Perito Médico Federal (INSS MPS) Practice Questions - Concurso Perito Médico Federal - Perícia Médica Previdenciária (INSS MPS) Exam - Perito Médico Federal (INSS MPS) Practice Questions - Concurso Perito Médico Federal - Perícia Médica Previdenciária (INSS MPS) Exam

Question 1

In forensic medical expertise (perícia médica previdenciária), what is the fundamental conceptual distinction between an anatomical/clinical impairment (doença ou lesão) and work disability (incapacidade laborativa)?

Incapacidade laborativa is the functional impossibility of performing the specific duties of a given occupation due to morphological or functional changes caused by disease or injury, whereas a disease or lesion is an anatomical or clinical entity that may exist without necessarily preventing work performance. Incapacidade laborativa and disease are legally synonymous; any diagnosed clinical pathology listed in the ICD-10 automatically creates a legal presumption of total and permanent work disability. Incapacidade laborativa is defined solely by subjective pain complaints reported by the insured worker, regardless of clinical findings or physical task demands. An anatomical lesion automatically establishes permanent disability, while medical diseases only generate temporary administrative leave without pericial evaluation.

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Question 2

Under the Schilling Classification of occupational diseases adopted in Brazilian forensic medicine and public health (Decreto nº 3.048/1999), Group I comprises conditions in which work is:

A contributory factor or concausa in the development of a multifactorial disorder, such as essential arterial hypertension in high-stress occupations. The necessary and direct cause of the disease (etiological cause), without which the pathology would not occur, such as Silicosis, Asbestosis, and Saturnism (Lead poisoning). An aggravating factor or trigger of a pre-existing latent medical disease, such as occupational asthma triggered by workplace irritants in an atopic individual. An incidental coincidence where workplace exposure bears zero epidemiological or causal correlation with the clinical outcome.

Correct Answer:

The necessary and direct cause of the disease (etiological cause), without which the pathology would not occur, such as Silicosis, Asbestosis, and Saturnism (Lead poisoning).

Question 3

A 45-year-old assembly line worker presents with chronic rotator cuff tendinopathy (LER/DORT) developed after ten years of repetitive overhead assembly. Under the Schilling Classification, this condition is categorized as:

Schilling Group I, because repetitive manual labor is the exclusive biological etiology of all shoulder tendon degenerations. Schilling Group III, because rotator cuff disorders only occur as acute exacerbations of pre-existing congenital bone malformations. Schilling Group II, because work represents a contributory factor (concausa) in a multifactorial degenerative and ergonomic disorder. Schilling Group IV, representing idiopathic occupational diseases unrelated to ergonomic risk factors.

Correct Answer:

Schilling Group II, because work represents a contributory factor (concausa) in a multifactorial degenerative and ergonomic disorder.

Question 4

A baker with a childhood history of allergic rhinitis experiences severe bronchospasm and wheezing exclusively during flour dusting shifts at work. Which Schilling Classification group best describes this occupational aggravation?

Schilling Group I, because bakery work is the sole genetic cause of human immunoglobulin E (IgE) synthesis. Schilling Group II, because occupational asthma is strictly an age-related degenerative vascular disorder. Schilling Group 0, because pre-existing childhood conditions completely invalidate any occupational nexus under Brazilian law. Schilling Group III, because workplace airborne allergens act as a trigger or aggravating factor (provocador/agravador) of a pre-existing medical diathesis.

Correct Answer:

Schilling Group III, because workplace airborne allergens act as a trigger or aggravating factor (provocador/agravador) of a pre-existing medical diathesis.

Question 5

During the forensic physical examination of a worker claiming severe lumbosciatalgia due to a herniated disc, the Perito Médico Federal performs the Lasègue maneuver and the Bragard test. What constitutes a true positive Lasègue sign for lumbosacral nerve root compression?

Radiating sharp pain along the sciatic nerve dermatome (posterior thigh and leg below the knee) reproduced upon passive straight leg raising between 30º and 70º, which is intensified by ankle dorsiflexion (Bragard sign). Isolated hamstring tightness and localized posterior thigh discomfort occurring exclusively when the straight leg elevation reaches 90º. Sharp pain localized strictly to the anterior superior iliac spine upon active hip flexion with the knee bent at 90º. Loss of sensation over the T10 abdominal dermatome without any lower extremity radiating discomfort during passive limb elevation.

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Prepare with the Perito Médico Federal (INSS MPS) Practice Questions - Concurso Perito Médico Federal - Perícia Médica Previdenciária (INSS MPS) Exam practice quiz. This question bank includes 100 questions covering presents, occupational, worker, article, and forensic. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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Perito Médico Federal (INSS MPS) Practice Questions - Concurso Perito Médico Federal - Perícia Médica Previdenciária (INSS MPS) Exam

This practice set contains 100 questions from the matching question bank and focuses on presents, occupational, worker, article, and forensic. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

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Perito Médico Federal (INSS MPS) Practice Questions - Concurso Perito Médico Federal - Perícia Médica Previdenciária (INSS MPS) Exam

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