NRCME Exam Questions with Complete Answers
What otic conditions should you not certify? - Answer-a) Uncontrolled vertigo.
b) Ménière's disease.
c) Nonfunctioning labyrinth.
d) Nonfunctioning fistula.`
The medical examiner's role in the exemption process includes _________.
Issuing the e...
What otic conditions should you not certify? - Answer-a) Uncontrolled vertigo.
b) Ménière's disease.
c) Nonfunctioning labyrinth.
d) Nonfunctioning fistula.`
The medical examiner's role in the exemption process includes _________.
Issuing the exemption.
Issuing the prescription for the driver's contact lenses and/or glasses.
Providing the driver with contact information for the Federal Vision Exemption Program.
Assuring that the driver has peripheral vision of at least 110 degrees in each eye. -
Answer-Providing the driver with contact information for the Federal Vision Exemption
Program.
What eye conditions must the medical examiner ask the driver about? - Answer-
Retinopathy, cataracts, aphakia, glaucoma, macular degeneration
A driver who wears contact lenses which correct farsightedness in one eye and
nearsightedness in the other, but has no other visual impairments can be certified under
what additional conditions - Answer-FMCSA guidance indicates that a driver should not
be certified under these circumstances.
Which of the following drivers' tests meet hearing certification standards?
Whisper test 4 feet right ear, 3 feet left ear.
Whisper test 5 feet right ear with hearing aid, 3 feet left ear without hearing aid.
Audiogram left 30/500 Hz, 40/1000 Hz, 60/2000 Hz; right 25/500 Hz, 35/1000 Hz,
80/2000 Hz.
Audiogram left 35/500 Hz, 50/1000 Hz, 40/3000 Hz; right 35/500 Hz, 35/1000 Hz,
60/3000 Hz. - Answer-Whisper test 5 feet right ear with hearing aid, 3 feet left ear
without hearing aid.
An audiometric test produces the following results: Left ear: 500 Hz, 35dB Loss; 1,000
Hz, 35 dB loss; 2,000 Hz 45 dB loss. Right ear: 500 Hz, 40 dB loss; 1,000 Hz, 45 dB
loss; 2,000 40 dB loss. What is the certification? - Answer-2 years
A driver has loss of hearing in the better ear of 25 dB loss at 500 Hz, 40 dB loss at 1000
Hz, and 60 dB loss at 2000 Hz. With respect to the hearing requirement for medical
certification, the driver __________. - Answer-do not certify
What BP readings are considered stage I HTN? - Answer-140-159/90-99
,What BP readings are considered stage II HTN? - Answer-160-179/100-109
Is stage II HTN an indication for anti-hypertensive drug therapy? - Answer-yes
What BP readings are considered stage III HTN? - Answer-BP > 180/110
If the drivers BP is > 180/110? - Answer-they are disqualified
a driver with a history of Stage 3 hypertension may only be certified for... - Answer-6
months
how often do you need to monitor INR on coumadin therapy? - Answer-monthly
What is the recommended certification if someone has a-fib/a-flutter? - Answer-1 year
On examination, a BP of 140/90 is obtained. A follow-up BP is 140/90. What certification
options may be considered? - Answer-the medical examiner may obtain an additional
reading or use his/her clinical judgment and consider BP and overall driver medical
fitness for duty to determine certification status and certification period.
Which of the following is true with regard to hypertension?
The lower value of either systolic or diastolic blood pressure determines the stage of
hypertension.
Stage 1 hypertension is BP of 140-149/90-99.
Stage 2 hypertension is BP of 170-179/100-109.
Stage 3 hypertension is BP of greater than or equal to 180/110. - Answer-Stage 3
hypertension is BP of greater than or equal to 180/110.
The certification determination for a driver who presents with a confirmed BP of 182/86
is __________.
Qualify 3 months.
Disqualify until BP is < 180/110.
Disqualify until BP is < 160/100.
Disqualify until BP is < 140/90. - Answer-Disqualify until BP is < 140/90.
4. The one-time use of a three-month certificate for blood pressure greater than 140/90
can be provided to a driver __________.
Once in the driver's lifetime.
On consecutive examinations until the driver's blood pressure is less than 140/90.
When the driver was diagnosed with Stage 1 hypertension on a previous examination
and now has a blood pressure of 162/84.
When the driver has a blood pressure of 182/84. - Answer-When the driver was
diagnosed with Stage 1 hypertension on a previous examination and now has a blood
pressure of 162/84.
, he maximum certification interval for a driver disqualified for Stage 3 hypertension, but
whose blood pressure has declined to less than or equal to 140/90, is - Answer-6
months
are implantable defibrillators are disqualifying? - Answer-yes
What herbal supplements cause excessive bleeding in drivers taking blood thinning -
Answer-garlic and ginko
What herbal supplement can raise blood pressure? - Answer-licorice root
What is the maximum period for which a driver with any cardiovascular disease should
be certified? - Answer-one year
What are the cardiovascular disease "do not certify" diagnoses? - Answer-hypertrophic
cardiomyopathy and restrictive cardiomyopathy.
Which of the following is acceptable for a driver who wears a hearing aid?
Long QT Interval Syndrome
Brugada Syndrome
What are some reasons that someone should be disqualified s/p MI? - Answer-
Recurrent angina symptoms.
Post-MI ejection fraction < 40% (by echocardiogram or ventriculogram); an ejection
fraction of < 40% is considered disqualifying for any cardiac condition, not just MI.
Abnormal exercise tolerance test (ETT) with evidence of ischemia, arrhythmia, or other
findings indicating increased risk of recurrent cardiac events.
Ischemic changes on rest electrocardiogram (ECG).
Poor tolerance to current cardiovascular medications.
What is the waiting period for certification after MI? - Answer-2 months
If someone has a hx of an MI how often does exercise tolerance test need to be
completed? - Answer-every 2 years
what is the waiting period follow a PCI? - Answer-one week
What is the wait period following a CABG? - Answer-3 months
what is the wait period following a heart transplant? - Answer-1 year
What is the max certification with hx of heart transplant? - Answer-6 months
What is the wait period for angina? - Answer-three months with no rest angina or
change in angina pattern
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