Actual Exam
QME EXAM Actual Exam 2026/2027
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P 1
, • QME EXAM 09/04/2026
Actual Exam
When an IW had jobs involving similar work or body mechanics in 1985, 1991, 1998, and 2002 but did not realize
she was having a problem requiring treatment and/or causing her impairment/disability until 2002, what would
the Date Of Injury be:
A. 1985
B. 1991
C. 2001
D. 2002 - Correct Answer :D. 2002
In the above question #8, may an employer prior to the Date of Injury be liable for any confirmed disability.
A. Yes
B. No - Correct Answer :A. Yes
If immediate/emergency treatment is required because of a serious or life-threatening situation, the provider's
treatment must still meet the requirement of being consistent with the MTUS and approved before treatment is
rendered.
A. Yes
B. No - Correct Answer :B. No
If the evaluator determines that the IW's pain increases the burden of the IW's ADLs even slightly, the evaluator
may add-on to the IW's impairment how much for pain.
A. 0%
B. 1%-3% whole person impairment
C. No more than 50% of the impairment value already determined
D. Up to 3% only if the pain is headache pain - Correct Answer :B. 1%-3% whole person impairment
P 2
, • QME EXAM 09/04/2026
Actual Exam
If an IW has stand-alone headache pain with no other impairment for any other body part or system, the
evaluator can do which of the following with regard to an impairment rating:
A. No impairment can be given for stand-alone headache pain
B. Headache pain can only be rated in the presence of another ratable body part or body system impairment
C. A and B
D. Headache pain can be given an impairment rating of between 1% to 3% - Correct Answer :D. Headache pain
can be given an impairment rating of between 1% to 3%
'Ex Parte' communication is legally forbidden, unless involving routine matters such as confirming appointments
or that records have been sent, etc. The QME or AME should not talk to the attorneys or the carrier.
A. True
B. False - Correct Answer :A. True
In cases made Permanent & Stationary prior to 01/01/05, the PD (permanent disability) rating is based upon:
A. Impairment rating
B. Causation
C. Subjective factors of disability, objective factors and work restrictions/preclusions
D. A & B - Correct Answer :C. Subjective factors of disability, objective factors and work restrictions/preclusions
If an IW's right knee was injured in 2002 and the case was settled with a Stipulated Award and a PD rating of 10%
and the IW re-injured the same knee again in 2007 with a PD rating of 20%, which of the following applies with
regard to apportionment
A. If the IW self-rehabilitated after the 2002 injury and had no complaints and was able to do his job without any
problems until the 2007 injury occurred, there should be no apportionment.
P 3
, • QME EXAM 09/04/2026
Actual Exam
B. Because the 2002 injury was given a PD rating before 2005 and the 2007 same knee was injured after the AMA
Guide impairment rating system was established, there should be no apportionment.
C. Because the causation for the 2002 right knee injury was different from the causation of the 2007 injury, no
apportionment would apply.
D. Apportionment applies because it is presumed that a prior PD for the same body part is permanent and still
exists. - Correct Answer :D. Apportionment applies because it is presumed that a prior PD for the same body
part is permanent and still exists.
In a psyche injury claim, if the QME believes that the IW would be at risk by sending the IW a copy of the QME
report with opinions and conclusions about the IW's mental & behavioral status and with regard to mental
health records reviewed, the QME should do which of the following?
A. Complete a QME 120 Alternative Service form designating another doctor to receive the report and to explain
its contents to the IW
B. Insist that the IW must retain an attorney, who can then share the report with the IW C. C. Complete a QME
Form 121 to protect the disclosure of mental health records
D. A & C - Correct Answer :D. A & C
An employee on vacation was asked by his supervisor to take one of the company's clients out to dinner. While
doing so, the employee fell and broke her leg. Given this situation, which of the following would best
characterize the nature of causation in this case
A. COE - The injury occurred during the course of employment
B. AOE - The injury arose from employment but did not occur during the course of employment
C. AOE/COE - The injury arose from employment and occurred during the course of employment
D. There was no industrial causation because the employee was on vacation - Correct Answer :B. AOE - The
injury arose from employment but did not occur during the course of employment
An employee was injured in a motor vehicle accident while leaving his job in his car to go home. In this situation
causation would be properly interpreted as follows:
A. AOE (arose from employment) but not COE (during the course of employment
P 4