DIRECT SERVICE CONNECTION
PRESUMPTIONS RELATED TO SERVICE CONNECTION
AMA: HIGHER-LEVEL REVIEW, SUPPLEMENTAL CLAIM, BOARD
TDIU
INCREASED RATINGS (PTSD & JOINTS)
100

What are the three elements of direct service connection?

(1) Current disability, (2) In-service event/injury/illness, (3) Nexus.

100

What do presumptions help the veteran avoid proving?

An element of service connection (in-service event or nexus).

100

Under AMA, what are the three review options for a veteran dissatisfied with a VA decision?

Higher-Level Review, Supplemental Claim, Board Appeal.

100

What does TDIU stand for?

Total Disability based on Individual Unemployability.

100

PTSD is rated under which diagnostic code?

DC 9411.

200

Which element of service connection does the combat presumption in 38 C.F.R. § 3.304(d) help establish?

The in-service element.

200

Name one type of chronic disease listed under 38 C.F.R. § 3.309(a).

Examples: arthritis, diabetes, hypertension, etc.

200

Which AMA lane allows no new evidence?

Higher-Level Review.

200

Under 38 C.F.R. § 4.16(a), what are the schedular rating requirements for TDIU?

One disability at 60% OR one at 40% with combined rating of 70%.

200

True or False: A PTSD rating is based solely on the veteran’s diagnosis.

 False — based on resulting occupational and social impairment.

300

True or False: Direct service connection requires medical evidence for every element.

False — lay evidence can establish some elements (e.g., in-service event, symptoms).

300

Under the chronicity/continuity pathway in § 3.303(b), a chronic disease shown in service is presumed service connected unless what exists?

An intercurrent cause.

300

Which AMA lane requires new and relevant evidence?

Supplemental Claim.

300

TDIU is based on the ability to secure and follow ________.

Substantially gainful employment.

300

Under the rating criteria for joints, what factors must VA consider under DeLuca?

Pain, weakness, fatigability, incoordination.

400

Name two of the most common claims of service connection and why?

Hearing loss, tinnitus, and PTSD. 

400

Which regulation governs Gulf War undiagnosed illnesses and MUCMIs?

38 C.F.R. § 3.317.

400

Name two of the three Board review dockets.

Direct; Evidence Submission; Hearing.

400

Can a veteran receive TDIU while working?

Yes — if the employment is marginal.

400

Give two symptoms of a 70% PTSD rating.

Examples: suicidal ideation, near-continuous panic or depression, impaired impulse control.

500

Under 38 C.F.R. § 3.303(d), a condition diagnosed after service may still be service connected if ________.

The evidence establishes it was incurred in service.

500

Under § 3.317, name two types of qualifying conditions for Persian Gulf veterans.

Undiagnosed illnesses; medically unexplained chronic multisymptom illnesses (MUCMIs); infectious diseases.

500

If the Veteran wants the fastest possible Board decision, which docket should they choose and what form is it on? 

Direct docket (no hearing, no new evidence)., VA Form 10182

500

Name one factor VA must NOT consider when deciding TDIU.

Age or non-service-connected disabilities.

500

What is the maximum rating for limitation of motion of the knee?

30% (unless rated under instability or replacement codes).