Functional Capacity Evaluation Principles Flashcards
7 cards from real FCE practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Functional Capacity Evaluation Principles flashcards as text
Which factor most directly distinguishes an FCE from a simple physical examination conducted by a physician?
Answer: FCEs assess functional performance under real or simulated work conditions
The defining feature of an FCE is assessment of functional performance under real or simulated work conditions, going beyond the clinical examination of impairment.
What is the purpose of including a 'rapid exchange grip' test during FCE evaluation?
Answer: To compare rapidly alternating grip scores with sustained grip for effort consistency
The rapid exchange grip test compares scores from rapid alternating hand switching with standard sustained grip to identify inconsistencies that may indicate submaximal effort.
Under HIPAA, an FCE evaluator receives a subpoena for a client's FCE records. What is the appropriate first step?
Answer: Consult legal counsel and notify the client before releasing records
Upon receiving a subpoena, the evaluator should consult legal counsel and notify the client, as subpoenas do not always override HIPAA protections without a court order.
Which component of the FCE most directly informs restrictions on repetitive reaching above shoulder height?
Answer: Overhead positional tolerance and repetitive reach testing
Overhead positional tolerance and repetitive reach testing directly measures a client's capacity and tolerance for activities requiring sustained or repeated above-shoulder reaching.
What is the significance of the 'five-position grip strength test' in FCE validity assessment?
Answer: It generates a bell-shaped force curve in normal maximal effort, deviating in submaximal performance
The five-position grip test produces a characteristic bell-shaped curve when true maximal effort is applied; a flat curve or other deviation pattern suggests submaximal effort.
When FCE results conflict with a treating physician's functional restrictions, what is the evaluator's most appropriate course of action?
Answer: Clearly document the discrepancy and recommend communication between all parties
When FCE results conflict with physician restrictions, the evaluator should document the discrepancy clearly and recommend interdisciplinary communication to resolve the difference.
Which concept describes the minimum level of physical demand a client must meet in order to return to a specific occupation?
Answer: Critical demand threshold
The critical demand threshold identifies the minimum physical performance level required for a specific job, against which FCE results are compared for return-to-work decisions.