request of his employer and while stopped for lunch at a restaurant the employee is injured. The claim would be: A. Not compensable because of the coming and going rule. B. Not compensable because the employee was on a lunch break. C. Compensable due to the Bunkhouse rule. D. Compensable duue to the commercial traveler rule Ans- D A volunteer nurse's aid for a non profit hospital injures her back lifting a patient. The injury is: A. Not compensable. B. Not compensable due to volunteer status. C. Compesable because as a volunteer he received free lunches. D. Compensable if the Board of Directors declares volunteers be deemed employees in writing prior to the injury. Ans- D When can an injured worker not attend a QME/AME exam? A. When mileage is paid before the exam. B. When mileage is not paid before the exam. C. When you do not notify them 5 days before the exam. D. There are no consequences for missing the appointment. Ans- B A foreman and coworkers are drinking on the loading dock after work ends at 5 pm. A coworker is injured when he backs his truck into something while leaving because he was intoxicated. Is the injury compensable? A. Yes because of the compensable consequences rule. B. Yes because the drinking was authorized by the foreman. C. No becuase the alcohol was a proximate cause of the injury. D. No because the injury was caused by the intoxication of the employee. Ans- B A twenty year old employee is injured at work but does not report it as required by work procedures. The employer finds out, investigates and determins it is not work related and denies it but does not report it to the TPA. The TPA gets a Notice to Pay Benefits from the WCAB. What should the TPA do? A. Deny benefits. B. Report to the WCAB. C. Report to the administrative director. D. Pay benefits in accordance with the Labor Code. Ans- D Two employees get into an altercation about something they haveto do at work. A hits B. Who is entitled to workers comp benefits? A. a B. b. C. Both D. Neither Ans- B Lacrimal Bone Ans- smallest and most fragile bone of the face, near the eye Zygoma Ans- the cheek bone Clavicle Ans- collarbone Scapula Ans- shoulder blade Humerus Ans- the bone of the upper arm Sternum Ans- the breastbone Olecranan Ans- the bony projection of the ulna at the elbow Radius Ans- the outer bone of the forearm, on the side of the thumb Ulna Ans- the longer of the two bones of the forearm, the one on the side of the little finger Ilium Ans- the hip bone Scaphoid Bone Ans- one of the bones in the hand; aka navicular bone Sacrum Ans- A large, triangular bone at the base of the spine Acetabulum Ans- hip socket Femur Ans- the thigh bone Colles Fracture Ans- Fracture of distal end of the radius with outward displacement of the radius Patella Ans- the kneecap; loss of the patella is a 5% absolute in the 1997 PD rating schedule. Bucket-Handle Tear(Meniscus) Ans- tear of the medial meniscus of the knee Tibia Ans- the weight-bearing and larger bone of the lower leg Fibula Ans- the smaller of the two lower leg bones. It bears relatively little of the body's weight. Pott's Fracture Ans- Fracture of the lower part of the fibula and tibia just above the ankle. The most commonly encountered fracture above the ankle. Calcaneus or os calcis Ans- heel bone "What does not have to be included in the Claim Log? a. Applicant's name. b. Date of Injury. c. Social Security number. d. Description of the injury. " Ans- c. Social Security Number "To whom you apply for a Certificate of Consent to Self-Insure? a. The Director of Industrial Relations b. The Manager of Self-Insurance c. The administrative Director d. The Secretary of State" Ans- a. The Director of Industrial Relations "An injury occurs in late December but is not reported until Jan of the next year. In which Claim Log is the injury recorded? A. The year in which it occurred b. The year in which it was reported. C. The fiscal year in which the injury occurred. D. The fiscal year in which the injury was reported. " Ans- b. The year in which it was reported. "You do not have to notify the Manager ofo the change in status where: a. The self-insurer changes ownership. B. The self-insurer changes ownership. C. The self-insurer has a change in minority shareholders. D. The self-insurer has a material change in management. " Ans- c. The self-insurer has a change in minority shareholders. "A self-insured employer has not adequately funded their trust account, preventing you from making payments on claims. You are required to report it to the Manager within: a. 3 days. B. 5 days. C. 15 days d. 30 days. " Ans- a. 3 days "Every self-insurer must file a Self-Insurer's Annual Report on or before: a. January 1 for private self-insurers and July 1 for publick self-insurers. B. March 1 for public self-insurers and Octover 1 for private self-insurers. C. March 1 for private self-insurers and October 1 for publick self-insurers. d. None of fthe above. " Ans- c. March 1 for private self-insurers and October 1 for public self-insurers. "Reapplication to the Director for a Certificate of Consent to Self-Insure is required if an employer: a. Fails to initiate a self-insuracne program within three months. B. Fails to initiate a self-insurance program within six months. C. Fails to initiate a self-insurance program within nine months. d. Files a late annual report. " Ans- B. Fails to initiate a self-insurance program within six months. "Are medical only claims included on the Annual Report? A. No b. No, unless there are probable future medical payment. C. Yes. D. Yes, but only for the reporting year of the annual report. " Ans- D. Yes, but only for the reporting year of the annual report. "Once an employer has initiated a self-insurance program, the employer's Certificate to Self-Insure is: a. Irrevocable in CA. B. Valid for other jurisidctions. C. Valid until revoked by the Director. D. Renewed annually by the Director. " Ans- c. Valid until revoked by the Director. "If the Director of Industrial Relations determines that a private self-insured employer has failed to pay required workers' compensation benefits, he/she may: A. Utilize the self-insured security deposit if the Self-Insurer's Security Fund refuses to pay compensation benefits. b. Utilize the self-insured's security deposit to administer and pay the Employer's compensation obligations. c. Refer the issue of non-payment of benefits to the WCAB d. Refer the issue of non-payment of benefits to the Superior Court for Writ of Mandate. Ans- b. Utilize the self-insured's security deosit to administer and pay the Employer's ccmpensation obligations. "When can you close a claims file? A. When the last payment of PD has been made. B. When all benefits that are due and payable have been paid. C. When the employee has returned to work. D. When TD has ended. Ans- B. When all benefits that are due and payable have been paid. As a self-insured administrator how long do you have to maintain the claims file? A. 5 years from the DOI and 1 year thereafter. B. 5 years from the DOI and 1 year from date of last payment of benefits. C. 5 years from the DOI or the date on which the last provision of compensation benefits ocurred, whichever is later. d. 2 years from the date of the last payment of compensation. " Ans- C. 5 years from the DOI or the date on which the last provision of compensation benefits ocurred, whichever is later. "When a self-insured certificate has been revoked, the Director retains jurisdiction for what period of time: a. 5 years until the next audit cycle. B. Until it has been determined no additional claims are forthcoming. ....................