QME Exam Questions With New Update
Solutions
Opinions/conclusions must be made with reasons constituting:
A. Medical Probability
B. Medical Possibility
C. Medical Certainty
An IW having had 3 similar jobs at 3 different employers, but realized she had a
problem/injury of a cumulative nature while working for the most recent employer
would place liability for any resultant disability/impairment on:
A. The most recent employer with WC insurance
B. The employer where the problem/injury first began
C. Liability for disability/impairment shared based upon apportionment
D. A & B
Secondary erectile dysfunction, sleep disorders and/or psych disorders that are a
compensable consequence 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 regard to disability/impairment
C. Only secondary/compensable psych problems are ratable
D. Ratable if catastrophic in nature
E. B & D
Which of the following specialties/disciplines are prohibited from writing a
medical legal report in a case where impairment/disability is being disputed:
A. Psychology/Psychiatry
B. Chiropractic
C. Acupuncture - Can complete the entire report except the impairment rating
D. Dentistry
When a QME receives a request to schedule an evaluation, the QME must issue a
QME Appointment Notification Form to all parties within:
A. 60 working days
,B. 30 working days
C. 10 working days
D. 5 working days
A QME report is due how many days after the completion 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
A supplemental QME report (no face-to-face evaluation) is due how many days
after the QME receives the request to do the report:
A. 20 calendar days
B. 30 calendar days
C. 45 calendar days
D. 60 calendar days
When an IW had jobs involving similar work or body 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
In the above question #8, may an employer prior to the Date of Injury be liable for
any confirmed disability.
A. Yes
B. No
If immediate/emergency treatment is required because of a serious or life-
threatening situation, the provider's treatment must still meet the requirement of
being consistent with the MTUS and approved before treatment is rendered.
A. Yes
B. No
If the evaluator determines that the IW's pain increases the burden of the IW's
ADLs even slightly, the evaluator may add-on to the IW's impairment how much
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
If an IW has stand-alone headache pain with no other impairment for any other
body part or system, the evaluator can do which of the following with regard 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 impairment
C. A and B
D. Headache pain can be given an impairment rating of between 1% to 3%
'Ex Parte' communication is legally forbidden, unless involving routine matters
such as confirming appointments or that records have been sent, etc. The QME
or AME should not talk to the attorneys or the carrier.
A. True
B. False
In cases made Permanent & Stationary prior to 01/01/05, the PD (permanent
disability) rating is based upon:
A. Impairment rating
B. Causation
C. Subjective factors of disability, objective factors and work
restrictions/preclusions
D. A & B
If an IW's right knee was injured in 2002 and the case was settled with a
Stipulated Award and a PD rating of 10% and the IW re-injured the same knee
again in 2007 with a PD rating of 20%, which of the following applies with regard
to apportionment
A. If the IW self-rehabilitated after the 2002 injury and had no complaints and was
able to do his job without any problems until the 2007 injury occurred, there
should be no apportionment.
B. Because the 2002 injury was given a PD rating before 2005 and the 2007 same
knee was injured after the AMA Guide impairment rating system was established,
there should be no apportionment.
C. Because the causation for the 2002 right knee injury was different from the
causation of the 2007 injury, no apportionment would apply.
, D. Apportionment applies because it is presumed that a prior PD for the same
body part is permanent and still exists.
In a psyche injury claim, if the QME believes that the IW would be at risk by
sending the IW a copy of the QME report with opinions and conclusions about the
IW's mental & behavioral status and with regard to mental health records
reviewed, the QME should do which of the following?
A. Complete a QME 120 Alternative Service form designating another doctor to
receive the report and to explain its contents to the IW
B. Insist that the IW must retain an attorney, who can then share the report with
the IW C. C. Complete a QME Form 121 to protect the disclosure of mental health
records
D. A & C
An employee on vacation was asked by his supervisor to take one of the
company's clients out to dinner. While doing so, the employee fell and broke her
leg. Given this situation, which of the following would best characterize the
nature of causation in this case
A. COE - The injury occurred during the course of employment
B. AOE - The injury arose from employment but did not occur during the course
of employment
C. AOE/COE - The injury arose from employment and occurred during the course
of employment
D. There was no industrial causation because the employee was on vacation
An employee was injured in a motor vehicle accident while leaving his job in his
car to go home. In this situation causation would be properly interpreted as
follows:
A. AOE (arose from employment) but not COE (during the course of employment
B. COE because this was a daily activity in the normal course of employment
C. There was no industrial causation because a normal commute to and from
work is not considered to be AOE or COE
D. AOE & COE
Cases involving work acquired HIV/AIDS involve confidentiality for the IW that
involves:
A. Normal medical confidentiality laws
B. The mandatory use of the QME 121 Form for protection of records
C. The maintenance of a fictitious name file maintained by a WCJ
D. A & C
Solutions
Opinions/conclusions must be made with reasons constituting:
A. Medical Probability
B. Medical Possibility
C. Medical Certainty
An IW having had 3 similar jobs at 3 different employers, but realized she had a
problem/injury of a cumulative nature while working for the most recent employer
would place liability for any resultant disability/impairment on:
A. The most recent employer with WC insurance
B. The employer where the problem/injury first began
C. Liability for disability/impairment shared based upon apportionment
D. A & B
Secondary erectile dysfunction, sleep disorders and/or psych disorders that are a
compensable consequence 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 regard to disability/impairment
C. Only secondary/compensable psych problems are ratable
D. Ratable if catastrophic in nature
E. B & D
Which of the following specialties/disciplines are prohibited from writing a
medical legal report in a case where impairment/disability is being disputed:
A. Psychology/Psychiatry
B. Chiropractic
C. Acupuncture - Can complete the entire report except the impairment rating
D. Dentistry
When a QME receives a request to schedule an evaluation, the QME must issue a
QME Appointment Notification Form to all parties within:
A. 60 working days
,B. 30 working days
C. 10 working days
D. 5 working days
A QME report is due how many days after the completion 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
A supplemental QME report (no face-to-face evaluation) is due how many days
after the QME receives the request to do the report:
A. 20 calendar days
B. 30 calendar days
C. 45 calendar days
D. 60 calendar days
When an IW had jobs involving similar work or body 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
In the above question #8, may an employer prior to the Date of Injury be liable for
any confirmed disability.
A. Yes
B. No
If immediate/emergency treatment is required because of a serious or life-
threatening situation, the provider's treatment must still meet the requirement of
being consistent with the MTUS and approved before treatment is rendered.
A. Yes
B. No
If the evaluator determines that the IW's pain increases the burden of the IW's
ADLs even slightly, the evaluator may add-on to the IW's impairment how much
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
If an IW has stand-alone headache pain with no other impairment for any other
body part or system, the evaluator can do which of the following with regard 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 impairment
C. A and B
D. Headache pain can be given an impairment rating of between 1% to 3%
'Ex Parte' communication is legally forbidden, unless involving routine matters
such as confirming appointments or that records have been sent, etc. The QME
or AME should not talk to the attorneys or the carrier.
A. True
B. False
In cases made Permanent & Stationary prior to 01/01/05, the PD (permanent
disability) rating is based upon:
A. Impairment rating
B. Causation
C. Subjective factors of disability, objective factors and work
restrictions/preclusions
D. A & B
If an IW's right knee was injured in 2002 and the case was settled with a
Stipulated Award and a PD rating of 10% and the IW re-injured the same knee
again in 2007 with a PD rating of 20%, which of the following applies with regard
to apportionment
A. If the IW self-rehabilitated after the 2002 injury and had no complaints and was
able to do his job without any problems until the 2007 injury occurred, there
should be no apportionment.
B. Because the 2002 injury was given a PD rating before 2005 and the 2007 same
knee was injured after the AMA Guide impairment rating system was established,
there should be no apportionment.
C. Because the causation for the 2002 right knee injury was different from the
causation of the 2007 injury, no apportionment would apply.
, D. Apportionment applies because it is presumed that a prior PD for the same
body part is permanent and still exists.
In a psyche injury claim, if the QME believes that the IW would be at risk by
sending the IW a copy of the QME report with opinions and conclusions about the
IW's mental & behavioral status and with regard to mental health records
reviewed, the QME should do which of the following?
A. Complete a QME 120 Alternative Service form designating another doctor to
receive the report and to explain its contents to the IW
B. Insist that the IW must retain an attorney, who can then share the report with
the IW C. C. Complete a QME Form 121 to protect the disclosure of mental health
records
D. A & C
An employee on vacation was asked by his supervisor to take one of the
company's clients out to dinner. While doing so, the employee fell and broke her
leg. Given this situation, which of the following would best characterize the
nature of causation in this case
A. COE - The injury occurred during the course of employment
B. AOE - The injury arose from employment but did not occur during the course
of employment
C. AOE/COE - The injury arose from employment and occurred during the course
of employment
D. There was no industrial causation because the employee was on vacation
An employee was injured in a motor vehicle accident while leaving his job in his
car to go home. In this situation causation would be properly interpreted as
follows:
A. AOE (arose from employment) but not COE (during the course of employment
B. COE because this was a daily activity in the normal course of employment
C. There was no industrial causation because a normal commute to and from
work is not considered to be AOE or COE
D. AOE & COE
Cases involving work acquired HIV/AIDS involve confidentiality for the IW that
involves:
A. Normal medical confidentiality laws
B. The mandatory use of the QME 121 Form for protection of records
C. The maintenance of a fictitious name file maintained by a WCJ
D. A & C
