NRCME Exam
How many days can a driver be left in determination pending status? correct
answers45 days
Cenral vision loss is due to correct answersMacular Degeneration
Drivers with insulin-treated diabetes must provide to the treating clinician
electronic blood glucose self-monitoring records for the most recent:
correct answers3 months
When an individual has a medical history of epilepsy or a seizure disorder,
the medical examiner may certify the individual if the individual is: correct
answersSeizure free AND off anti-epileptic medications for at least 10 years.
What is the waiting period before a driver can be certified following
coronary artery bypass grafting? correct answers3 months
FMCSA defines a severe hypoglycemic reaction as one that results in:
correct answersSeizure OR Need of assistance from another person OR
Period of impaired cognitive function that occurs without warning.
After undergoing ablation for atrial fibrillation, what is the minimum waiting
period before a driver can be certified? correct answers1 month
A driver with a recent diagnosis of congestive heart failure and known
ventricular arrhythmias may be certified for driving if his left ventricular
ejection fraction is at least: correct answers40%
A 22 year-old male contracted meningococcal meningitis from his college
roommate, discharged from the hospital 3 months ago. He brings no records
with him. He is on no medications, is otherwise healthy, and his physical
examination is entirely normal. The correct determination would be: correct
answersObtain hospital records. If there was no seizure activity, he must
undergo a one year waiting period before he can be qualified, if there was
seizure activity, he must undergo a 5 year waiting period seizure free and off
anticonvulsant medication before he can be qualified.
For how long must you retain a copy of the driver's medical records,
including the certificate? correct answers3 years
When completing the commercial driver examination form for a driver
with stage 3 hypertension: correct answersA 6 month recertification -
fill out a new form, check "recertification," do a complete examination.
, A driver is taking Lasix. Which of the following should be closely
monitored? correct answersSerum potassium.
The SPE certificate is valid for a period not to exceed how many years
from date of issue? correct answers2 years
A driver with a history of epilepsy must wait a minimum of how long before
consideration may be given to certification? correct answersTen years
seizure free and off anticonvulsant medication.
If the underlying condition causing the seizures has been corrected and is
now stable, he may be certified for up to , or shorter periods at the
discretion of the medical examiner. correct answers2 years
A screening pulse oximetry below what level mandates an ABG
analysis? correct answers92%.
During the physical examination on a driver in whom you have
psychological concerns, the questions you should ask: correct
answersShould be the same questions as you would ask for any individual
who is be assessed for psychological concerns.
After examining a driver, the Medical Examiner strongly feels that the
driver is fit for commercial driving, even though he does not meet all
standards per FMCSA regulations. The Medical Examiner should: correct
answersDisqualify the driver and explain that the regulations are legal
requirements.
What is the waiting period for certification following percutaneous coronary
intervention? correct answersA minimum one week post-procedure
Checking for pupillary equality is a required part of the examination. On a
driver's exam, you notice that the pupils are of different diameters, but both
react appropriately to light. This is consistent with: correct answersAnisocoria
A driver presents for her DOT medical exam. During the exam history it is
revealed that the driver is taken Lisinopril for hypertension, Simvastatin, and
Antabuse. All other aspects of history and exam were normal. What should
the examiner do next: correct answersDisqualify the driver.
What is the longest a medical examiner can certify a driver with a history
of Stage 3 hypertension? correct answers6 months
What is the maximum certification period for Obstructive Sleep
Apnea? correct answers1 year
How many days can a driver be left in determination pending status? correct
answers45 days
Cenral vision loss is due to correct answersMacular Degeneration
Drivers with insulin-treated diabetes must provide to the treating clinician
electronic blood glucose self-monitoring records for the most recent:
correct answers3 months
When an individual has a medical history of epilepsy or a seizure disorder,
the medical examiner may certify the individual if the individual is: correct
answersSeizure free AND off anti-epileptic medications for at least 10 years.
What is the waiting period before a driver can be certified following
coronary artery bypass grafting? correct answers3 months
FMCSA defines a severe hypoglycemic reaction as one that results in:
correct answersSeizure OR Need of assistance from another person OR
Period of impaired cognitive function that occurs without warning.
After undergoing ablation for atrial fibrillation, what is the minimum waiting
period before a driver can be certified? correct answers1 month
A driver with a recent diagnosis of congestive heart failure and known
ventricular arrhythmias may be certified for driving if his left ventricular
ejection fraction is at least: correct answers40%
A 22 year-old male contracted meningococcal meningitis from his college
roommate, discharged from the hospital 3 months ago. He brings no records
with him. He is on no medications, is otherwise healthy, and his physical
examination is entirely normal. The correct determination would be: correct
answersObtain hospital records. If there was no seizure activity, he must
undergo a one year waiting period before he can be qualified, if there was
seizure activity, he must undergo a 5 year waiting period seizure free and off
anticonvulsant medication before he can be qualified.
For how long must you retain a copy of the driver's medical records,
including the certificate? correct answers3 years
When completing the commercial driver examination form for a driver
with stage 3 hypertension: correct answersA 6 month recertification -
fill out a new form, check "recertification," do a complete examination.
, A driver is taking Lasix. Which of the following should be closely
monitored? correct answersSerum potassium.
The SPE certificate is valid for a period not to exceed how many years
from date of issue? correct answers2 years
A driver with a history of epilepsy must wait a minimum of how long before
consideration may be given to certification? correct answersTen years
seizure free and off anticonvulsant medication.
If the underlying condition causing the seizures has been corrected and is
now stable, he may be certified for up to , or shorter periods at the
discretion of the medical examiner. correct answers2 years
A screening pulse oximetry below what level mandates an ABG
analysis? correct answers92%.
During the physical examination on a driver in whom you have
psychological concerns, the questions you should ask: correct
answersShould be the same questions as you would ask for any individual
who is be assessed for psychological concerns.
After examining a driver, the Medical Examiner strongly feels that the
driver is fit for commercial driving, even though he does not meet all
standards per FMCSA regulations. The Medical Examiner should: correct
answersDisqualify the driver and explain that the regulations are legal
requirements.
What is the waiting period for certification following percutaneous coronary
intervention? correct answersA minimum one week post-procedure
Checking for pupillary equality is a required part of the examination. On a
driver's exam, you notice that the pupils are of different diameters, but both
react appropriately to light. This is consistent with: correct answersAnisocoria
A driver presents for her DOT medical exam. During the exam history it is
revealed that the driver is taken Lisinopril for hypertension, Simvastatin, and
Antabuse. All other aspects of history and exam were normal. What should
the examiner do next: correct answersDisqualify the driver.
What is the longest a medical examiner can certify a driver with a history
of Stage 3 hypertension? correct answers6 months
What is the maximum certification period for Obstructive Sleep
Apnea? correct answers1 year
