QME EXAM NEWEST ACTUAL EXAM COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW VERSION!!
Disability (AMA Guides definition) - CORRECT ANSWERS-Alteration of an individual's capacity
to meet personal, social, or occupational demands or statutory or regulatory requirements because of an
impairment
Combined Values Chart - CORRECT ANSWERS-Used to combine multiple impairment ratings
into a summary value or WPI
Responsibility for assigning QME panels - CORRECT ANSWERS-DWC Executive Medical
Director
Time frame in which either party in represented cases may object to a medical determination by the
treating physician - CORRECT ANSWERS-20 days, in writing
Time frame in which either party in unrepresented cases may object to a medication determination by
the treating physician - CORRECT ANSWERS-30 days, in writing
Time limit for unrepresented injured worker to submit request for a QME panel after receiving form from
employer - CORRECT ANSWERS-10 days
Time frame after which unrepresented worker has the right to obtain an evaluation from any QME
within a reasonable geographic area - CORRECT ANSWERS-After 20 days, if request for QME
panel is not issued
Time frame in which an injured worker is required to select a physician from the QME panel, make an
appointment for the exam and inform the claims administrator of the selection and appointment -
CORRECT ANSWERS-Within 10 days after the panel is issued
,4 basic conditions to establish a workers' compensation claim - CORRECT ANSWERS-(1)
*Injury* (physiological or psychological harm);
(2) Employment relationship;
(3) Injury caused by the employment (This is also referred to as arising out of employment [AOE].);
(4) Occurred in the course of the employment (COE)
Aggravation of a pre-existing, non-industrial condition - CORRECT ANSWERS-(1) Causes a
temporary or permanent increase in disability;
(2) Creates a new need for medical treatment; or
(3) Requires a change in the existing course of treatment
Symptoms that don't constitute a new injury - CORRECT ANSWERS-*Flare-ups* or
*recurrence* of a previous industrial injury or illness; not been caused by the current employment
Date of injury (DOI)-specific injury - CORRECT ANSWERS-Date on which the incident or
exposure occurred
Date of injury (DOI)-cumulative injury - CORRECT ANSWERS-Date when the employee first
suffered disability from the exposure, and either knew, or should have known, that the disability was
caused by present or previous employment
Items determined by the DOI - CORRECT ANSWERS-(1) Statute of limitations for particular
procedures within the workers' compensation system;
(2) Regulations that will apply to the worker's injury;
(3) Compensation rate for the worker's injury;
(4) Employers who are liable for the claim.
Reasonable medical probability - CORRECT ANSWERS-Standard by which QME uses
combination of existing medical and scientific knowledge and the occupational and medical history of
the individual worker to conclude whether the work exposure contributed to the injury
, Evidentiary standard of causation/contribution in compensability disputes - CORRECT
ANSWERS-Preponderance of the evidence (51%; more likely than not)
3 factors to establish in making a causation determination - CORRECT ANSWERS-(1) Presence
of pathological conditions and disability
(2) Relevant work exposures
(3) Non-industrial exposures (other causes of disease)
5 major types of causation - CORRECT ANSWERS-(1) Direct
(2) Contributing
(3) Acceleration
(4) Precipitation
(5) Aggravation
Direct causation - CORRECT ANSWERS-Work exposures are directly responsible for the health
outcomes
Contributing causation - CORRECT ANSWERS-Several factors led to the disease; work
exposure is one of these factors
Acceleration - CORRECT ANSWERS-Disease process is accelerated by virtue of work exposure.
The date of the onset of the disease is much sooner than it would have been in the absence of the
exposure.
Precipitation - CORRECT ANSWERS-Work exposure *precipitates* the manifestation of the
illness. For example, an underlying tendency or asymptomatic problem was present, but the work
exposure causes it to clinically manifest.
Aggravation - CORRECT ANSWERS-A medical condition may be present already, but work
exposure makes it worse
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW VERSION!!
Disability (AMA Guides definition) - CORRECT ANSWERS-Alteration of an individual's capacity
to meet personal, social, or occupational demands or statutory or regulatory requirements because of an
impairment
Combined Values Chart - CORRECT ANSWERS-Used to combine multiple impairment ratings
into a summary value or WPI
Responsibility for assigning QME panels - CORRECT ANSWERS-DWC Executive Medical
Director
Time frame in which either party in represented cases may object to a medical determination by the
treating physician - CORRECT ANSWERS-20 days, in writing
Time frame in which either party in unrepresented cases may object to a medication determination by
the treating physician - CORRECT ANSWERS-30 days, in writing
Time limit for unrepresented injured worker to submit request for a QME panel after receiving form from
employer - CORRECT ANSWERS-10 days
Time frame after which unrepresented worker has the right to obtain an evaluation from any QME
within a reasonable geographic area - CORRECT ANSWERS-After 20 days, if request for QME
panel is not issued
Time frame in which an injured worker is required to select a physician from the QME panel, make an
appointment for the exam and inform the claims administrator of the selection and appointment -
CORRECT ANSWERS-Within 10 days after the panel is issued
,4 basic conditions to establish a workers' compensation claim - CORRECT ANSWERS-(1)
*Injury* (physiological or psychological harm);
(2) Employment relationship;
(3) Injury caused by the employment (This is also referred to as arising out of employment [AOE].);
(4) Occurred in the course of the employment (COE)
Aggravation of a pre-existing, non-industrial condition - CORRECT ANSWERS-(1) Causes a
temporary or permanent increase in disability;
(2) Creates a new need for medical treatment; or
(3) Requires a change in the existing course of treatment
Symptoms that don't constitute a new injury - CORRECT ANSWERS-*Flare-ups* or
*recurrence* of a previous industrial injury or illness; not been caused by the current employment
Date of injury (DOI)-specific injury - CORRECT ANSWERS-Date on which the incident or
exposure occurred
Date of injury (DOI)-cumulative injury - CORRECT ANSWERS-Date when the employee first
suffered disability from the exposure, and either knew, or should have known, that the disability was
caused by present or previous employment
Items determined by the DOI - CORRECT ANSWERS-(1) Statute of limitations for particular
procedures within the workers' compensation system;
(2) Regulations that will apply to the worker's injury;
(3) Compensation rate for the worker's injury;
(4) Employers who are liable for the claim.
Reasonable medical probability - CORRECT ANSWERS-Standard by which QME uses
combination of existing medical and scientific knowledge and the occupational and medical history of
the individual worker to conclude whether the work exposure contributed to the injury
, Evidentiary standard of causation/contribution in compensability disputes - CORRECT
ANSWERS-Preponderance of the evidence (51%; more likely than not)
3 factors to establish in making a causation determination - CORRECT ANSWERS-(1) Presence
of pathological conditions and disability
(2) Relevant work exposures
(3) Non-industrial exposures (other causes of disease)
5 major types of causation - CORRECT ANSWERS-(1) Direct
(2) Contributing
(3) Acceleration
(4) Precipitation
(5) Aggravation
Direct causation - CORRECT ANSWERS-Work exposures are directly responsible for the health
outcomes
Contributing causation - CORRECT ANSWERS-Several factors led to the disease; work
exposure is one of these factors
Acceleration - CORRECT ANSWERS-Disease process is accelerated by virtue of work exposure.
The date of the onset of the disease is much sooner than it would have been in the absence of the
exposure.
Precipitation - CORRECT ANSWERS-Work exposure *precipitates* the manifestation of the
illness. For example, an underlying tendency or asymptomatic problem was present, but the work
exposure causes it to clinically manifest.
Aggravation - CORRECT ANSWERS-A medical condition may be present already, but work
exposure makes it worse
