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. QME - Correct Answer: Qualified Medical Examiner
2. Permanent and stationary - Correct Answer: When a condition reaches
a state of maximal medical improvement.
3. Escobedo case - Correct Answer: -Set standard of reasonable medical
probability (standard a physician is expected to follow, that based on superior
evidence, something is probably/more likely than not)
-These words turn the report into substantial evidence
4. Rolda issues/Limits on compensability of psych issues - Correct Answer: 1.
Did psych injury involve "actual events of employment"? (IW has burden of proof)
2. Is there >50% industrial causation (IW burden)
3. Was there personnel action and was it lawful, non-discriminatory, and in good
faith? (Defense burden)
4. Were personnel actions the substantial (>35-40%) cause of the psych injury.
(defense burden)
,5. Granado case - Correct Answer: -Set standard that medical tx (MT) is not
apportionable
6. Benson case - Correct Answer: -Clarified parsing out impairment to different
injury dates
-If they can't be parceled out, you can say they are "inextricably intertwined."
7. Guzman case/Almaraz-Guzman standard - Correct Answer: -Alternative
rating of disability (when case is complex/extraordinary and AMA good doesn't
accurately reflect the persons impairment)
-WPI rating can be made if it's accurate and based on AMA guides (fairness is not
allowed anymore)
8. Blackledge v BofA - Correct Answer: WCAB defined roles for:
-physician
-DEU rater
-parties
-Work comp judge
9. Blackledge case: physician requirements - Correct Answer: 1. Compare
medical findings
2. List WPI for each med condition
3. Select impairment in the range based on impact on ADLs
4. ADL analogies
,-Role of evaluator is to assess WPI % by a report that sets forth facts and
reasoning to support conclusions and are in line with AMA & case law
10. Alternative rating under Almaraz/Guzman - Correct Answer: 1. Begin w
strict rating found in the chapter address the injured body part
2. Explain what specific facts require an alternative rating
3. Provide analysis as to why alternative rating is more accurate
4. Set forth how Dr arrived at alt rating
5. State position with reasonable medical probability
11. Original intent of WC - Correct Answer: -Provide minimum level of benefits
promptly
-To prevent IW from becoming a burden on others and help IW return to work
thru rehab
-Help dependents if IW dies
-MT for job related injuries/illness
-TD benefits for lost wages
-PD benefits for finished ability to compete in open labor market
12. Boyton act - Correct Answer: -1913: required most employers to have WC
coverage
-Later expanded to include provision that when rating disability, persons
diminished ability to compete in open job market should be considered
13. Historic compromise - Correct Answer: -Trade-off of rights and benefits
, -Employee gives up right to sue for lots of $ and gets protection from legal system
against discrimination
-Employer provides benefits regardless of fault in exchange for protection from
lawsuits
-3 components
1. No fault
2. Exclusive remedy
3. Assured and fixed benefits
14. No Fault & exceptions - Correct Answer: -Employer pays benefits no
matter who caused injury, as long as it occurred during employment
*Exceptions
-self inflicted injury
-injury from serious/willful misconduct by employee: benefits reduced by half
unless employee died or has PD of 70% or more
-injury from failure of employer to comply with health and safety reg
-employee was under 16yo
15. Exclusive Remedy - Correct Answer: Workers' compensation benefits are
the only benefits injured workers may receive to compensate for a work-related
injury. (Even if employer negligent)
-unless employer uninsured
-or third party is involved, that party can be sued
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. QME - Correct Answer: Qualified Medical Examiner
2. Permanent and stationary - Correct Answer: When a condition reaches
a state of maximal medical improvement.
3. Escobedo case - Correct Answer: -Set standard of reasonable medical
probability (standard a physician is expected to follow, that based on superior
evidence, something is probably/more likely than not)
-These words turn the report into substantial evidence
4. Rolda issues/Limits on compensability of psych issues - Correct Answer: 1.
Did psych injury involve "actual events of employment"? (IW has burden of proof)
2. Is there >50% industrial causation (IW burden)
3. Was there personnel action and was it lawful, non-discriminatory, and in good
faith? (Defense burden)
4. Were personnel actions the substantial (>35-40%) cause of the psych injury.
(defense burden)
,5. Granado case - Correct Answer: -Set standard that medical tx (MT) is not
apportionable
6. Benson case - Correct Answer: -Clarified parsing out impairment to different
injury dates
-If they can't be parceled out, you can say they are "inextricably intertwined."
7. Guzman case/Almaraz-Guzman standard - Correct Answer: -Alternative
rating of disability (when case is complex/extraordinary and AMA good doesn't
accurately reflect the persons impairment)
-WPI rating can be made if it's accurate and based on AMA guides (fairness is not
allowed anymore)
8. Blackledge v BofA - Correct Answer: WCAB defined roles for:
-physician
-DEU rater
-parties
-Work comp judge
9. Blackledge case: physician requirements - Correct Answer: 1. Compare
medical findings
2. List WPI for each med condition
3. Select impairment in the range based on impact on ADLs
4. ADL analogies
,-Role of evaluator is to assess WPI % by a report that sets forth facts and
reasoning to support conclusions and are in line with AMA & case law
10. Alternative rating under Almaraz/Guzman - Correct Answer: 1. Begin w
strict rating found in the chapter address the injured body part
2. Explain what specific facts require an alternative rating
3. Provide analysis as to why alternative rating is more accurate
4. Set forth how Dr arrived at alt rating
5. State position with reasonable medical probability
11. Original intent of WC - Correct Answer: -Provide minimum level of benefits
promptly
-To prevent IW from becoming a burden on others and help IW return to work
thru rehab
-Help dependents if IW dies
-MT for job related injuries/illness
-TD benefits for lost wages
-PD benefits for finished ability to compete in open labor market
12. Boyton act - Correct Answer: -1913: required most employers to have WC
coverage
-Later expanded to include provision that when rating disability, persons
diminished ability to compete in open job market should be considered
13. Historic compromise - Correct Answer: -Trade-off of rights and benefits
, -Employee gives up right to sue for lots of $ and gets protection from legal system
against discrimination
-Employer provides benefits regardless of fault in exchange for protection from
lawsuits
-3 components
1. No fault
2. Exclusive remedy
3. Assured and fixed benefits
14. No Fault & exceptions - Correct Answer: -Employer pays benefits no
matter who caused injury, as long as it occurred during employment
*Exceptions
-self inflicted injury
-injury from serious/willful misconduct by employee: benefits reduced by half
unless employee died or has PD of 70% or more
-injury from failure of employer to comply with health and safety reg
-employee was under 16yo
15. Exclusive Remedy - Correct Answer: Workers' compensation benefits are
the only benefits injured workers may receive to compensate for a work-related
injury. (Even if employer negligent)
-unless employer uninsured
-or third party is involved, that party can be sued
