QME EXAM
Actual Questions and Answers|| Latest Update| Score 100%
California Qualified Medical Evaluator (QME) Certification Exam Preparation
Question 1. How many physician names are typically included on a QME panel
issued by the Medical Director when a body part specialty is requested?
A. One
B. Two
C. Three
D. Five
Answer: C. Three
Rationale: Under Labor Code section 4062.2, the Medical Director issues a
panel of three QMEs within the requested specialty, from which the parties
select an evaluator.
,Question 2. An Agreed Medical Evaluator (AME) is selected by:
A. The DWC Medical Unit at random
B. Mutual agreement of the represented parties (applicant attorney and
defense)
C. The Workers' Compensation Appeals Board judge only
D. The treating physician
Answer: B. Mutual agreement of the represented parties (applicant attorney
and defense)
Rationale: An AME is chosen by agreement between the applicant's attorney
and the defendant/claims administrator, typically used only in represented
cases. This differs from a QME, who is selected from a randomly generated
panel.
Question 3. In an unrepresented (non-attorney) case, who requests the QME
panel?
A. The employee only, by submitting a QME request form
B. The claims administrator always
C. Either party, but the process is initiated by the employee submitting Form
DWC-QME 105/106 with medical unit
D. The judge
Answer: C. Either party, but the process is initiated by the employee
submitting Form DWC-QME 105/106 with medical unit
Rationale: In unrepresented cases, the process is governed by Labor Code
section 4062.1; the employee (or claims administrator if the employee doesn't
act) requests a QME panel using the required DWC form, and the employee has
the right to select the evaluator from that panel.
,Question 5. What is 'ex parte communication' in the QME context?
A. A formal deposition of the QME
B. Prohibited one-sided communication between a party and the QME outside
the presence or knowledge of the other party
C. A joint letter signed by both attorneys
D. The QME's final report
Answer: B. Prohibited one-sided communication between a party and the
QME outside the presence or knowledge of the other party
Rationale: Ex parte communication refers to communication with the
evaluator by only one party without the other party's knowledge or
participation, which is generally prohibited under Labor Code section 4062.3 to
preserve the evaluator's impartiality.
Question 6. Under Labor Code section 4062.3, if a party sends records to the
QME, what must occur?
A. No notice is required if records are non-medical
B. Copies must simultaneously be served on the opposing party, with an
advance notice period for objections
C. The QME must destroy the records after review
D. Only the judge may transmit records
Answer: B. Copies must simultaneously be served on the opposing party,
with an advance notice period for objections
Rationale: Section 4062.3 requires that any information provided to the QME
be served on the opposing party at the same time, and the opposing party
generally has 10 days' notice before non-routine records are sent, allowing
time to object.
, Question 7. A QME panel request for a specific specialty is typically valid (i.e.,
must be used) within what time frame before it expires?
A. 10 days
B. 90 days from issuance for selecting the evaluator, per DWC regulations
C. 5 years
D. There is no time limit
Answer: B. 90 days from issuance for selecting the evaluator, per DWC
regulations
Rationale: DWC regulations require the QME panel to be used within specific
timeframes; the represented party typically has 10 days to select and the
panel/selection process must generally be completed within 90 days of
issuance or the panel expires and must be reissued.
Question 8. If the injured worker is represented by an attorney and disputes the
treating physician's opinion, which process applies?
A. Labor Code 4062.1 unrepresented panel process
B. Labor Code 4062.2 represented QME panel process, or AME if agreed
C. Only a Qualified Rehabilitation Representative may be used
D. The employer selects a physician unilaterally
Answer: B. Labor Code 4062.2 represented QME panel process, or AME if
agreed
Rationale: Represented cases follow Labor Code section 4062.2, which governs
QME panel requests when the parties are represented and cannot agree on an
AME.
Actual Questions and Answers|| Latest Update| Score 100%
California Qualified Medical Evaluator (QME) Certification Exam Preparation
Question 1. How many physician names are typically included on a QME panel
issued by the Medical Director when a body part specialty is requested?
A. One
B. Two
C. Three
D. Five
Answer: C. Three
Rationale: Under Labor Code section 4062.2, the Medical Director issues a
panel of three QMEs within the requested specialty, from which the parties
select an evaluator.
,Question 2. An Agreed Medical Evaluator (AME) is selected by:
A. The DWC Medical Unit at random
B. Mutual agreement of the represented parties (applicant attorney and
defense)
C. The Workers' Compensation Appeals Board judge only
D. The treating physician
Answer: B. Mutual agreement of the represented parties (applicant attorney
and defense)
Rationale: An AME is chosen by agreement between the applicant's attorney
and the defendant/claims administrator, typically used only in represented
cases. This differs from a QME, who is selected from a randomly generated
panel.
Question 3. In an unrepresented (non-attorney) case, who requests the QME
panel?
A. The employee only, by submitting a QME request form
B. The claims administrator always
C. Either party, but the process is initiated by the employee submitting Form
DWC-QME 105/106 with medical unit
D. The judge
Answer: C. Either party, but the process is initiated by the employee
submitting Form DWC-QME 105/106 with medical unit
Rationale: In unrepresented cases, the process is governed by Labor Code
section 4062.1; the employee (or claims administrator if the employee doesn't
act) requests a QME panel using the required DWC form, and the employee has
the right to select the evaluator from that panel.
,Question 5. What is 'ex parte communication' in the QME context?
A. A formal deposition of the QME
B. Prohibited one-sided communication between a party and the QME outside
the presence or knowledge of the other party
C. A joint letter signed by both attorneys
D. The QME's final report
Answer: B. Prohibited one-sided communication between a party and the
QME outside the presence or knowledge of the other party
Rationale: Ex parte communication refers to communication with the
evaluator by only one party without the other party's knowledge or
participation, which is generally prohibited under Labor Code section 4062.3 to
preserve the evaluator's impartiality.
Question 6. Under Labor Code section 4062.3, if a party sends records to the
QME, what must occur?
A. No notice is required if records are non-medical
B. Copies must simultaneously be served on the opposing party, with an
advance notice period for objections
C. The QME must destroy the records after review
D. Only the judge may transmit records
Answer: B. Copies must simultaneously be served on the opposing party,
with an advance notice period for objections
Rationale: Section 4062.3 requires that any information provided to the QME
be served on the opposing party at the same time, and the opposing party
generally has 10 days' notice before non-routine records are sent, allowing
time to object.
, Question 7. A QME panel request for a specific specialty is typically valid (i.e.,
must be used) within what time frame before it expires?
A. 10 days
B. 90 days from issuance for selecting the evaluator, per DWC regulations
C. 5 years
D. There is no time limit
Answer: B. 90 days from issuance for selecting the evaluator, per DWC
regulations
Rationale: DWC regulations require the QME panel to be used within specific
timeframes; the represented party typically has 10 days to select and the
panel/selection process must generally be completed within 90 days of
issuance or the panel expires and must be reissued.
Question 8. If the injured worker is represented by an attorney and disputes the
treating physician's opinion, which process applies?
A. Labor Code 4062.1 unrepresented panel process
B. Labor Code 4062.2 represented QME panel process, or AME if agreed
C. Only a Qualified Rehabilitation Representative may be used
D. The employer selects a physician unilaterally
Answer: B. Labor Code 4062.2 represented QME panel process, or AME if
agreed
Rationale: Represented cases follow Labor Code section 4062.2, which governs
QME panel requests when the parties are represented and cannot agree on an
AME.
