QME Exam NEWEST 2026-2027 ACTUAL EXAM
COMPLETE 100 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+ BRAND NEW!!
*Cumulative injury* - CORRECT ANSWER: Results from repetitive trauma (mental or
physical) over a period of time
*Specific injury* - CORRECT ANSWER: Occurs as the result of a single incident or exposure
2 reasons for termination/suspension of a QME w/o a hearing - CORRECT ANSWER: (1)
Licensing board suspends/revokes/terminates license to practice
(2) Failure to pay required fee (upon appointment and yearly thereafter)
2 requirements for a condition to be considered an injury - CORRECT ANSWER: (1) Cause
disability; or
(2) Result in a need for medical treatment
3 factors to establish in making a causation determination - CORRECT ANSWER: (1) Presence
of pathological conditions and disability
(2) Relevant work exposures
(3) Non-industrial exposures (other causes of disease)
3 requirements when seeking appointment as QME - CORRECT 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)
,3 types of substantive medical disputes resolved by QMEs - CORRECT 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)
4 basic conditions to establish a workers' compensation claim - CORRECT ANSWER: (1)
*Injury* (physiological or psychological harm);
(2) Employment relationship;
(3) Injury caused by the employment (This is also referred to as arising out of employment
[AOE].);
(4) Occurred in the course of the employment (COE)
5 major types of causation - CORRECT ANSWER: (1) Direct
(2) Contributing
(3) Acceleration
(4) Precipitation
(5) Aggravation
6 reasons for discipline (suspension/termination) of QMEs after a hearing - CORRECT
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;
(6) Making material misrepresentations or false statements in an application for appointment or
reappointment as a qualified medical evaluator.
, 7 types of excluded injuries - CORRECT ANSWER: (1) Caused by employee's use of alcohol or
illegal controlled substances;
(2) Intentionally self-inflicted injuries;
(3) Suicide;
(4) Resulting from altercations, in which the injured employee is the *initial physical aggressor*;
(5) Resulting from the employee's commission of a felony, for which the employee has been
convicted (including "wobbly felonies," which are crimes that may be prosecuted as
misdemeanors or felonies)
(6) Resulting from off-duty recreational activities, in which participation in the activities does
not constitute part of the employee's work-related duties and the activity is not an expressed or
implicit condition of employment;
(7) Psychiatric injuries claimed after notice of termination/layoff unless certain conditions exist
Acceleration - CORRECT ANSWER: Disease process is accelerated by virtue of work exposure.
The date of the onset of the disease is much sooner than it would have been in the absence of the
exposure.
Admissible reports before a WCJ to resolve the issue of compensability - CORRECT ANSWER:
(1) Properly acquired QME
(2) Primary treating physician
Aggravation - CORRECT ANSWER: A medical condition may be present already, but work
exposure makes it worse
Aggravation of a pre-existing, non-industrial condition - CORRECT ANSWER: (1) Causes a
temporary or permanent increase in disability;
(2) Creates a new need for medical treatment; or
(3) Requires a change in the existing course of treatment
Apportionment - CORRECT ANSWER: Estimate of approximate percentage of permanent
disability caused by a work-related injury (& approximate percentage caused by other factors)
COMPLETE 100 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+ BRAND NEW!!
*Cumulative injury* - CORRECT ANSWER: Results from repetitive trauma (mental or
physical) over a period of time
*Specific injury* - CORRECT ANSWER: Occurs as the result of a single incident or exposure
2 reasons for termination/suspension of a QME w/o a hearing - CORRECT ANSWER: (1)
Licensing board suspends/revokes/terminates license to practice
(2) Failure to pay required fee (upon appointment and yearly thereafter)
2 requirements for a condition to be considered an injury - CORRECT ANSWER: (1) Cause
disability; or
(2) Result in a need for medical treatment
3 factors to establish in making a causation determination - CORRECT ANSWER: (1) Presence
of pathological conditions and disability
(2) Relevant work exposures
(3) Non-industrial exposures (other causes of disease)
3 requirements when seeking appointment as QME - CORRECT 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)
,3 types of substantive medical disputes resolved by QMEs - CORRECT 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)
4 basic conditions to establish a workers' compensation claim - CORRECT ANSWER: (1)
*Injury* (physiological or psychological harm);
(2) Employment relationship;
(3) Injury caused by the employment (This is also referred to as arising out of employment
[AOE].);
(4) Occurred in the course of the employment (COE)
5 major types of causation - CORRECT ANSWER: (1) Direct
(2) Contributing
(3) Acceleration
(4) Precipitation
(5) Aggravation
6 reasons for discipline (suspension/termination) of QMEs after a hearing - CORRECT
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;
(6) Making material misrepresentations or false statements in an application for appointment or
reappointment as a qualified medical evaluator.
, 7 types of excluded injuries - CORRECT ANSWER: (1) Caused by employee's use of alcohol or
illegal controlled substances;
(2) Intentionally self-inflicted injuries;
(3) Suicide;
(4) Resulting from altercations, in which the injured employee is the *initial physical aggressor*;
(5) Resulting from the employee's commission of a felony, for which the employee has been
convicted (including "wobbly felonies," which are crimes that may be prosecuted as
misdemeanors or felonies)
(6) Resulting from off-duty recreational activities, in which participation in the activities does
not constitute part of the employee's work-related duties and the activity is not an expressed or
implicit condition of employment;
(7) Psychiatric injuries claimed after notice of termination/layoff unless certain conditions exist
Acceleration - CORRECT ANSWER: Disease process is accelerated by virtue of work exposure.
The date of the onset of the disease is much sooner than it would have been in the absence of the
exposure.
Admissible reports before a WCJ to resolve the issue of compensability - CORRECT ANSWER:
(1) Properly acquired QME
(2) Primary treating physician
Aggravation - CORRECT ANSWER: A medical condition may be present already, but work
exposure makes it worse
Aggravation of a pre-existing, non-industrial condition - CORRECT ANSWER: (1) Causes a
temporary or permanent increase in disability;
(2) Creates a new need for medical treatment; or
(3) Requires a change in the existing course of treatment
Apportionment - CORRECT ANSWER: Estimate of approximate percentage of permanent
disability caused by a work-related injury (& approximate percentage caused by other factors)
