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NBHWC Exam Questions and Answers Grade A+

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blood pressure - the pressure that is exerted by the blood against the walls of blood vessels systolic blood pressure - the pressure created when the heart contracts and forces blood out into the arteries diastolic pressure - Blood pressure that remains between heart contractions. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (2003 Guideline) - Normal systolic: less than 120 mm Hg diastolic: less than 80 mm Hg At Risk (prehypertension) systolic: 120-139 mm Hg diastolic: 80-89 mm Hg High Blood Pressure (hypertension) systolic: 140 mm Hg or higher diastolic: 90 mm Hg or higher The American College of Cardiology/American Heart Association Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults (2017 Guideline)1 - Normal systolic: less than 120 mm Hg diastolic: less than 80 mm Hg Elevated systolic: 120-129 mm Hg diastolic: less than 80 mm Hg High blood pressure (hypertension) systolic: 130 mm Hg or higher diastolic: 80 mm Hg or higher What are the signs and symptoms of high blood pressure? - High blood pressure usually has no warning signs or symptoms, and many people do not know they have it. Measuring your blood pressure is the only way to know whether you have high blood pressure What causes high blood pressure? - High blood pressure usually develops over time. It can happen because of unhealthy lifestyle choices, such as not getting enough regular physical activity. Certain health conditions, such as diabetes and having obesity, can also increase the risk for developing high blood pressure. High blood pressure can also happen during pregnancy. What problems does high blood pressure cause? - High blood pressure can damage your health in many ways. It can seriously hurt important organs like your heart, brain, kidneys, and eyes. Heart Attack and Heart Disease - High blood pressure can damage your arteries by making them less elastic, which decreases the flow of blood and oxygen to your heart and leads to heart disease. In addition, decreased blood flow to the heart can cause: Chest pain, also called angina. Heart attack, which happens when the blood supply to your heart is blocked and heart muscle begins to die without enough oxygen. The longer the blood flow is blocked, the greater the damage to the heart. Heart failure, a condition that means your heart can't pump enough blood and oxygen to your other organs. Stroke and Brain Problems re: HTN - High blood pressure can cause the arteries that supply blood and oxygen to the brain to burst or be blocked, causing a stroke. Brain cells die during a stroke because they do not get enough oxygen. Stroke can cause serious disabilities in speech, movement, and other basic activities. A stroke can also kill you. Having high blood pressure, especially in midlife, is linked to having poorer cognitive function and dementia later in life. Learn more about the link between high blood pressure and dementia from the National Institutes of Health's Mind Your Risks®external icon campaign. Kidney Disease Increased Risk - Adults with diabetes, high blood pressure, or both have a higher risk of developing chronic kidney disease than those without these conditions.

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NRCME (DOT) Exam 2022 with Correct
Answers Grade A+
FMCSA Mission Statement - ✅✅ To reduce crashes, injuries, fatalities involving large
trucks/buses

Medical Examiner - ✅✅ Licensed, certified, registered provider who can perform PEs
in accordance with laws and regulations ; registered through NRS ; has unique identifier
; passes MEC test

FMCSA - ✅✅ Federal Motor Carrier Safety Administration

NRCME - ✅✅ National Registry of Certified Medical Examiners

Commerical Motor Vehicle - ✅✅ Weight >1000 lb ; or transports >8 people for
compensation ; or >15 people without compensation ; transports hazardous materials
requiring placarding

Interstate commerce

vs.

Intrastate commerce - ✅✅ Interstate: multiple states or international

Intrastate: within 1 state

Who regulates treatment/management and aftercare of substance abuse for drivers? -
✅✅ SAP (Substance Abuse Professional)

Who determines the origin of abnormal drug test results, determining whether the driver
has violated drug use regulations? - ✅✅ Medical Review Officer

Title 49 CFR 391.41 - ✅✅ Medical Examiner Report Form
- Paperwork completed during DOT physical
- Physical exam requirements for driver
- Determines if Certificate is granted

Title 49 CFR 391.43 - ✅✅ Describes responsibilities of Medical Examiner, instructions
for exam, and requirements for medical certification
- Supporting information to explain 391.41

When was DOT established? - ✅✅ 1966

, Became separate entity on Jan 1, 2000

Motor Carrier Safety Improvement Act of 1999 - ✅✅ Established DOT as separate
federal entity

Omnibus Transportation Employee Testing Act of 1991 - ✅✅ Required drug testing for
drivers

The driver must always keep a copy of ____________________ with them while driving
- ✅✅ Medical Certificate

SPE if applicable

Does the driver need to sign a medical release before you release their Medical
Certification? - ✅✅ No. Certificate is provided to employer.

(Release is required for a copy of medical report form)

How many standards are used to determine driver fitness for duty? - ✅✅ 13

How many standards of "driver fitness for duty" are *discretionary*? - ✅✅ 9
(according to my review course)
- Other sources say 10 and say that T2DM is discretionary

How many standards of "driver fitness for duty" are *NON- discretionary*? - ✅✅ 4
- Vision
- Hearing
- Epilepsy
- T2DM

(Some sources say 3 and do not include T2DM)

Age requirement for drivers - ✅✅ 21+

Language requirement for drivers - ✅✅ Must be able to read/speak English well
enough to read signs, communicate

Height/weight requirement for drivers - ✅✅ There is none

What is tested for in urine? - ✅✅ USG
PRO
BLO
GLU

How long are you (the provider) required to keep a copy of a driver's Medical
Certificate? - ✅✅ 3 years

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