QME (Qualified Medical Evaluator) FINAL Exam Prep Self
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. If an AME or an agreed panel QME is used to evaluate a case, which of the following applies
to the amount that can be charged for their medical-legal services?
A. 25% more than the regular ML charge (for example ML 102-94)
B. 15% more than the regular ML charge
C. 10% more than the regular ML charge
D. No additional charge allowed unless case involves multiple body parts - Correct Answer:
A. 25% more than the regular ML charge (for example ML 102-94)
2. Which of the following is not a benefit guaranteed by the workers' compensation system in
California?
A. Cost of living expenses
B. Medical Treatment
C. Temporary disability benefits
D. Supplemental job displacement benefits
E. Death benefits - Correct Answer: A. Cost of living expenses
3. If any IW self-procures an evaluation from a doctor who is not the PTP or the QME, which of
the following is true?
A. Only the PTP must issue a supplemental report commenting on the self-procured report
,B. The PTP or the QME must issue a supplemental report commenting on the self-procured
report
C. Only the QME is required to issue a supplemental report commenting on the self-procured
report
D. The self-procured report is inadmissible
E. B & D - Correct Answer: E. B & D
4. In a psych claim, the burden of proof is on the IW to prove that at least what percent of the
psychological injury was caused by work?
A. 25% or greater
B. 51% or greater
C. 75% or greater
D. There is no minimum threshold for causation in a psyche claim - Correct Answer: B. 51%
or greater
5. If an evaluator bases an opinion or conclusion on reasonable medical 'probability', it means
that the probability is?
A. 26% or greater
B. 51% or greater
C. 90% or greater
D. 100% - Correct Answer: B. 51% or greater
6. In a claim involving a convenience store hold-up where the employee was physically injured,
the IW also claimed psychological injury. Given this situation, which of the following is the most
correct answer?
A. A compensable psych injury is treatable but not ratable
,B. If a psych injury claim is the result of experiencing or witnessing a violent act, it is both
treatable and ratable
C. If a psych injury claim is the result of experiencing or witnessing a violent act and it can be
proved that at least 35% of the psych injury resulted from violence experienced or witnessed on
the job, it is both treatable and ratable
D. Only the person committing the violent act can be sued civilly and no work comp claim can
be filed - Correct Answer: C. If a psych injury claim is the result of experiencing or witnessing
a violent act and it can be proved that at least 35% of the psych injury resulted from violence
experienced or witnessed on the job, it is both treatable and ratable
7. A Request for Authorization (RFA) for treatment can legally be denied by the
employer's/insurance carrier's Utilization Review doctor if the treatment is not consistent with
which of the following?
A. MTUS
B. Standard of practice
C. ACOEM
D. A & C - Correct Answer: D. A & C
8. A QME concluded that a claimed injury involving an employee's knee was non-industrial and
therefore non-compensable because the claimant's knee had significant impairment/disability
before the industrial injury occurred. The injured worker/claimant objected because she said
that her level of impairment/disability had been aggravated and was now worse because of the
industrial injury. Which of the following is the most correct?
A. If a true aggravation has occurred, it means that there is new and/or further
impairment/disability and, therefore, a claim is legally justified
B. If there is as little as 1% of the impairment/disability resulting from an industrial injury, it is
considered to be a compensable claim
C. If there is pre-existing impairment/disability, it must not exceed the post-injury level of
impairment/disability by more than 50% for the claim to be compensable
, D. A & B - Correct Answer: D. A & B
9. Post-termination, an employee filed a claim because he said that his termination caused him
psychological harm and stress, and he demonstrated that more than 51% of his stress was
caused by the termination action. Which is correct?
A. Having met the 51% or greater threshold for causation, the claim is compensable
B. In a post-termination stress claim, the IW must prove greater than 75% causation related to
the termination action
C. Psychological injury claims based upon stress are no longer compensable since the passage of
SB863
D. In a 'good faith personnel action', there is no legal basis for a psych claim; however, if the
employer purposefully embarrassed the employee in front of other people, ridiculed, made fun
of, or threatened them, etc. the employer may have issues - Correct Answer: D. In a 'good
faith personnel action', there is no legal basis for a psych claim; however, if the employer
purposefully embarrassed the employee in front of other people, ridiculed, made fun of, or
threatened them, etc. the employer may have issues
10. In a represented case, both attorneys received the same QME panel list with three QMEs
listed on it in the specialty requested. Both attorneys agreed to the same QME from list,
therefore:
A. The panel QME was agreed to and can charge 25% more for their QME services
B. Because the evaluator is a panel QME and not an AME, the QME cannot charge any
additional amount over and above the normal ML code charges
C. The panel QME cannot be considered to be agreed upon unless two of the other names on
the list were stricken by the attorneys
D. The panel QME's charge is not bound by the Official Medical Legal Fee Schedule because the
QME was agreed to. - Correct Answer: A. The panel QME was agreed to and can charge 25%
more for their QME services
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. If an AME or an agreed panel QME is used to evaluate a case, which of the following applies
to the amount that can be charged for their medical-legal services?
A. 25% more than the regular ML charge (for example ML 102-94)
B. 15% more than the regular ML charge
C. 10% more than the regular ML charge
D. No additional charge allowed unless case involves multiple body parts - Correct Answer:
A. 25% more than the regular ML charge (for example ML 102-94)
2. Which of the following is not a benefit guaranteed by the workers' compensation system in
California?
A. Cost of living expenses
B. Medical Treatment
C. Temporary disability benefits
D. Supplemental job displacement benefits
E. Death benefits - Correct Answer: A. Cost of living expenses
3. If any IW self-procures an evaluation from a doctor who is not the PTP or the QME, which of
the following is true?
A. Only the PTP must issue a supplemental report commenting on the self-procured report
,B. The PTP or the QME must issue a supplemental report commenting on the self-procured
report
C. Only the QME is required to issue a supplemental report commenting on the self-procured
report
D. The self-procured report is inadmissible
E. B & D - Correct Answer: E. B & D
4. In a psych claim, the burden of proof is on the IW to prove that at least what percent of the
psychological injury was caused by work?
A. 25% or greater
B. 51% or greater
C. 75% or greater
D. There is no minimum threshold for causation in a psyche claim - Correct Answer: B. 51%
or greater
5. If an evaluator bases an opinion or conclusion on reasonable medical 'probability', it means
that the probability is?
A. 26% or greater
B. 51% or greater
C. 90% or greater
D. 100% - Correct Answer: B. 51% or greater
6. In a claim involving a convenience store hold-up where the employee was physically injured,
the IW also claimed psychological injury. Given this situation, which of the following is the most
correct answer?
A. A compensable psych injury is treatable but not ratable
,B. If a psych injury claim is the result of experiencing or witnessing a violent act, it is both
treatable and ratable
C. If a psych injury claim is the result of experiencing or witnessing a violent act and it can be
proved that at least 35% of the psych injury resulted from violence experienced or witnessed on
the job, it is both treatable and ratable
D. Only the person committing the violent act can be sued civilly and no work comp claim can
be filed - Correct Answer: C. If a psych injury claim is the result of experiencing or witnessing
a violent act and it can be proved that at least 35% of the psych injury resulted from violence
experienced or witnessed on the job, it is both treatable and ratable
7. A Request for Authorization (RFA) for treatment can legally be denied by the
employer's/insurance carrier's Utilization Review doctor if the treatment is not consistent with
which of the following?
A. MTUS
B. Standard of practice
C. ACOEM
D. A & C - Correct Answer: D. A & C
8. A QME concluded that a claimed injury involving an employee's knee was non-industrial and
therefore non-compensable because the claimant's knee had significant impairment/disability
before the industrial injury occurred. The injured worker/claimant objected because she said
that her level of impairment/disability had been aggravated and was now worse because of the
industrial injury. Which of the following is the most correct?
A. If a true aggravation has occurred, it means that there is new and/or further
impairment/disability and, therefore, a claim is legally justified
B. If there is as little as 1% of the impairment/disability resulting from an industrial injury, it is
considered to be a compensable claim
C. If there is pre-existing impairment/disability, it must not exceed the post-injury level of
impairment/disability by more than 50% for the claim to be compensable
, D. A & B - Correct Answer: D. A & B
9. Post-termination, an employee filed a claim because he said that his termination caused him
psychological harm and stress, and he demonstrated that more than 51% of his stress was
caused by the termination action. Which is correct?
A. Having met the 51% or greater threshold for causation, the claim is compensable
B. In a post-termination stress claim, the IW must prove greater than 75% causation related to
the termination action
C. Psychological injury claims based upon stress are no longer compensable since the passage of
SB863
D. In a 'good faith personnel action', there is no legal basis for a psych claim; however, if the
employer purposefully embarrassed the employee in front of other people, ridiculed, made fun
of, or threatened them, etc. the employer may have issues - Correct Answer: D. In a 'good
faith personnel action', there is no legal basis for a psych claim; however, if the employer
purposefully embarrassed the employee in front of other people, ridiculed, made fun of, or
threatened them, etc. the employer may have issues
10. In a represented case, both attorneys received the same QME panel list with three QMEs
listed on it in the specialty requested. Both attorneys agreed to the same QME from list,
therefore:
A. The panel QME was agreed to and can charge 25% more for their QME services
B. Because the evaluator is a panel QME and not an AME, the QME cannot charge any
additional amount over and above the normal ML code charges
C. The panel QME cannot be considered to be agreed upon unless two of the other names on
the list were stricken by the attorneys
D. The panel QME's charge is not bound by the Official Medical Legal Fee Schedule because the
QME was agreed to. - Correct Answer: A. The panel QME was agreed to and can charge 25%
more for their QME services
