Exam (elaborations)
NRCME Study Sheet Questions with correct Answers 2023
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Exam of 22 pages for the course nrcme at nrcme (NRCME Study Sheet)
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NRCME Study Sheetvision requirements - answer 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? - answer 1 year
The driver with a vision exemption must present what 2 things before receiving the medical examiner's certificate. - answer Valid vision exemption and copy of the specialist eye examination report.
When applying for a vision exemption, the driver should include a copy of the Medical Examination Report form and the medical examiner's certification with what marked? - answer The "accompanied by" exemption checkbox and write "vision" to identify the type of exemption.
If the driver is qualified by operation of 49 CFR 391.64 due to participation in the vision study program, what must the driver present to qualify for certification? - answer Letter identifying the driver as a participant and copy of the specialist eye examination.
How long can a driver who is qualified by operation of 49 CFR 391.64 be certified. - answer 1 year
hearing requirements - answer Whisper at not less than 5 feet in 1 ear, or average hearing loss no greater than 40 dB at 500Hz, 1000Hz, 2000 Hz in 1 ear.
What is the waiting period for vertigo caused by benign positional vertigo or acute/chronic peripheral vestibulopathy? - answer 3 months
Name 4 otic conditions that are automatic disqualification - answer Meniere's, uncontrolled vertigo, labyrinthine fistula, nonfunctioning labyrinth
Apnea-hypopnea index of [blank] or more episodes per hour is diagnostic of OSA - answer 30
3 requirements for a passing ETT - answer 1. increased SBP of at least 20 without angina
2. workload capacity >6 METs
3. no significant ST depression
Examiners must retain records for how many years? - answer 3 Regulation that describes the physical qualifications of drivers. - answer 49 CFR 391.41
Regulation that describes the responsibilities of the medical examiner. - answer 49 CFR 391.43
Regulation that describes the process for conflict resolution when there is a disagreement between the primary care provider for the driver and the medical examiner for the motor carrier concerning driving qualifications. - answer 49 CFR 391.47
Regulation that describes the Skill Performance Evaluation (SPE) Certification Program.
- answer 49 CFR 391.49
Regulation that describes limited exemptions for intra-city zone drivers. - answer 49 CFR 391.62
Regulation that describes grandfathering for certain drivers who participated in vision and diabetes waiver study programs. - answer 49 CFR 391.64
Regulation that includes regulations for medical review officers and substance abuse professionals, including drug and alcohol testing procedures. - answer 49 CFR 40
Define Stage I Hypertension - answer BP greater than or equal to 140/90
What is the maximum certification period for stage I hypertension if this is the 1st examination at which the driver has BP equivalent to stage I hypertension and has no history of hypertension? - answer 1 year
What is the maximum certification period for untreated known or inadequately controlled
stage I hypertension? - answer 3 months
What is the maximum certification period for blood pressure >140/90 and the following: follow-up 3 months certificate or history of stage III hypertension - answer None, driver is disqualified
Define Stage II hypertension. - answer BP is ≥ 160 to <180 SYSTOLIC, and is ≥100 to < 110 Diastolic
What is the maximum certification period for Stage II hypertension with blood pressure >140/90? - answer 3 months
What is the maximum certification period for Stage II hypertension with blood pressure </140/90? - answer 1 year Define Stage III hypertension. - answer BP >180 Systolic and > 110 Diastolic
What is the maximum certification period for Stage III hypertension with blood pressure >140/90? - answer 1 time certificate for 3 months in accordance with stage 1 or 2 HTN guidelines, as determined by a case by case basis.
What is the maximum certification period for a driver with a history of Stage III hypertension but t exam his BP is at or less 140/90 and treatment is well tolerated? - answer 6 months
What is the maximum certification period for Stage III hypertension with blood pressure >180/110? - answer None, driver is disqualified.
What is the waiting period and maximum certification period for surgical correction of secondary hypertension? - answer 3 months and 1 year post surgical correction
What is the waiting period and maximum certification period for driver on anticoagulants
for cardiovascular cause? - answer 1 month stabilized and 1 year with monthly INRs
What is the waiting period and maximum certification period for driver on anticoagulants
for neurlogical condition? - answer None, driver is disqualified.
5 reasons to disqualify a driver with AAA - answer 1. Symptomatic
2. AAA >5cm
3. AAA 4-5 cm and does not have clearance from a cardiologist
4. AAA increased in size 0.5cm in 6 months
5. Surgical repair was recommended but not done
Maximum certification period for driver with AAA that is asymptomatic or <4cm, >4cm and <5cm but has clearance from cardiologist - answer 1 year
Maximum certification period for Acute DVT - answer 1 year
Maximum certification period for Chronic DVT - answer 2 years
Waiting period and maximum certification period for intermittent claudication if driver has no resting pain. - answer 3 months for post-surgical repair and 1 year
Waiting period and maximum certification for aneurysms of visceral, peripheral arteries or venous vessels - answer 3 months post-surgical repair and 1 year with clearance from cardiologist
Waiting period and maximum certification for peripheral vascular disease - answer 3 months post-surgical repair and 1 year without resting pain
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