Free CIME Practice Questions

Question 1

An independent medical examiner reviews a condition that has a diagnosis but lacks objective findings supporting impairment. What is the most appropriate approach?

Accepted Answer

Obtain or review objective supporting information before rating

Answer

Assign impairment from diagnosis alone

Answer

Use the patient's disability report as the impairment value

Answer

Assign the maximum category to avoid underestimating

Question 2

A lumbar MRI shows degenerative changes in a patient with back pain. Examination shows no related objective deficits. Which principle should guide impairment analysis?

Accepted Answer

Diagnosis, findings, and functional effects must be integrated

Answer

Imaging findings alone establish impairment

Answer

Pain severity determines impairment

Answer

Degenerative findings should always be ignored

Question 3

Which finding most strengthens a defensible spine impairment conclusion?

Accepted Answer

Objective examination findings consistent with the condition

Answer

The requested rating from the referral source

Answer

The number of appointments completed

Answer

The patient's preferred outcome

Question 4

During an upper-extremity impairment evaluation, which approach is appropriate?

Accepted Answer

Apply the applicable methodology using documented clinical findings

Answer

Start with the impairment percentage and confirm later

Answer

Use job title as a substitute for impairment

Answer

Use reported limitations without examination data

Question 5

A worker has measurable impairment but cannot perform one specific job. The examiner is distinguishing between:

Accepted Answer

Impairment and disability

Answer

Diagnosis and causation

Answer

History and examination

Answer

Treatment and prognosis

Question 6

Which finding provides objective support for a neurologic impairment analysis?

Accepted Answer

A consistent abnormal neurologic examination finding

Answer

A prior injury history without current findings

Answer

A request for a higher rating

Answer

Fatigue reported without examination abnormalities

Question 7

A patient reports weakness after nerve injury, but strength testing, reflexes, and sensory examination are normal. What is the best interpretation?

Accepted Answer

Objective findings are needed to support impairment

Answer

Symptoms alone establish neurologic impairment

Answer

Maximum impairment should be assigned

Answer

The diagnosis is irrelevant

Question 8

Psychiatric impairment evaluation should primarily consider:

Accepted Answer

Documented symptoms and functional effects

Answer

Diagnosis alone

Answer

Compensation requested

Answer

Length of treatment alone

Question 9

An examiner finds differences between reported limitations and observed function. What is the best response?

Accepted Answer

Analyze the inconsistencies using objective information

Answer

Ignore the differences

Answer

Assume intentional exaggeration immediately

Answer

Accept the report without review

Question 10

A pulmonary impairment assessment should interpret testing by considering:

Accepted Answer

Objective testing with clinical condition and functional impact

Answer

The abnormal test alone

Answer

Only the patient's symptoms

Answer

Only occupational history

Free CIME Practice Questions

Domain 1: Key concepts and methodology of AMA Guides Chapters 1 and 2

Question 1

Domain 2: Spine impairment rating

Question 2

Question 3

Domain 3: Upper and lower limb impairment rating

Question 4

Question 5

Domain 4: Nervous system impairment rating

Question 6

Question 7

Domain 5: Psychiatric impairment rating

Question 8

Question 9

Domain 6: Internal medicine, pulmonary, cardiology, eye and ENT impairment

Question 10

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