QME Exam Prep Self Test
1. Opinions/conclusions must be made with reasons A. Medical probability
constituting:
A. Medical Probability
B. Medical Possibility
C. Medical Certainty
2. An IW having had 3 similar jobs at 3 different em- D. A and B
ployers, but realized she had a problem/injury of a
cumulative nature while working for the most recent
employer would place liability for any resultant dis-
ability/impairment on:
A. The most recent employer with WC insurance
B. The employer where the problem/injury first be-
gan
C. Liability for disability/impairment shared based
upon apportionment
D. A & B
3. Secondary erectile dysfunction, sleep disorders E. B & D
and/or psych disorders that are a compensable con-
sequence of the primary injury for 1.1.13 injuries and
forward are:
A. Ratable with regard to disability/impairment
B. Treatable under the claim but not ratable with re-
gard to disability/impairment
C. Only secondary/compensable psych problems are
ratable
D. Ratable if catastrophic in nature
E. B & D
, QME Exam Prep Self Test
4. Which of the following specialties/disciplines are pro- C. Acupuncture - Can com-
hibited from writing a medical legal report in a case plete the entire report ex-
where impairment/disability is being disputed: cept the impairment rat-
ing
A. Psychology/Psychiatry
B. Chiropractic
C. Acupuncture - Can complete the entire report ex-
cept the impairment rating
D. Dentistry
5. When a QME receives a request to schedule an evalu- D. 5 working days
ation, the QME must issue a QME Appointment Noti-
fication Form to all parties within:
A. 60 working days
B. 30 working days
C. 10 working days
D. 5 working days
6. A QME report is due how many days after the comple- B. 30 calendar days
tion of the face-to-face evaluation:
A. 45 calendar days
B. 30 calendar days
C. 60 calendar days
D. Only after all records have been reviewed
7. A supplemental QME report (no face-to-face evalua- D. 60 calendar days
tion) is due how many days after the QME receives the
request to do the report:
A. 20 calendar days
B. 30 calendar days
, QME Exam Prep Self Test
C. 45 calendar days
D. 60 calendar days
8. When an IW had jobs involving similar work or body D. 2002
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
9. In the above question #8, may an employer prior to A. Yes
the Date of Injury be liable for any confirmed disabili-
ty.
A. Yes
B. No
10. If immediate/emergency treatment is required be- B. No
cause of a serious or life-threatening situation, the
provider's treatment must still meet the requirement
of being consistent with the MTUS and approved be-
fore treatment is rendered.
A. Yes
B. No
11. If the evaluator determines that the IW's pain increas- B. 1%-3% whole person
es the burden of the IW's ADLs even slightly, the eval- impairment
uator may add-on to the IW's impairment how much
, QME Exam Prep Self Test
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
12. If an IW has stand-alone headache pain with no other D. Headache pain can be
impairment for any other body part or system, the given an impairment rat-
evaluator can do which of the following with regard ing of between 1% to 3%
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 impair-
ment
C. A and B
D. Headache pain can be given an impairment rating
of between 1% to 3%
13. 'Ex Parte' communication is legally forbidden, unless A. True
involving routine matters such as confirming appoint-
ments or that records have been sent, etc. The QME or
AME should not talk to the attorneys or the carrier.
A. True
B. False
14. In cases made Permanent & Stationary prior to C. Subjective factors of
01/01/05, the PD (permanent disability) rating is based disability, objective fac-
upon:
1. Opinions/conclusions must be made with reasons A. Medical probability
constituting:
A. Medical Probability
B. Medical Possibility
C. Medical Certainty
2. An IW having had 3 similar jobs at 3 different em- D. A and B
ployers, but realized she had a problem/injury of a
cumulative nature while working for the most recent
employer would place liability for any resultant dis-
ability/impairment on:
A. The most recent employer with WC insurance
B. The employer where the problem/injury first be-
gan
C. Liability for disability/impairment shared based
upon apportionment
D. A & B
3. Secondary erectile dysfunction, sleep disorders E. B & D
and/or psych disorders that are a compensable con-
sequence of the primary injury for 1.1.13 injuries and
forward are:
A. Ratable with regard to disability/impairment
B. Treatable under the claim but not ratable with re-
gard to disability/impairment
C. Only secondary/compensable psych problems are
ratable
D. Ratable if catastrophic in nature
E. B & D
, QME Exam Prep Self Test
4. Which of the following specialties/disciplines are pro- C. Acupuncture - Can com-
hibited from writing a medical legal report in a case plete the entire report ex-
where impairment/disability is being disputed: cept the impairment rat-
ing
A. Psychology/Psychiatry
B. Chiropractic
C. Acupuncture - Can complete the entire report ex-
cept the impairment rating
D. Dentistry
5. When a QME receives a request to schedule an evalu- D. 5 working days
ation, the QME must issue a QME Appointment Noti-
fication Form to all parties within:
A. 60 working days
B. 30 working days
C. 10 working days
D. 5 working days
6. A QME report is due how many days after the comple- B. 30 calendar days
tion of the face-to-face evaluation:
A. 45 calendar days
B. 30 calendar days
C. 60 calendar days
D. Only after all records have been reviewed
7. A supplemental QME report (no face-to-face evalua- D. 60 calendar days
tion) is due how many days after the QME receives the
request to do the report:
A. 20 calendar days
B. 30 calendar days
, QME Exam Prep Self Test
C. 45 calendar days
D. 60 calendar days
8. When an IW had jobs involving similar work or body D. 2002
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
9. In the above question #8, may an employer prior to A. Yes
the Date of Injury be liable for any confirmed disabili-
ty.
A. Yes
B. No
10. If immediate/emergency treatment is required be- B. No
cause of a serious or life-threatening situation, the
provider's treatment must still meet the requirement
of being consistent with the MTUS and approved be-
fore treatment is rendered.
A. Yes
B. No
11. If the evaluator determines that the IW's pain increas- B. 1%-3% whole person
es the burden of the IW's ADLs even slightly, the eval- impairment
uator may add-on to the IW's impairment how much
, QME Exam Prep Self Test
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
12. If an IW has stand-alone headache pain with no other D. Headache pain can be
impairment for any other body part or system, the given an impairment rat-
evaluator can do which of the following with regard ing of between 1% to 3%
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 impair-
ment
C. A and B
D. Headache pain can be given an impairment rating
of between 1% to 3%
13. 'Ex Parte' communication is legally forbidden, unless A. True
involving routine matters such as confirming appoint-
ments or that records have been sent, etc. The QME or
AME should not talk to the attorneys or the carrier.
A. True
B. False
14. In cases made Permanent & Stationary prior to C. Subjective factors of
01/01/05, the PD (permanent disability) rating is based disability, objective fac-
upon:
