NRCME MSK Exam with complete
solutions latest version
Must discuss w driver - CORRECT ANSWER-Any MSK hx: onset, dx and meds,
limitations
Potential neg effects of all meds
Any abnormal findings
Fixed Deficit of an Extremity - CORRECT ANSWER-With the loss of a fixed impairment
hand, leg, foot, arm
Examiner must determine if driver is otherwise medically fit to drive and then the driver
must have a skill performance evaluation which only applies to fix deficits, not those
guys by progressive disease
Skill Performance Evaluation - CORRECT ANSWER-Certify a driver that was qualified
to be certified for two years with a fixed deficit
SPE process: submission of examiner report in certificate, evaluation by board certified
psychiatrist store orthopedic surgeon, but test, driving record in any exemption
Packet is on FM CSA website
Recommended not to certify - CORRECT ANSWER-Impairment affects torso
No proof or compliance with SPE certificate
Disqualifying limb impair d/t progressive disease (MS)
Exam - CORRECT ANSWER-Report may be necessary from PCP, orthopedist,
physiatrist
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