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The purpose of the Certified Impairment Ratersm examination is to assess your ability to perform impairment evaluations using the AMA Guides to the Evaluation of Permanent Impairment, Sixth Edition. This “mini-assessment” consists of 10 questions; the actual evaluation has 100 questions.
The examination is open book; therefore, it is realistic. All participants must have the AMA Guides to the Evaluation of Permanent Impairment, Sixth Edition, available. This examination also tests your ability to identify find information in the Guides and problem solve. This will be more challenging when you are asked to answer questions that may not be within your usual scope of practice. You will find that is a useful learning experience which expands your understanding of how the Guides are applied.
Carefully read each question. Some questions require you to identify the answer that is TRUE and others the answer that is FALSE. Misreading is likely to result in errors, just like the real world. You are encouraged to answer each question; there is no penalty for wrong answers.
If you are unsure of your answer, you should provide your best response. The passing score is 70% and you will be notified if you have passed or failed after the examination.
You are not to record or print, in any format, the questions; information pertaining to each examination is tracked and the order of many of the answers changes with each testing. At the end all notes must be destroyed. Please help us maintain the integrity of the examination.
I wish you the best,
Christopher R. Brigham, MD, MMS, CIR, CIME, FIAIME
President, Brigham and Associates, Inc.
Senior Contributing Editor, AMA Guides, Sixth Edition
(Please read and indicate your agreement by checking the box below)
DISCLOSING THE CONTENTS OF THIS EXAMINATION IS STRICTLY PROHIBITED. This prohibition includes verbal, written, and/or electronic (e.g., email, chat room, or other internet or electronic) disclosure. The examination and individual questions are copyright protected material of Brigham & Associates and highly confidential trade secrets. Any disclosure or reconstruction of test questions and content shall be a violation and subject to substantial compensatory and punitive damages including, but not limited to, losses associated with compromise of Certified Impairment Rater process, the cost of replacing the compromised question(s) and reconstruction of the examination, if advisable, at the discretion of Brigham & Associates.
Which of the following definitions is INCORRECT?
Which of the following is an Activity of Daily Living (ADL), as opposed to Instrumental Activities of Daily Living (IADLs)?
The Guides defines a process for combining values. Which of the following statements is FALSE?
In practical application of the Guides which of the following statements is FALSE?
For an extremity rating which of the following statements is FALSE?
An electrodiagnostic study performed 10 months after an injury shows high-amplitude polyphasic muscle potentials in two muscles and recruitment is moderately decreased. This is equivalent to which clinical study adjustment grade modifier?
A 30 year-old man sustains a knee injury resulting in a rupture of the anterior cruciate ligament and a partial medial meniscus tear. A partial medial meniscectomy is performed but the cruciate ligament is not repaired. At the time of maximum medical improvement, the examinee complains of continued pain and instability. Objective findings include 2+ Lachman. The examiner determines GMFH = 2, GMPE = 2, GMCS = 2. Assuming these grade modifiers are correct, what is the final lower extremity impairment?
A 32-year-old female construction worker falls from a scaffolding and sustains fractures to her calcaneus and talus. The calcaneus fracture heals with normal alignment but she undergoes a subtalar fusion. At maximum medical improvement, radiographs demonstrate healed fractures with 5° of increased varus angulation of the subtalar joint compared to the opposite extremity. The American Academy of Orthopedic Surgery Lower Limb Instrument results in a mild deficit. What is the whole person impairment?
With spine assessment, which of the following statements is FALSE?
A 56-year old male undergoes a single level cervical spine fusion for a left-sided C6 radiculopathy. Pre-operative MRI showed multi-level disc herniations at C4-5, C5-6, and C6-7. Post-operative PDQ score is 50, Physical examination reveals findings consistent with a persistent left-sided C6 radiculopathy. Grade modifier is 2. What is the final whole person impairment?