Exit 2021 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 has updated Medical-Legal Fee Schedule effective April 1, 2021. A) True B) False Question Title * 4. The updated Medical-Legal Fee Schedule will still be based on the AMA Guides 5th Edition. A) True B) False Question Title * 5. All parties sending records to a QME/AME are required to send along a Declaration which indicates the number of pages sent. A) True B) False Question Title * 6. If the QME/AME does not receive the Declaration with the records, they are to act as if the records were not received. A) True B) False Question Title * 7. If the QME/AME reviews the records without the Declaration, the payor likely will not pay for the review of records. A) True B) False Question Title * 8. Once the Declaration is received and if the QME/AME has already sent in their report, they may bill a Supplemental Report for the review of records. A request for the Supplemental Report from the payor is also needed. A) True B) False Question Title * 9. Common Mistakes Doctors Make in Their ReportsThe Escobedo decision has been around since 2004 and only applies to apportionment. A) True B) False Question Title * 10. 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 * 11. 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 * 12. Active and Passive range of motion are both valid. A) True B) False Question Title * 13. The Combined Values chart in the AMA Guides is based on scientific data. A) True B) False Question Title * 14. 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 * 15. An Almarez-Guzman analysis allows the QME to determine the final impairment of the injured worker regardless of the impairment assigned by the AMA Guides. A) True B) False Question Title * 16. 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 * 17. An Almarez-Guzman analysis requires the evaluating physician to first calculate the impairment assigned by the standard and customary use of the AMA Guides and then assign an alternative impairment if that is more accurate to the injured worker. A) True B) False Question Title * 18. Contributory Causation.The employer is only liable for the percentage of permanent disability directly caused by the injury. A) True B) False Question Title * 19. QMEs/AMEs can either address causation or apportionment in their reports. They do not have to address both. A) True B) False Question Title * 20. Contributory causation can include factors related to heredity, disease, and medical conditions. A) True B) False Question Title * 21. It is important to remember that the AMA Guides does not include any notion of cumulative trauma. A) True B) False Question Title * 22. The defense and applicant attorneys both have the responsibility of proving or disapproving apportionment. A) True B) False Question Title * 23. 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 * 24. In your evaluation report, it is not important to discuss how the injury caused a permanent disability. A) True B) False Question Title * 25. 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 * 26. 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 * 27. Chronic pain is a subjective phenomenon, often associated with confounding behavioral, characterological, cultural, personality and psychological issues. A) True B) False Question Title * 28. Chronic pain can be abolished by cutting out the offending lesion in most cases. A) True B) False Question Title * 29. The AMA Guides Fifth Edition Defines Impairment “a loss, loss of use, or derangement of any body part, organ system, or organ function." A) True B) False Question Title * 30. Disability usually results from an impairment that results in a functional loss of ability to perform activities of daily living or complex activities such as work. A) True B) False Question Title * 31. Myofascial Pain Syndrome and Fibromyalgia can be rated using a standard approach to the AMA Guides Edition. A) True B) False Question Title * 32. The evaluating physician is tasked with providing the most accurate impairment rating. A) True B) False Question Title * 33. Synergy suggests that when two body parts are injured and their combined loss of ADLs may be greater than the sum of their separate effects, which of the following is not true. A) Overlap suggest that the combined loss of ADLs from 2 different body parts involves the same activities of daily living. B) Synergy suggest that when two body parts are injured and their combined loss of ADLs is greater than the sum of their separate effects. C) Combining using the CVC Table is appropriate when there is overlap. D) Adding may be appropriate when the two body parts affect dissimilar ADLs and do not overlap. E) There is never a basis for adding rather than combining using the CVC Table. Question Title * 34. 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 Question Title * 35. 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 Question Title * 36. Guidelines are now available to enhance telemedical evaluations of shoulder, spine, and ankle injuries. But not hips or knees. A) True B) False Question Title * 37. Despite being new, televideo exams have been validated with modifications so patients can help examine themselves. A) True B) False Question Title * 38. Adverse Childhood Experiences (ACES) are associated in adults with the onset of chronic pain. A) True B) False Question Title * 39. ACE patients are very compliant with their doctor's treatment recommendations. A) True B) False Done
