QME Exam 3 Questions And Answers
1. Per LC 139.3, it is appropriate for a QME to self-refer.
a. True
b. False
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 Report
3. Supplemental reports are to be completed and served within 30 days of
the exam.
a. True
b. False
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 Judge
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)
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, True
, 7. What fund will pay for claims where there is an illegally uninsured
employer?
a. UEBTF (Uninsured Employers Benefits Trust Fund)
b. SIBTF
c. CALOSHA
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. False
9. Match the appropriate definitions:
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 contributors
(answer: a-cc, b-ee, c-aa, d-bb, e-dd)
10. Which party decides Course of Employment (COE)?
a. QME
b. PTP
c. WCAB
11. Psych injuries caused from a violent act must have contributed at least 35% of
the total injury's causation.
a. True
b. False
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. 24
1. Per LC 139.3, it is appropriate for a QME to self-refer.
a. True
b. False
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 Report
3. Supplemental reports are to be completed and served within 30 days of
the exam.
a. True
b. False
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 Judge
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)
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, True
, 7. What fund will pay for claims where there is an illegally uninsured
employer?
a. UEBTF (Uninsured Employers Benefits Trust Fund)
b. SIBTF
c. CALOSHA
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. False
9. Match the appropriate definitions:
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 contributors
(answer: a-cc, b-ee, c-aa, d-bb, e-dd)
10. Which party decides Course of Employment (COE)?
a. QME
b. PTP
c. WCAB
11. Psych injuries caused from a violent act must have contributed at least 35% of
the total injury's causation.
a. True
b. False
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. 24
