NRCME Exam Study Guide | 100% Correct
Answers | Verified | Latest 2024 Version
What are regulations? - ✔✔Laws that must be followed
What are disqualifying medical conditions? - ✔✔
Epilepsy
monocular vision
hearing loss
What are guidelines? - ✔✔Recommendation to follow but can have raptor ale for variation
FMCSA medical program responsibilities include:
Oversee the Department of Transportation.
Regulation of intrastate commercial motor vehicle operations.
Conduct and oversee the agency's medical exemption and certificate programs.
Provide commercial motor vehicle driver examinations. - ✔✔Conduct and oversee the agency's medical
exemption and certificate programs.
Which of the following is true?
The FMCSA does not consider feasibility or impact in the rule-making process.
Only the Medical Review Board can provide advice and opinions on FMCSA rulemaking.
FMCSA medical standards and guidelines are subject to public notice and comment rulemaking.
The Code of Federal Regulations provide guidance that the medical examiner may or may not
follow.examiner may or may not follow. - ✔✔FMCSA medical standards and guidelines are subject to
public notice and comment rulemaking.
FMCSA content sources rules and regulations include
49 CFR Part 16 DOT Procedures for Drug and Alcohol Testing.
,49 CFR 391.41 Physical Qualifications for Drivers.
49 CFR 391.82 Medical examination; certificate of physical qualification.
49 CFR Part 73: Medical Review Board procedures. - ✔✔49 CFR 391.41 Physical Qualifications for Drivers.
Which of the following is true regarding why regulation is needed to protect public safety?
There is little environmental risk from crashes involving hazardous materials.
There is greater risk of injury and fatalities to individuals in smaller vehicles from crashes involving
commercial motor vehicles.
The economic cost of crashes involving commercial vehicles is relatively low.
Commercial vehicles do not carry members of the public. - ✔✔There is greater risk of injury and
fatalities to individuals in smaller vehicles from crashes involving commercial motor vehicles.
Which of the following is true?
By May 21, 2015, medical providers that perform medical examinations for commercial motor vehicle
drivers must have completed an approved training program and passed a national certification
examination.
The Medical Examiner may request that an appropriate specialist provider make the driver certification
determination.
The purpose of the commercial motor vehicle driver examination is for treatment of driver medical
conditions.
FMCSA guidance recommendations may or may not be followed by the Medical Examiner. - ✔✔FMCSA
guidance recommendations may or may not be followed by the Medical Examiner.`
What is the role of the medical examiner? - ✔✔to determine medical fitness for duty.
What are the differences between the medical standards and the medical guidelines - ✔✔Medical
Standards - regulations that are non-discretionary - the medical examiner cannot use judgment to certify
a driver who does not meet a regulatory standard
Medical Guidelines are discretionary - Medical Examiners may decide to certify drivers who do not meet
medical guidelines. Most recommendations related to certification of specific medical conditions are
guidance
, What are some medical standards for certifications that need to be done? - ✔✔Vision requirements,
including distant visual acuity, horizontal vision, and color vision. Drivers who do not meet standards
cannot be certified unless accompanied by a vision exemption/waiver.
Diabetes requirements: drivers using insulin cannot be certified unless special procedures for evaluation
and certification of such drivers are followed.
Epilepsy: drivers with a diagnosis of epilepsy cannot be certified unless accompanied by an epilepsy
waiver/exemption.
Hearing: drivers who cannot meet whisper test or audiometric test requirements cannot be certified
unless accompanied by a hearing waiver/exemption.
What are Turn around or short relay drivers? - ✔✔drivers return to their home base each evening
what are Long relay drivers? - ✔✔drivers drive 9 to 11 hours and then have at least a 10-hour off duty
period)
What are Straight through haul drivers? - ✔✔cross country
What are Team drivers? - ✔✔drivers share the driving by alternating their 5-hour driving periods and 5-
hour rest periods
What are the instructions for completion of a DOT physical? - ✔✔Driver arrives at medical examiner's
office
Driver may bring paperwork
-Verify driver identification with photo ID
Driver completes formsMCSA 5875 - Medical Examination Report Form driver history
-Confirm driver signature and date
-Recommend driver sign HIPAA compliant release form(s)
Driver testing then completed by medical examiner and/or staff
-Vision testing
-Hearing - whisper test or audiometry
Answers | Verified | Latest 2024 Version
What are regulations? - ✔✔Laws that must be followed
What are disqualifying medical conditions? - ✔✔
Epilepsy
monocular vision
hearing loss
What are guidelines? - ✔✔Recommendation to follow but can have raptor ale for variation
FMCSA medical program responsibilities include:
Oversee the Department of Transportation.
Regulation of intrastate commercial motor vehicle operations.
Conduct and oversee the agency's medical exemption and certificate programs.
Provide commercial motor vehicle driver examinations. - ✔✔Conduct and oversee the agency's medical
exemption and certificate programs.
Which of the following is true?
The FMCSA does not consider feasibility or impact in the rule-making process.
Only the Medical Review Board can provide advice and opinions on FMCSA rulemaking.
FMCSA medical standards and guidelines are subject to public notice and comment rulemaking.
The Code of Federal Regulations provide guidance that the medical examiner may or may not
follow.examiner may or may not follow. - ✔✔FMCSA medical standards and guidelines are subject to
public notice and comment rulemaking.
FMCSA content sources rules and regulations include
49 CFR Part 16 DOT Procedures for Drug and Alcohol Testing.
,49 CFR 391.41 Physical Qualifications for Drivers.
49 CFR 391.82 Medical examination; certificate of physical qualification.
49 CFR Part 73: Medical Review Board procedures. - ✔✔49 CFR 391.41 Physical Qualifications for Drivers.
Which of the following is true regarding why regulation is needed to protect public safety?
There is little environmental risk from crashes involving hazardous materials.
There is greater risk of injury and fatalities to individuals in smaller vehicles from crashes involving
commercial motor vehicles.
The economic cost of crashes involving commercial vehicles is relatively low.
Commercial vehicles do not carry members of the public. - ✔✔There is greater risk of injury and
fatalities to individuals in smaller vehicles from crashes involving commercial motor vehicles.
Which of the following is true?
By May 21, 2015, medical providers that perform medical examinations for commercial motor vehicle
drivers must have completed an approved training program and passed a national certification
examination.
The Medical Examiner may request that an appropriate specialist provider make the driver certification
determination.
The purpose of the commercial motor vehicle driver examination is for treatment of driver medical
conditions.
FMCSA guidance recommendations may or may not be followed by the Medical Examiner. - ✔✔FMCSA
guidance recommendations may or may not be followed by the Medical Examiner.`
What is the role of the medical examiner? - ✔✔to determine medical fitness for duty.
What are the differences between the medical standards and the medical guidelines - ✔✔Medical
Standards - regulations that are non-discretionary - the medical examiner cannot use judgment to certify
a driver who does not meet a regulatory standard
Medical Guidelines are discretionary - Medical Examiners may decide to certify drivers who do not meet
medical guidelines. Most recommendations related to certification of specific medical conditions are
guidance
, What are some medical standards for certifications that need to be done? - ✔✔Vision requirements,
including distant visual acuity, horizontal vision, and color vision. Drivers who do not meet standards
cannot be certified unless accompanied by a vision exemption/waiver.
Diabetes requirements: drivers using insulin cannot be certified unless special procedures for evaluation
and certification of such drivers are followed.
Epilepsy: drivers with a diagnosis of epilepsy cannot be certified unless accompanied by an epilepsy
waiver/exemption.
Hearing: drivers who cannot meet whisper test or audiometric test requirements cannot be certified
unless accompanied by a hearing waiver/exemption.
What are Turn around or short relay drivers? - ✔✔drivers return to their home base each evening
what are Long relay drivers? - ✔✔drivers drive 9 to 11 hours and then have at least a 10-hour off duty
period)
What are Straight through haul drivers? - ✔✔cross country
What are Team drivers? - ✔✔drivers share the driving by alternating their 5-hour driving periods and 5-
hour rest periods
What are the instructions for completion of a DOT physical? - ✔✔Driver arrives at medical examiner's
office
Driver may bring paperwork
-Verify driver identification with photo ID
Driver completes formsMCSA 5875 - Medical Examination Report Form driver history
-Confirm driver signature and date
-Recommend driver sign HIPAA compliant release form(s)
Driver testing then completed by medical examiner and/or staff
-Vision testing
-Hearing - whisper test or audiometry
