QME (Qualified Medical Evaluator) Examination FINAL Test
Comprehensive Resource To Help You Ace 2026-2027
Includes Frequently Tested Questions With ELABORATED
100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
1. Holds authority to appoint physicians as QME evaluators - Correct
Answer: Administrative Director (AD) (LC 139.2)
2. Term of appointment as QME evaluator - Correct Answer: 2 years (LC
139.2)
3. 3 requirements when seeking appointment as QME - Correct Answer:
(1) Pass the QME competency exam
(2) Complete a 12-hour course in disability eval report writing
(3) Devote at least 1/3rd of total practice time to providing direct medical
treatment (or have served as a AME on 8+ occasions in past 12 mos prior to
application)
4. 2 reasons for termination/suspension of a QME w/o a hearing - Correct
Answer: (1) Licensing board suspends/revokes/terminates license to
practice
(2) Failure to pay required fee (upon appointment and yearly thereafter)
5. 6 reasons for discipline (suspension/termination) of QMEs after a hearing -
Correct Answer: (1) Violation of material statutory or administrative
duty
, (2) Failure to follow medical procedures or qualifications;(3) Failure to
comply with the timeframe standards
(4) Failure to meet licensing/certification requirements
6. (5) Preparation of medical-legal evaluations that fail to meet the minimum
standards for those reports as established by the administrative director or
the appeals board
(6) Making material misrepresentations or false statements in an
application for appointment or reappointment as a qualified medical
evaluator.
7. 3 types of substantive medical disputes resolved by QMEs - Correct
Answer: (1) Compensability of the claim
(2) Permanent disability
(3) "Catch-all" (temporary disability, work restrictions, new and further
disabilities after permanent disability (deterioration of original injury),
compensability of new body part added to claim))
8. Definition of *injury* in compensability claims - Correct Answer: (1) An
injury or disease arising out of employment
(2) A *derivative* injury caused by treatment of an injury arising out of
employment
(3) Any reaction to or side effect from preventative health care the
employer provides to health care workers
9. What is a specific injury - Correct Answer: Occurs as the result of a
single incident or exposure
10.What is a cumulative injury - Correct Answer: Results from repetitive
trauma (mental or physical) over a period of time
,11.2 requirements for a condition to be considered an injury - Correct
Answer: (1) Cause disability
OR
(2) Result in a need for medical treatment
12.What is an occupational disease - Correct Answer: Disease that in whole
or part is caused by work
13.7 types of excluded injuries - Correct Answer: (1) Caused by employee's
use of alcohol or illegal controlled substances
(2) Intentionally self-inflicted injuries
(3) Suicide
(4) Resulting from altercations, in which the injured employee is the *initial
physical aggressor*
(5) Resulting from the employee's commission of a felony, for which the
employee has been convicted (including "wobbly felonies," which are
crimes that may be prosecuted as misdemeanors or felonies
(6) Resulting from off-duty recreational activities, in which participation in
the activities does not constitute part of the employee's work-related duties
and the activity is not an expressed or implicit condition of employment
(7) Psychiatric injuries claimed after notice of termination/layoff unless
certain conditions exist
14.4 basic conditions to establish a workers' compensation claim - Correct
Answer: (1) *Injury* (physiological or psychological harm)
(2) Employment relationship
(3) Injury caused by the employment (This is also referred to as arising out
of employment [AOE])
, (4) Occurred in the course of the employment (COE)
15.Aggravation of a pre-existing, non-industrial condition - Correct Answer:
(1) Causes a temporary or permanent increase in disability
OR
(2) Creates a new need for medical treatment
OR
(3) Requires a change in the existing course of treatment
16.Symptoms that don't constitute a new injury - Correct Answer: Flare-
ups or recurrence of a previous industrial injury or illness; not been caused
by the current employment
17.Date of injury (DOI)-specific injury - Correct Answer: Date on which the
incident or exposure occurred
18.Date of injury (DOI)-cumulative injury - Correct Answer: Date when the
employee first suffered disability from the exposure, and either knew, or
should have known, that the disability was caused by present or previous
employment
19.Items determined by the DOI - Correct Answer: (1) Statute of limitations
for particular procedures within the workers' compensation system
(2) Regulations that will apply to the worker's injury
(3) Compensation rate for the worker's injury
(4) Employers who are liable for the claim
Comprehensive Resource To Help You Ace 2026-2027
Includes Frequently Tested Questions With ELABORATED
100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
1. Holds authority to appoint physicians as QME evaluators - Correct
Answer: Administrative Director (AD) (LC 139.2)
2. Term of appointment as QME evaluator - Correct Answer: 2 years (LC
139.2)
3. 3 requirements when seeking appointment as QME - Correct Answer:
(1) Pass the QME competency exam
(2) Complete a 12-hour course in disability eval report writing
(3) Devote at least 1/3rd of total practice time to providing direct medical
treatment (or have served as a AME on 8+ occasions in past 12 mos prior to
application)
4. 2 reasons for termination/suspension of a QME w/o a hearing - Correct
Answer: (1) Licensing board suspends/revokes/terminates license to
practice
(2) Failure to pay required fee (upon appointment and yearly thereafter)
5. 6 reasons for discipline (suspension/termination) of QMEs after a hearing -
Correct Answer: (1) Violation of material statutory or administrative
duty
, (2) Failure to follow medical procedures or qualifications;(3) Failure to
comply with the timeframe standards
(4) Failure to meet licensing/certification requirements
6. (5) Preparation of medical-legal evaluations that fail to meet the minimum
standards for those reports as established by the administrative director or
the appeals board
(6) Making material misrepresentations or false statements in an
application for appointment or reappointment as a qualified medical
evaluator.
7. 3 types of substantive medical disputes resolved by QMEs - Correct
Answer: (1) Compensability of the claim
(2) Permanent disability
(3) "Catch-all" (temporary disability, work restrictions, new and further
disabilities after permanent disability (deterioration of original injury),
compensability of new body part added to claim))
8. Definition of *injury* in compensability claims - Correct Answer: (1) An
injury or disease arising out of employment
(2) A *derivative* injury caused by treatment of an injury arising out of
employment
(3) Any reaction to or side effect from preventative health care the
employer provides to health care workers
9. What is a specific injury - Correct Answer: Occurs as the result of a
single incident or exposure
10.What is a cumulative injury - Correct Answer: Results from repetitive
trauma (mental or physical) over a period of time
,11.2 requirements for a condition to be considered an injury - Correct
Answer: (1) Cause disability
OR
(2) Result in a need for medical treatment
12.What is an occupational disease - Correct Answer: Disease that in whole
or part is caused by work
13.7 types of excluded injuries - Correct Answer: (1) Caused by employee's
use of alcohol or illegal controlled substances
(2) Intentionally self-inflicted injuries
(3) Suicide
(4) Resulting from altercations, in which the injured employee is the *initial
physical aggressor*
(5) Resulting from the employee's commission of a felony, for which the
employee has been convicted (including "wobbly felonies," which are
crimes that may be prosecuted as misdemeanors or felonies
(6) Resulting from off-duty recreational activities, in which participation in
the activities does not constitute part of the employee's work-related duties
and the activity is not an expressed or implicit condition of employment
(7) Psychiatric injuries claimed after notice of termination/layoff unless
certain conditions exist
14.4 basic conditions to establish a workers' compensation claim - Correct
Answer: (1) *Injury* (physiological or psychological harm)
(2) Employment relationship
(3) Injury caused by the employment (This is also referred to as arising out
of employment [AOE])
, (4) Occurred in the course of the employment (COE)
15.Aggravation of a pre-existing, non-industrial condition - Correct Answer:
(1) Causes a temporary or permanent increase in disability
OR
(2) Creates a new need for medical treatment
OR
(3) Requires a change in the existing course of treatment
16.Symptoms that don't constitute a new injury - Correct Answer: Flare-
ups or recurrence of a previous industrial injury or illness; not been caused
by the current employment
17.Date of injury (DOI)-specific injury - Correct Answer: Date on which the
incident or exposure occurred
18.Date of injury (DOI)-cumulative injury - Correct Answer: Date when the
employee first suffered disability from the exposure, and either knew, or
should have known, that the disability was caused by present or previous
employment
19.Items determined by the DOI - Correct Answer: (1) Statute of limitations
for particular procedures within the workers' compensation system
(2) Regulations that will apply to the worker's injury
(3) Compensation rate for the worker's injury
(4) Employers who are liable for the claim
