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NRCME Exam2019 DOT Comprehensive Review Questions with Correct Answers A Skill Performance Evaluation (SPE) certificate pursuant to 49 CFR 391.49 is granted under which of the following conditions? The driver has a fixed deficit of the torso. The driver has progressive deficit of an extre...

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  • August 25, 2024
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  • 2024/2025
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  • nrcme exam2019 dot comprehensive review questions

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NRCME Exam2019 DOT Comprehensive
Review Questions with Correct Answers

A Skill Performance Evaluation (SPE) certificate pursuant to 49 CFR 391.49 is granted
under which of the following conditions?

The driver has a fixed deficit of the torso.
The driver has progressive deficit of an extremity.
The driver has a medical evaluation summary completed by a board qualified or
certified physiatrist or orthopedic surgeon.
The driver has completed a driving evaluation per FMCSA standards. - Answer-Correct
Answer: The driver has a medical evaluation summary completed by a board qualified
or certified physiatrist or orthopedic surgeon.

Explanation: A driver with a torso deficit should not be certified. To be considered for a
Skill Performance Evaluation (SPE) certificate, the driver must have a fixed, not
progressive, deficit of an extremity. A driving evaluation is not required for issuance of a
SPE certificate.

Transient ischemic attacks (TIA's) are automatically disqualifying for __________. After
the minimum waiting period the certification depends on the interval history, general
health, neurological examination, and compliance with the treatment program.

Three months.
Six months.
Nine months.
One year. - Answer-Correct Answer: One year.

Explanation: The minimum waiting period for transient ischemic attacks (TIA's) is one
year.

A driver with a history of major depression should be evaluated at least every
__________ by an appropriate mental health specialist, such as a psychiatrist or
psychologist, who understands the functions and demands of commercial motor vehicle
driving.

Six months.
One year.
Two years.
Such evaluation is not required. - Answer-Correct Answer: Two years.

,Explanation: The maximum certification interval for a driver with a history of major
depression is one year. Regulatory guidance requires evaluation every two years by a
specialist, such as psychiatrist or psychologist, who understands the functions and
demands of commercial driving.

Passing parameters for hearing tests: - Answer-Driver first perceives a forced,
whispered voice in the better ear at not less than five (5) feet with or without the use of a
hearing aid.

Driver, if tested by use of an audiometric device, does not have an average hearing loss
in the better ear greater than 40 decibels at 500 Hz, 1,000 Hz, and 2,000 Hz, with or
without a hearing aid.

The driver meets the hearing qualification requirements if hearing passes one test in
one ear.
Hearing aid: When a hearing aid is to be worn during audiometric testing, an audiologist
or hearing aid center should perform the test using appropriate audiometric equipment.

Stage 2 hypertension blood pressure - Answer-160-179/100-109
Drivers with Stage 2 hypertension should be advised that a limited certification interval
of three months will be provided and that medication treatment is indicated and must be
initiated prior to reconsideration of certification beyond the three-month interval.

Which of the following is considered by the FMCSA as a mental health professional that
the medical examiner may refer to or consult with?

A urine drug screen collector.
A FMCSA administrator.
Medical review officer (MRO).
Any licensed medical provider. - Answer-Correct Answer: Medical review officer (MRO).

Explanation: According to the FMCSA, mental health professionals the medical
examiner may consult with include breath alcohol technicians (BATs), designated
employer representatives (DERs), medical review officers (MROs), and substance
abuse professionals (SAPs).

Can you certify a driver who has a known AAA? - Answer-Yes if : less than 4 cm and
asymptomatic,
> 4 cm but < 5 cm - Certify if: and asymptomatic with a vascular specialist clearance.
> 5 cm with waiting 3 month post repair and specialist clearance.

No if: 4.5 cm and symptomatic with surgery recommendations
> 5 cm with the repair and specialist clearance.
Recommendation to NOT surgically repair, does NOT mean driver is certified

Maximum certification period: one year.

,Do not certify if:

> 5.0 cm

Aneurysm has increased more than 0.5 cm during six-month period regardless of size.

Surgical repair has been recommended by a cardiovascular specialist, regardless of
size, but has not yet been performed.

Driver is symptomatic, regardless of size.

Which of the following is not associated with safety risks in drivers with psychological
disorders?

The mental disorder, including symptoms and/or disturbances in performance that are
an integral part of the disorder and may pose hazards for driving.
Residual symptoms occurring after time-limited reversible episodes or initial
presentation of the full syndrome that can interfere with safe CMV driving.
Physical disorders which may be compromised by the mental disorder and may
increase risk of CMV accidents.
Psychopharmacology, as many psychotropic medications can compromise performance
to the degree that CMV driving would be hazardous. - Answer-Correct Answer: Physical
disorders which may be compromised by the mental disorder and may increase risk of
CMV accidents.

Explanation: Physical disorders are not noted by the FMCSA to increase risk related to
psychological disorders.

Corrective lenses that are prohibited by the FMCSA, including: - Answer-lenses that
correct distance vision in one eye and near vision in the other.
telescopic lenses

Medical guidelines for the driver with diabetes mellitus include: - Answer-Annual
medical examination.
Annual ophthalmologist or optometrist eye evaluation.
Disqualification for a diagnosis of unstable proliferative retinopathy.

Monocular Vision - Answer-Monocular vision is disqualifying.
However, the driver who has monocular vision that with the better eye meets all vision
qualification requirements may be considered for a Federal Vision Exemption if the
Medical Examiner finds the driver otherwise medically fit for duty.
Monocular vision is defined as vision that is at least 20/40 for distance in one eye with
or without correction and vision that is less than 20/40 for distance in one eye with or
without correction.

, The driver must meet other vision requirements in each eye, including visual fields
(horizontal field of vision).
Federal Vision Exemption: the driver with monocular vision who is applying for or has a
federal exemption or is qualified by operation of 49 CFR 391.64 must have an annual
physical examination.
Drivers with vision loss who meet standards may be certified for up to two years.

A driver who wears contact lenses which correct farsightedness in one eye and
nearsightedness in the other, but has no other visual impairments can be certified under
what additional conditions?

Only if the driver wears prescription glasses which provide the same correction as the
contact lenses.
FMCSA guidance indicates that a driver should not be certified under these
circumstances.
Only by federal exemption.
The driver is always certifiable under these conditions. - Answer-FMCSA guidance
indicates that a driver should not be certified under these circumstances.

Explanation: FMCSA guidance indicates that contact lenses that correct one eye for
distance and one eye for near vision are not acceptable.

Guidance recommends not to certify with ear problem diagnoses of: - Answer-a)
Uncontrolled vertigo.

b) Ménière's disease.

c) Nonfunctioning labyrinth.

d) Nonfunctioning fistula.

The medical examiner's role in the exemption process includes _________.

Issuing the exemption.
Issuing the prescription for the driver's contact lenses and/or glasses.
Providing the driver with contact information for the Federal Vision Exemption Program.
Assuring that the driver has peripheral vision of at least 110 degrees in each eye. -
Answer-Providing the driver with contact information for the Federal Vision Exemption
Program.

Explanation: The medical examiner's role in the exemption process is limited to
performing the driver examination and providing the driver with contact information for
the FMCSA related to the exemption process.

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