NRCME | FMCSA QUESTIONS AND ANSWERS 2023

NRCME | FMCSA QUESTIONS AND ANSWERS 2023 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 plan of care for reinstatement Minimum required PaO2 on ABG 65 mmHg at altitudes 5000 ft 60 mmHg at altitudes 5000 ft Minimum FEV1 on PFT 65 % Minimum FEV1 / FVC on PFT 65% Minimum FVC on PFT 60% Indications for spirometry Hx of lung disease + symptoms of cough, SOB, wheezing or chest tightness Vision standards binocular and distant vision of at least 20/40 in each eye +/- corrective lenses field of vision at least 70 degrees in the horizontal meridian in each eye able to distinguish red, green, and amber colors of a stoplight Waiting period after CVA involving cortical or subcortical areas 5 years Waiting period for bacterial meningitis with early seizures 5 years seizure free and off anticonvulsant medications Waiting period for viral encephalitis with early seizures 10 years seizure free and off anticonvulsant medications Criteria for epilepsy exemption seizure free for 8 years on or off medications; must have been stable on meds with no changes in dosage or frequency for 2 years, recertification every year Waiting period for single, unprovoked seizure 5 years seizure free and off anticonvulsants Waiting period for moderate TBI with early seizures 5 years seizure free and off anticonvusants Waiting period for moderate TBI without early seizures 2 years seizure free and off anticonvulsants Waiting period for mild TBI with early seizures 2 years seizure free and off anticonvulsants Waiting period for Benign Paroxysmal Positional Vertigo 2 months asymptomatic Waiting period for acute and chronic peripheral vesibulopathy 2 months asymptomatic Waiting period after heart transplant 1 year Max certification period post heart transplant 6 months Waiting period after aneurysm repair 3 months Certification criteria for atrial fibrillation on warfarin/coumadin Waiting time: 1 month (stabilized on meds) INR: monthly Certify: 1 year Requirements to certify AAA 4 cm aneurysm and asymptomatic or 4-5 cm and asymptomatic and cleared by cardiology Disqualification criteria for AAA symptomatic, recommendations for surgical repair regardless of size, 4-5 cm without cardiology clearance, 5 cm, or increase in aneurysm size by 0.5 cm or more during a 6 month period regardless of size Waiting period after ECT 6 months; Maintenance or ongoing ECT for depression is not certifiable. Minimum gross vehicle weight that will require a DOT medical exam for the driver 10,001 lbs Assessment of L4 nerve root pathology Patellar reflex Mood disorder waiting period 6 months symptom free following a nonpsychotic major depression unaccompanied by suicidal behavior Minimum is 1 year symptom free following a severe depressive episode, a suicide attempt, or a manic episode Commercial motor vehicle any self-propelled or towed motor vehicle used on a highway in interstate commerce to transport passengers or property when the vehicle: (1) Has a combined gross vehicle weight or weight rating of 10,001 pounds or more; (2) Is designed or used to transport more than eight passengers (including the driver)for compensation; or Is designed or used to transport more than 15 passengers, including the driver, and is not used to transport passengers for compensation; or Transports hazardous materials in quantities that require placards under the hazardous materials regulations Max certification period for lithium treatment 1 year HgbA1C above what level indicates poor control of diabetes? 10% Maximum certification period and certification criteria for allergy-related life threatening condition 2 years for persons who has an effective treatment regimen and successful preventive measures Non-driving duties of CMV driver Use side mirrors. Control 24" steering wheel Manipulate dashboard switches and controls Shift gears Enter and exit the vehicle (Hip angle and knee flexion may both have to exceed 90 degrees) Couple and uncouple trailers Load, secure, and unload cargo Perform vehicle checks post-procedure waiting period after uncomplicated, elective percutaneous coronary intervention procedure to treat stable angina 1 week Waiting period for unstable angina 3 months with no rest angina or change in angina pattern Dip urinalysis should include the following parameters Specific gravity Protein Blood Glucose Certification guidelines for driver who is being treated for ADHD with a central nervous system stimulant no waiting period provided the medication has been proven to be safe and effective with no side-effects for the driver and may be certified for up to one year Minimum LVEF on echocardiogram 40% How long is the certification period for a driver who has a vision exemption, and for how long is the exemption valid? Certification for a driver with a vision exemption is annual and the driver must reapply for the exemption every 2 years. In order for the driver to obtain a vision exemption, the medical examiner must: Provide the driver the medical certification card and long form, both marked "certified for 1 year" and also marked "accompanied by a vision waiver/exemption". The driver must have both the medical certification card and long form to apply for a vision exemption marked "certified for 1 year" (required for all with a vision exemption), and "accompanied by a vision exemption" on each form. The exemption is good for 2 years, even though the certification is limited to 1 year. It is the driver's responsibility to re-apply and present the exemption at the time of the examination for each re-certification. FMCSA's mission reduce crashes, injuries and fatalities involving large trucks and buses. Develop and enforce data-driven regulations that balance motor carrier (truck and bus companies) safety with industry efficiency. Target educational messages to carriers, commercial drivers, and the public. Partner with stakeholders including Federal, State, and local enforcement agencies, the motor carrier industry, safety groups, and organized labor on efforts to reduce bus and truck-related crashes. Interstate commerce Trade, traffic or transportation involving the crossing of a state or national boundary. The vehicle and its contents must cross or there must be the intent to cross a boundary: Between a place in a state and a place outside that state (including a place outside of United States); Between two places in a state, through another state, or a place outside of the United States; Between two places in the state as part of trade, traffic or transportation originating or terminating outside the state or the United States. ETT specific measures Workload capacity 6 Mets HR /= 85% of predicted max No ischemic changes (ST elevation) on EKG Rise in SBP /= 20 mmHg without angina Stage 1 hypertension 140-159/90-99 Stage 2 hypertension 160-179/100-109 Stage 3 hypertension /= 180/ /= 110 Blood pressure needed to certify 140/90 Max certification period for stage 3 hypertension 6 months Max certification for stage 1 or 2 hypertension 1 year if BP 140/90; 3 months if 140/90 Incretin mimetics work by reducing fasting and postprandial glucose concentrations hypoglycemic reaction is one that results in period of impaired cognitive function seizure need of assistance from another person Waiting period after post-surgical removal of spinal tumor ... Waiting period after bacterial meningitis without early seizures 1 year