An unrestricted Commercial Motor Vehicle Driver Medical Certificate must be renewed:
A. Annually
B. Every Two Years
C. Every Four Years
D. Whenever the State Issued Driver's License is renewed
(Ans- B. Every two years
2 years is the max for a healthy person
2. A driver presents with h...
an unrestricted commercial motor vehicle driver me
a driver presents with history of an isolated tia
fmcsa regulates interstate commercial operation
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NRCME (DOT) Exam Test Bank : Questions & Answers 1. An unrestricted Commercial Motor Vehicle Driver Medical Certificate must be r enewed: A. Annually B. Every Two Years C. Every Four Years D. Whenever the State Issued Driver's License is renewed (Ans- B. Every two years 2 years is the max for a healthy person 2. A driver presents with history of an isolated TIA 6 months ago. He has a return to work letter from his primary care provider (PCP) and neurologist. He is taking and tolerating well hydrochlorothiazide and simvastatin. All other aspects of the exam and history were normal. What should the medical examiner do next? A. Certify driver for 1 year B. Disqualify driver for now C. Certify driver for 3 months D. Certify driver for 2 years (Ans- B. Disqualify the driver for now The waiting period is 1 year for Transient ischemic attack, stroke, or intracerebral or subarachnoid hemorrhages with no risk for seizures. 3. FMCSA regulates interstate commercial operation including the: A. Driver B. Vehicle C. Motor Carrier D. All of above (Ans- D. All of the above Self-explanatory 4. During the CMV exam, a driver perceived a whispered voice at 5 feet in his left year and 4 feet in his right year. Exam was otherwise normal. What do you do as the medical examiner? A. Required audiometric test to determine the extent of hearing loss in left ear B. Certify driver for 2 years C. Certify driver for 1 year D. Disqualify driver (Ans- B. Certify the driver for 2 years. Passing the forced whisper test at 5 ft in at least 1 ear is good enough. 5. Which of the following is an assessment of L4 nerve root pathology? A. Plantar flexion B. Patellar reflex C. Hip extension D. Babinski reflex (Ans- B. Patellar Reflex ("Knee -Jerk Reflex") Patellar Reflex = L3 -L4 (Primarily the L4) Plantar Flexion = S 1-S2 (Tibial nerve) Hip Extension = L4 -L5 (via the gluteal nerve) Babinski Reflex (Plantar Flexion) = upper motor neuron lesion 6. A driver presents for medical exam and reports being a smoker and having frequent shortness of breath. What do you do next? A. Order an ECG B. Refer to a pulmonologist C. Order a spirometer test D. Provide 1 year certification (Ans- C. Order a spirometry test Obvious difficulty breathing in a resting position is an indicator for additional pulmonary function tests. If the for ced expiratory volume in the first second of expiration (FEV1) is less than 65% of that predicted, arterial blood gas measurements should be evaluated. NOTE: Smokers have a high incidence of COPD, yet individuals may have a significant reduction in lung f unction without symptoms. Spirometry should be performed in all smokers over the age of 35 years. You should obtain forced expiratory volume in the first second of expiration (FEV1), forced vital capacity (FVC), and FEV1/FVC ratio when any of the followin g indicators are present: • History of any specific lung disease. • Symptoms of shortness of breath, cough, chest tightness, or wheezing. • Cigarette smoking in drivers 35 years of age or older. No further testing is necessary if the lung function is normal and no other abnormality is suspected. Abnormal lung function should be further evaluated. 7. According to regulation, which of the following must be evaluated as part of the eye exam? A. Pup il reaction B. Iris symmetry C. Conjunctiva injection D. Tonometry pressure (Ans- A. Pupil reaction Pupil reaction is neurological. Iris symmetry is cosmetic Conjunctiva injection is usually for infections Tonometry pressure is for intraocular pressure, u sually measured by optometrists/ophthalmologists. 8. Continued certification of NRCE Medical Examiners requires all EXCEPT which of the following? A. Periodic training at least every five years B. Completion of recertification test every five years C. Co mpletion of certification test every 10 years D. Electronic transmission to FMCSA CMV Medical Examination Results at least monthly (Ans- B. Completion of recertification test every 5 years - Online training every 5 years. - You need to re -certify every 10 years. - You need to submit your CMV medical exam results each month to the FMCSA. In December 2016, FMCSA issued a statement that it will be the sole provider of the required 5 -year refresher training, and it will provide the training online at no cost to Certified Medical Examiners. Certified Medical Examiners who are eligible for the 5 -year periodic online training will be notified by FMCSA when the training is available and the examiner is able to access the training site. Training providers associat ed with the initial 10 -
year certification process are not involved with the refresher training and will not contact Certified Medical Examiners regarding the required 5 -year refresher training.
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