CRC Medical Aspects 3 — Questions and Answers
Question 1: In the context of disability, 'functional capacity evaluation' (FCE) is used to determine which of the following?
- Psychological readiness for employment
- An individual's physical abilities and work tolerances (Correct answer)
- Cognitive aptitude for specific jobs
- Eligibility for Social Security benefits
Correct answer: An individual's physical abilities and work tolerances
A functional capacity evaluation objectively measures an individual's physical abilities, work tolerances, and safe work capacity relative to job demands.
Question 2: Which type of hearing loss results from damage to the hair cells in the cochlea or the auditory nerve?
- Conductive hearing loss
- Mixed hearing loss
- Central hearing loss
- Sensorineural hearing loss (Correct answer)
Correct answer: Sensorineural hearing loss
Sensorineural hearing loss results from damage to the hair cells in the cochlea or the auditory nerve and is typically permanent.
Question 3: A client with chronic obstructive pulmonary disease (COPD) reports difficulty completing tasks that require sustained physical exertion. Which functional limitation is PRIMARILY responsible?
- Reduced cardiovascular output
- Impaired gas exchange and dyspnea (Correct answer)
- Musculoskeletal weakness
- Cognitive fatigue
Correct answer: Impaired gas exchange and dyspnea
COPD impairs gas exchange due to airway obstruction and alveolar destruction, causing dyspnea that limits sustained physical activity.
Question 4: Which term describes the maximum amount of work a client can perform without causing injury or exacerbating a condition?
- Work tolerance
- Physical demand level
- Residual functional capacity (Correct answer)
- Safe work capacity
Correct answer: Residual functional capacity
Residual functional capacity (RFC) is the most a person can do despite their limitations and is used in disability determinations.
Question 5: Which condition involves chronic widespread musculoskeletal pain, fatigue, and tenderness at specific anatomical sites?
- Polymyalgia rheumatica
- Fibromyalgia (Correct answer)
- Systemic lupus erythematosus
- Polymyositis
Correct answer: Fibromyalgia
Fibromyalgia is a chronic condition characterized by widespread musculoskeletal pain, fatigue, sleep disturbances, and tender points throughout the body.
Question 6: A client sustained a traumatic brain injury (TBI) and exhibits difficulty with planning, organizing, and initiating tasks. These deficits are BEST described as:
- Memory impairments
- Executive function deficits (Correct answer)
- Language processing disorders
- Perceptual disturbances
Correct answer: Executive function deficits
Executive function deficits involve difficulties with higher-order cognitive skills such as planning, organizing, initiating, and monitoring behavior, commonly seen after TBI.
Question 7: Which visual impairment is defined as best-corrected visual acuity of 20/200 or less in the better eye, or a visual field of 20 degrees or less?
- Low vision
- Legal blindness (Correct answer)
- Functional blindness
- Partial sightedness
Correct answer: Legal blindness
Legal blindness is defined as best-corrected visual acuity of 20/200 or less in the better eye, or a visual field diameter of 20 degrees or less.
In the context of disability, 'functional capacity evaluation' (FCE) is used to determine which of the following?