QME EXAM LATEST 2024-2025 BEST RATED ACTUAL EXAM
COMPLETE 200 QUESTIONS AND VERIFIED CORRECT DETAILED
ANSWERS ALREADY GRADED A+
QUESTION: Date of injury (DOI)-specific injury - ANSWER-Date on which the incident or
exposure occurred
QUESTION: Date of injury (DOI)-cumulative injury - ANSWER-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
QUESTION: Items determined by the DOI - ANSWER-(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.
QUESTION: Reasonable medical probability - ANSWER-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
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QUESTION: Evidentiary standard of causation/contribution in compensability disputes -
ANSWER-Preponderance of the evidence (51%; more likely than not)
QUESTION: 3 factors to establish in making a causation determination - ANSWER-(1) Presence
of pathological conditions and disability
(2) Relevant work exposures
(3) Non-industrial exposures (other causes of disease)
QUESTION: 5 major types of causation - ANSWER-(1) Direct
(2) Contributing
(3) Acceleration
(4) Precipitation
(5) Aggravation
QUESTION: Direct causation - ANSWER-Work exposures are directly responsible for the health
outcomes
QUESTION: Contributing causation - ANSWER-Several factors led to the disease; work exposure
is one of these factors
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QUESTION: Acceleration - ANSWER-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.
QUESTION: Precipitation - ANSWER-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.
QUESTION: Aggravation - ANSWER-A medical condition may be present already, but work
exposure makes it worse
QUESTION: Holds authority to appoint physicians as QME evaluators - ANSWER-Administrative
Director (AD) (LC 139.2)
QUESTION: Term of appointment as QME evaluator - ANSWER-2 years (LC 139.2)
QUESTION: 3 requirements when seeking appointment as QME - ANSWER-(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)
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QUESTION: 2 reasons for termination/suspension of a QME w/o a hearing - ANSWER-(1)
Licensing board suspends/revokes/terminates license to practice
(2) Failure to pay required fee (upon appointment and yearly thereafter)
QUESTION: 6 reasons for discipline (suspension/termination) of QMEs after a hearing -
ANSWER-(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.
QUESTION: 3 types of substantive medical disputes resolved by QMEs - ANSWER-(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)
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