1|Page
2025/2026 QME EXAM CURRENTLY TESTING
QUESTIONS AND DETAILED CORRECT ANSWERS
(VERIFIED) GUARANTEED PASS ALREADY TOP-
RATED A+.
QME
Succeed on your Qualified Medical Evaluator (QME) certification
exam with this comprehensive preparation guide designed for
California's workers' compensation system. This resource provides
essential practice questions and detailed explanations covering
impairment ratings, legal protocols, and disability evaluation
guidelines. Master the specific knowledge required to perform your
duties with authority and achieve certification confidence
Persons/entities with whom a QME may have a
disqualifying COI ...... ANSWER ....... (1) Injured
worker (or their attorney)
(2) Employer (or their attorney)
(3) Claims administrator (or their attorney)
(4) Primary/secondary treating physician, if treatment by
physician is being disputed
(5) UR physician reviewer or expert reviewer or UR
organization if decision is being disputed
(6) Surgical center if surgery is being disputed
(7) Purveyor of medical goods/svcs if goods/svcs are being
disputed
,2|Page
Disqualifying COIs ...... ANSWER ....... (1) Familial
relationship, including cohabitation
(2) Significant financial interest
(3) Professional affiliation in same medical group/business
affiliation
(4) Any other relationship/interest not addressed which
would cause a person aware of the facts to reasonably
entertain a doubt that an evaluator wuld be able to act with
integrity and impartiality
Time frame for an evaluator to disclose COI ......
ANSWER ....... Within 5 business days of becoming
aware of the conflict, in writing
Options of represented workers after disclosure of COI by
evaluator ...... ANSWER ....... (1) Waive the COI
(2) Replace the evaluator's name on the panel (if COI
discovered before any names have been stricken)
(3) Request a new panel (if COI discovered after appt
made)
Decider of disputes about whether a COI may affect the
integrity and impartiality of the evaluation or supplemental
, 3|Page
reports ...... ANSWER ....... WCALJ assigned to the
case
Required exam disclosures ...... ANSWER ....... (1)
Injured worker may ask the evaluator and evaluator shall
promptly answer questions about any matter concerning
the evaluation process;
(2) Injured worker may discontinue the evaluation based
on *good cause*;
(3) Disclosure of probationary status, if required as a
condition of probation.
7 types of excluded injuries ...... ANSWER ....... (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)
2025/2026 QME EXAM CURRENTLY TESTING
QUESTIONS AND DETAILED CORRECT ANSWERS
(VERIFIED) GUARANTEED PASS ALREADY TOP-
RATED A+.
QME
Succeed on your Qualified Medical Evaluator (QME) certification
exam with this comprehensive preparation guide designed for
California's workers' compensation system. This resource provides
essential practice questions and detailed explanations covering
impairment ratings, legal protocols, and disability evaluation
guidelines. Master the specific knowledge required to perform your
duties with authority and achieve certification confidence
Persons/entities with whom a QME may have a
disqualifying COI ...... ANSWER ....... (1) Injured
worker (or their attorney)
(2) Employer (or their attorney)
(3) Claims administrator (or their attorney)
(4) Primary/secondary treating physician, if treatment by
physician is being disputed
(5) UR physician reviewer or expert reviewer or UR
organization if decision is being disputed
(6) Surgical center if surgery is being disputed
(7) Purveyor of medical goods/svcs if goods/svcs are being
disputed
,2|Page
Disqualifying COIs ...... ANSWER ....... (1) Familial
relationship, including cohabitation
(2) Significant financial interest
(3) Professional affiliation in same medical group/business
affiliation
(4) Any other relationship/interest not addressed which
would cause a person aware of the facts to reasonably
entertain a doubt that an evaluator wuld be able to act with
integrity and impartiality
Time frame for an evaluator to disclose COI ......
ANSWER ....... Within 5 business days of becoming
aware of the conflict, in writing
Options of represented workers after disclosure of COI by
evaluator ...... ANSWER ....... (1) Waive the COI
(2) Replace the evaluator's name on the panel (if COI
discovered before any names have been stricken)
(3) Request a new panel (if COI discovered after appt
made)
Decider of disputes about whether a COI may affect the
integrity and impartiality of the evaluation or supplemental
, 3|Page
reports ...... ANSWER ....... WCALJ assigned to the
case
Required exam disclosures ...... ANSWER ....... (1)
Injured worker may ask the evaluator and evaluator shall
promptly answer questions about any matter concerning
the evaluation process;
(2) Injured worker may discontinue the evaluation based
on *good cause*;
(3) Disclosure of probationary status, if required as a
condition of probation.
7 types of excluded injuries ...... ANSWER ....... (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)
