QME-QUESTION BANK 3 EXAM NEWEST ACTUAL EXAM COMPLETE WITH 85 QUESTIONS AND
CORRECT ANSWERS |ALREADY GRADED A+
1. 1. Per LC 139.3, it is appropriate for a QME to self-refer.
a. True
b. FalseANSWER b. False @#$%^&*()_+
2. 2. A secondary report completed based on recently submitted records not requiring an exam is called
a. Follow-up Report
b. Sub-rosa Finding
c. Supplemental ReportANSWER c. Supplemental Report
3. 3. Supplemental reports are to be completed and served within 30 days of the exam.
a. True
b. FalseANSWER b. False
4. 4. In represented cases, which parties are served the report and QME Form 122 (AME/QME
Declaration of Service of Med Legal Report)?
a. Claims administrator, employee
b. Claims administrator, employee attorney
c. Claims administrator, employee attorney, WCAB JudgeANSWER b. Claims administra- tor, employee
attorney
5. 5. What additional party is served when a report addresses findings and conclusions pertaining to
permanent impairment?
a. Vocational rehab administrator
b. Defense attorney
c. Disability Evaluation Unit (DEU)ANSWER c. Disability Evaluation Unit (DEU)
6. 6. A QME is required to keep reports for a period of years. Electronic
copies are acceptable (True/False)
a. 1, False
b. 7, True
c. 5, TrueANSWER c. 5, True
7. 7. What fund will pay for claims where there is an illegally uninsured employer?
a. UEBTF (Uninsured Employers Benefits Trust Fund)
b. SIBTF
c. CALOSHAANSWER a. UEBTF
8. 8. In order to be eligible for additional payments from the SIBTF, the injured worker has to have
permanent disability of at least 70%.
a. True
b. FalseANSWER a. True
9. 9. Match the appropriate definitionsANSWER
a. Direct causation
, b. Contributing cause
c. Acceleration
d. Precipitation dd. An existing condition is made worse
e. Aggravation
aa. The disease process is accelerated
bb. Causes an illness to start
cc. The work exposures are directly involved
ee.Work exposure is one of several contributorsANSWER (answerANSWER a-cc, b-ee, c-aa, d-bb, e-dd)
10. 10. Which party decides Course of Employment (COE)?
a. QME
b. PTP
c. WCABANSWER c. WCAB
11. 11. Psych injuries caused from a violent act must have contributed at least 35% of the total injury's
causation.
a. True
b. FalseANSWER a. True
12. 12. For Date of Injury (DOI) after 1/1/2004, chiropractors can be Primary Treating Physicians
(PTP) for visits without authorization for more visits?
a. 12
b. Unlimited
c. 24ANSWER c. 24
13. 13. A serious injury is defined as an injury that
a. Causes more than 24 hours of hospitalization (other than observation)
b. Results in the loss of a body part
c. Causes any serious degree of disfigurement
d. All of the aboveANSWER d. All of the above
14. 14. What is the maximum amount of a Supplemental Job Displacement Benefit (SJDB) voucher
for DOI >1/1/13?
a. $6000
b. $10,000
c. Lifetime additional payments
d. None of the aboveANSWER a. $6000
15. 15. Supplemental Job Displacement Benefit (SJDB) vouchers can be used for up to $1000 of
computer equipment, $500 in miscellaneous expenses, and up to $600 for vocational counseling or job
placement agencies.
CORRECT ANSWERS |ALREADY GRADED A+
1. 1. Per LC 139.3, it is appropriate for a QME to self-refer.
a. True
b. FalseANSWER b. False @#$%^&*()_+
2. 2. A secondary report completed based on recently submitted records not requiring an exam is called
a. Follow-up Report
b. Sub-rosa Finding
c. Supplemental ReportANSWER c. Supplemental Report
3. 3. Supplemental reports are to be completed and served within 30 days of the exam.
a. True
b. FalseANSWER b. False
4. 4. In represented cases, which parties are served the report and QME Form 122 (AME/QME
Declaration of Service of Med Legal Report)?
a. Claims administrator, employee
b. Claims administrator, employee attorney
c. Claims administrator, employee attorney, WCAB JudgeANSWER b. Claims administra- tor, employee
attorney
5. 5. What additional party is served when a report addresses findings and conclusions pertaining to
permanent impairment?
a. Vocational rehab administrator
b. Defense attorney
c. Disability Evaluation Unit (DEU)ANSWER c. Disability Evaluation Unit (DEU)
6. 6. A QME is required to keep reports for a period of years. Electronic
copies are acceptable (True/False)
a. 1, False
b. 7, True
c. 5, TrueANSWER c. 5, True
7. 7. What fund will pay for claims where there is an illegally uninsured employer?
a. UEBTF (Uninsured Employers Benefits Trust Fund)
b. SIBTF
c. CALOSHAANSWER a. UEBTF
8. 8. In order to be eligible for additional payments from the SIBTF, the injured worker has to have
permanent disability of at least 70%.
a. True
b. FalseANSWER a. True
9. 9. Match the appropriate definitionsANSWER
a. Direct causation
, b. Contributing cause
c. Acceleration
d. Precipitation dd. An existing condition is made worse
e. Aggravation
aa. The disease process is accelerated
bb. Causes an illness to start
cc. The work exposures are directly involved
ee.Work exposure is one of several contributorsANSWER (answerANSWER a-cc, b-ee, c-aa, d-bb, e-dd)
10. 10. Which party decides Course of Employment (COE)?
a. QME
b. PTP
c. WCABANSWER c. WCAB
11. 11. Psych injuries caused from a violent act must have contributed at least 35% of the total injury's
causation.
a. True
b. FalseANSWER a. True
12. 12. For Date of Injury (DOI) after 1/1/2004, chiropractors can be Primary Treating Physicians
(PTP) for visits without authorization for more visits?
a. 12
b. Unlimited
c. 24ANSWER c. 24
13. 13. A serious injury is defined as an injury that
a. Causes more than 24 hours of hospitalization (other than observation)
b. Results in the loss of a body part
c. Causes any serious degree of disfigurement
d. All of the aboveANSWER d. All of the above
14. 14. What is the maximum amount of a Supplemental Job Displacement Benefit (SJDB) voucher
for DOI >1/1/13?
a. $6000
b. $10,000
c. Lifetime additional payments
d. None of the aboveANSWER a. $6000
15. 15. Supplemental Job Displacement Benefit (SJDB) vouchers can be used for up to $1000 of
computer equipment, $500 in miscellaneous expenses, and up to $600 for vocational counseling or job
placement agencies.
