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NRCME EXAM WITH 100% CORRECT ANSWERS A GRADED
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NRCME EXAM WITH 100% CORRECT ANSWERS A GRADED
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NRCME EXAM WITH 100% CORRECTANSWERS A GRADED
AsdriversisstakingsCelexasforsthestreatmentsofswhatshescallssas"mildsdepression".sHesreport
ssheshassnotsconsideredsorsattemptedssuicide.sThesexaminersshouldsdoswhat?s-
sans✔✔Temporarilysdisqualify sthesdriversuntilshesobtainsswrittensclearancesforsthesdepres
sionsandsthesmedicationsfromsthestreatingsprovider.
Canshearingsaidssbeswornsduringsthesforcedswhisperstest?s-sans✔✔NO
Asdriverswithsashistorysofsdiabetes,swhosisstakingsMetformin,sprovidessasnotesfromshissprim
aryscaresprovidersthatslistsshissA1cslevelsass10.sHissexamsissessentiallysnormalsincludingsla
boratorysanalysis,sexceptshesissverysoverweight.sThesmedicalsexaminersshould:s-sans✔✔
Asdriverswithsashistorysofsdiabetes,swhosisstakingsMetformin,sprovidessasnotesfromshissprim
aryscaresprovidersthatslistsshissA1cslevelsass10.sHissexamsissessentiallysnormalsincludingsla
boratorysanalysis,sexceptshesissverysoverweight.sThesmedicalsexaminersshould:s-
sans✔✔certifysfors1syear
Asdrivershasshadshisssecondsspontaneousspneumothoraxsonsthessamessides3smonthssago
.sThereshassbeensnossurgicalsintervention.sThesFVCsiss68%.sThescorrectsdeterminationsins
thisscasesis:s-sans✔✔Dosnotscertifysuntilsthesconditionshassbeenscorrectedssurgically.
Thesdriversreportssassuicidesattempts6smonthssearlier,sfollowingsthesbreak-
upsofshissmarriage.sHesnotedsseeingsaspsychiatristsandshestakessCitalopramsdailysandshesr
eportsshesfeelssfinesnowsandsissmovingsonswithshisslife.sHesprovidessasreleasesfromshissdo
ctorsthatshesmaysreturnstosworkswithoutsrestrictions.sThesmedicalsexaminersshould?s-
sans✔✔disqualifysthesdriver
AsdriverswithsansAbnormalsAorticsAneurysms(AAA)scansbescertified:s-
sans✔✔Fors1syearsifsbetweens4sands5scm,sasymptomatic,swithsasrecommendationsfromsas
cardiovascularsspecialistswhosunderstandssthesfunctionssandsdemandssofscommercialsdri
ving.
, Ifsasdriversrespondssyesstostheshistoryssectionsofsthesexamsform,swhatsdetailssmustshesincl
ude?s-sans✔✔1.sdatesofsonset
2.sdiagnosis
3.sPCPscontactsinfo
4.sanyslimitations
5.smedicationssincludingsprescription,sOTCsandsherbalssupplements
Uponsexaminationsofsas46syear-
oldsmalessmoker,syousdetectsansirregularlysirregularsheartsrhythm.sThesratesiss140sbpm.sT
hississunknownstosthesdriversandshesdeniessanyssymptomssofslightheadedness,sshortnesss
ofsbreath,sdizziness,spalpitations,snorsanyscardiacshistory.sYouswould:s-
sans✔✔DisqualifysandsreferstoshissPMDsorscardiologistsforsfurthersevaluation.
Whichsofsthesfollowingsbestsdescribesstheslengthsofstimestoscertifysasdriverswhoshassnon-
insulinsdiabetessmellitusstreatedswithsoralsmedicationsandsnosothersmedicalsissues?s-
sans✔✔Whilessuchsdriverssmaysbescertifiedsfors2syears,sthesFMCSAspreferssthatssuchsdri
verssshouldshavesannualsre-certificationsexaminations.
Asdriverswassdischargedsfromstheshospitals10sweekssagosaftersansMI.sHesissasymptomatics
andshassasnotesfromsthescardiologiststhatsheshadsassatisfactorysinsofficesETTsthesweekspri
orstosyoursexaminationsandsthatshesmaysdrive.sHisspre-
dischargesECHOsshowssansEFsofs45%.sHissexaminationsissnormal.sYoursdetermination:s-
sans✔✔certifysfors1syearsbecauseswaitingsperiodsissatsleasts2smonthssaftersMI,snossypmto
ms,sETTspass,sLVEFsgreatersthans40sandsnosECGschanges
Whatsaresthes3sthingssthatsMEsandsdriversmustsdoswithsthescertificate?s-
sans✔✔1.sMEsmustsretainscopysforsatsleasts3syears
2.sMEsmustsprovidesascopystosprospectivesorscurrentsemployersuponsrequest
3.sdriversmustscarryscertificateswhilesoperatingsCMV
As69syear-oldsmalesdrivershadsasfemoral-
poplitealsbypasss4smonthssagoswithsresolutionsofschronicslegspainsduestosclaudication.sHis
ssurgeonsclearsshimsforsdriving.sHesissonscoumadinswithsINRssconsistentlysinsthestherapeu
ticsrangessincesdischarge.sThescorrectsdeterminationsis:s-
sans✔✔Meetssstandards,squalifiedsforsonesyear.
Whatsphysicalsabilitiessmustsdriversshave?s-
sans✔✔gripsstrength,suppersbodysstrengthsandsbalancesandsflexibility
Asdriversreturnsstosworksaftersastwosweeksabsencesduestosasrespiratorysillness.sHespresent
ssasnotesfromshissphysiciansthatsheswassunablestosworksassastrucksdriversbecausesofsthesill
nesssandsissnowsclearedsforsreturningstoswork.sHissmedicalscertificatesexpiressins3smonths.
sThesdriver:s-sans✔✔shouldsundergosasnewsexamination
AsdriversissfoundstoshavesdiminishedscentralsacuitysduringsSnellenschartsacuitystesting.sThi
ssisssuggestivesof:s-sans✔✔macularsdegeneration
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