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NRCME EXAM; 155 QUESTIONS WITH VERIFIED ANSWERS
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NRCME EXAM; 155 QUESTIONS WITH VERIFIEDANSWERS
Def CMV: ANSWER Wt =/> 10,001
> 8 passengers for rental
> 15 passengers (any).
Non-discretionary requirements - ANSWER MUST adhere to regulation standards
and disqualify:
Hearing
Vision
Epilepsy
Form MCSA-5850 - ANSWER To retain certification, the examiner must submit
monthly with the following for all drivers tested that month.
- CMV driver's name
- Date of Birth
- Your driver's license number and state.
- Date of the examination
- Indication of examination outcome.
- Whether intrastate driving only.
How often should I recertify/refresher? - Answer Refresher every five years.
Recertification test every ten
,Who releases the guidelines? - ANSWER FMCSA
Parameters evaluated in UA: SG, glucose, pro, blood.
What is being determined through examination? - ANSWER Whether the CMV
driver has a fixed deficit that prevents safe driving or a condition that could result
in sudden death or incapacitation.
When is a fitness for duty exam performed outside of the expiration date of the
current certification, and who determines whether it is necessary? - ANSWER A
driver who is unable to fulfill his or her normal duties due to a physical or mental
injury or disease (391.45). The carrier determines if the driver's condition was
severe enough to necessitate recertification.
ANSWER Monocular vision is the only condition that qualifies for a formal
medical exemption.
How long should the examiner keep copies of the examination form and card? -
Answer: 3 years.
When may the Medical Examination Report form be amended? - The answer is that
it cannot be revised after final determination or if the examination has been in a
"determination pending" state for more than 45 days.
Medical conditions for which a certification interval has been recommended:
ANSWER Hypertension
Heart illness.
(Both are regarded as excellent practices for one year).
MAY disqualify driver if: - ANSWER Does not fit medical guidelines suggestion.
,Does not fulfill the FMCSA's Medical Advisory Criteria recommendations.
Uncertain or uncertain clinical course (Disqualify or restrict certification until
information is obtained)
Unable to follow up, and the condition could disqualify
Until further evaluation is finished.
Can the examiner give the driver's medical examination report to the employer?
Answer: Yes, with the driver's approval.
What should the examiner comment on? - ANSWER: All discoveries, even if not
disqualifying.
Vision standard - ANSWER At least 20/40 (Snellen) in both eyes and together
Field of vision of 70 degrees in the horizontal meridian
An eye exam should include: ANSWER - Pupillary equality.
-The ANSWER to light and accommodation
-Ocular motility.
-Unbalanced ocular muscles
-Extraocular motions.
-Nystagmus
-Exophthalmos
Conditions that may necessitate ophthalmology evaluation - ANSWER
Retinopathy.
, Cataracts
Aphakia
Glaucoma
Macular degeneration.
Disqualifying types of vision correction - ANSWER Monovision contacts (one eye
corrected for near, one eye for far)
Telescopic lenses can compensate for the loss of center vision.
Drivers who participated in the trial are grandfathered in, as long as they meet other
medical standards. Must consult an opthalmologist annually and submit a waiver
letter.
Federal Vision Exemption Program - ANSWER The driver first sees a medical
examiner and is cleared of any other medical issues before taking the examination
form and certificate to an ophthalmologist. After the eye exam, the driver transmits
papers, including the ophthalmologist's findings, to the FMCSA, which grants the
exemption. The driver must hold a vision exemption and certificate card.
The maximum recertification period for vision exemption is one year.
Hearing standards - ANSWER Forced whisper at 5 feet
Average hearing loss of no more than 40 decibels at 500, 1000, and 2000 Hz.
Health history questions about hearing loss - ANSWER: Ear diseases
Loss of hearing
Loss of Balance
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