QME ACTUAL FINAL EXAM |COMPLETE QUESTIONS WITH EXPERT
SOLUTIONS | 2026 LATEST UPDATED | GET A+
Workers' Compensation laws in California originated with the _____ which was passed in ____
A. Almaraz Act; 1905
B. Boynton Act; 1913
C. Blackledge Act; 1910
D. Guzman Act 1924 - (answer)B. Boynton Act; 1913
The "Grand Bargain" of the workers compensation system involves employers agreeing to pay
assured and fixed benefits for industrial injuries and workers agreeing to: a.
A. reduction in pay to cover the cost of workers' compensation insurance.
B. Accept lower industrial safety oversight by the state.
C. Not sue their employer in civil court for an industrial injury.
D. Exempt Importer/Exporter companies from liability for industrial injury. - (answer)D. Exempt
Importer/Exporter companies from liability for industrial injury.
The five basic categories of workers' compensation benefits are called:
A. Medical Treatment, Permanent Disability Benefits, Death Benefit, Supplemental Job
Displacement Benefits, Stay-at-Home Stipend.
B. Therapeutic Costs Voucher, Temporary Disability Benefits, Permanent Disability Benefits,
Death Benefits, Supplemental Job Displacement Benefits.
C. Medical Treatment, Temporary Disability Benefits, Permanent Disability Benefits, Death
Benefits, Supplemental Job Displacement Benefits.
D. Medical Treatment, Temporary Disability Benefits, Permanent Disability Benefits, Death
Benefits, Intermediate Benefits, Supplemental Job Displacement Benefits. - (answer)C. Medical
Treatment, Temporary Disability Benefits, Permanent Disability Benefits, Death Benefits,
Supplemental Job Displacement Benefits.
,Temporary Disability Benefits are paid at the rate of ____ and are usually limited by a ____ time
cap.
A. 2/3 of average weekly wages; 2 year
B. 90% of average weekly wages; 2 year
C. 2 /3 of yearly earnings; 1 year
D. ½ the Bosco rate; Seven years - (answer)A. 2/3 of average weekly wages; 2 year
Supplemental Job Displacement Benefits are available where:
A. Vocational Rehabilitation costs are deemed unreasonable.
B. The date of injury is before 1/1/13 and the employer does not offer Return-to~Work.
C. The injured worker passes the a Job Proficiency Test.
D. The date of injury is after 1/1/13 and the employer does not offer Return-to-Work -
(answer)D. The date of injury is after 1/1/13 and the employer does not offer Return-to-Work
Which report, written by an AME, QME, or AQME, does not involve a face-to-face evaluation
of an Applicant?
A. Initial (aka "Comprehensive")
B. Re-evaluation (aka "Follow-up")
C. Supplemental
D. Deposition - (answer)C. Supplemental
In the workers' compensation system, "Injury" is defined as:
A. The medical result of an industrial accident
,B. Acute incident (but not sustained exposure) that causes disability or need for medical
treatment.
C. Incident or exposure that causes disability or need for medical treatment.
D. The medical result of an industrial accident, except those caused by involuntary spasm. -
(answer)C. Incident or exposure that causes disability or need for medical treatment.
Exacerbation of prior injury means _____, while aggravation of prior injury means _____.
A. There is an increase in symptoms with an increase in PD, and it is considered a new injury;
There is a temporary increase in symptoms but then a return to baseline causing no additional
Permanent Disability (PD).
B. The disability rating is increased by 5%; The disability rating is increased by 15%.
C. There is a temporary increase in symptoms but then a return to baseline causing no additional
Permanent Disability (PD); There is an increase in symptoms with an increase in PD, and it is
considered a new injury.
D. Radiographic progression of the injury; New symptoms not previously noted. - (answer)C.
There is a temporary increase in symptoms but then a return to baseline causing no additional
Permanent Disability (PD); There is an increase in symptoms with an increase in PD, and it is
considered a new injury.
Non~compensable injuries include those caused by intoxication, injuries that are self~inflicted,
injuries resulting from incidents where Applicant is an initial aggressor, injuries sustained while
committing a crime, death by suicide, injuries caused by off~duty recreational activities not
required by employment, and ______.
A. Injuries sustained while at a required company picnic.
B. Injuries that were not due to employer negligence.
C. Injuries caused by orally ingesting toxins.
D. Post-termination psychiatric injuries. - (answer)D. Post-termination psychiatric injuries.
, Non-psychological injuries are considered compensable if ____ of the injury was industrially
caused; Subject to a few exceptions, psychological injuries are considered compensable if
______ of the injury was industrially caused.
A. 1 % or more; greater than 50%
B. 50% or more; 75%
C. 1 % or more; greater than 25%
D. 4-6%; 95% - (answer)A. 1 % or more; greater than 50%
In order to claim psychiatric injury, an employee must have been
A. A Peace Officer and injured by a sudden and extraordinary event.
B. Employed for at least 6 months, except where psychiatric injury was caused by a "sudden and
extraordinary event."Employed for at least 18 months.
C. Employed for at least 18 months.
D. Subjected to unwanted teasing and nicknames. - (answer)B. Employed for at least 6 months,
except where psychiatric injury was caused by a "sudden and extraordinary event."Employed for
at least 18 months.
"Permanent Disability" is calculated by:
A. QME taking the physician's "impairment rating," and then adjusting based on nature of injury,
age, and occupation
B. Consulting the AMA guides only
C. A special "Rater" taking the physician's "impairment rating," and then adjusting based on
nature of injury, age, and occupation
D. A QME taking the "impairment rating" and then adjusting for anticipated need for
occupational accommodations ( e.g. canes, accessible bathrooms). - (answer)C. A special "Rater"
taking the physician's "impairment rating," and then adjusting based on nature of injury, age, and
occupation
SOLUTIONS | 2026 LATEST UPDATED | GET A+
Workers' Compensation laws in California originated with the _____ which was passed in ____
A. Almaraz Act; 1905
B. Boynton Act; 1913
C. Blackledge Act; 1910
D. Guzman Act 1924 - (answer)B. Boynton Act; 1913
The "Grand Bargain" of the workers compensation system involves employers agreeing to pay
assured and fixed benefits for industrial injuries and workers agreeing to: a.
A. reduction in pay to cover the cost of workers' compensation insurance.
B. Accept lower industrial safety oversight by the state.
C. Not sue their employer in civil court for an industrial injury.
D. Exempt Importer/Exporter companies from liability for industrial injury. - (answer)D. Exempt
Importer/Exporter companies from liability for industrial injury.
The five basic categories of workers' compensation benefits are called:
A. Medical Treatment, Permanent Disability Benefits, Death Benefit, Supplemental Job
Displacement Benefits, Stay-at-Home Stipend.
B. Therapeutic Costs Voucher, Temporary Disability Benefits, Permanent Disability Benefits,
Death Benefits, Supplemental Job Displacement Benefits.
C. Medical Treatment, Temporary Disability Benefits, Permanent Disability Benefits, Death
Benefits, Supplemental Job Displacement Benefits.
D. Medical Treatment, Temporary Disability Benefits, Permanent Disability Benefits, Death
Benefits, Intermediate Benefits, Supplemental Job Displacement Benefits. - (answer)C. Medical
Treatment, Temporary Disability Benefits, Permanent Disability Benefits, Death Benefits,
Supplemental Job Displacement Benefits.
,Temporary Disability Benefits are paid at the rate of ____ and are usually limited by a ____ time
cap.
A. 2/3 of average weekly wages; 2 year
B. 90% of average weekly wages; 2 year
C. 2 /3 of yearly earnings; 1 year
D. ½ the Bosco rate; Seven years - (answer)A. 2/3 of average weekly wages; 2 year
Supplemental Job Displacement Benefits are available where:
A. Vocational Rehabilitation costs are deemed unreasonable.
B. The date of injury is before 1/1/13 and the employer does not offer Return-to~Work.
C. The injured worker passes the a Job Proficiency Test.
D. The date of injury is after 1/1/13 and the employer does not offer Return-to-Work -
(answer)D. The date of injury is after 1/1/13 and the employer does not offer Return-to-Work
Which report, written by an AME, QME, or AQME, does not involve a face-to-face evaluation
of an Applicant?
A. Initial (aka "Comprehensive")
B. Re-evaluation (aka "Follow-up")
C. Supplemental
D. Deposition - (answer)C. Supplemental
In the workers' compensation system, "Injury" is defined as:
A. The medical result of an industrial accident
,B. Acute incident (but not sustained exposure) that causes disability or need for medical
treatment.
C. Incident or exposure that causes disability or need for medical treatment.
D. The medical result of an industrial accident, except those caused by involuntary spasm. -
(answer)C. Incident or exposure that causes disability or need for medical treatment.
Exacerbation of prior injury means _____, while aggravation of prior injury means _____.
A. There is an increase in symptoms with an increase in PD, and it is considered a new injury;
There is a temporary increase in symptoms but then a return to baseline causing no additional
Permanent Disability (PD).
B. The disability rating is increased by 5%; The disability rating is increased by 15%.
C. There is a temporary increase in symptoms but then a return to baseline causing no additional
Permanent Disability (PD); There is an increase in symptoms with an increase in PD, and it is
considered a new injury.
D. Radiographic progression of the injury; New symptoms not previously noted. - (answer)C.
There is a temporary increase in symptoms but then a return to baseline causing no additional
Permanent Disability (PD); There is an increase in symptoms with an increase in PD, and it is
considered a new injury.
Non~compensable injuries include those caused by intoxication, injuries that are self~inflicted,
injuries resulting from incidents where Applicant is an initial aggressor, injuries sustained while
committing a crime, death by suicide, injuries caused by off~duty recreational activities not
required by employment, and ______.
A. Injuries sustained while at a required company picnic.
B. Injuries that were not due to employer negligence.
C. Injuries caused by orally ingesting toxins.
D. Post-termination psychiatric injuries. - (answer)D. Post-termination psychiatric injuries.
, Non-psychological injuries are considered compensable if ____ of the injury was industrially
caused; Subject to a few exceptions, psychological injuries are considered compensable if
______ of the injury was industrially caused.
A. 1 % or more; greater than 50%
B. 50% or more; 75%
C. 1 % or more; greater than 25%
D. 4-6%; 95% - (answer)A. 1 % or more; greater than 50%
In order to claim psychiatric injury, an employee must have been
A. A Peace Officer and injured by a sudden and extraordinary event.
B. Employed for at least 6 months, except where psychiatric injury was caused by a "sudden and
extraordinary event."Employed for at least 18 months.
C. Employed for at least 18 months.
D. Subjected to unwanted teasing and nicknames. - (answer)B. Employed for at least 6 months,
except where psychiatric injury was caused by a "sudden and extraordinary event."Employed for
at least 18 months.
"Permanent Disability" is calculated by:
A. QME taking the physician's "impairment rating," and then adjusting based on nature of injury,
age, and occupation
B. Consulting the AMA guides only
C. A special "Rater" taking the physician's "impairment rating," and then adjusting based on
nature of injury, age, and occupation
D. A QME taking the "impairment rating" and then adjusting for anticipated need for
occupational accommodations ( e.g. canes, accessible bathrooms). - (answer)C. A special "Rater"
taking the physician's "impairment rating," and then adjusting based on nature of injury, age, and
occupation
