Package deal
NRCME Exam Bundle
NRCME Exam Bundle
[Show more]NRCME Exam Bundle
[Show more]vision requirements - 20/40 each eye and 20/40 both eyes 
 
peripheral vision - 70 degrees 
 
Federal exemption for monocular vision: can certify for how long? - 1 year 
 
hearing requirements - whisper at not less than 5 feet better ear, or average hearing loss no greater than 40 dB at ...
Preview 2 out of 8 pages
Add to cartvision requirements - 20/40 each eye and 20/40 both eyes 
 
peripheral vision - 70 degrees 
 
Federal exemption for monocular vision: can certify for how long? - 1 year 
 
hearing requirements - whisper at not less than 5 feet better ear, or average hearing loss no greater than 40 dB at ...
FMCSA Mission Statement - To reduce crashes, injuries, fatalities involving large trucks/buses 
 
Medical Examiner - Licensed, certified, registered provider who can perform PEs in accordance with laws and regulations ; registered through NRS ; has unique identifier ; passes MEC test 
 
FMCSA ...
Preview 3 out of 16 pages
Add to cartFMCSA Mission Statement - To reduce crashes, injuries, fatalities involving large trucks/buses 
 
Medical Examiner - Licensed, certified, registered provider who can perform PEs in accordance with laws and regulations ; registered through NRS ; has unique identifier ; passes MEC test 
 
FMCSA ...
Which of the following is a requirement for drivers with a diabetes exemption? 
A) Possess a rapidly absorbable form of glucose while driving 
B) Self—monitor blood glucose one hour before driving and at least once every 2 hours while driving 
C) Plan to submit blood glucose monitoring logs every ...
Preview 4 out of 60 pages
Add to cartWhich of the following is a requirement for drivers with a diabetes exemption? 
A) Possess a rapidly absorbable form of glucose while driving 
B) Self—monitor blood glucose one hour before driving and at least once every 2 hours while driving 
C) Plan to submit blood glucose monitoring logs every ...
1. An unrestricted Commercial Motor Vehicle Driver Medical Certificate must be renewed: 
 
A. Annually 
B. Every Two Years 
C. Every Four Years 
D. Whenever the State Issued Driver's License is renewed - B. Every two years 
 
2 years is the max for a healthy person 
 
2. A driver presents with h...
Preview 4 out of 135 pages
Add to cart1. An unrestricted Commercial Motor Vehicle Driver Medical Certificate must be renewed: 
 
A. Annually 
B. Every Two Years 
C. Every Four Years 
D. Whenever the State Issued Driver's License is renewed - B. Every two years 
 
2 years is the max for a healthy person 
 
2. A driver presents with h...
What are regulations? - Laws that must be followed 
 
What are disqualifying medical conditions? - Epilepsy 
monocular vision 
hearing loss 
 
What are guidelines? - Recommendation to follow but can have raptor ale for variation 
 
FMCSA medical program responsibilities include: 
Oversee t...
Preview 3 out of 29 pages
Add to cartWhat are regulations? - Laws that must be followed 
 
What are disqualifying medical conditions? - Epilepsy 
monocular vision 
hearing loss 
 
What are guidelines? - Recommendation to follow but can have raptor ale for variation 
 
FMCSA medical program responsibilities include: 
Oversee t...
According to FMCSA regulations, which of the following must the medical examiner evaluate when examining a driver's eyes? 
A. Pupil reactivity 
B. Iris symmetry 
C. Conjunctival injection 
D. Corneal thickness - Correct Response: 
A. Pupil reactivity 
 
Incorrect Responses: 
B. Iris symmetry 
Th...
Preview 2 out of 15 pages
Add to cartAccording to FMCSA regulations, which of the following must the medical examiner evaluate when examining a driver's eyes? 
A. Pupil reactivity 
B. Iris symmetry 
C. Conjunctival injection 
D. Corneal thickness - Correct Response: 
A. Pupil reactivity 
 
Incorrect Responses: 
B. Iris symmetry 
Th...
Driver's Information - Name, address, telephone numbers 
Social Security, DOB, Age, Sex 
Driver License Number, License Class, State of Issue 
New Certification, Recertification, Follow-Up 
 
Required Components of all Exams - Vision 
Hearing 
Blood Pressure/Pulse 
UA 
 
Who Can Sign in the E...
Preview 3 out of 16 pages
Add to cartDriver's Information - Name, address, telephone numbers 
Social Security, DOB, Age, Sex 
Driver License Number, License Class, State of Issue 
New Certification, Recertification, Follow-Up 
 
Required Components of all Exams - Vision 
Hearing 
Blood Pressure/Pulse 
UA 
 
Who Can Sign in the E...
A driver is taking Celexa for the treatment of what he calls a "mild depression". He reports he has not considered or attempted suicide. The examiner should do what? - Temporarily disqualify the driver until he obtains written clearance for the depression and the medication from the treating pr...
Preview 2 out of 10 pages
Add to cartA driver is taking Celexa for the treatment of what he calls a "mild depression". He reports he has not considered or attempted suicide. The examiner should do what? - Temporarily disqualify the driver until he obtains written clearance for the depression and the medication from the treating pr...
What is the purpose of FMCSA? - Focused on reducing crashes 
 
What is the purpose of the Office of Medical Programs? - Promulgation and implementation of medical regulations that ensure that commercial drivers are physically qualified. 
 
Who is responsible for the nation registry program? - ...
Preview 1 out of 4 pages
Add to cartWhat is the purpose of FMCSA? - Focused on reducing crashes 
 
What is the purpose of the Office of Medical Programs? - Promulgation and implementation of medical regulations that ensure that commercial drivers are physically qualified. 
 
Who is responsible for the nation registry program? - ...
What minimum PaO2 level is necessary if the driver has an ABG due to a chronic respiratory disorder? 
a.70mmHg 
b.55mmHg 
c.60mmHg 
d.65mmHg - Correct answer is "D". To be qualified, the driver should meet a minimum arterial blood gas (PaO2) greater than 65. 
 
A driver first perceives a whispe...
Preview 4 out of 82 pages
Add to cartWhat minimum PaO2 level is necessary if the driver has an ABG due to a chronic respiratory disorder? 
a.70mmHg 
b.55mmHg 
c.60mmHg 
d.65mmHg - Correct answer is "D". To be qualified, the driver should meet a minimum arterial blood gas (PaO2) greater than 65. 
 
A driver first perceives a whispe...
1 week - What is tbe minimum waiting period after PCI? 
 
1 month - What is the waiting period after SA node dysfunction pacemaker implantation? 
 
less than or equal to 3.5cm - What is the maximum thoracic aneurysm size that allows driver certification? 
 
1 year, 6 months - What is the...
Preview 2 out of 9 pages
Add to cart1 week - What is tbe minimum waiting period after PCI? 
 
1 month - What is the waiting period after SA node dysfunction pacemaker implantation? 
 
less than or equal to 3.5cm - What is the maximum thoracic aneurysm size that allows driver certification? 
 
1 year, 6 months - What is the...
vision requirements - Distant vision 20/40 each eye and 20/40 both eyes, Peripheral vision at least 70 degrees, Ability to recognize and distinguish betwen the colors of traffic signals and devices. 
 
If the driver presents a valid vision exemption, how long can he be certified? - 1 year 
 
T...
Preview 4 out of 34 pages
Add to cartvision requirements - Distant vision 20/40 each eye and 20/40 both eyes, Peripheral vision at least 70 degrees, Ability to recognize and distinguish betwen the colors of traffic signals and devices. 
 
If the driver presents a valid vision exemption, how long can he be certified? - 1 year 
 
T...
Waiting period after MI - 2 months 
 
Waiting period after CABG - 3 months 
 
Waiting period after TIA - 1 year 
 
Waiting period after CVA involving cerebellum or brainstem - 1 year 
 
Role of the SAP - To evaluate the drivers who have violated drug or alcohol standards and provide a...
Preview 2 out of 11 pages
Add to cartWaiting period after MI - 2 months 
 
Waiting period after CABG - 3 months 
 
Waiting period after TIA - 1 year 
 
Waiting period after CVA involving cerebellum or brainstem - 1 year 
 
Role of the SAP - To evaluate the drivers who have violated drug or alcohol standards and provide a...
Screening pulse oximetry/ABG is indicated when FEV1 < 
65% 
Screening pulse oximetry/ABG is indicated when FEV1/FVC < 
65% 
Screening pulse oximetry/ABG is indicated when FVC < 
60% 
ABG is indicated if pulse ox is < 
92% 
Minimum required PaO2 
65 mmHg 
Role of the SAP??? 
** 
Exercise ...
Preview 2 out of 11 pages
Add to cartScreening pulse oximetry/ABG is indicated when FEV1 < 
65% 
Screening pulse oximetry/ABG is indicated when FEV1/FVC < 
65% 
Screening pulse oximetry/ABG is indicated when FVC < 
60% 
ABG is indicated if pulse ox is < 
92% 
Minimum required PaO2 
65 mmHg 
Role of the SAP??? 
** 
Exercise ...
Order of Hierarchy - DOT>FMCSA>NRCME 
 
Motor carrier safety improvement act of 1990 - Established that FM CSA what operate within the DOT. The FM CSA is focused on reducing crashes injuries and fatalities involving large trucks and buses 
 
FM CSA mission - Promote the safety of Amer...
Preview 2 out of 7 pages
Add to cartOrder of Hierarchy - DOT>FMCSA>NRCME 
 
Motor carrier safety improvement act of 1990 - Established that FM CSA what operate within the DOT. The FM CSA is focused on reducing crashes injuries and fatalities involving large trucks and buses 
 
FM CSA mission - Promote the safety of Amer...
Vision Requirements - 20/40 in each and both eyes with or without corrective lenses 
 
Vision Peripheral - 70 
 
Vision Color - red, green and amber 
 
Vision and DM disqualified if - dx with unstable proliferative retinopathy 
 
Vision PE - distant acuity 
horizontal fields 
color re...
Preview 3 out of 20 pages
Add to cartVision Requirements - 20/40 in each and both eyes with or without corrective lenses 
 
Vision Peripheral - 70 
 
Vision Color - red, green and amber 
 
Vision and DM disqualified if - dx with unstable proliferative retinopathy 
 
Vision PE - distant acuity 
horizontal fields 
color re...
What is the mission of FMCSA? - FMCSA is focused on reducing crashes, injuries, and fatalities involving large trucks and buses. 
 
Who and what does the FMCSA regulate? - Interstate commercial operation, including the driver, vehicle, motor carrier, and the transport of hazardous materials. 
...
Preview 4 out of 44 pages
Add to cartWhat is the mission of FMCSA? - FMCSA is focused on reducing crashes, injuries, and fatalities involving large trucks and buses. 
 
Who and what does the FMCSA regulate? - Interstate commercial operation, including the driver, vehicle, motor carrier, and the transport of hazardous materials. 
...
True or False: Epilepsy is disqualifying - TRUE 
 
What is the minimum waiting period for a driver with epilepsy/viral encephalitis with EARLY seizures ? - 10 years - no seizures and off anticonvulsant medications 
 
What is the minimum waiting period for a driver with bacterial meningitis wit...
Preview 1 out of 3 pages
Add to cartTrue or False: Epilepsy is disqualifying - TRUE 
 
What is the minimum waiting period for a driver with epilepsy/viral encephalitis with EARLY seizures ? - 10 years - no seizures and off anticonvulsant medications 
 
What is the minimum waiting period for a driver with bacterial meningitis wit...
Which drug is immediately disqualifying for a Department of Transportation driver? 
Methadone = a synthetic analgesic drug that is similar to morphine in its effects but longer acting, used as a substitute drug in the treatment of morphine and heroin addiction. 
 
3 MULTIPLE CHOICE OPTIONS 
 
 
A dr...
Preview 2 out of 6 pages
Add to cartWhich drug is immediately disqualifying for a Department of Transportation driver? 
Methadone = a synthetic analgesic drug that is similar to morphine in its effects but longer acting, used as a substitute drug in the treatment of morphine and heroin addiction. 
 
3 MULTIPLE CHOICE OPTIONS 
 
 
A dr...
The minimum waiting period following PCI is: - 1 week 
 
The minimum waiting period after pacemaker implantation is: - 1 month 
 
The maximum thoracic aneurysm size allowable for certification is: - 3.5 cm 
 
After heart replacement surgery the minimum waiting period is: - 1 year 
 
Afte...
Preview 2 out of 11 pages
Add to cartThe minimum waiting period following PCI is: - 1 week 
 
The minimum waiting period after pacemaker implantation is: - 1 month 
 
The maximum thoracic aneurysm size allowable for certification is: - 3.5 cm 
 
After heart replacement surgery the minimum waiting period is: - 1 year 
 
Afte...
What are the 3 areas considered when looking at safety implications for the driver? - Physical, Mental, and current medical treatment 
 
What aspects of physical symptoms should be considered by the medical examiner? - Symptoms - does a benign underlying condition have symptoms that interfere ...
Preview 2 out of 7 pages
Add to cartWhat are the 3 areas considered when looking at safety implications for the driver? - Physical, Mental, and current medical treatment 
 
What aspects of physical symptoms should be considered by the medical examiner? - Symptoms - does a benign underlying condition have symptoms that interfere ...
1 year - Max certification for ALL NEURO conditions 
 
DQ driver for these issues/conditions - 1) Use of anticoagulants w/NEURO Condition 
2) Parkinson's dx 
3) Epilepsy 
4) Severe TBI 
5) Meniere's disease 
6) AVM/aneurysm 
7) Dementia 
8) Cerebellar Ataxia 
9) Peripheral Neuropathy (guidel...
Preview 2 out of 8 pages
Add to cart1 year - Max certification for ALL NEURO conditions 
 
DQ driver for these issues/conditions - 1) Use of anticoagulants w/NEURO Condition 
2) Parkinson's dx 
3) Epilepsy 
4) Severe TBI 
5) Meniere's disease 
6) AVM/aneurysm 
7) Dementia 
8) Cerebellar Ataxia 
9) Peripheral Neuropathy (guidel...
To be qualified, the driver should meet a minimum arterial blood gas (Pa02) greater than? - 65 
 
Regarding the "Whisper test", the driver is qualified to drive without restriction as long as he is able to perceive a whispered voice within? - 5 feet in at least 1 ear 
 
Monocular vision is a...
Preview 2 out of 9 pages
Add to cartTo be qualified, the driver should meet a minimum arterial blood gas (Pa02) greater than? - 65 
 
Regarding the "Whisper test", the driver is qualified to drive without restriction as long as he is able to perceive a whispered voice within? - 5 feet in at least 1 ear 
 
Monocular vision is a...
Def CMV - Wt =/> 10,001 
> 8 passengers if for hire 
> 15 passengers (any) 
 
Non-discretionary conditions - MUST follow regulation standards and disqualify: 
Hearing 
Vision 
Epilepsy 
 
Form MCSA-5850 - To maintain certification, the examiner must submit monthly with the followin...
Preview 4 out of 41 pages
Add to cartDef CMV - Wt =/> 10,001 
> 8 passengers if for hire 
> 15 passengers (any) 
 
Non-discretionary conditions - MUST follow regulation standards and disqualify: 
Hearing 
Vision 
Epilepsy 
 
Form MCSA-5850 - To maintain certification, the examiner must submit monthly with the followin...
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Stuvia is a marketplace, so you are not buying this document from us, but from seller TeeGrades. Stuvia facilitates payment to the seller.
No, you only buy these notes for $55.49. You're not tied to anything after your purchase.
4.6 stars on Google & Trustpilot (+1000 reviews)
82215 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now