NRCME Exam Questions And Answers
With Verified Solutions 100% Correct
(GRADED A+)
How many days can a driver be left in determination pending status? -
ANSWER✔✔45 days
Cenral vision loss is due to __________ - ANSWER✔✔Macular Degeneration
Drivers with insulin-treated diabetes must provide to the treating clinician
electronic blood glucose self-monitoring records for the most recent: -
ANSWER✔✔3 months
When an individual has a medical history of epilepsy or a seizure disorder, the
medical examiner may certify the individual if the individual is: -
ANSWER✔✔Seizure free AND off anti-epileptic medications for at least 10 years.
What is the waiting period before a driver can be certified following coronary
artery bypass grafting? - ANSWER✔✔3 months
FMCSA defines a severe hypoglycemic reaction as one that results in: -
ANSWER✔✔Seizure OR Need of assistance from another person OR Period of
impaired cognitive function that occurs without warning.
After undergoing ablation for atrial fibrillation, what is the minimum waiting
period before a driver can be certified? - ANSWER✔✔1 month
,A driver with a recent diagnosis of congestive heart failure and known ventricular
arrhythmias may be certified for driving if his left ventricular ejection fraction is at
least: - ANSWER✔✔40%
A 22 year-old male contracted meningococcal meningitis from his college
roommate, discharged from the hospital 3 months ago. He brings no records with
him. He is on no medications, is otherwise healthy, and his physical examination is
entirely normal. The correct determination would be: - ANSWER✔✔Obtain
hospital records. If there was no seizure activity, he must undergo a one year
waiting period before he can be qualified, if there was seizure activity, he must
undergo a 5 year waiting period seizure free and off anticonvulsant medication
before he can be qualified.
For how long must you retain a copy of the driver's medical records, including the
certificate? - ANSWER✔✔3 years
When completing the commercial driver examination form for a driver with stage
3 hypertension: - ANSWER✔✔A 6 month recertification - fill out a new form,
check "recertification," do a complete examination.
A driver is taking Lasix. Which of the following should be closely monitored? -
ANSWER✔✔Serum potassium.
The SPE certificate is valid for a period not to exceed how many years from date
of issue? - ANSWER✔✔2 years
A driver with a history of epilepsy must wait a minimum of how long before
consideration may be given to certification? - ANSWER✔✔Ten years seizure free
and off anticonvulsant medication.
, If the underlying condition causing the seizures has been corrected and is now
stable, he may be certified for up to ______, or shorter periods at the discretion of
the medical examiner. - ANSWER✔✔2 years
A screening pulse oximetry below what level mandates an ABG analysis? -
ANSWER✔✔92%.
During the physical examination on a driver in whom you have psychological
concerns, the questions you should ask: - ANSWER✔✔Should be the same
questions as you would ask for any individual who is be assessed for psychological
concerns.
After examining a driver, the Medical Examiner strongly feels that the driver is fit
for commercial driving, even though he does not meet all standards per FMCSA
regulations. The Medical Examiner should: - ANSWER✔✔Disqualify the driver
and explain that the regulations are legal requirements.
What is the waiting period for certification following percutaneous coronary
intervention? - ANSWER✔✔A minimum one week post-procedure
Checking for pupillary equality is a required part of the examination. On a driver's
exam, you notice that the pupils are of different diameters, but both react
appropriately to light. This is consistent with: - ANSWER✔✔Anisocoria
A driver presents for her DOT medical exam. During the exam history it is
revealed that the driver is taken Lisinopril for hypertension, Simvastatin, and
Antabuse. All other aspects of history and exam were normal. What should the
examiner do next: - ANSWER✔✔Disqualify the driver.
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