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NEW NRCME EXAM LATEST UPDATED
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NEW NRCME EXAM LATEST UPDATED...
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NEW 2024-2025 NRCME EXAM LATESTUPDATED
Driver Information - ANSWER Name, address, and phone number
Required information includes Social Security number, date of birth, age, gender,
driver's license number, class, and state of issue.
New Certification, Recertification, and Follow-up
ANSWER Vision is a required component for all exams.
Hearing
Blood Pressure and Pulse
UA
Who Can Sign the Exam Form - Answer Medical Examiner (CME)
Optometrist
Ophthalmologist
Non-Discretionary Standards = you must obey the regulation or guideline and may
not deviate from it - ANSWER 1. Vision.
2. Hearing.
3) Epilepsy
4. Blood Pressure.
Vision - ANSWER 1. Must be 20/40 in both eyes.
,2. You must have 70 degrees of peripheral vision.
3. Identify signals in red, green, and amber.
* If they do not fulfill these requirements, they can ask for a vision exemption.
Provide a copy of the certificate and check the box "Accompanied by a ___
waiver/exemption".
* May wear glasses or contacts, which should be noted in the certification section.
Hearing - ANSWER 1: Must be less than or equal to 40 decibels recorded at 500,
1000, and 2000 Hz.
2. Hears a whispered sound at 5 feet in at least one ear.
* If they use a hearing aide, mark it on the long form and PE section.
* If they do not match the requirements, they may ask for a hearing exemption.
Provide a copy of the certification and mark "Accompanied by a ___
waiver/exemption"
* Examine the tympanic membrane on every exam.
Convert ISO to ANSI - ANSWER Subtract 14 from the hearing loss at 500 Hz.
Subtract ten from the hearing loss at 1000Hz.
Subtract 8.5 from the hearing loss at 2000Hz.
Add those numbers and divide by three to get the average hearing loss in ANSI.
UA - needed for all tests. - ANSWER Specific Gravity: 1.005–1.030
Protein - negative.
Blood - negative.
glucose - negative
, Epilepsy - Answer Epilepsy is defined as two occurrences or the use of antiseizure
medications.
Always disqualify drivers with a clinical diagnosis of epilepsy.
* If the driver has epilepsy or a seizure disorder of unknown origin (controlled or
uncontrolled), they may apply for a seizure exemption. Provide a copy of the
certificate and mark "Accompanied by a __ waiver/exemption"
Blood Pressure - ANSWER Follow Stages 1, 2, or 3.
They will always have a shorter certification term, usually one year, whether they
are treated or not.
They may treat with medication, nutrition, or exercise.
Health Hx - ANSWER Record if the driver smokes or not in the lengthy form.
Regulations versus Guidelines - ANSWER Regulations are enacted through law.
Guidelines are meant for you to follow.
1% Rule - Answer If the examiner believes there is a larger than 1% possibility of a
sudden incapacitation within the next year, the driver must be disqualified.
Certification: benign hypertension, negative exam - ANSWER: two years
Certification: Diabetes: Non-Insulin Dependent - Answer: One year.
Certification: Diabetes: With Insulin (Diabetic) Exemption or Waiver - Answer: 1
year
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