Qme Definitions Exam Questions
With Correct Answers
Aggravation - ANSWER- A change in of pre-existing condition/disability = new injury
Appeals Board - ANSWER- A group of 7 commissioners appointed by the governor.
Recurrence - ANSWER- Also referred to as a flare-up, exacerbation
Flare-up - ANSWER- Refers to symptoms the re-occurs, exacerbation.
AME - ANSWER- A medical examiner selected by agreement.
QME - ANSWER- a physician who has been appointed by DWC
IME - ANSWER- a physician appointed by DIR/DWC before 01/01/91
AOE - ANSWER- Refers to how the activities led to the injury in question, Arising Out Of
Employment
COE - ANSWER- determined by judge that the injury was work related. Coming Out Of
Employment.
Apportionment - ANSWER- portion of disability not related to current injury.
Escobedo Case - ANSWER- En banc, pre-existing substantial medical evidence.
LC 132(a) - ANSWER- prohibits discrimination for filing a work comp claim.
EAMS - ANSWER- A computerized system to improve the DWC case management.
Compensable Injury - ANSWER- any AOE/COE injury
Med-Legal evaluation - ANSWER- to prove or disprove a contested claim.
Cumulative injury - ANSWER- repetitive traumatic activities over a period time
Date of Cumulative Injury - ANSWER- date upon which the employee knew of the work
injury.
Date of Specific Injury - ANSWER- one incident of exposure.
Specific Injury - ANSWER- one incident of exposure.
, Disability - ANSWER- alteration to meet personal and occupational demands.
Impairment - ANSWER- loss, loss of use or derangement of body part/function.
First Aid - ANSWER- Any one time treatment and any one follow-up visit.
Future Medical Treatment - ANSWER- may be needed in the future not currently
scheduled.
Continuing Medical Treatment - ANSWER- occurring or presently planned treatment
Ghost Writing - ANSWER- report is prepared by someone else.
Boilerplate - ANSWER- automatically inserted into the report. ILEGAL.
Template - ANSWER- outline to fill in the blanks. LEGAL
Supplemental Med-Legal Report - ANSWER- review of records without face to face eval
Lien - ANSWER- claim as security for payment of services rendered
Subjective Factors - ANSWER- pain
Objective Factors - ANSWER- ROM, grip strength
Loss of Pre-Injury Capacity - ANSWER- Compared to activities before the injury.
Work Restrictions - ANSWER- Limitations on activities
Ex Parte - ANSWER- private communication with an AME/QME unless both parties are
contacted in writing, illegal. 8 CCR 35, Lc 4062.3. Its ok to communicate with the PTP.
PTS - ANSWER- condition plateaued with residuals
PD - ANSWER- residual impairment after P&S
TD - ANSWER- Condition not yet P&S
TTD - ANSWER- prevents worker from performing part of work
TPD - ANSWER- prevent worker from performing part of work duties
Physician - ANSWER- defended under LC 3209.3. includes physicians and surgeons
holding an MD or DO degrees, psychologists, acupuncturists, optometrists, dentists,
podiatrists and chiropractic practitioners licensed by CA.
With Correct Answers
Aggravation - ANSWER- A change in of pre-existing condition/disability = new injury
Appeals Board - ANSWER- A group of 7 commissioners appointed by the governor.
Recurrence - ANSWER- Also referred to as a flare-up, exacerbation
Flare-up - ANSWER- Refers to symptoms the re-occurs, exacerbation.
AME - ANSWER- A medical examiner selected by agreement.
QME - ANSWER- a physician who has been appointed by DWC
IME - ANSWER- a physician appointed by DIR/DWC before 01/01/91
AOE - ANSWER- Refers to how the activities led to the injury in question, Arising Out Of
Employment
COE - ANSWER- determined by judge that the injury was work related. Coming Out Of
Employment.
Apportionment - ANSWER- portion of disability not related to current injury.
Escobedo Case - ANSWER- En banc, pre-existing substantial medical evidence.
LC 132(a) - ANSWER- prohibits discrimination for filing a work comp claim.
EAMS - ANSWER- A computerized system to improve the DWC case management.
Compensable Injury - ANSWER- any AOE/COE injury
Med-Legal evaluation - ANSWER- to prove or disprove a contested claim.
Cumulative injury - ANSWER- repetitive traumatic activities over a period time
Date of Cumulative Injury - ANSWER- date upon which the employee knew of the work
injury.
Date of Specific Injury - ANSWER- one incident of exposure.
Specific Injury - ANSWER- one incident of exposure.
, Disability - ANSWER- alteration to meet personal and occupational demands.
Impairment - ANSWER- loss, loss of use or derangement of body part/function.
First Aid - ANSWER- Any one time treatment and any one follow-up visit.
Future Medical Treatment - ANSWER- may be needed in the future not currently
scheduled.
Continuing Medical Treatment - ANSWER- occurring or presently planned treatment
Ghost Writing - ANSWER- report is prepared by someone else.
Boilerplate - ANSWER- automatically inserted into the report. ILEGAL.
Template - ANSWER- outline to fill in the blanks. LEGAL
Supplemental Med-Legal Report - ANSWER- review of records without face to face eval
Lien - ANSWER- claim as security for payment of services rendered
Subjective Factors - ANSWER- pain
Objective Factors - ANSWER- ROM, grip strength
Loss of Pre-Injury Capacity - ANSWER- Compared to activities before the injury.
Work Restrictions - ANSWER- Limitations on activities
Ex Parte - ANSWER- private communication with an AME/QME unless both parties are
contacted in writing, illegal. 8 CCR 35, Lc 4062.3. Its ok to communicate with the PTP.
PTS - ANSWER- condition plateaued with residuals
PD - ANSWER- residual impairment after P&S
TD - ANSWER- Condition not yet P&S
TTD - ANSWER- prevents worker from performing part of work
TPD - ANSWER- prevent worker from performing part of work duties
Physician - ANSWER- defended under LC 3209.3. includes physicians and surgeons
holding an MD or DO degrees, psychologists, acupuncturists, optometrists, dentists,
podiatrists and chiropractic practitioners licensed by CA.
