Exam (elaborations)
QME EXAM QUESTIONS AND ANSWERS 2024
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QME EXAM QUESTIONS AND ANSWERS 2024
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QME EXAM 2024ANSWER ALL QUESTIONS IN THIS SECTION
QUESTION 1
QME ratings - ANSWERS--Raters use reports to convert impairment rating into
disability w/ formula that involved age & occupation
QUESTION 2
Disability determination - ANSWERS--Permanent work restrictions
-Permanent work restrictions that are ratable disabilities
QUESTION 3
Disability (per AMA) - ANSWERS--An alteration in capacity to meet social,
personal, occup., demands or statutory or regulatory requirements b/c of an
impairment
-Impaired person may/may not have a disability
-Disability is when person w/ impairment interacts w/ environment and CANT
perform tasks
END OF
PAGE 1
, QME EXAM 2024
QUESTION 4
4 factors of disability pre-2005 - ANSWERS--Objective
-Subjective
-work restrictions
-loss of pre-injury capacity
QUESTION 5
Objective factors (in disability) - ANSWERS--Measurable, observed, and
demonstrated
-Need to examine affect area and related body parts
-Observable sxs; observations of eval
-Include positive and negative results
-Given more weight since 2005
QUESTION 6
Subjective factors (in disability) - ANSWERS--Applicants complaints
-Pain, insomnia, depressed mood
-Given less weight since 2005
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PAGE 2
, QME EXAM 2024
Disability never attributed to: - ANSWERS--Normal aging process
-Evolutionary process
-Age-related issues
*Apportion to the disease, not the age
QUESTION 7
Subjective descriptors - ANSWERS--Severity
-Minimal/non-ratable
-Slight
-Moderate
-Severe
-Frequency
-Occasional (25%)
-Intermittent (50%)
-Frequent (75%)
-Constant (90-100%)
END OF
PAGE 3
, QME EXAM 2024
QUESTION 8
QME process pre 1/1/94 - ANSWERS--Any party can get a medical eval to use in
their case
-Triggered by: employer ends IW's TD payment and is told PD will/will not be
made
-If primary tx physician says condition is MMI
-If there is dispute over tx
-Represented employer and employee may agree to AME; if not, QME selected
from appropriate specialty
-Unrepresented IW given form to request QME eval in appropriate specialty.
QUESTION 9
QME process post 1/1/94 - ANSWERS--PTP completed disability eval when they
determine the condition is MMI; report can trigger the medical-legal process or can
be used to settle a claim
-If PTP eval is contested: eval will be completed by AME or QME (depends on
representation status of IW)
-Rep: IW and employer may agree on AME; if not, QME is provided by panel
-Unrep: IW completes form to get eval by QME; IMC provides panel w/in 15 days,
employee selects specialty of QME
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