NRCME Study Guide: Questions &
Answers
vision
requirements
(Ans- Distant vision 20/40 each eye and 20/40 both eyes,
Peripheral vision at least 70 degrees, Ability to recognize and
distinguish between the colors of traffic signals and devices.
If the driver presents a valid vision exemption, how long can he
be certified?
(Ans- 1 year
The driver with a vision exemption must present what 2 things
before receiving the medical examiner's certificate.
(Ans- Valid vision exemption and copy of the specialist eye
examination report.
When applying for a vision exemption, the driver should include
a copy of the Medical Examination Report form and the medical
examiner's certification with what marked?
(Ans- The "accompanied by" exemption checkbox and write
"vision" to identify the type of exemption.
If the driver is qualified by operation of 49 CFR 391.64 due to
participation in the vision study program, what must the driver
present to qualify for certification?
(Ans- Letter identifying the driver as a participant and copy of the
specialist eye examination.
How long can a driver who is qualified by operation of 49 CFR
391.64 be certified.
(Ans- 1 year
,hearing requirements
(Ans- Whisper at not less than 5 feet in 1 ear, or average hearing
loss no greater than 40 dB at 500Hz, 1000Hz, 2000 Hz in 1 ear.
What is the waiting period for vertigo caused by benign positional
vertigo or acute/chronic peripheral vestibulopathy?
(Ans- 3 months
Name 4 otic conditions that are automatic disqualification
(Ans- Meniere's, uncontrolled vertigo, labyrinthine fistula,
nonfunctioning labyrinth
Apnea-hypopnea index of [blank] or more episodes per hour is
diagnostic of OSA
(Ans- 30
3 requirements for a passing
ETT (Ans-
1. increased SBP of at least 20 without
angina 2. workload capacity >6 METs
3. no significant ST depression
Examiners must retain records for how many years?
(Ans- 3
Regulation that describes the physical qualifications of
drivers. (Ans- 49 CFR 391.41
Regulation that describes the responsibilities of the medical
examiner. (Ans- 49 CFR 391.43
Regulation that describes the process for conflict resolution when
there is a disagreement between the primary care provider for
the driver and the medical examiner for the motor carrier
concerning driving qualifications. (Ans- 49 CFR 391.47
,Regulation that describes the Skill Performance
Evaluation (SPE) Certification Program.
(Ans- 49 CFR 391.49
Regulation that describes limited exemptions for intra-city
zone drivers. (Ans- 49 CFR 391.62
Regulation that describes grandfathering for certain drivers who
participated in vision and diabetes waiver study programs.
(Ans- 49 CFR 391.64
Regulation that includes regulations for medical review
officers and substance abuse professionals, including drug
and alcohol testing procedures.
(Ans- 49 CFR 40
Define Stage I Hypertension
(Ans- BP greater than or equal to 140/90
What is the maximum certification period for stage I
hypertension if this is the 1st examination at which the driver
has BP equivalent to stage I hypertension and has no history of
hypertension?
(Ans- 1 year
What is the maximum certification period for untreated known or
inadequately controlled stage I hypertension?
(Ans- 3 months
What is the maximum certification period for blood pressure
>140/90 and the following: follow-up 3 months certificate or
history of stage III hypertension
(Ans- None, driver is disqualified
, Define Stage II hypertension.
(Ans- BP is ≥ 160 to <180 SYSTOLIC, and is ≥100 to < 110
Diastolic
What is the maximum certification period for Stage II
hypertension with blood pressure >140/90?
(Ans- 3 months
What is the maximum certification period for Stage II
hypertension with blood pressure </140/90?
(Ans- 1 year
Define Stage III hypertension.
(Ans- BP >180 Systolic and > 110 Diastolic
What is the maximum certification period for Stage III
hypertension with blood pressure >140/90?
(Ans- 1 time certificate for 3 months in accordance with stage 1
or 2 HTN guidelines, as determined by a case by case basis.
What is the maximum certification period for a driver with a
history of Stage III hypertension but t exam his BP is at or less
140/90 and treatment is well tolerated?
(Ans- 6 months
What is the maximum certification period for Stage III
hypertension with blood pressure >180/110?
(Ans- None, driver is disqualified.
What is the waiting period and maximum certification period
for surgical correction of secondary hypertension?
(Ans- 3 months and 1 year post surgical correction
What is the waiting period and maximum certification period
for driver on anticoagulants for cardiovascular cause?
(Ans- 1 month stabilized and 1 year with monthly INRs
Answers
vision
requirements
(Ans- Distant vision 20/40 each eye and 20/40 both eyes,
Peripheral vision at least 70 degrees, Ability to recognize and
distinguish between the colors of traffic signals and devices.
If the driver presents a valid vision exemption, how long can he
be certified?
(Ans- 1 year
The driver with a vision exemption must present what 2 things
before receiving the medical examiner's certificate.
(Ans- Valid vision exemption and copy of the specialist eye
examination report.
When applying for a vision exemption, the driver should include
a copy of the Medical Examination Report form and the medical
examiner's certification with what marked?
(Ans- The "accompanied by" exemption checkbox and write
"vision" to identify the type of exemption.
If the driver is qualified by operation of 49 CFR 391.64 due to
participation in the vision study program, what must the driver
present to qualify for certification?
(Ans- Letter identifying the driver as a participant and copy of the
specialist eye examination.
How long can a driver who is qualified by operation of 49 CFR
391.64 be certified.
(Ans- 1 year
,hearing requirements
(Ans- Whisper at not less than 5 feet in 1 ear, or average hearing
loss no greater than 40 dB at 500Hz, 1000Hz, 2000 Hz in 1 ear.
What is the waiting period for vertigo caused by benign positional
vertigo or acute/chronic peripheral vestibulopathy?
(Ans- 3 months
Name 4 otic conditions that are automatic disqualification
(Ans- Meniere's, uncontrolled vertigo, labyrinthine fistula,
nonfunctioning labyrinth
Apnea-hypopnea index of [blank] or more episodes per hour is
diagnostic of OSA
(Ans- 30
3 requirements for a passing
ETT (Ans-
1. increased SBP of at least 20 without
angina 2. workload capacity >6 METs
3. no significant ST depression
Examiners must retain records for how many years?
(Ans- 3
Regulation that describes the physical qualifications of
drivers. (Ans- 49 CFR 391.41
Regulation that describes the responsibilities of the medical
examiner. (Ans- 49 CFR 391.43
Regulation that describes the process for conflict resolution when
there is a disagreement between the primary care provider for
the driver and the medical examiner for the motor carrier
concerning driving qualifications. (Ans- 49 CFR 391.47
,Regulation that describes the Skill Performance
Evaluation (SPE) Certification Program.
(Ans- 49 CFR 391.49
Regulation that describes limited exemptions for intra-city
zone drivers. (Ans- 49 CFR 391.62
Regulation that describes grandfathering for certain drivers who
participated in vision and diabetes waiver study programs.
(Ans- 49 CFR 391.64
Regulation that includes regulations for medical review
officers and substance abuse professionals, including drug
and alcohol testing procedures.
(Ans- 49 CFR 40
Define Stage I Hypertension
(Ans- BP greater than or equal to 140/90
What is the maximum certification period for stage I
hypertension if this is the 1st examination at which the driver
has BP equivalent to stage I hypertension and has no history of
hypertension?
(Ans- 1 year
What is the maximum certification period for untreated known or
inadequately controlled stage I hypertension?
(Ans- 3 months
What is the maximum certification period for blood pressure
>140/90 and the following: follow-up 3 months certificate or
history of stage III hypertension
(Ans- None, driver is disqualified
, Define Stage II hypertension.
(Ans- BP is ≥ 160 to <180 SYSTOLIC, and is ≥100 to < 110
Diastolic
What is the maximum certification period for Stage II
hypertension with blood pressure >140/90?
(Ans- 3 months
What is the maximum certification period for Stage II
hypertension with blood pressure </140/90?
(Ans- 1 year
Define Stage III hypertension.
(Ans- BP >180 Systolic and > 110 Diastolic
What is the maximum certification period for Stage III
hypertension with blood pressure >140/90?
(Ans- 1 time certificate for 3 months in accordance with stage 1
or 2 HTN guidelines, as determined by a case by case basis.
What is the maximum certification period for a driver with a
history of Stage III hypertension but t exam his BP is at or less
140/90 and treatment is well tolerated?
(Ans- 6 months
What is the maximum certification period for Stage III
hypertension with blood pressure >180/110?
(Ans- None, driver is disqualified.
What is the waiting period and maximum certification period
for surgical correction of secondary hypertension?
(Ans- 3 months and 1 year post surgical correction
What is the waiting period and maximum certification period
for driver on anticoagulants for cardiovascular cause?
(Ans- 1 month stabilized and 1 year with monthly INRs
