QME-QUESTION BANK 4 EXAM NEWEST ACTUAL EXAM COMPLETE WITH
228 QUESTIONS AND CORRECT ANSWERS |ALREADY GRADED A+
1. Opinions/conclusions must be made with reasons constituting:
A. Medical Probability %^&*
(
B. Medical Possibility
C. Medical CertaintyANSWER A. Medical Probability
2. 2. 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 & BANSWER D. A & B
3. 3. 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/impair- ment
C. Only secondary/compensable psych problems are ratable
D. Ratable if catastrophic in nature
E. B & DANSWER E. B & D
4. 4. 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. DentistryANSWER C. Acupuncture - Can complete the entire report except the impair- ment rating
5. 5. 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 daysANSWER D. 5 working days
6. 6. 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 reviewedANSWER B. 30 calendar days
7. 7. 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 daysANSWER D. 60 calendar days
8. 8. 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. 2002ANSWER D. 2002
9. 9. In the above question #8, may an employer prior to the Date of Injury be liable for any confirmed disability.
Yes NoANS
Yes
10. 10. 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.
Yes
NoANSW
ER No
11. 11. 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 painANSWER B. 1%-3% whole person impairment
12. 12. 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 ratingANSWER
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%ANSWER D. Headache pain can be
given an impairment rating of between 1% to 3%
13. 13. '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. FalseANSWER A. True
14. 14. In cases made Permanent & Stationary prior to 01/01/05, the PD (per- manent disability) rating is
based uponANSWER
A. Impairment rating
B. Causation
C. Subjective factors of disability, objective factors and work restric- tions/preclusions
D. A & BANSWER C. Subjective factors of disability, objective factors and work restric- tions/preclusions
15. 15. 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.ANSWER D. Apportionment applies because it is presumed that a prior PD for the same body part is
permanent and still exists.
16. 16. 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. Complete a QME Form 121 to protect the disclosure of mental health records
D. A & CANSWER D. A & C
17. 17. 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-
ANSWER B. AOE - The injury arose from employment but did not occur during the course of employment
18. 18. 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 followsANSWER
A. AOE (arose from employment) but not COE (during the course of employ- ment
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 & COEANSWER C. There was no industrial causation because a normal commute to and from work is not
considered to be AOE or COE
19. 19. Cases involving work acquired HIV/AIDS involve confidentiality for the IW that involvesANSWER
A. Normal medical confidentiality laws
B. The mandatory use of the QME 121 Form for protection of records
228 QUESTIONS AND CORRECT ANSWERS |ALREADY GRADED A+
1. Opinions/conclusions must be made with reasons constituting:
A. Medical Probability %^&*
(
B. Medical Possibility
C. Medical CertaintyANSWER A. Medical Probability
2. 2. 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 & BANSWER D. A & B
3. 3. 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/impair- ment
C. Only secondary/compensable psych problems are ratable
D. Ratable if catastrophic in nature
E. B & DANSWER E. B & D
4. 4. 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. DentistryANSWER C. Acupuncture - Can complete the entire report except the impair- ment rating
5. 5. 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 daysANSWER D. 5 working days
6. 6. 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 reviewedANSWER B. 30 calendar days
7. 7. 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 daysANSWER D. 60 calendar days
8. 8. 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. 2002ANSWER D. 2002
9. 9. In the above question #8, may an employer prior to the Date of Injury be liable for any confirmed disability.
Yes NoANS
Yes
10. 10. 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.
Yes
NoANSW
ER No
11. 11. 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 painANSWER B. 1%-3% whole person impairment
12. 12. 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 ratingANSWER
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%ANSWER D. Headache pain can be
given an impairment rating of between 1% to 3%
13. 13. '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. FalseANSWER A. True
14. 14. In cases made Permanent & Stationary prior to 01/01/05, the PD (per- manent disability) rating is
based uponANSWER
A. Impairment rating
B. Causation
C. Subjective factors of disability, objective factors and work restric- tions/preclusions
D. A & BANSWER C. Subjective factors of disability, objective factors and work restric- tions/preclusions
15. 15. 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.ANSWER D. Apportionment applies because it is presumed that a prior PD for the same body part is
permanent and still exists.
16. 16. 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. Complete a QME Form 121 to protect the disclosure of mental health records
D. A & CANSWER D. A & C
17. 17. 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-
ANSWER B. AOE - The injury arose from employment but did not occur during the course of employment
18. 18. 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 followsANSWER
A. AOE (arose from employment) but not COE (during the course of employ- ment
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 & COEANSWER C. There was no industrial causation because a normal commute to and from work is not
considered to be AOE or COE
19. 19. Cases involving work acquired HIV/AIDS involve confidentiality for the IW that involvesANSWER
A. Normal medical confidentiality laws
B. The mandatory use of the QME 121 Form for protection of records
