NRCME DOT Practice Comprehensive Resource To Help You Ace Exams Includes Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS Guaranteed Pass First Attempt!! Current Update!! Instant Download Pdf

NRCME DOT Practice Comprehensive Resource To Help You Ace Exams Includes Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS Guaranteed Pass First Attempt!! Current Update!! Instant Download Pdf 1. A driver with a history of major depression should be evaluated at least every __________ by an appropriate mental health specialist, such as a psychiatrist or psychologist, who understands the functions and demands of commercial motor vehicle driving. Six months. One year. Two years. Such evaluation is not required. - Correct Answer: Correct Answer: Two years. Explanation: The maximum certification interval for a driver with a history of major depression is one year. Regulatory guidance requires evaluation every two years by a specialist, such as psychiatrist or psychologist, who understands the functions and demands of commercial driving. 2. Passing parameters for hearing tests: - Correct Answer: Driver first perceives a forced, whispered voice in the better ear at not less than five (5) feet with or without the use of a hearing aid. Driver, if tested by use of an audiometric device, does not have an average hearing loss in the better ear greater than 40 decibels at 500 Hz, 1,000 Hz, and 2,000 Hz, with or without a hearing aid. The driver meets the hearing qualification requirements if hearing passes one test in one ear. Hearing aid: When a hearing aid is to be worn during audiometric testing, an audiologist or hearing aid center should perform the test using appropriate audiometric equipment. 3. Stage 2 hypertension blood pressure - Correct Answer: 160-179/100-109 Drivers with Stage 2 hypertension should be advised that a limited certification interval of three months will be provided and that medication treatment is indicated and must be initiated prior to reconsideration of certification beyond the three-month interval. 4. Which of the following is considered by the FMCSA as a mental health professional that the medical examiner may refer to or consult with? A urine drug screen collector. A FMCSA administrator. Medical review officer (MRO). Any licensed medical provider. - Correct Answer: Correct Answer: Medical review officer (MRO). Explanation: According to the FMCSA, mental health professionals the medical examiner may consult with include breath alcohol technicians (BATs), designated employer representatives (DERs), medical review officers (MROs), and substance abuse professionals (SAPs). 5. Can you certify a driver who has a known AAA? - Correct Answer: Yes if : less than 4 cm and asymptomatic, 4 cm but 5 cm - Certify if: and asymptomatic with a vascular specialist clearance. 5 cm with waiting 3 month post repair and specialist clearance. No if: 4.5 cm and symptomatic with surgery recommendations 5 cm with the repair and specialist clearance. Recommendation to NOT surgically repair, does NOT mean driver is certified Maximum certification period: one year. Do not certify if: 5.0 cm Aneurysm has increased more than 0.5 cm during six-month period regardless of size. Surgical repair has been recommended by a cardiovascular specialist, regardless of size, but has not yet been performed. Driver is symptomatic, regardless of size. 5. Which of the following is not associated with safety risks in drivers with psychological disorders? The mental disorder, including symptoms and/or disturbances in performance that are an integral part of the disorder and may pose hazards for driving. Residual symptoms occurring after time-limited reversible episodes or initial presentation of the full syndrome that can interfere with safe CMV driving. Physical disorders which may be compromised by the mental disorder and may increase risk of CMV accidents. Psychopharmacology, as many psychotropic medications can compromise performance to the degree that CMV driving would be hazardous. - Correct Answer: Correct Answer: Physical disorders which may be compromised by the mental disorder and may increase risk of CMV accidents. Explanation: Physical disorders are not noted by the FMCSA to increase risk related to psychological disorders. 6. Department of Transportation (DOT) - Correct Answer: U.S. federal government body with primary responsibility for transportation safety regulation. Oversees the FMCSA. 7. Stage 2 Hypertension Maximum certification period - Correct Answer:three months. Recommend to certify if it is the first examination at which the driver has blood pressure equivalent to Stage 2 hypertension and the driver has no history of hypertension and does not use medication to control blood pressure. Recommend to certify if the driver has a diagnosis of hypertension treated with medication and tolerates treatment with no side effects that interfere with driving. Do not certify the driver who has been given a three-month certificate within the past three months. Advise the driver issued a three-month certificate that: To qualify at follow-up, blood pressure must be less than or equal to 140/90. If the driver qualifies on follow up examination (has a blood pressure less than or equal to 140/90), a one-year certificate may be issued from the date of the follow up examination, not the expiration date of the three-month certificate. If the driver fails to lower blood pressure by the expiration date of the one-time, three-month certificate, the driver will be disqualified until blood pressure is equal to or below 140/90 at exam. Stage 2 hypertension is an absolute indication for anti-hypertensive drug therapy. 8. intrastate - Correct Answer: within a state 9. Stage 3 Hypertension bp - Correct Answer: BP 180/110 10. A commercial motor vehicle (CMV) is defined as... - Correct Answer: * A vehicle with a gross weight over 26,001 lbs * A vehicle transporting hazardous materials * A vehicle transporting 16 or more passengers 10. Which of the following is true with regard to adult Attention Deficit Hyperactivity Disorder (ADHD)? The maximum certification interval is two years. The driver should be disqualified if the driver has another psychological disorder, such as depression. Risks related to adult ADHD includes comorbid antisocial or borderline personality disorders and a high incidence of substance abuse. Treatment with amphetamines and amphetamine derivatives is disqualifying. - Correct Answer: Correct Answer: Risks related to adult ADHD include comorbid antisocial or borderline personality disorders and a high incidence of substance abuse. Explanation: The maximum certification interval is one year. As long as other psychological conditions are stable, a driver with adult attention deficit hyperactivity disorder (ADHD) may be certified. Treatment with amphetamines and amphetamine derivatives is not disqualifying.