QME EXAM Real Exam Questions and
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Which of the following specialties/disciplines are prohibited from writing a medical legal
report in a case where impairment/disability is being disputed:
A. Psychology/Psychiatry
B. Chiropractic
C. Acupuncture - Can complete the entire report except the impairment rating
D. Dentistry -✓✓C. Acupuncture - Can complete the entire report except the impairment
rating
When a QME receives a request to schedule an evaluation, the QME must issue a
QME Appointment Notification Form to all parties within:
A. 60 working days
B. 30 working days
C. 10 working days
D. 5 working days -✓✓D. 5 working days
A QME report is due how many days after the completion of the face-to-face evaluation:
A. 45 calendar days
B. 30 calendar days
C. 60 calendar days
D. Only after all records have been reviewed -✓✓B. 30 calendar days
A supplemental QME report (no face-to-face evaluation) is due how many days after the
QME receives the request to do the report:
A. 20 calendar days
B. 30 calendar days
C. 45 calendar days
D. 60 calendar days -✓✓D. 60 calendar days
When an IW had jobs involving similar work or body mechanics in 1985, 1991, 1998,
and 2002 but did not realize she was having a problem requiring treatment and/or
causing her impairment/disability until 2002, what would the Date Of Injury be:
A. 1985
B. 1991
C. 2001
,D. 2002 -✓✓D. 2002
In the above question #8, may an employer prior to the Date of Injury be liable for any
confirmed disability.
A. Yes
B. No -✓✓A. Yes
If immediate/emergency treatment is required because of a serious or life-threatening
situation, the provider's treatment must still meet the requirement of being consistent
with the MTUS and approved before treatment is rendered.
A. Yes
B. No -✓✓B. No
If the evaluator determines that the IW's pain increases the burden of the IW's ADLs
even slightly, the evaluator may add-on to the IW's impairment how much for pain.
A. 0%
B. 1%-3% whole person impairment
C. No more than 50% of the impairment value already determined
D. Up to 3% only if the pain is headache pain -✓✓B. 1%-3% whole person impairment
If an IW has stand-alone headache pain with no other impairment for any other body
part or system, the evaluator can do which of the following with regard to an impairment
rating:
A. No impairment can be given for stand-alone headache pain
B. Headache pain can only be rated in the presence of another ratable body part or
body system impairment
C. A and B
D. Headache pain can be given an impairment rating of between 1% to 3% -✓✓D.
Headache pain can be given an impairment rating of between 1% to 3%
'Ex Parte' communication is legally forbidden, unless involving routine matters such as
confirming appointments or that records have been sent, etc. The QME or AME should
not talk to the attorneys or the carrier.
A. True
B. False -✓✓A. True
In cases made Permanent & Stationary prior to 01/01/05, the PD (permanent disability)
rating is based upon:
A. Impairment rating
B. Causation
,C. Subjective factors of disability, objective factors and work restrictions/preclusions
D. A & B -✓✓C. Subjective factors of disability, objective factors and work
restrictions/preclusions
If an IW's right knee was injured in 2002 and the case was settled with a Stipulated
Award and a PD rating of 10% and the IW re-injured the same knee again in 2007 with
a PD rating of 20%, which of the following applies with regard to apportionment
A. If the IW self-rehabilitated after the 2002 injury and had no complaints and was able
to do his job without any problems until the 2007 injury occurred, there should be no
apportionment.
B. Because the 2002 injury was given a PD rating before 2005 and the 2007 same knee
was injured after the AMA Guide impairment rating system was established, there
should be no apportionment.
C. Because the causation for the 2002 right knee injury was different from the causation
of the 2007 injury, no apportionment would apply.
D. Apportionment applies because it is presumed that a prior PD for the same body part
is permanent and still exists. -✓✓D. Apportionment applies because it is presumed that
a prior PD for the same body part is permanent and still exists.
In a psyche injury claim, if the QME believes that the IW would be at risk by sending the
IW a copy of the QME report with opinions and conclusions about the IW's mental &
behavioral status and with regard to mental health records reviewed, the QME should
do which of the following?
A. Complete a QME 120 Alternative Service form designating another doctor to receive
the report and to explain its contents to the IW
B. Insist that the IW must retain an attorney, who can then share the report with the IW
C. C. Complete a QME Form 121 to protect the disclosure of mental health records
D. A & C -✓✓D. A & C
An employee on vacation was asked by his supervisor to take one of the company's
clients out to dinner. While doing so, the employee fell and broke her leg. Given this
situation, which of the following would best characterize the nature of causation in this
case
A. COE - The injury occurred during the course of employment
B. AOE - The injury arose from employment but did not occur during the course of
employment
C. AOE/COE - The injury arose from employment and occurred during the course of
employment
D. There was no industrial causation because the employee was on vacation -✓✓B.
AOE - The injury arose from employment but did not occur during the course of
employment
, An employee was injured in a motor vehicle accident while leaving his job in his car to
go home. In this situation causation would be properly interpreted as follows:
A. AOE (arose from employment) but not COE (during the course of employment
B. COE because this was a daily activity in the normal course of employment
C. There was no industrial causation because a normal commute to and from work is
not considered to be AOE or COE
D. AOE & COE -✓✓C. There was no industrial causation because a normal commute to
and from work is not considered to be AOE or COE
Cases involving work acquired HIV/AIDS involve confidentiality for the IW that involves:
A. Normal medical confidentiality laws
B. The mandatory use of the QME 121 Form for protection of records
C. The maintenance of a fictitious name file maintained by a WCJ
D. A & C -✓✓D. A & C
A QME or AME must address all disputed issues in a claim with the exception of:
A. Medical treatment disputes are now done by an IMR
B. Causation disputes
C. Apportionment disputes
D. Impairment rating disputes -✓✓A. Medical treatment disputes are now done by an
IMR
Which of the following can a QME or AME not do with regard to the IW being
evaluated?
A. Request reasonable & necessary diagnostic testing
B. Recommend treatment
C. Provide treatment on that day, unless it is a medical emergency
D. Ask questions regarding the health status of family members -✓✓C. Provide
treatment on that day, unless it is a medical emergency
In a situation where a QME has referred the IW out for imaging diagnostics to a
radiology group in which the QME's brother-in-law is a partner, which of the following
applies?
A. The QME is not required to disclose a financial conflict of interest because if it does
not involve an immediate family member
B. The QME must only disclose a financial conflict of interest if he/she receives direct
income from the facility referred to
C. The QME is not required to make any disclosures unless a complaint is filed by a
party to the case
D. The QME must disclose the relationship on a financial conflict of interest form with
the AD before proceeding with the referral -✓✓D. The QME must disclose the
Answers | Guaranteed Verified
Answers
Which of the following specialties/disciplines are prohibited from writing a medical legal
report in a case where impairment/disability is being disputed:
A. Psychology/Psychiatry
B. Chiropractic
C. Acupuncture - Can complete the entire report except the impairment rating
D. Dentistry -✓✓C. Acupuncture - Can complete the entire report except the impairment
rating
When a QME receives a request to schedule an evaluation, the QME must issue a
QME Appointment Notification Form to all parties within:
A. 60 working days
B. 30 working days
C. 10 working days
D. 5 working days -✓✓D. 5 working days
A QME report is due how many days after the completion of the face-to-face evaluation:
A. 45 calendar days
B. 30 calendar days
C. 60 calendar days
D. Only after all records have been reviewed -✓✓B. 30 calendar days
A supplemental QME report (no face-to-face evaluation) is due how many days after the
QME receives the request to do the report:
A. 20 calendar days
B. 30 calendar days
C. 45 calendar days
D. 60 calendar days -✓✓D. 60 calendar days
When an IW had jobs involving similar work or body mechanics in 1985, 1991, 1998,
and 2002 but did not realize she was having a problem requiring treatment and/or
causing her impairment/disability until 2002, what would the Date Of Injury be:
A. 1985
B. 1991
C. 2001
,D. 2002 -✓✓D. 2002
In the above question #8, may an employer prior to the Date of Injury be liable for any
confirmed disability.
A. Yes
B. No -✓✓A. Yes
If immediate/emergency treatment is required because of a serious or life-threatening
situation, the provider's treatment must still meet the requirement of being consistent
with the MTUS and approved before treatment is rendered.
A. Yes
B. No -✓✓B. No
If the evaluator determines that the IW's pain increases the burden of the IW's ADLs
even slightly, the evaluator may add-on to the IW's impairment how much for pain.
A. 0%
B. 1%-3% whole person impairment
C. No more than 50% of the impairment value already determined
D. Up to 3% only if the pain is headache pain -✓✓B. 1%-3% whole person impairment
If an IW has stand-alone headache pain with no other impairment for any other body
part or system, the evaluator can do which of the following with regard to an impairment
rating:
A. No impairment can be given for stand-alone headache pain
B. Headache pain can only be rated in the presence of another ratable body part or
body system impairment
C. A and B
D. Headache pain can be given an impairment rating of between 1% to 3% -✓✓D.
Headache pain can be given an impairment rating of between 1% to 3%
'Ex Parte' communication is legally forbidden, unless involving routine matters such as
confirming appointments or that records have been sent, etc. The QME or AME should
not talk to the attorneys or the carrier.
A. True
B. False -✓✓A. True
In cases made Permanent & Stationary prior to 01/01/05, the PD (permanent disability)
rating is based upon:
A. Impairment rating
B. Causation
,C. Subjective factors of disability, objective factors and work restrictions/preclusions
D. A & B -✓✓C. Subjective factors of disability, objective factors and work
restrictions/preclusions
If an IW's right knee was injured in 2002 and the case was settled with a Stipulated
Award and a PD rating of 10% and the IW re-injured the same knee again in 2007 with
a PD rating of 20%, which of the following applies with regard to apportionment
A. If the IW self-rehabilitated after the 2002 injury and had no complaints and was able
to do his job without any problems until the 2007 injury occurred, there should be no
apportionment.
B. Because the 2002 injury was given a PD rating before 2005 and the 2007 same knee
was injured after the AMA Guide impairment rating system was established, there
should be no apportionment.
C. Because the causation for the 2002 right knee injury was different from the causation
of the 2007 injury, no apportionment would apply.
D. Apportionment applies because it is presumed that a prior PD for the same body part
is permanent and still exists. -✓✓D. Apportionment applies because it is presumed that
a prior PD for the same body part is permanent and still exists.
In a psyche injury claim, if the QME believes that the IW would be at risk by sending the
IW a copy of the QME report with opinions and conclusions about the IW's mental &
behavioral status and with regard to mental health records reviewed, the QME should
do which of the following?
A. Complete a QME 120 Alternative Service form designating another doctor to receive
the report and to explain its contents to the IW
B. Insist that the IW must retain an attorney, who can then share the report with the IW
C. C. Complete a QME Form 121 to protect the disclosure of mental health records
D. A & C -✓✓D. A & C
An employee on vacation was asked by his supervisor to take one of the company's
clients out to dinner. While doing so, the employee fell and broke her leg. Given this
situation, which of the following would best characterize the nature of causation in this
case
A. COE - The injury occurred during the course of employment
B. AOE - The injury arose from employment but did not occur during the course of
employment
C. AOE/COE - The injury arose from employment and occurred during the course of
employment
D. There was no industrial causation because the employee was on vacation -✓✓B.
AOE - The injury arose from employment but did not occur during the course of
employment
, An employee was injured in a motor vehicle accident while leaving his job in his car to
go home. In this situation causation would be properly interpreted as follows:
A. AOE (arose from employment) but not COE (during the course of employment
B. COE because this was a daily activity in the normal course of employment
C. There was no industrial causation because a normal commute to and from work is
not considered to be AOE or COE
D. AOE & COE -✓✓C. There was no industrial causation because a normal commute to
and from work is not considered to be AOE or COE
Cases involving work acquired HIV/AIDS involve confidentiality for the IW that involves:
A. Normal medical confidentiality laws
B. The mandatory use of the QME 121 Form for protection of records
C. The maintenance of a fictitious name file maintained by a WCJ
D. A & C -✓✓D. A & C
A QME or AME must address all disputed issues in a claim with the exception of:
A. Medical treatment disputes are now done by an IMR
B. Causation disputes
C. Apportionment disputes
D. Impairment rating disputes -✓✓A. Medical treatment disputes are now done by an
IMR
Which of the following can a QME or AME not do with regard to the IW being
evaluated?
A. Request reasonable & necessary diagnostic testing
B. Recommend treatment
C. Provide treatment on that day, unless it is a medical emergency
D. Ask questions regarding the health status of family members -✓✓C. Provide
treatment on that day, unless it is a medical emergency
In a situation where a QME has referred the IW out for imaging diagnostics to a
radiology group in which the QME's brother-in-law is a partner, which of the following
applies?
A. The QME is not required to disclose a financial conflict of interest because if it does
not involve an immediate family member
B. The QME must only disclose a financial conflict of interest if he/she receives direct
income from the facility referred to
C. The QME is not required to make any disclosures unless a complaint is filed by a
party to the case
D. The QME must disclose the relationship on a financial conflict of interest form with
the AD before proceeding with the referral -✓✓D. The QME must disclose the
