CA SIP Exam Test Questions and Correct
Answers
Question 1
How much can you pay for burial expenses for DOI on or after 1/1/13?
Correct Answer
$10k
Question 2
"The treating physician providing continuing treatment is required to provide you
with a medical report within how many days?
A. 30 days
b. 45 days
c. 60 days
d. 90 days"
Correct Answer
b. 45 days
Question 3
"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. "
Correct Answer
b. The year in which it was reported.
Page 1 of 97
,Question 4
A 17 yo is injured and is minimum for TD. What is the correct PD rate? A. Minimum. B.
Maximum. C. Average weekly earnings of $189. D. Probably earnings at age 18.
Correct Answer
d
Question 5
How many vertebrae are there? A. 19. B. 24. C. 29. D.33
Correct Answer
D
Question 6
Sternum
Correct Answer
the breastbone
Question 7
Conjunctivitis involves the: A. Cornea. B. Pupil. C. Lining of the eye. D. iris
Correct Answer
C
Question 8
A safeway employee breaks his leg while working in 2010 and has 10 weeks of TTD.
He is a max earner, recovers fully and has no permanent impairment. How do you
reserve this claim for indemnity. A) $6000 B) $7500 C) $9900 D) $16000
Correct Answer
Answer: c) $9900... 10 weeks x $986.69 (max in 2010) = $9866.90
Page 2 of 97
,Question 9
The ER shall provide the EE with a DWC-1 claim form within: a. 1 calendar day; b. 1
working day; c. 3 calendar days; 4. 3 working days.
Correct Answer
b
Question 10
"9. Q. What are the three basic elements of rating for knee disability?
a. Limitation of flexion and extension, instability and calf atrophy.
b. Limitation of flexion and extension, instability and thigh atrophy.
c. Adduction, abduction and calf atrophy
d. Adduction, abduction and thigh atrophy"
Correct Answer
B. Limitation of flexion and extension, instability and thigh atrophy
Question 11
If there is a new TPA, who is responsible for filing the report with the Director of
Industrial Relations and what is the fimeframe?
Correct Answer
New TPA no later than date of change.
Question 12
Arthrodesis means: A. Inflammation of a koint. B. Excision of a joint. C. Surgical
fixation of a joint. D. Irritation of a joint.
Correct Answer
C
Question 13
A Doheny fracture is a: A. Fracture of the navicular bone in the wrist. B. Multiple finger
fracture C. Fracture of the radius with outward displacement. D. Hairline fracture of
the os calcis.
Correct Answer
C. Fracture of the radius with outward displacement.
Page 3 of 97
, Question 14
The disability evaluation bureau can prepare what kind of ratings? A. formal b.
summary c. consultative d. all of the above
Correct Answer
d. All of the above
Question 15
When is a document considered filed at the WCAB? A. Date it is postmarked B. Date it
is received C. Date of Express Mail pickup D. Date of cover letter filing it
Correct Answer
B. Date it is received
Question 16
Where is the latisimuss dorsi muscle located? A. Arm B. Leg C. Foot D. Back
Correct Answer
D. Back
Question 17
An EE has a finger amputation at the proximal joint and his prescription glasses are
broken. You should pay for: A. Repair of the glasses only. B. The amputation only. C.
Prorate the glasses over the time the EE has owned them. D. Both the glasses and the
finger amputation.
Correct Answer
d
Question 18
An EE has an injury in Febrary 2000. In July 2000 he has an aggravation of his injury.
You should: A. combine the two injuries in one file. B. set up a separate file for the
new injury. C. apportion permanent disability. D. close the file.
Correct Answer
b
Page 4 of 97
Answers
Question 1
How much can you pay for burial expenses for DOI on or after 1/1/13?
Correct Answer
$10k
Question 2
"The treating physician providing continuing treatment is required to provide you
with a medical report within how many days?
A. 30 days
b. 45 days
c. 60 days
d. 90 days"
Correct Answer
b. 45 days
Question 3
"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. "
Correct Answer
b. The year in which it was reported.
Page 1 of 97
,Question 4
A 17 yo is injured and is minimum for TD. What is the correct PD rate? A. Minimum. B.
Maximum. C. Average weekly earnings of $189. D. Probably earnings at age 18.
Correct Answer
d
Question 5
How many vertebrae are there? A. 19. B. 24. C. 29. D.33
Correct Answer
D
Question 6
Sternum
Correct Answer
the breastbone
Question 7
Conjunctivitis involves the: A. Cornea. B. Pupil. C. Lining of the eye. D. iris
Correct Answer
C
Question 8
A safeway employee breaks his leg while working in 2010 and has 10 weeks of TTD.
He is a max earner, recovers fully and has no permanent impairment. How do you
reserve this claim for indemnity. A) $6000 B) $7500 C) $9900 D) $16000
Correct Answer
Answer: c) $9900... 10 weeks x $986.69 (max in 2010) = $9866.90
Page 2 of 97
,Question 9
The ER shall provide the EE with a DWC-1 claim form within: a. 1 calendar day; b. 1
working day; c. 3 calendar days; 4. 3 working days.
Correct Answer
b
Question 10
"9. Q. What are the three basic elements of rating for knee disability?
a. Limitation of flexion and extension, instability and calf atrophy.
b. Limitation of flexion and extension, instability and thigh atrophy.
c. Adduction, abduction and calf atrophy
d. Adduction, abduction and thigh atrophy"
Correct Answer
B. Limitation of flexion and extension, instability and thigh atrophy
Question 11
If there is a new TPA, who is responsible for filing the report with the Director of
Industrial Relations and what is the fimeframe?
Correct Answer
New TPA no later than date of change.
Question 12
Arthrodesis means: A. Inflammation of a koint. B. Excision of a joint. C. Surgical
fixation of a joint. D. Irritation of a joint.
Correct Answer
C
Question 13
A Doheny fracture is a: A. Fracture of the navicular bone in the wrist. B. Multiple finger
fracture C. Fracture of the radius with outward displacement. D. Hairline fracture of
the os calcis.
Correct Answer
C. Fracture of the radius with outward displacement.
Page 3 of 97
, Question 14
The disability evaluation bureau can prepare what kind of ratings? A. formal b.
summary c. consultative d. all of the above
Correct Answer
d. All of the above
Question 15
When is a document considered filed at the WCAB? A. Date it is postmarked B. Date it
is received C. Date of Express Mail pickup D. Date of cover letter filing it
Correct Answer
B. Date it is received
Question 16
Where is the latisimuss dorsi muscle located? A. Arm B. Leg C. Foot D. Back
Correct Answer
D. Back
Question 17
An EE has a finger amputation at the proximal joint and his prescription glasses are
broken. You should pay for: A. Repair of the glasses only. B. The amputation only. C.
Prorate the glasses over the time the EE has owned them. D. Both the glasses and the
finger amputation.
Correct Answer
d
Question 18
An EE has an injury in Febrary 2000. In July 2000 he has an aggravation of his injury.
You should: A. combine the two injuries in one file. B. set up a separate file for the
new injury. C. apportion permanent disability. D. close the file.
Correct Answer
b
Page 4 of 97