QME Exam 5 Question And Answers
1. Labor Code _____ authorized the creation of the QME program.
a. 139.2
b. 4663
c. Boyton Act
2. Which of the following are not considered physicians as defined by CA
state law?
a. MD/DO
b. Dentist
c. Psychiatrist
d. Podiatrist
e. Physical Therapist
f. Chiropractor
3. QMEs are appointed for a _____ term.
a. 1 year
b. 6 months
c. 2 years
d. Until asked to be removed
4. When an injured worker has reached MMI and is unlikely to change
within the next year, with or without treatment, they have
reached__________.
a. Permanent and Stationary (P&S)
b. Case resolution
c. Vocational rehab
5. What are disability determinations based on?
a. PDRS-Permanent Disability Rating Schedule
b. MTUS
c. Parker-Thurber
6. Which book is used to evaluate Permanent Impairment currently?
a. 4Th AMA Guides to Permanent Impairment
,b. Parker Thurber
c. 5th AMA Guides to Permanent Impairment
7. Substantial Medical Evidence is based on a
a. Comprehensive Exam
b. Goniometer readings
c. Reasonable medical probability
d. A&C
8. If an IW does not have an attorney, they will use a ______ to settle medical-
legal disputes.
a. AME
b. PTP
c. QME
d. IME
9. In a represented case, the insurance carrier and IW's attorney use a
_____ to conduct a medical evaluation.
a. QME
b. AME
c. IME
d. PTP
10. To qualify as alternative work, an employer must offer _____
months of work at _____% of the IW wages.
a. 12 months, 85%
b. 6 months, 100%
c. 12 weeks, 75%
11. An insurance company must approve or deny an IW claim
within ____ days?
a. 90
b. One day
c. 30 days
12. While awaiting approval of a claim, an IW can receive up to
______ amount of medical care.
a. $2,000
b. $5,000
, c. All medically reasonable care
d. $10,000
13. If an IW has a preexisting condition that is made worse because
of a work exposure, it is considered a ______ and a _____ injury.
a. An aggravation, new
b. Preexisting, non-work related
a. An aggravation, new
14. If an IW has a preexisting injury that becomes symptomatic not
related to the current employment, it would be covered by the_____.
a. Previous employer
b. Current employer
c. Split between All employers of record
a. Previous employer
15. QMEs are appointed and certified by the
a. WCAB
b. DIR
c. DWC Medical Unit
c. DWC Medical Unit
16. How many offices does the WCAB have?
a. 12
b. 8
c. 7
d. 24
d. 24
17. Impairment ratings for injuries sustained on or after _____ use
the 5th AMA Guides.
a. 1/1991
b. 1/2014
c. 1/2005
c. 1/2005
18. AOE is a ---?
a. Medical determination of how the work led to an industrial
injury
b. Legal determination determining work relatedness
a. Medical determination of how the work led to an industrial
injury
19. COE stands for ___.
a. Course of Employment
b. Code of Enforcement
c. Code of Ethics
a. Course of Employment
20. When one party contacts a QME privately, it is considered...
a. Ex-parte communication
1. Labor Code _____ authorized the creation of the QME program.
a. 139.2
b. 4663
c. Boyton Act
2. Which of the following are not considered physicians as defined by CA
state law?
a. MD/DO
b. Dentist
c. Psychiatrist
d. Podiatrist
e. Physical Therapist
f. Chiropractor
3. QMEs are appointed for a _____ term.
a. 1 year
b. 6 months
c. 2 years
d. Until asked to be removed
4. When an injured worker has reached MMI and is unlikely to change
within the next year, with or without treatment, they have
reached__________.
a. Permanent and Stationary (P&S)
b. Case resolution
c. Vocational rehab
5. What are disability determinations based on?
a. PDRS-Permanent Disability Rating Schedule
b. MTUS
c. Parker-Thurber
6. Which book is used to evaluate Permanent Impairment currently?
a. 4Th AMA Guides to Permanent Impairment
,b. Parker Thurber
c. 5th AMA Guides to Permanent Impairment
7. Substantial Medical Evidence is based on a
a. Comprehensive Exam
b. Goniometer readings
c. Reasonable medical probability
d. A&C
8. If an IW does not have an attorney, they will use a ______ to settle medical-
legal disputes.
a. AME
b. PTP
c. QME
d. IME
9. In a represented case, the insurance carrier and IW's attorney use a
_____ to conduct a medical evaluation.
a. QME
b. AME
c. IME
d. PTP
10. To qualify as alternative work, an employer must offer _____
months of work at _____% of the IW wages.
a. 12 months, 85%
b. 6 months, 100%
c. 12 weeks, 75%
11. An insurance company must approve or deny an IW claim
within ____ days?
a. 90
b. One day
c. 30 days
12. While awaiting approval of a claim, an IW can receive up to
______ amount of medical care.
a. $2,000
b. $5,000
, c. All medically reasonable care
d. $10,000
13. If an IW has a preexisting condition that is made worse because
of a work exposure, it is considered a ______ and a _____ injury.
a. An aggravation, new
b. Preexisting, non-work related
a. An aggravation, new
14. If an IW has a preexisting injury that becomes symptomatic not
related to the current employment, it would be covered by the_____.
a. Previous employer
b. Current employer
c. Split between All employers of record
a. Previous employer
15. QMEs are appointed and certified by the
a. WCAB
b. DIR
c. DWC Medical Unit
c. DWC Medical Unit
16. How many offices does the WCAB have?
a. 12
b. 8
c. 7
d. 24
d. 24
17. Impairment ratings for injuries sustained on or after _____ use
the 5th AMA Guides.
a. 1/1991
b. 1/2014
c. 1/2005
c. 1/2005
18. AOE is a ---?
a. Medical determination of how the work led to an industrial
injury
b. Legal determination determining work relatedness
a. Medical determination of how the work led to an industrial
injury
19. COE stands for ___.
a. Course of Employment
b. Code of Enforcement
c. Code of Ethics
a. Course of Employment
20. When one party contacts a QME privately, it is considered...
a. Ex-parte communication
