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QME Exam 100 Questions and Answers 2025.
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QME Exam 100 Questions and Answers 2025.
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1QME Exam 100 Questions and Answers 2025
Holds .authority .to .appoint .physicians .as .QME .evaluators .- .Correct . .Answer .-
.Administrative .Director .(AD) .(LC .139.2)
Term .of .appointment .as .QME .evaluator .- .Correct . .Answer .- .2 .years .(LC .139.2)
3 .requirements .when .seeking .appointment .as .QME .- .Correct . .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)
2 .reasons .for .termination/suspension .of .a .QME .w/o .a .hearing .- .Correct . .Answer .- .(1)
.Licensing .board .suspends/revokes/terminates .license .to .practice
(2) .Failure .to .pay .required .fee .(upon .appointment .and .yearly .thereafter)
6 .reasons .for .discipline .(suspension/termination) .of .QMEs .after .a .hearing .- .Correct .
.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.
3 .types .of .substantive .medical .disputes .resolved .by .QMEs .- .Correct . .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)
Definition .of .*injury* .in .compensability .claims .- .Correct . .Answer .- .(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
*Specific .injury* .- .Correct . .Answer .- .Occurs .as .the .result .of .a .single .incident .or
.exposure
, 2
*Cumulative .injury* .- .Correct . .Answer .- .Results .from .repetitive .trauma .(mental .or
.physical) .over .a .period .of .time
2 .requirements .for .a .condition .to .be .considered .an .injury .- .Correct . .Answer .- .(1)
.Cause .disability; .or
(2) .Result .in .a .need .for .medical .treatment
Occupational .disease .- .Correct . .Answer .- .Disease .that .in .whole .or .part .is .caused .by
.work
7 .types .of .excluded .injuries .- .Correct . .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)
(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;
(7) .Psychiatric .injuries .claimed .after .notice .of .termination/layoff .unless .certain
.conditions .exist
4 .basic .conditions .to .establish .a .workers' .compensation .claim .- .Correct . .Answer .- .(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 . .Answer .- .(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 . .Answer .- .*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 . .Answer .- .Date .on .which .the .incident .or
.exposure .occurred
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