Exit 2020 QME Course Test Disclaimer: The answers to these questions can be found in the audio recording, in the course handouts, and represent the opinion of the speakers. They do not necessarily represent COA’s opinion or policy on the issue. Question Title * 1. Contact Information First Name/Last Name * Email Address * Phone Number Question Title * 2. Test Date Date Date Question Title * 3. The Division of Workers' Compensation is in the process of updating the Medical-Legal Fee Schedule. The new fee schedule is expected to be reimbursed on a "flat rate" system. A) True B) False Question Title * 4. The updated Medical-Legal Fee Schedule will still be based on complexity factors. A) True B) False Question Title * 5. Attorneys will be required to send their Joint Letter to the QME/AME at least 15 working days prior to the evaluation. A) True B) False Question Title * 6. Workers' Compensation carriers are opposed to having all records sent to an entity which would remove duplicate records and organize the records. The record organizer would send the records to the evaluator. A) True B) False Question Title * 7. If the QME/AME does not address issues in the Joint Letter, the carrier may demand that the evaluator do a supplemental report free of charge, to address the requested issues. A) True B) False Question Title * 8. Common Mistakes Doctors Make in Their ReportsThe Escobedo decision has been around since 2005 and only applies to apportionment. A) True B) False Question Title * 9. The treating physician and QME must address the same issues in their reports (Medical-Legal Report or PR-4) because the judge can rely on either report - whichever they believe is more comprehensive. A) True B) False Question Title * 10. QMEs must disclose in their report who actually evaluated the patient including if a computer assisted in the evaluation. A) True B) False Question Title * 11. Active and Passive range of motion are both valid. A) True B) False Question Title * 12. The Combined Values chart in the AMA Guides is based on scientific data. A) True B) False Question Title * 13. Orthopaedic surgeons only need to understand and use the musculoskeletal chapters of the AMA Guides. The other chapters are not important in an orthopaedic evaluation. A) True B) False Question Title * 14. Atrophy of even 1 cm is rateable. A) True B) False Question Title * 15. It is important for the QME to tell the judge in your report what is "normal" according to the AMA Guide when compared to your findings on the patient that you are evaluating. You cannot assume the judge will know. A) True B) False Question Title * 16. It is important for the evaluator to review op reports in the medical reports. A) True B) False Question Title * 17. Contributory Causation.The employer is only liable for the percentage of permanent disability directly caused by the injury. A) True B) False Question Title * 18. QMEs/AMEs can either address causation or apportionment in their reports. They do not have to address both. A) True B) False Question Title * 19. Contributory causation can include factors related to heredity, disease, and medical conditions. A) True B) False Question Title * 20. It is important to remember that the AMA Guides does not include any notion of cumulative trauma. A) True B) False Question Title * 21. The defense and applicant attorneys both have the responsibility of proving or disapproving apportionment. A) True B) False Question Title * 22. When apportioning an injury, which of the situations should be considered? A) How severe the injury - how far did the injured worker fall B) How arduous was the work being performed C) Was there a gap in their treatment D) Did they have a previous injury E) Have they recovered from a prior injury F) Timing of the injury to any imaging studies G) All of the above Question Title * 23. In your evaluation report, it is not important to discuss how the injury caused a permanent disability. A) True B) False Question Title * 24. It is important to include a discussion in your report of when a risk factor becomes causative of disability. A) True B) False Question Title * 25. In order for the evaluation report to be complete, the QME/AME must include a rationale for the conclusions in their report. A) True B) False Question Title * 26. There is medical evidence to support considering obesity as a contributory factor in hip, knee and in foot/ankle injuries. A) True B) False Question Title * 27. An injured worker can have both a structural and functional deformity? A) True B) False Question Title * 28. When assessing a hand problem, it may be appropriate to exam the injured worker's feet to determine if they have a genetic condition? A) True B) False Question Title * 29. Fat mass is never a reliable predictor of low back pain. A) True B) False Question Title * 30. In adult scoliosis patients, Sagittal Balance is the best predicator of functional outcome. A) True B) False Question Title * 31. The FDA has only approved the use of BMP-2 in an anterior interbody fusion in a cage. A) True B) False Question Title * 32. Functional CapacityFunctional Restoration Programs include the following disciplines: A) Physical therapy and Acupuncture B) Psychology and Chiropractic care C) Weekly visits with a Pain Physician D) Physical therapy, Psychology, Pain Physician, Wellness Teachers Question Title * 33. What are two factors lead to avoidance which can lead to greater disability? A) Fear of re-injury B) Fear of increased pain C) Staying at work after an injury D) A positive attitude E) A & B Question Title * 34. The American Physical Therapy Association defines a Functional Capacity Evaluation (FCE) as: A) A series of tests that measure a person’s effort. B) A comprehensive battery of questionnaires that determines a person’s subjective physical limitations. C) A collection of tests that only measures a person's ability to return to work. D) A comprehensive battery of performance-based tests that are commonly used to determine ability for work, activities of daily living, or leisure activities. Question Title * 35. The study of well-known FCE methods indicates that these methods: A) Are all the same B) Have weakness in their validity and reliability C) Are all reliable and valid D) Have weakness in their reliability but not the validity Question Title * 36. Psychiatric EvaluationsThe threshold for compensability for most psychiatric claims in California is: A) 1% B) 10% C) 35%-40% D) 51% Question Title * 37. The multiaxial psychiatric assessment used in the Diagnostic and Statistical A) Combines Mental Disorders and Medical Conditions B) Has axis for personaility disorders and medical conditions C) Ignores psychosocial stressors D) Does not incorporate a GAF score Question Title * 38. In the case of Kite v Athens Administrators, two hip impairments were: A) The fairest outcome B) The Combines Values Chart (CVC) was not available C) A "synergistic effect" was described by the QME D) The judge was new and inexperienced Done
