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QME EXAM| COMPREHENSIVE
Q&A FOR CERTIFICATION
SUCCESS 2026
Trigger for permanent disability dispute - correct-answer - Termination of
temporary disability by treating physician (via report)
Cause for termination of temporary disability - correct-answer - Finding of
permanent and stationary (P&S) OR maximum medical improvement (MMI) by
the primary treating physician
Only admissible reports before a WCJ on the issue of permanent disability -
correct-answer - QME report
Evaluation(s) prepared by treating physician(s)
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Apportionment - correct-answer - Estimate of approximate percentage of
permanent disability caused by a work-related injury (& approximate percentage
caused by other factors)
Only applies to permanent disability
Regions of the body - correct-answer - (1) Hearing
(2) Vision
(3) Mental and behavioral disorders
(4) Spine
(5) Upper extremities, including shoulders
(6) Lower extremities, including hip joints
(7) Head
(8) Face
(9) CV system
(10) Respiratory system
(11) All other systems/regions
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Criteria for presumptive 100% awards - correct-answer - (1) Loss of both eyes or
sight in both eyes
(2) Loss of both hands or use of both hands
(3) Injury resulting in practically total paralysis
(4) Injury to the brain, resulting in incurable mental incapacitiy or insanity
Trigger for a comprehensive medical evaluation of permanent disability by an
AME/QME - correct-answer - Injured worker or employer wishes to contest
treating physician's evaluation
Impairment (AMA Guides definition) - correct-answer - Loss, loss of use, or
derangement of any body part, organ system or organ function
Change from a normal/pre-existing state implied in def'n
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Disability (AMA Guides definition) - correct-answer - Alteration of an individual's
capacity to meet personal, social, or occupational demands or statutory or
regulatory requirements because of an impairment
Combined Values Chart - correct-answer - Used to combine multiple impairment
ratings into a summary value or WPI
Responsibility for assigning QME panels - correct-answer - DWC Executive
Medical Director
Time frame in which either party in represented cases may object to a medical
determination by the treating physician - correct-answer - 20 days, in writing
QME EXAM| COMPREHENSIVE
Q&A FOR CERTIFICATION
SUCCESS 2026
Trigger for permanent disability dispute - correct-answer - Termination of
temporary disability by treating physician (via report)
Cause for termination of temporary disability - correct-answer - Finding of
permanent and stationary (P&S) OR maximum medical improvement (MMI) by
the primary treating physician
Only admissible reports before a WCJ on the issue of permanent disability -
correct-answer - QME report
Evaluation(s) prepared by treating physician(s)
,2|Page
Apportionment - correct-answer - Estimate of approximate percentage of
permanent disability caused by a work-related injury (& approximate percentage
caused by other factors)
Only applies to permanent disability
Regions of the body - correct-answer - (1) Hearing
(2) Vision
(3) Mental and behavioral disorders
(4) Spine
(5) Upper extremities, including shoulders
(6) Lower extremities, including hip joints
(7) Head
(8) Face
(9) CV system
(10) Respiratory system
(11) All other systems/regions
,3|Page
Criteria for presumptive 100% awards - correct-answer - (1) Loss of both eyes or
sight in both eyes
(2) Loss of both hands or use of both hands
(3) Injury resulting in practically total paralysis
(4) Injury to the brain, resulting in incurable mental incapacitiy or insanity
Trigger for a comprehensive medical evaluation of permanent disability by an
AME/QME - correct-answer - Injured worker or employer wishes to contest
treating physician's evaluation
Impairment (AMA Guides definition) - correct-answer - Loss, loss of use, or
derangement of any body part, organ system or organ function
Change from a normal/pre-existing state implied in def'n
, 4|Page
Disability (AMA Guides definition) - correct-answer - Alteration of an individual's
capacity to meet personal, social, or occupational demands or statutory or
regulatory requirements because of an impairment
Combined Values Chart - correct-answer - Used to combine multiple impairment
ratings into a summary value or WPI
Responsibility for assigning QME panels - correct-answer - DWC Executive
Medical Director
Time frame in which either party in represented cases may object to a medical
determination by the treating physician - correct-answer - 20 days, in writing
