QME exam questions and verified answers (detailed
& elaborated) ACTUAL EXAM 2025 TESTS!!
Holds authority to appoint physicians as QME evaluators
Ans: Administrative Director (AD) (LC 139.2)
Quiz Term of appointment as QME evaluator
Ans: 2 years (LC 139.2)
Quiz 3 requirements when seeking appointment as QME
Ans: (1) Pass the QME competency exam;
(2) Complete a 12-hour course in disability eval report writing;
(3) Devote at least 1/3rd of total practice time to providing direct medical treatment (or have served as
a AME on 8+ occasions in past 12 mos prior to application)
Quiz 2 reasons for termination/suspension of a QME w/o a hearing
Ans: (1) Licensing board suspends/revokes/terminates license to practice
(2) Failure to pay required fee (upon appointment and yearly thereafter)
,Quiz 6 reasons for discipline (suspension/termination) of QMEs after a hearing
Ans: (1) Violation of material statutory or administrative duty;
(2) Failure to follow medical procedures or qualifications;
(3) Failure to comply with the timeframe standards;
(4) Failure to meet licensing/certification requirements;
(5) Preparation of medical-legal evaluations that fail to meet the minimum standards for those reports
as established by the administrative director or the appeals board;
(6) Making material misrepresentations or false statements in an application for appointment or
reappointment as a qualified medical evaluator.
Quiz 3 types of substantive medical disputes resolved by QMEs
Ans: (1) Compensability of the claim;
(2) Permanent disability;
(3) "Catch-all" (temporary disability, work restrictions, new and further disabilities after permanent
disability (detereoration of original injury), compensability of new body part added to claim)
Quiz Definition of *injury* in compensability claims
Ans: (1) An injury or disease arising out of employment;
(2) A *derivative* injury caused by treatment of an injury arising out of employment;
(3) Any reaction to or side effect from preventative health care the employer provides to health care
workers
Quiz *Specific injury*
, Ans: Occurs as the result of a single incident or exposure
Quiz *Cumulative injury*
Ans: Results from repetitive trauma (mental or physical) over a period of time
Quiz 2 requirements for a condition to be considered an injury
Ans: (1) Cause disability; or
(2) Result in a need for medical treatment
Quiz Occupational disease
Ans: Disease that in whole or part is caused by work
Quiz 7 types of excluded injuries
Ans: (1) Caused by employee's use of alcohol or illegal controlled substances;
(2) Intentionally self-inflicted injuries;
(3) Suicide;
(4) Resulting from altercations, in which the injured employee is the *initial physical aggressor*;
(5) Resulting from the employee's commission of a felony, for which the employee has been convicted
(including "wobbly felonies," which are crimes that may be prosecuted as misdemeanors or felonies)
(6) Resulting from off-duty recreational activities, in which participation in the activities does not
constitute part of the employee's work-related duties and the activity is not an expressed or implicit
condition of employment;
& elaborated) ACTUAL EXAM 2025 TESTS!!
Holds authority to appoint physicians as QME evaluators
Ans: Administrative Director (AD) (LC 139.2)
Quiz Term of appointment as QME evaluator
Ans: 2 years (LC 139.2)
Quiz 3 requirements when seeking appointment as QME
Ans: (1) Pass the QME competency exam;
(2) Complete a 12-hour course in disability eval report writing;
(3) Devote at least 1/3rd of total practice time to providing direct medical treatment (or have served as
a AME on 8+ occasions in past 12 mos prior to application)
Quiz 2 reasons for termination/suspension of a QME w/o a hearing
Ans: (1) Licensing board suspends/revokes/terminates license to practice
(2) Failure to pay required fee (upon appointment and yearly thereafter)
,Quiz 6 reasons for discipline (suspension/termination) of QMEs after a hearing
Ans: (1) Violation of material statutory or administrative duty;
(2) Failure to follow medical procedures or qualifications;
(3) Failure to comply with the timeframe standards;
(4) Failure to meet licensing/certification requirements;
(5) Preparation of medical-legal evaluations that fail to meet the minimum standards for those reports
as established by the administrative director or the appeals board;
(6) Making material misrepresentations or false statements in an application for appointment or
reappointment as a qualified medical evaluator.
Quiz 3 types of substantive medical disputes resolved by QMEs
Ans: (1) Compensability of the claim;
(2) Permanent disability;
(3) "Catch-all" (temporary disability, work restrictions, new and further disabilities after permanent
disability (detereoration of original injury), compensability of new body part added to claim)
Quiz Definition of *injury* in compensability claims
Ans: (1) An injury or disease arising out of employment;
(2) A *derivative* injury caused by treatment of an injury arising out of employment;
(3) Any reaction to or side effect from preventative health care the employer provides to health care
workers
Quiz *Specific injury*
, Ans: Occurs as the result of a single incident or exposure
Quiz *Cumulative injury*
Ans: Results from repetitive trauma (mental or physical) over a period of time
Quiz 2 requirements for a condition to be considered an injury
Ans: (1) Cause disability; or
(2) Result in a need for medical treatment
Quiz Occupational disease
Ans: Disease that in whole or part is caused by work
Quiz 7 types of excluded injuries
Ans: (1) Caused by employee's use of alcohol or illegal controlled substances;
(2) Intentionally self-inflicted injuries;
(3) Suicide;
(4) Resulting from altercations, in which the injured employee is the *initial physical aggressor*;
(5) Resulting from the employee's commission of a felony, for which the employee has been convicted
(including "wobbly felonies," which are crimes that may be prosecuted as misdemeanors or felonies)
(6) Resulting from off-duty recreational activities, in which participation in the activities does not
constitute part of the employee's work-related duties and the activity is not an expressed or implicit
condition of employment;
