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Exam (elaborations)

QME Exam 2 2025: Qualified Medical Evaluator Practice Test & Study Guide

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Prepare for Part 2 of the 2025 Qualified Medical Evaluator (QME) certification exam for California workers' compensation. Covers disability evaluation, apportionment, ethics, and reporting requirements.

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QME EXAM 2 NEWEST 2025 ACTUAL EXAM|

COMPLETE 200 REAL EXAM QUESTIONS AND

CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)

ALREADY GRADED A+

Holds authority to appoint physicians as QME evaluators

.....ANSWER..... Administrative Director (AD) (LC 139.2)

Term of appointment as QME evaluator .....ANSWER..... 2 years

(LC 139.2)

3 requirements when seeking appointment as QME

.....ANSWER..... (1) Pass the QME competency exam;

(2) Complete a 12-hour course in disability eval report writing;

(3) Devote at least 1/3rd of total practice time to providing

direct medical treatment (or have served as a AME on 8+

occasions in past 12 mos prior to application)

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2 reasons for termination/suspension of a QME w/o a hearing

.....ANSWER..... (1) Licensing board suspends/revokes/terminates

license to practice

(2) Failure to pay required fee (upon appointment and yearly

thereafter)

6 reasons for discipline (suspension/termination) of QMEs after a

hearing .....ANSWER..... (1) Violation of material statutory or

administrative duty;

(2) Failure to follow medical procedures or qualifications;

(3) Failure to comply with the timeframe standards;

(4) Failure to meet licensing/certification requirements;

(5) Preparation of medical-legal evaluations that fail to meet the

minimum standards for those reports as established by the

administrative director or the appeals board;

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(6) Making material misrepresentations or false statements in an

application for appointment or reappointment as a qualified

medical evaluator.

3 types of substantive medical disputes resolved by QMEs

.....ANSWER..... (1) Compensability of the claim;

(2) Permanent disability;

(3) "Catch-all" (temporary disability, work restrictions, new and

further disabilities after permanent disability (detereoration of

original injury), compensability of new body part added to

claim)

Definition of *injury* in compensability claims .....ANSWER..... (1)

An injury or disease arising out of employment;

(2) A *derivative* injury caused by treatment of an injury arising

out of employment;

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(3) Any reaction to or side effect from preventative health care

the employer provides to health care workers

*Specific injury* .....ANSWER..... Occurs as the result of a single

incident or exposure

*Cumulative injury* .....ANSWER..... Results from repetitive trauma

(mental or physical) over a period of time

2 requirements for a condition to be considered an injury

.....ANSWER..... (1) Cause disability; or

(2) Result in a need for medical treatment

Occupational disease .....ANSWER..... Disease that in whole or

part is caused by work

7 types of excluded injuries .....ANSWER..... (1) Caused by

employee's use of alcohol or illegal controlled substances;

(2) Intentionally self-inflicted injuries;

(3) Suicide;

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Publisher: 12 februari 2021 ISBN: 9783030573652 Edition: 1

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