QME EXAM LATEST 2024-2025 COMPLETE 200
QUESTIONS AND DETAILED CORRECT ANSWERS
ALREADY GRADED A+ JUST RELEASED
1. In order to claim psychiatric injury, an employee must have been - ANSWER-Employed for at
least 6 months, except where psychiatric injury
was caused by a "sudden and extraordinary event."
2. "Permanent Disability" is calculated by: - ANSWER-A special "Rater" taking the physician's
"impairment rating," and
then adjusting based on nature of injury, age, and occupation
3. "Permanent and Stationary" or "P+S" status is achieved when - ANSWER-The condition has
"reached a plateau," meaning that the
applicant's condition is well stabilized and unlikely to change
substantially in the next year with or without medical treatment.
(P & S status may also be referred to as "MMI- Maximal Medical
Improvement" ).
4. "Apportionment" refers to the notion that - ANSWER-An employer is only liable for the
percentage of permanent
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disability that was directly caused by an injury arising out of and
occurring in the course of employment. (Apportionment does not
reduce benefits owed as treatment or work restrictions).
5. Supplemental Job Displacement Benefits are available where: - ANSWER-The date of injury is
AFTER "1/1/13" and the employer does not offer
Return-to-Work.
6. A(n) _____________ report, written by an AME, QME, or AQME, does not involve
a face-to-face evaluation of an Applicant. - ANSWER-Supplemental
7. In the workers' compensation system, "Injury" is defined as: - ANSWER-Incident or exposure
that causes disability or need for medical
treatment.
Where a prior injury (be it industrial or non-industrial) is "exacerbated," it
means ______________; Where a prior injury (be it industrial or non-industrial)
is "aggravated," it means ________________. - ANSWER-There is a temporary increase in
symptoms but then a return
to baseline causing no additional Permanent Disability (PD); There
is an increase in symptoms with an increase in PD, and it is
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considered a new injury.
9. Non-compensable injuries include those caused by intoxication, injuries that
are self-inflicted, injuries resulting from incidents where Applicant is an
initial aggressor, injuries sustained while committing a crime, death by
suicide, injuries caused by off-duty recreational activities not required by
employment, and __________: - ANSWER-Post-termination psychiatric injuries.
10. Non-psychological injuries are considered compensable if ________ of the
injury was industrially caused; Subject to a few exceptions, psychological
injuries are considered compensable if ______ of the injury was industrially
caused . - ANSWER-1% or more; greater than 50%
11. Workers' Compensation laws in California originated with the _______________
which was passed in ________________. - ANSWER-Boynton Act; 1913
12. The "Grand Bargain" of the workers compensation system involves
employers agreeing to pay assured and fixed benefits for industrial injuries
and workers agreeing to: - ANSWER-Not sue their employer in civil court for an industrial injury.
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13. The five basic categories of workers' compensation benefits are called: - ANSWER-Medical
Treatment, Temporary Disability Benefits, Permanent
Disability Benefits, Death Benefits, Supplemental Job Displacement
Benefits.
14. Temporary Disability Benefits are paid at the rate of _____________ and are
usually limited by a ______________ time cap. - ANSWER-2/3 of average "weekly" wages; 2
year
15. Under Benson , where there is more than one Date of Injury (DOI), one must
apportion Permanent Disability (PD) amongst the various dates of injury and
must be done for each body part. If this cannot be done with reasonable
medical certainty, then the physician may opine that the DOI and the
impairment are all - ANSWER-"Inextricably intertwined."
16. In CA workers' compensation, the burden of proof (by a "preponderance of
the evidence") for injury is on the _____________ and the burden of proof for
apportionment is on the ______________ - ANSWER-c. Injured Worker; Employer
17. Under Blackledge, a report will be considered ___________ if the reasoning
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