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100+ Free Perito Médico Federal (INSS / MPS) Practice Questions

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Key Facts: Perito Médico Federal (INSS / MPS) Exam

120 Items

Objective Questions (Certo/Errado)

Edital Concurso Perito Médico Federal — Cebraspe

3h 30min

Exam Duration (210 minutes)

Edital Oficial MPS / INSS

R$ 130,00

Registration Fee

Ministério da Previdência Social

50% Net

Passing Threshold (Min. 36 net points)

Critérios de Avaliação Cebraspe

Lei nº 8.213/91

Social Security Benefits Statutory Act

Presidência da República do Brasil

Decreto nº 3.048/99

RPS - Regulamento da Previdência Social

Presidência da República do Brasil

Res. CFM 2.217/18

Código de Ética Médica (CEM)

Conselho Federal de Medicina

Art. 21-A

NTEP Statutory Basis (Lei 8.213/91)

Presidência da República do Brasil

The Concurso Perito Médico Federal qualifies physicians for the Brazilian Federal Medical Expertise career (INSS / MPS). Administered via Cebraspe as a 120-item objective examination (3h 30m), it tests Occupational Medicine & Forensic Expertise (35%), Social Security Disability Legislation & NTEP (30%), CFM Medical Ethics (15%), Public Law & SUS (10%), and Basic Knowledge (10%).

Sample Perito Médico Federal (INSS / MPS) Practice Questions

Try these sample questions to test your Perito Médico Federal (INSS / MPS) exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1In 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)?
A.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.
B.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.
C.Incapacidade laborativa is defined solely by subjective pain complaints reported by the insured worker, regardless of clinical findings or physical task demands.
D.An anatomical lesion automatically establishes permanent disability, while medical diseases only generate temporary administrative leave without pericial evaluation.
Explanation: In Brazilian social security forensic medicine, a disease or injury (doença/lesão) is a clinical condition that does not automatically impair occupational function. Incapacidade laborativa occurs only when the pathological changes prevent the worker from performing the specific physical or mental tasks required by their habitual occupation. A worker may have a chronic disease (e.g., well-controlled hypertension or mild lumbar spondylosis) and retain full capacity for work.
2Under 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.A contributory factor or concausa in the development of a multifactorial disorder, such as essential arterial hypertension in high-stress occupations.
B.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).
C.An aggravating factor or trigger of a pre-existing latent medical disease, such as occupational asthma triggered by workplace irritants in an atopic individual.
D.An incidental coincidence where workplace exposure bears zero epidemiological or causal correlation with the clinical outcome.
Explanation: Schilling Group I classifies occupational diseases where work is the direct, necessary etiological cause (e.g., pneumoconioses like silicosis and asbestosis, or chemical poisoning like saturnism and benzene intoxication). Schilling Group II encompasses multifactorial diseases where work acts as a contributory factor/concausa (e.g., LER/DORT, coronary artery disease), and Schilling Group III includes pre-existing conditions aggravated by work.
3A 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:
A.Schilling Group I, because repetitive manual labor is the exclusive biological etiology of all shoulder tendon degenerations.
B.Schilling Group III, because rotator cuff disorders only occur as acute exacerbations of pre-existing congenital bone malformations.
C.Schilling Group II, because work represents a contributory factor (concausa) in a multifactorial degenerative and ergonomic disorder.
D.Schilling Group IV, representing idiopathic occupational diseases unrelated to ergonomic risk factors.
Explanation: Work-related musculoskeletal disorders (LER/DORT), such as rotator cuff tendinopathy, are classified under Schilling Group II. In Group II, work is a contributory factor (concausa) alongside individual degenerative, anatomical, or metabolic factors in the etiology of a multifactorial disease.
4A 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?
A.Schilling Group I, because bakery work is the sole genetic cause of human immunoglobulin E (IgE) synthesis.
B.Schilling Group II, because occupational asthma is strictly an age-related degenerative vascular disorder.
C.Schilling Group 0, because pre-existing childhood conditions completely invalidate any occupational nexus under Brazilian law.
D.Schilling Group III, because workplace airborne allergens act as a trigger or aggravating factor (provocador/agravador) of a pre-existing medical diathesis.
Explanation: Schilling Group III includes diseases in which work is an aggravating factor or trigger of a pre-existing, underlying disease (doença preexistente com agravamento ou desencadeamento pelo trabalho). Pre-existing asthma or atopy triggered by occupational exposure to flour dust (Baker's asthma) is a classic example.
5During 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?
A.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).
B.Isolated hamstring tightness and localized posterior thigh discomfort occurring exclusively when the straight leg elevation reaches 90º.
C.Sharp pain localized strictly to the anterior superior iliac spine upon active hip flexion with the knee bent at 90º.
D.Loss of sensation over the T10 abdominal dermatome without any lower extremity radiating discomfort during passive limb elevation.
Explanation: A true positive Lasègue sign (straight leg raise test) is elicited when passive elevation of the extended lower limb between 30º and 70º reproduces radiating radicular pain along the course of the sciatic nerve (L4-S1 distribution) below the knee. The Bragard test confirms dural irritation when lowering the leg slightly to the pain-free threshold and performing passive ankle dorsiflexion immediately reproduces the radicular pain.
6When assessing a patient with suspected cervical radiculopathy (cervicobraquialgia), which maneuver involves axial downward compression on the top of the head while the neck is extended and laterally rotated toward the symptomatic side to narrow the neural foramen?
A.Adson maneuver.
B.Spurling test (foraminal compression test).
C.Finkelstein test.
D.Schober test.
Explanation: The Spurling test (foraminal compression test) is performed by having the patient extend their neck and rotate/laterally flex toward the symptomatic side while the examiner applies gentle axial downward compression on the vertex of the head. Reproduction of sharp radicular pain radiating into the ipsilateral upper extremity indicates cervical nerve root compression.
7A keyboard operator alleges bilateral hand numbness affecting the thumb, index, middle finger, and radial half of the ring finger, with nocturnal paresthesia. Which pair of physical examination tests is classic for evaluating this specific nerve entrapment syndrome?
A.Cozen test and Mill test for the radial nerve.
B.Yergason test and Speed test for the ulnar nerve.
C.Phalen test (sustained wrist flexion) and Tinel sign (percussion over the volar wrist) for the median nerve in Carpal Tunnel Syndrome.
D.Patrick/FABERE test and Gaenslen test for the femoral cutaneous nerve.
Explanation: Carpal Tunnel Syndrome involves compression of the median nerve at the carpal tunnel, producing paresthesia in the first three and a half digits. The Phalen test (hyperflexion of the wrists for 60 seconds) and Tinel sign (percussion over the volar aspect of the wrist) provoke or worsen these sensory symptoms.
8A packaging worker complains of intense pain over the radial styloid process aggravated by pinching and thumb abduction. On examination, grasping the thumb inside a closed fist while the examiner passively deviates the wrist ulnarly produces acute pain. What is this test and condition?
A.Froment sign for cubital tunnel syndrome.
B.Tinel sign over Guyon canal for ulnar tunnel syndrome.
C.Allen test for deep palmar arch occlusion.
D.Finkelstein test for De Quervain's stenosing tenosynovitis (abductor pollicis longus and extensor pollicis brevis).
Explanation: The Finkelstein test is pathognomonic for De Quervain's stenosing tenosynovitis, which affects the first dorsal compartment of the wrist containing the tendons of the abductor pollicis longus (APL) and extensor pollicis brevis (EPB). Ulnar deviation of the wrist with the thumb flexed inside the fist stretches these inflamed tendons against the radial styloid, reproducing severe pain.
9In the forensic evaluation of subacromial shoulder impingement syndrome and rotator cuff tears, which clinical test specifically compresses the supraspinatus tendon against the anterior inferior surface of the acromion during passive forced internal rotation and forward flexion of the arm at 90º?
A.Hawkins-Kennedy impingement test.
B.Neer impingement test performed in full extension and external rotation.
C.Jobe test (Empty Can test) evaluated during passive forearm supination against resistance.
D.Patte test evaluating isolated subscapularis tendon integrity.
Explanation: The Hawkins-Kennedy test is performed with the patient's shoulder and elbow flexed at 90º, followed by forced passive internal rotation of the humerus. This maneuver drives the greater tuberosity under the coracoacromial ligament and anterior acromion, reproducing subacromial impingement pain from the supraspinatus tendon.
10In pericial medicine, detecting symptom magnification, non-organic pain, or simulation is essential for an objective forensic opinion. Which set of physical examination signs was specifically described by Gordon Waddell to identify non-organic or behavioral components in low back pain?
A.Brudzinski, Kernig, Babinski, and Oppenheim signs.
B.Superficial/non-anatomical tenderness, simulation tests (axial loading and simulated trunk rotation), distraction straight leg raise, regional sensory/motor disturbances, and overreaction.
C.Phalen, Tinel, Finkelstein, and Froment maneuvers.
D.Schober measurement, chest expansion index, Patrick/FABERE, and Gaenslen tests.
Explanation: Waddell's non-organic signs identify behavioral or psychological factors and symptom exaggeration in low back pain. The 5 categories include: 1) Tenderness (superficial skin pinch or non-anatomical deep tenderness); 2) Simulation (pain during axial skull loading or passive trunk rotation with pelvis); 3) Distraction (e.g., negative straight leg raise when seated vs. positive when supine); 4) Regional disturbances (stocking-glove sensory loss or 'cogwheel' giveaway weakness); 5) Overreaction during examination.

About the Perito Médico Federal (INSS / MPS) Exam

The Concurso Público para a Carreira de Perito Médico Federal (formerly Perito Médico Previdenciário) is a prestigious and competitive Brazilian civil service examination organized under the Ministério da Previdência Social (MPS) and the Instituto Nacional do Seguro Social (INSS), typically administered by Cebraspe. The examination qualifies registered physicians to serve as career Federal Medical Experts (Peritos Médicos Federais), who are vested with exclusive public authority to evaluate work capacity, determine temporary and permanent medical disability, establish causal nexus (including Nexo Técnico Epidemiológico Previdenciário - NTEP), issue forensic medical opinions on Social Security benefits (Auxílio por Incapacidade Temporária B31/B91, Aposentadoria por Incapacidade Permanente, Auxílio-Acidente, and BPC/LOAS disability evaluations), and conduct rehabilitation assessments across Brazil's federal social security network. The 120-item Certo/Errado examination comprehensively evaluates Occupational Medicine and Forensic Assessment (35%), Social Security Legislation and Disability Benefits (30%), Medical Ethics and CFM Regulations (15%), Constitutional/Administrative Law and SUS Principles (10%), and Basic Portuguese and Informatics (10%).

Questions

120 scored questions

Time Limit

3 hours 30 minutes

Passing Score

50% net score (minimum 36.00 points across 120 items)

Exam Fee

R$ 130,00 (Ministério da Previdência Social / INSS / Cebraspe)

Perito Médico Federal (INSS / MPS) Exam Content Outline

35%

Medicina do Trabalho, Perícia Médica e Doenças Ocupacionais / Acidentes do Trabalho

Examines the clinical evaluation of occupational pathology, semiology of work-related physical and mental impairments, orthopedic and neurological clinical tests (Lasègue, Phalen, Tinel, Spurling, Waddell signs), Schilling classification (I, II, III), pneumoconioses (silicosis, asbestosis), noise-induced hearing loss (PAIR), occupational toxicology (heavy metals, organic solvents, pesticides), ergonomics, and work disability differentiation (temporary vs. permanent, partial vs. total, multiprofessional vs. omniprofessional).

30%

Legislação Previdenciária e Benefícios por Incapacidade

Focuses on statutory social security provisions under Lei nº 8.213/1991 and Decreto nº 3.048/1999 (RPS), insured status and grace periods (período de graça), statutory carência and medical exemptions (Portaria Interministerial MTP/MS nº 22/2022), Auxílio por Incapacidade Temporária (B31/B91), Aposentadoria por Incapacidade Permanente (and the 25% majoration), Auxílio-Acidente (B94), Nexo Técnico Epidemiológico Previdenciário (NTEP - Art. 21-A), Fator Acidentário de Prevenção (FAP), Comunicação de Acidente de Trabalho (CAT), Biopsychosocial BPC/LOAS disability assessment, and the CRPS administrative appeals structure.

15%

Ética Médica, Bioética e Código de Processo Ético-Profissional do CFM

Covers the CFM Code of Medical Ethics (Resolução CFM nº 2.217/2018), normative pericial resolutions (Resoluções CFM nº 2.323/2022, nº 2.297/2021, and nº 1.851/2008), medical confidentiality, the strict distinction between treating physician and expert physician, rules on medical certificates and records disclosure, bioethical principles (autonomy, non-maleficence, beneficence, justice), and civil, administrative, and criminal liability of the medical expert (Art. 342 and Art. 319 CP).

10%

Noções de Direito Constitucional, Administrativo e Princípios do SUS

Encompasses constitutional foundations of Brazilian Social Security (Seguridade Social - Arts. 194 to 204 CF/88), core administrative principles (LIMPE - Art. 37 CF/88), civil service statutory regime (Lei nº 8.112/1990), Federal Administrative Process (Lei nº 9.784/1999), and Unified Health System statutory framework (Leis nº 8.080/1990 and nº 8.142/1990) emphasizing occupational health surveillance (RENAST, CEREST, SINAN).

10%

Língua Portuguesa e Informática Básica

Evaluates official Portuguese language standards (textual comprehension, verbal and nominal agreement, regency, crase, punctuation, pronoun placement, and official writing norms from the Manual de Redação da Presidência da República) alongside foundational IT skills, public administration information security, digital certification (ICP-Brasil), electronic medical process workflows, and LGPD compliance (Lei nº 13.709/2018).

How to Pass the Perito Médico Federal (INSS / MPS) Exam

What You Need to Know

  • Passing score: 50% net score (minimum 36.00 points across 120 items)
  • Exam length: 120 questions
  • Time limit: 3 hours 30 minutes
  • Exam fee: R$ 130,00

Keys to Passing

  • Work through all 100 available questions
  • Review every answer and explanation
  • Track weak areas and revisit them
  • Use our AI tutor for tough concepts

Perito Médico Federal (INSS / MPS) Study Tips from Top Performers

1Master the Diagnostic Tables of Decreto nº 3.048/1999 and NTEP (Anexo II): Memorize the relationship between CNAE economic activities and high-prevalence occupational diseases, particularly repetitive strain injuries (LER/DORT) and occupational mental disorders.
2Understand the Schilling Classification Inside Out: Be ready to categorize occupational conditions into Schilling I (work as direct/necessary cause, e.g., silicosis), Schilling II (work as concausa/contributory factor, e.g., arterial hypertension, LER/DORT), and Schilling III (work as trigger/aggravator of pre-existing condition, e.g., occupational asthma).
3Distinguish Physical Impairment from Occupational Disability: Remember that in pericial medicine, a clinical diagnosis alone does not automatically equate to work disability; the expert must evaluate the specific functional requirements of the worker's habitual occupation against their objective functional limitations.
4Review Key CFM Resolutions on Medical Expertise: Focus on Resolução CFM nº 2.217/2018 (CEM), Resolução CFM nº 2.323/2022 (Occupational & Pericial Medicine), Resolução CFM nº 2.297/2021, and Resolução CFM nº 1.851/2008 on medical certificates and disclosure limits.
5Practice Negative Marking Exam Strategy: Cebraspe exams penalize incorrect answers. Develop discipline in identifying traps, recognizing absolute vs. qualified legal terms, and leaving uncertain items blank when practicing under full negative scoring rules.

Frequently Asked Questions

What is the primary role of a Perito Médico Federal in the Brazilian Social Security System?

A Perito Médico Federal is a career federal public physician authorized by law to carry out forensic medical examinations (perícia médica previdenciária) on behalf of the federal government. They assess work capacity, verify temporary or permanent disability, establish occupational causal nexus (including NTEP and accident causation), evaluate eligibility for social security disability benefits (B31, B91, permanent disability, Auxílio-Acidente), and conduct biopsychosocial assessments for BPC/LOAS disability benefits.

What is the official exam format and scoring mechanism used by Cebraspe?

The official exam consists of 120 objective items in the Certo/Errado format administered over 3 hours and 30 minutes. Scoring employs the standard Cebraspe negative penalty system: each correct answer scores +1 point, each incorrect answer scores -1 point (canceling out a correct answer), and blank/unanswered items score 0. Candidates must attain a minimum net score of 50% (at least 36.00 net points across the test and minimum domain thresholds) to pass.

What is the distinction between a common illness benefit (B31) and an occupational accident benefit (B91)?

Auxílio por Incapacidade Temporária Previdenciário (B31) is granted for non-work-related incapacitating diseases and requires a minimum 12-month contribution carência (unless exempt by law). Auxílio por Incapacidade Temporária Acidentário (B91) arises from workplace accidents or occupational diseases (including via NTEP), requires zero carência, obligates the employer to continue FGTS deposits during leave, and grants the employee 12 months of employment stability upon return to work (Art. 118, Lei nº 8.213/1991).

How does the Nexo Técnico Epidemiológico Previdenciário (NTEP) function in pericial decisions?

Instituted under Art. 21-A of Lei nº 8.213/1991 and regulated by Decreto nº 3.048/1999, NTEP cross-references the employer's economic activity code (CNAE) with the worker's ICD-10 diagnostic code. When a statistically significant epidemiological association exists, the law establishes a rebuttable presumption of occupational etiology (converting B31 into B91), shifting the evidentiary burden to the employer or perito to demonstrate the absence of a workplace causal link.

Can a treating physician act as a forensic medical expert for their own patient?

No. Under the CFM Code of Medical Ethics (Resolução CFM nº 2.217/2018) and Resolução CFM nº 2.323/2022, a physician is strictly prohibited from acting as a forensic medical expert or technical assistant (assistente técnico) for their own patient, immediate family members, or anyone with whom they maintain a personal, commercial, or contentious relationship that compromises impartiality.

What is the 25% majoration on Aposentadoria por Incapacidade Permanente?

Under Art. 45 of Lei nº 8.213/1991 and Annex I of Decreto nº 3.048/1999, a retiree receiving Aposentadoria por Incapacidade Permanente who requires permanent, daily assistance from a third person for basic activities of daily living (such as total blindness, loss of multiple limbs, or advanced dementia) is entitled to a 25% permanent increase on their monthly benefit amount, even if the total exceeds the standard statutory INSS ceiling.