NRCME Medical Exam: Part III (ME
Guidelines) 2022/2023 with complete
solutions
What are the 3 areas considered when looking at safety implications for the driver? -
ANSWER-Physical, Mental, and current medical treatment
What aspects of physical symptoms should be considered by the medical examiner? -
ANSWER-Symptoms - does a benign underlying condition have symptoms that interfere
with driving?
Incapacitation - is the onset of symptoms too rapid to be considered safe?
What aspects of mental symptoms should be considered by the medical examiner? -
ANSWER-Cognitive - can the driver process visual clues at an appropriate rate?
Behavioral - is the driver's behavior appropriate and non-violent?
What aspects of medical treatment should be considered by the medical examiner? -
ANSWER-Effects - safer on the medication than off the medication?
Side effects - do they interfere with safe driving?
Section one of the medical examination report is filled out by whom? who is responsible
for the accuracy of this information? - ANSWER-driver; ME
Section two of the ME report is the health history. is the doctor required to discuss any
portion of this section? - ANSWER-Yes, any box that is checked "yes" must be
discussed.
What should the doctor ask if "head/brain injuries" is checked "yes" - ANSWER-
determine if the symptoms come in recurring episodes or if there are any residual
physical, cognitive, or behavioral effects
What should the doctor ask if "Seizures/epilepsy" is checked "yes" - ANSWER-- does
the patient have a dx of epilepsy? (2+ unprovoked seizures) - this is disqualifying
- write down type, duration, fq, and date
What should the doctor ask if "eye disorders" is checked "yes" - ANSWER-ask about
glare issues, changes in vision, dx, etc.
What should the doctor ask if "ear disorders" is checked "yes" - ANSWER-changes in
hearing, ringing, balance issues, dizziness, etc.
This study source was downloaded by 100000880853599 from CourseHero.com on 03-04-2024 04:50:23 GMT -06:00
https://www.coursehero.com/file/185714944/NRCME-Medical-Examdocx/
, What should the doctor ask if "CVD" is checked "yes" - ANSWER--hx of CVD, syncope,
dyspnea, CHF, angina, etc.
- if s/s are present, the driver must be cleared by a cardiologist before being certified
- if current dx of CVD, consult with their current physician and obtain documentation.
What should the doctor ask if "heart surgery" is checked "yes" - ANSWER--obtain heart
surgery information including pertinent operative reports. it is mandatory to get
documentation from the cardiologist prior to certification.
- don't certify any driver with an ICD/pacemaker
What should the doctor ask if "high blood pressure" is checked "yes" - ANSWER-make
sure the medication isn't effecting the driver
make sure it hasn't caused any organ damage including CVD
What should the doctor ask if "musculoskeletal disease" is checked "yes" - ANSWER-
check that the disease or medication wont cause sudden incapacitating effects on the
driver.
What should the doctor ask if "kidney disease" is checked "yes" - ANSWER-ask about
renal failure, they cannot drive if on dialysis
What should the doctor ask if "DM or elevated blood sugar" is checked "yes" -
ANSWER-Ask about tx: diet, meds, byetta, or insulin
If type I DM the me must finish the exam and check "meets standard but periodic
monitoring is mandatory". due to "insulin tx". one year max cert, must be accompanied
by a waiver.
What should the doctor ask if "missing or impaired lime/digit" is checked "yes" -
ANSWER-remember that an SPE is required for fixed deficits of the extremities.
What should the doctor ask if "alcohol abuse" is checked "yes" - ANSWER-utilize CAGE
questionnaire, refer to specialist if needed
What should the doctor ask if "narcotics/habit forming drugs" is checked "yes" -
ANSWER-dq driver if the driver's medication adversely impacts the ability of the driver
to operate the vehicle safely.
What 3 things should the doctor include when commenting on positive health hx items?
- ANSWER-1. nature of a positive hx and effect on driving
2. discussion about medication and tx effects/side effects
3. copy any supplementary medical reports obtained
What is the required distant visual acuity in each eye? - ANSWER-1. 20/40 snellen with
or w/o corrective lenses in each eye
2. 20/40 binocular vision
3. monocular vision is automatically disqualifying
This study source was downloaded by 100000880853599 from CourseHero.com on 03-04-2024 04:50:23 GMT -06:00
https://www.coursehero.com/file/185714944/NRCME-Medical-Examdocx/
Guidelines) 2022/2023 with complete
solutions
What are the 3 areas considered when looking at safety implications for the driver? -
ANSWER-Physical, Mental, and current medical treatment
What aspects of physical symptoms should be considered by the medical examiner? -
ANSWER-Symptoms - does a benign underlying condition have symptoms that interfere
with driving?
Incapacitation - is the onset of symptoms too rapid to be considered safe?
What aspects of mental symptoms should be considered by the medical examiner? -
ANSWER-Cognitive - can the driver process visual clues at an appropriate rate?
Behavioral - is the driver's behavior appropriate and non-violent?
What aspects of medical treatment should be considered by the medical examiner? -
ANSWER-Effects - safer on the medication than off the medication?
Side effects - do they interfere with safe driving?
Section one of the medical examination report is filled out by whom? who is responsible
for the accuracy of this information? - ANSWER-driver; ME
Section two of the ME report is the health history. is the doctor required to discuss any
portion of this section? - ANSWER-Yes, any box that is checked "yes" must be
discussed.
What should the doctor ask if "head/brain injuries" is checked "yes" - ANSWER-
determine if the symptoms come in recurring episodes or if there are any residual
physical, cognitive, or behavioral effects
What should the doctor ask if "Seizures/epilepsy" is checked "yes" - ANSWER-- does
the patient have a dx of epilepsy? (2+ unprovoked seizures) - this is disqualifying
- write down type, duration, fq, and date
What should the doctor ask if "eye disorders" is checked "yes" - ANSWER-ask about
glare issues, changes in vision, dx, etc.
What should the doctor ask if "ear disorders" is checked "yes" - ANSWER-changes in
hearing, ringing, balance issues, dizziness, etc.
This study source was downloaded by 100000880853599 from CourseHero.com on 03-04-2024 04:50:23 GMT -06:00
https://www.coursehero.com/file/185714944/NRCME-Medical-Examdocx/
, What should the doctor ask if "CVD" is checked "yes" - ANSWER--hx of CVD, syncope,
dyspnea, CHF, angina, etc.
- if s/s are present, the driver must be cleared by a cardiologist before being certified
- if current dx of CVD, consult with their current physician and obtain documentation.
What should the doctor ask if "heart surgery" is checked "yes" - ANSWER--obtain heart
surgery information including pertinent operative reports. it is mandatory to get
documentation from the cardiologist prior to certification.
- don't certify any driver with an ICD/pacemaker
What should the doctor ask if "high blood pressure" is checked "yes" - ANSWER-make
sure the medication isn't effecting the driver
make sure it hasn't caused any organ damage including CVD
What should the doctor ask if "musculoskeletal disease" is checked "yes" - ANSWER-
check that the disease or medication wont cause sudden incapacitating effects on the
driver.
What should the doctor ask if "kidney disease" is checked "yes" - ANSWER-ask about
renal failure, they cannot drive if on dialysis
What should the doctor ask if "DM or elevated blood sugar" is checked "yes" -
ANSWER-Ask about tx: diet, meds, byetta, or insulin
If type I DM the me must finish the exam and check "meets standard but periodic
monitoring is mandatory". due to "insulin tx". one year max cert, must be accompanied
by a waiver.
What should the doctor ask if "missing or impaired lime/digit" is checked "yes" -
ANSWER-remember that an SPE is required for fixed deficits of the extremities.
What should the doctor ask if "alcohol abuse" is checked "yes" - ANSWER-utilize CAGE
questionnaire, refer to specialist if needed
What should the doctor ask if "narcotics/habit forming drugs" is checked "yes" -
ANSWER-dq driver if the driver's medication adversely impacts the ability of the driver
to operate the vehicle safely.
What 3 things should the doctor include when commenting on positive health hx items?
- ANSWER-1. nature of a positive hx and effect on driving
2. discussion about medication and tx effects/side effects
3. copy any supplementary medical reports obtained
What is the required distant visual acuity in each eye? - ANSWER-1. 20/40 snellen with
or w/o corrective lenses in each eye
2. 20/40 binocular vision
3. monocular vision is automatically disqualifying
This study source was downloaded by 100000880853599 from CourseHero.com on 03-04-2024 04:50:23 GMT -06:00
https://www.coursehero.com/file/185714944/NRCME-Medical-Examdocx/
