QME EXAM - QUESTION BANK 2,3,4& 5 | QUESTIONS AND VERIFIED
ANSWERS | DOWNLOAD AND PASS | LATEST UPDATE 2026/2027
QUESTION BANK 2
1. Labor Code _____ authorized the creation of the QME program.
a. 139.2
b. 4663
c. Boyton Act
a. 139.2
2. Which of the following are not considered physicians as defined by CA
state law?
a. MD/DO
b. Dentist
c. Psychiatrist
d. Podiatrist
e. Physical Therapist
f. Chiropractor
e. Physical Therapist
3. QMEs are appointed for a _____ term.
a. 1 year
b. 6 months
c. 2 years
d. Until asked to be removed
c. 2 years
4. When an injured worker has reached MMI and is unlikely to change within the
next
year, with or without treatment, they have reached__________.
a. Permanent and Stationary (P&S)
b. Case resolution
c. Vocational rehab
a. Permanent and Stationary (P&S)
5. What are disability determinations based on?
a. PDRS-Permanent Disability Rating Schedule
b. MTUS
c. Parker-Thurber
a. PDRS-Permanent Disability Rating Schedule
6. Which book is used to evaluate Permanent Impairment currently?
a. 4Th AMA Guides to Permanent Impairment
b. Parker Thurber
c. 5th AMA Guides to Permanent Impairment
c. 5th AMA Guides to Permanent Impairment
,7. Substantial Medical Evidence is based on a
a. Comprehensive Exam
b. Goniometer readings
c. Reasonable medical probability
d. A&C
d. A&C
8. When taking the history of the injury, the QME should ask
a. How the patient gets to work
b. How much the employee has lost in wages
c. The employee's family members' work history
d. What occurred immediately following the injury
d. What occurred immediately following the injury
When reviewing medical records, the QME should:
a. assume the information in the record is correct
b. Review and summarize all medical information present
c. Review and summarize only information regarding the specific injury.
d. Review all the records and summarize all information relevant to disputed
issues.
d. Review all the records and summarize all information relevant to disputed issues.
10. If an IW does not have an attorney, they will use a/an ______ to settle medical-
legal
disputes. a. DWC Agent
b. PTP
c. QME
d. IME
c. QME
11. In a represented case, the insurance carrier and Injured worker's attorney may
agree to use a/an _____ to conduct a medical evaluation.
a. QME
b. AME
c. IME
d. PTP
b. AME
12. To qualify as alternative work, an employer must offer _____ months of work
at _____% of the IW wages.
a. 12 months, 85%
b. 6 months, 100%
c. 12 weeks, 75%
a. 12 months, 85%
13. An insurance company must approve or deny an IW claim within ___ days?
a. 90 days
b. 1 day
c. 30 days
d. 60 days
a. 90 days
,14. While awaiting approval of a claim, an IW can receive up to ______ amount of
medical care.
a. $2,000
b. $5,000
c. $10,000
d. All medically reasonable care
c. $10,000
15. If an IW has a preexisting condition that is made worse because of a work
exposure, it is considered ______ and _____ injury.
a. An aggravation, a new
b. Preexisting, non-work related
a. An aggravation, a new
16. If an IW has a preexisting injury that becomes symptomatic not related to the
current employment, it would be covered by the_____.
a. Previous employer
b. Current employer
c. Split between All employers of record
a. Previous employer
17. QMEs are appointed and certified by the
a. WCAB
b. DIR
c. DWC Medical Unit
c. DWC Medical Unit
18. How many offices does the WCAB have?
a. 12
b. 8
c. 7
d. 24
d. 24
19. A worker is injured on June 24, 2008. His vocational rehabilitation benefits:
a. Are capped at $16,000 for the injury
b. Are not dependent upon a physician's determination that he is medically
qualified c. Can be settled for a maximum of $10,000
d. Are replaced by a supplemental job displacement benefit
d. Are replaced by a supplemental job displacement benefit
20. Impairment ratings for injuries sustained on or after _____ use the 5th AMA
Guides.
a. 1/1991
b. 1/2014
c. 1/2005
c. 1/2005
21. AOE is a __________?
a. Medical determination of how the work led to an industrial injury
b. Legal determination determining work relatedness
a. Medical determination of how the work led to an industrial injury
, 22. COE stands for ___.
a. Course of Employment
b. Code of Enforcement
c. Code of Ethics
a. Course of Employment
When one party contacts a QME privately, it is considered...
a. Ex-parte communication
b. Providing medical evidence
c. Scheduling
a. Ex-parte communication
24. Matching the following
a. Medical Probability
b. Templating
c. QRR
d. Presumption of Correctness
with the following definition
w. administers Vocational rehab
x. at least a 51% likelihood
y. MTUS/AECOM guidelines
z. outline to fill in the blanks
a > x, b > z, c > w, d > y
An employer has ___ day(s) to approve medical treatment.
a. 1 day
b. 90 days
c. 30 days
a. 1 day
26. An Application to Adjudicate is used to
a. Open a case at the WCAB
b. Appeal a denied medical bill
c. Request a QME
a. Open a case at the WCAB
27. Which information is not essential to determine industrial aggravation of a
chronic
pre-existing medical condition?
a. An understanding of the natural history of the condition
b. An understanding of industrial risk factors for the condition
c. A chronological listing of all diagnostic data
d. A chronological history of symptoms and functional limitations
b. An understanding of industrial risk factors for the condition
28. Which DWC unit receives complaints against adjustors?
a. Medical Unit
b. DEU
c. WCAB
d. Audit Unit
d. Audit Unit
ANSWERS | DOWNLOAD AND PASS | LATEST UPDATE 2026/2027
QUESTION BANK 2
1. Labor Code _____ authorized the creation of the QME program.
a. 139.2
b. 4663
c. Boyton Act
a. 139.2
2. Which of the following are not considered physicians as defined by CA
state law?
a. MD/DO
b. Dentist
c. Psychiatrist
d. Podiatrist
e. Physical Therapist
f. Chiropractor
e. Physical Therapist
3. QMEs are appointed for a _____ term.
a. 1 year
b. 6 months
c. 2 years
d. Until asked to be removed
c. 2 years
4. When an injured worker has reached MMI and is unlikely to change within the
next
year, with or without treatment, they have reached__________.
a. Permanent and Stationary (P&S)
b. Case resolution
c. Vocational rehab
a. Permanent and Stationary (P&S)
5. What are disability determinations based on?
a. PDRS-Permanent Disability Rating Schedule
b. MTUS
c. Parker-Thurber
a. PDRS-Permanent Disability Rating Schedule
6. Which book is used to evaluate Permanent Impairment currently?
a. 4Th AMA Guides to Permanent Impairment
b. Parker Thurber
c. 5th AMA Guides to Permanent Impairment
c. 5th AMA Guides to Permanent Impairment
,7. Substantial Medical Evidence is based on a
a. Comprehensive Exam
b. Goniometer readings
c. Reasonable medical probability
d. A&C
d. A&C
8. When taking the history of the injury, the QME should ask
a. How the patient gets to work
b. How much the employee has lost in wages
c. The employee's family members' work history
d. What occurred immediately following the injury
d. What occurred immediately following the injury
When reviewing medical records, the QME should:
a. assume the information in the record is correct
b. Review and summarize all medical information present
c. Review and summarize only information regarding the specific injury.
d. Review all the records and summarize all information relevant to disputed
issues.
d. Review all the records and summarize all information relevant to disputed issues.
10. If an IW does not have an attorney, they will use a/an ______ to settle medical-
legal
disputes. a. DWC Agent
b. PTP
c. QME
d. IME
c. QME
11. In a represented case, the insurance carrier and Injured worker's attorney may
agree to use a/an _____ to conduct a medical evaluation.
a. QME
b. AME
c. IME
d. PTP
b. AME
12. To qualify as alternative work, an employer must offer _____ months of work
at _____% of the IW wages.
a. 12 months, 85%
b. 6 months, 100%
c. 12 weeks, 75%
a. 12 months, 85%
13. An insurance company must approve or deny an IW claim within ___ days?
a. 90 days
b. 1 day
c. 30 days
d. 60 days
a. 90 days
,14. While awaiting approval of a claim, an IW can receive up to ______ amount of
medical care.
a. $2,000
b. $5,000
c. $10,000
d. All medically reasonable care
c. $10,000
15. If an IW has a preexisting condition that is made worse because of a work
exposure, it is considered ______ and _____ injury.
a. An aggravation, a new
b. Preexisting, non-work related
a. An aggravation, a new
16. If an IW has a preexisting injury that becomes symptomatic not related to the
current employment, it would be covered by the_____.
a. Previous employer
b. Current employer
c. Split between All employers of record
a. Previous employer
17. QMEs are appointed and certified by the
a. WCAB
b. DIR
c. DWC Medical Unit
c. DWC Medical Unit
18. How many offices does the WCAB have?
a. 12
b. 8
c. 7
d. 24
d. 24
19. A worker is injured on June 24, 2008. His vocational rehabilitation benefits:
a. Are capped at $16,000 for the injury
b. Are not dependent upon a physician's determination that he is medically
qualified c. Can be settled for a maximum of $10,000
d. Are replaced by a supplemental job displacement benefit
d. Are replaced by a supplemental job displacement benefit
20. Impairment ratings for injuries sustained on or after _____ use the 5th AMA
Guides.
a. 1/1991
b. 1/2014
c. 1/2005
c. 1/2005
21. AOE is a __________?
a. Medical determination of how the work led to an industrial injury
b. Legal determination determining work relatedness
a. Medical determination of how the work led to an industrial injury
, 22. COE stands for ___.
a. Course of Employment
b. Code of Enforcement
c. Code of Ethics
a. Course of Employment
When one party contacts a QME privately, it is considered...
a. Ex-parte communication
b. Providing medical evidence
c. Scheduling
a. Ex-parte communication
24. Matching the following
a. Medical Probability
b. Templating
c. QRR
d. Presumption of Correctness
with the following definition
w. administers Vocational rehab
x. at least a 51% likelihood
y. MTUS/AECOM guidelines
z. outline to fill in the blanks
a > x, b > z, c > w, d > y
An employer has ___ day(s) to approve medical treatment.
a. 1 day
b. 90 days
c. 30 days
a. 1 day
26. An Application to Adjudicate is used to
a. Open a case at the WCAB
b. Appeal a denied medical bill
c. Request a QME
a. Open a case at the WCAB
27. Which information is not essential to determine industrial aggravation of a
chronic
pre-existing medical condition?
a. An understanding of the natural history of the condition
b. An understanding of industrial risk factors for the condition
c. A chronological listing of all diagnostic data
d. A chronological history of symptoms and functional limitations
b. An understanding of industrial risk factors for the condition
28. Which DWC unit receives complaints against adjustors?
a. Medical Unit
b. DEU
c. WCAB
d. Audit Unit
d. Audit Unit
