QME EXAM Real Exam Questions and
Answers (2026) | A+ Verified Study
Material
• Implicit bias in healthcare refers to:
Prejudices consciously expressed during patient care
Neutral clinical decision-making processes
Unconscious attitudes and stereotypes that affect provider behavior
Bias that only affects administrative staff -✓✓Correct Answer: Unconscious attitudes
and stereotypes that affect provider behavior
• Which of the following is an example of diagnostic overshadowing due to gender bias?
Using outdated clinical guidelines
Attributing women's symptoms to emotional factors rather than medical causes
Delaying lab testing due to insurance requirements
Assuming older patients need fewer diagnostic tests -✓✓Correct Answer: Attributing
women's symptoms to emotional factors rather than medical causes
• Studies show that gender bias often results in women:
Receiving more aggressive pain treatment than men
Being offered advanced interventions earlier than men
Having their pain dismissed or undertreated compared to men
Being exempt from preventive screenings -✓✓Correct Answer: Having their pain
dismissed or undertreated compared to men
• Which of the following strategies is identified as essential for addressing gender and
implicit bias in healthcare?
Eliminating patient surveys
Standardized training on unconscious bias and cultural competence
Relying solely on automated diagnostic tools
Reducing patient communication time -✓✓Correct Answer: Standardized training on
unconscious bias and cultural competence
• In disability evaluations confirmation bias may cause providers to:
Consider all possible differential diagnoses equally
Seek evidence supporting preconceived beliefs while ignoring contradictory information
Avoid stereotyping based on race or gender
Increase reliance on patient-reported symptoms -✓✓Correct Answer: Seek evidence
supporting preconceived beliefs while ignoring contradictory
information
• The case study of Ms. Lopez highlights which form of impermissible gender bias?
,Attributing lumbar spine impairment to stereotypes about women's risk for osteoporosis
without objective evidence
Providing too many diagnostic tests to confirm injury
Overestimating her functional limitations due to age
Offering early retirement instead of treatment -✓✓Correct Answer: Attributing lumbar
spine impairment to stereotypes about women's risk for
osteoporosis without objective evidence
• According to the California Division of Workers' Compensation (DWC) physicians
evaluating industrial cancer cases must:
Only report impairments directly related to the original tumor site
Consider all impairments resulting from cancer and its treatments
Exclude psychological impacts from their reports
Use subjective impressions instead of AMA Guides -✓✓Correct Answer: Consider all
impairments resulting from cancer and its treatments
• Which of the following challenges commonly hinders the implementation of anti-bias
training programs in healthcare settings?
Excessive demand from staff for training
Organizational resistance and limited resources
Lack of interest among patients
Over-regulation by state authorities -✓✓Correct Answer: Organizational resistance and
limited resources
• When evaluating the impact of anti-bias training one key metric is:
Increased administrative paperwork
Changes in knowledge attitudes and behaviors among participants
Reduction in the number of patient visits
Decreased use of diagnostic imaging -✓✓Correct Answer: Changes in knowledge
attitudes and behaviors among participants
• The agreement between employers and injured workers underlying the California
Workers Compensation system is known as the
Big Deal
Grand Compromise
The Great Hoax
Schwarzenegger Act -✓✓Correct Answer: Grand Compromise
• All of the following are examples of injuries not covered by workers' compensation
except:
Serious and willful misconduct by the employee
Deliberate self-inflicted injuries
Injuries that occur due to the worker's own fault
Injuries due to failure of the employer to comply with the law -✓✓Correct Answer:
Injuries that occur due to the worker's own fault
, • Which of the following is NOT a required element for there to be a work injury?
An injury (either physical or psychological)
Permanent disability
An employment relationship
The injury arose out of employment -✓✓Correct Answer: Permanent disability
• Which of the following is NOT a true statement?
AOE is usually determined by the physician
AOE is usually determined by the judge
COE is usually determined by the judge
Judges rely on the physician to provide substantial medical evidence to help them
decide -✓✓Correct Answer: AOE is usually determined by the judge
• The date of cumulative injury is
The date the injured worker first began to perform the injurious activity
The date the injured worker first saw the QME
The date the injured workers first noticed symptoms
The date the injured worker knew or should have known they had disability -✓✓Correct
Answer: The date the injured worker knew or should have known they had disability
• The threshold for industrial causation for a psychiatric injury related to work activities
(except
psychological issues due to a physical injury) is:
1%
10%
51%
55% -✓✓Correct Answer: 51%
• Typical issues the QME is asked to address include all of the following EXCEPT:
Whether the injury was caused by work
Nature and extent of permanent disability
Whether or not the worker is permanent and stationary
Disputes regarding denied medical care -✓✓Correct Answer: Disputes regarding denied
medical care
• When a patient calls to schedule a QME you must schedule the examination:
At the earliest available appointment
Within 5 days of the call
Within 30 days of the call
Within 60 days of the call -✓✓Correct Answer: Within 60 days of the call
• Which of the following individuals can you speak with and avoid ex parte
communication?
The treating physician
The applicant attorney
The defense attorney
Answers (2026) | A+ Verified Study
Material
• Implicit bias in healthcare refers to:
Prejudices consciously expressed during patient care
Neutral clinical decision-making processes
Unconscious attitudes and stereotypes that affect provider behavior
Bias that only affects administrative staff -✓✓Correct Answer: Unconscious attitudes
and stereotypes that affect provider behavior
• Which of the following is an example of diagnostic overshadowing due to gender bias?
Using outdated clinical guidelines
Attributing women's symptoms to emotional factors rather than medical causes
Delaying lab testing due to insurance requirements
Assuming older patients need fewer diagnostic tests -✓✓Correct Answer: Attributing
women's symptoms to emotional factors rather than medical causes
• Studies show that gender bias often results in women:
Receiving more aggressive pain treatment than men
Being offered advanced interventions earlier than men
Having their pain dismissed or undertreated compared to men
Being exempt from preventive screenings -✓✓Correct Answer: Having their pain
dismissed or undertreated compared to men
• Which of the following strategies is identified as essential for addressing gender and
implicit bias in healthcare?
Eliminating patient surveys
Standardized training on unconscious bias and cultural competence
Relying solely on automated diagnostic tools
Reducing patient communication time -✓✓Correct Answer: Standardized training on
unconscious bias and cultural competence
• In disability evaluations confirmation bias may cause providers to:
Consider all possible differential diagnoses equally
Seek evidence supporting preconceived beliefs while ignoring contradictory information
Avoid stereotyping based on race or gender
Increase reliance on patient-reported symptoms -✓✓Correct Answer: Seek evidence
supporting preconceived beliefs while ignoring contradictory
information
• The case study of Ms. Lopez highlights which form of impermissible gender bias?
,Attributing lumbar spine impairment to stereotypes about women's risk for osteoporosis
without objective evidence
Providing too many diagnostic tests to confirm injury
Overestimating her functional limitations due to age
Offering early retirement instead of treatment -✓✓Correct Answer: Attributing lumbar
spine impairment to stereotypes about women's risk for
osteoporosis without objective evidence
• According to the California Division of Workers' Compensation (DWC) physicians
evaluating industrial cancer cases must:
Only report impairments directly related to the original tumor site
Consider all impairments resulting from cancer and its treatments
Exclude psychological impacts from their reports
Use subjective impressions instead of AMA Guides -✓✓Correct Answer: Consider all
impairments resulting from cancer and its treatments
• Which of the following challenges commonly hinders the implementation of anti-bias
training programs in healthcare settings?
Excessive demand from staff for training
Organizational resistance and limited resources
Lack of interest among patients
Over-regulation by state authorities -✓✓Correct Answer: Organizational resistance and
limited resources
• When evaluating the impact of anti-bias training one key metric is:
Increased administrative paperwork
Changes in knowledge attitudes and behaviors among participants
Reduction in the number of patient visits
Decreased use of diagnostic imaging -✓✓Correct Answer: Changes in knowledge
attitudes and behaviors among participants
• The agreement between employers and injured workers underlying the California
Workers Compensation system is known as the
Big Deal
Grand Compromise
The Great Hoax
Schwarzenegger Act -✓✓Correct Answer: Grand Compromise
• All of the following are examples of injuries not covered by workers' compensation
except:
Serious and willful misconduct by the employee
Deliberate self-inflicted injuries
Injuries that occur due to the worker's own fault
Injuries due to failure of the employer to comply with the law -✓✓Correct Answer:
Injuries that occur due to the worker's own fault
, • Which of the following is NOT a required element for there to be a work injury?
An injury (either physical or psychological)
Permanent disability
An employment relationship
The injury arose out of employment -✓✓Correct Answer: Permanent disability
• Which of the following is NOT a true statement?
AOE is usually determined by the physician
AOE is usually determined by the judge
COE is usually determined by the judge
Judges rely on the physician to provide substantial medical evidence to help them
decide -✓✓Correct Answer: AOE is usually determined by the judge
• The date of cumulative injury is
The date the injured worker first began to perform the injurious activity
The date the injured worker first saw the QME
The date the injured workers first noticed symptoms
The date the injured worker knew or should have known they had disability -✓✓Correct
Answer: The date the injured worker knew or should have known they had disability
• The threshold for industrial causation for a psychiatric injury related to work activities
(except
psychological issues due to a physical injury) is:
1%
10%
51%
55% -✓✓Correct Answer: 51%
• Typical issues the QME is asked to address include all of the following EXCEPT:
Whether the injury was caused by work
Nature and extent of permanent disability
Whether or not the worker is permanent and stationary
Disputes regarding denied medical care -✓✓Correct Answer: Disputes regarding denied
medical care
• When a patient calls to schedule a QME you must schedule the examination:
At the earliest available appointment
Within 5 days of the call
Within 30 days of the call
Within 60 days of the call -✓✓Correct Answer: Within 60 days of the call
• Which of the following individuals can you speak with and avoid ex parte
communication?
The treating physician
The applicant attorney
The defense attorney
