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NRCME EXAM ALL QUESTIONS AND WELL ELABORATED ANSWERS WITH RATIONALES TOP RATED VERSION FOR ALREADY A GRADED WITH EXPERT FEEDBACK HIGHLY RECOMMENDED |NEW AND REVISED$27.99
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NRCME EXAM ALL QUESTIONS AND WELL ELABORATED ANSWERS WITH RATIONALES TOP RATED VERSION FOR ALREADY A GRADED WITH EXPERT FEEDBACK HIGHLY RECOMMENDED |NEW AND REVISED
NRCME EXAM ALL QUESTIONS AND WELL
ELABORATED ANSWERS WITH RATIONALES
TOP RATED VERSION FOR ALREADY
A GRADED WITH EXPERT FEEDBACK HIGHLY
RECOMMENDED |NEW AND REVISED
NRCME EXAM ALL QUESTIONS AND WELL ELABORATED ANSWERS WITH RATIONALES TOP RATED VERSION FOR 2024-2025 ALREADY A GRADED WITH EXPERT FEEDBACK HIGHLY RECOMMENDED |N EW AND REVISED What minimum PaO2 level is necessary if the driver has an ABG due to a chronicrespiratory disorder? - ANSWER - 65 mm Hg RATIO NALE; To be qualified, the driver should meet a minimum arterial blood gas(PaO2) greater than 65 A driver first perceives a whispered voice at 5 feet in his right ear and 4 feet in his left ear.All other aspects of his physical examination are unremarkable. The examiner should - ANSWER - Certify the driver for 2 years. RATIO NALE; The driver is qualified to drive without restriction as long as he is able to perceive a whispered voice at 5 feet in 1 ear. A driver is taking Celexa for the treatment of what he calls a "mild depression." He report she has not considered or attempted suicide. The examiner should? - ANSWER - Certify only after obtaining written clearance for the depression and the medication from the treating provider. RATIO NALE; Medical clearance is required for all mental health disorders. Celexa is anSSRI or 2nd Generation anti -depressant and is acceptable A driver is taking Topamax for the treatment of migraine headaches. He reports good management of his headaches and they never seem to interfere with his driving ability with the medication. The medical examiner should? - ANSWER - Obtain medical clearance for the condition and the medication. RATIO NALE; Topamax i s a medication that is used for seizure control. The examiner should confirm with the prescribing provider that the driver does not take it to control seizures, and he is capable of driving a CMV A 26 year -old driver presents for a first -time certificatio n. He has a long -
standing history of ADHD and is taking methylphenidate. You have verified his diagnosis and obtained clearance from his treating psychiatrist. As the certified examiner, yo - ANSWER - May certify for a maximum of 12 months. RATIO NALE; A driver report s in his history that he was treated for epilepsy 14 years ago but stopped taking anti -epileptic medication on his own since his move to your area 11 years ago. He has not seen a neurologist nor a health care provider in over 10 years and reports no seizur es during this period. The examiner should: - ANSWER - Disqualify the driver. Even though the driver reports exceeding the 10 -year waiting period, it was not under medical supervision and the driver discontinued medication use and treatment outside of medical oversight. Since the driver cannot a documented medical history this drive r does not meet the non -discretionary epilepsy standard until it is established that the driver is 10 years seizure -free while off anti -
convulsants The driver is taking "Sinemet" for the treatment of Parkinson's disease. The medical examiner should: - ANS WER - Disqualify the driver RATIO NALE; A driver who is diagnosed with Parkinson's is permanently disqualified The minimum acceptable spirometry values required to certify a driver are: - ANSWER - FEV1 65%, FVC 60%, FEV1/FVC ratio 65% A driver is taking Wellbutrin to help him stop smoking. He has provided a note from his PCP stating that he has no side effects and confirms that he is taking the medication for smoking cessation.The examiner would? - ANSWER - Certify the driver for 2 years . RATIO NALE; The driver is not being treat ed for a psychiatric condition such as anxiety or depression, and he has clearance. He would be able to be certified for 2 years. A driver has a history of a moderate Traumatic Brain Injury that occurred 3 years ago as a result of a car accident. He repor ts he has fully recovered and provides a note from his neurologist stating that he suffered no seizures and that he is able to return to driving. He does not list any medications in his history. The examiner should: - ANSWER - Certify the driver for one yea r. RATIO NALE; The driver suffered no seizures from the TBI, has completed the required waiting period (2 years), and has medical clearance. If the rest of the examination is unremarkable,the driver could be certified for 1 year. The driver lists Synthroid for the treatment of hypothyroidism. He has been taking it for about 6months and feels fine now. His examination is essentially normal. The examiner's best course of action is to? - ANSWER - Certify the driver for 2 years. A 48 -year-old male driver presents for a certification examination. He reports in his history a back injury that had occurred 4 years earlier. He states that he was out of work following back surgery for over a year, but since has returned to driving and his last certification was good for 2 years. He lists as his only medication Oxycodone, which he takes only as needed. He reports seeing his "pain doctor" every few months for evaluation. He also reports he has had a steroid injection (series of 3) about a year ago,which "helped a lot." The examin er should: - ANSWER - Request medical clearance. RATIO NALE; The driver suffers a chronic pain condition which may inhibit his ability to perform all essential functions associated with
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