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DOT exam - NRCME Training Institute Material Study Questions and Answers (100% pass)
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DOT exam - NRCME Training Institute Material Study Questions and Answers (100% pass)
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©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Saturday, August 3, 2024 7:34 AMWEST VIRGINIA UNIVERSIRTY- (WV) : 26506
DOT exam - NRCME Training Institute Material
Study Questions and Answers (100% pass)
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.
Examples of CMV driver stress factors - ✔️✔️Interruption of normal sleep, exercising,
eating pattern, and access to social support networks resulting in fatigue, obesity, and
or/alienation of affection. Environment that may have excessive vibration, noise, and
extremes in temperature and or/adverse road or traffic conditions that can interfere with
driver ability to recognize a driving hazard, cause temporary or permanent physical
damage to sensory perception or affect driver behavior. Increased potential for injury
and fatalities should there be a crash when driver is responsible for passenger safety or
hazardous cargo.
What are the differences between the medical standards and medical guidelines? -
✔️✔️Regulations are law and are mandatory. The ME must use standards to determine
interstate CMV driver medical fitness for duty. Medical guidelines are not regulatory and
the ME may choose not to follow the medical guidance.
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,©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Saturday, August 3, 2024 7:34 AM
WEST VIRGINIA UNIVERSIRTY- (WV) : 26506
In which regulations are the driver physical qualification standards and Medical
Examiners cited? - ✔️✔️Driver physical qualification standards are found in 49 CFR
391.41. ME responsibilities are found in 49 CFR 391.43
What objective tests and measurements are required as part of the driver physical
examination? - ✔️✔️Height & weight
Vision
Hearing
BP & pulse
Urinalysis (spec gravity, protein, blood, glucose)
What are the possible outcomes of the driver physical examination? - ✔️✔️Certification
Disqualification
Determination pending
What date is used to determine medical examiners certificate expiration? - ✔️✔️The date
of the exam is used as the basis for certificate expiration, except when determination
pending is chosen.
When determination pending is chosen, if the driver returns with the necessary
information prior to the expiration of the driver's current certificate and the driver is
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,©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Saturday, August 3, 2024 7:34 AM
WEST VIRGINIA UNIVERSIRTY- (WV) : 26506
qualified based on that information provided, the date used for the basis of the
certification timeframe is the date the driver returned with the necessary information.
What is the ME certificate expiration date for the following drivers?
A - Exam 4/16/2011, meets standards in 49 CFR 391.41, qualifies for 2 year certificate.
B - Exam 4/16/2011, meets standards, but periodic monitoring required due to HTN,
qualifies for 1 year certificate.
C - Exam 4/16/2011, determination pending due to not having results of post-CABG
stress test, pt returns and provides that info on 4/25/2011, driver is qualified for 1 year.
D - Exam 4/16/2011, disqualified due to benign position vertigo on 3/15/2011, returned
to ME for certification examination on 5/20/11. He has been asymptomatic since
3/11/2011. Qualified for two years. - ✔️✔️A: 4/16/2013
B: 4/16/2012
C: 4/25/2012
D: 5/20/2013
Patient example:
Karen, recertification exam
42 y/o female
No health history, no medications.
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, ©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Saturday, August 3, 2024 7:34 AM
WEST VIRGINIA UNIVERSIRTY- (WV) : 26506
Vision acuity: right 20/20, left 20/30. Both 20/20. Horizontal field of vision Rt 80 degrees,
Lt 80 degrees. Not corrected vision.
No monocular vision.
No hearing aids, Whisper test 5' bilaterally. N/A audiometric testing
UA: spec grav 1.020, protein 1+, blood 4+, glucose neg.
Hgb 12.4
BP 134/88, P 80, regular.
PE: on 4th day of menses with heavy bleeding. Advised to consult PCP or GYN for eval
of excessive bleeding that could lead to anemia, leading to fatigue that would affect her
driving. - ✔️✔️Two year certification - no disqualifying health history or PE abnormalities.
Ask about medication use, including OTC medications.
ME obtained hemoglobin testing based on PE findings. (not required)
The ME should correctly note the body system in which there was an abnormal finding.
The note reflects inquiry as to the affect on driving ability and is also supported by Hgb
test results. ME also documented medical follow up advice.
Who can perform the vision portion of the interstate CMV driver physical examination? -
✔️✔️The certified ME, optometrist, or an opthalmologist. If the specialist provider
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