NRCME 2023 UPDATE|VERIFIED|GRADED A|100% PASS|SCORED 100%

60:7 Rule Driver cannot work more than 60 hours in 7 days or 70 hours in 8 days A. Temporarily disqualify the driver until he obtains written clearance for the depression and the medication from the treating provider. A driver is taking Celexa for the treatment of what he calls a "mild depression". He reports he has not considered or attempted suicide. The examiner should A. Temporarily disqualify the driver until he obtains written clearance for the depression and the medication from the treating provider. B Certify the driver for a period of 1 year. C Certify the driver for a period of 2 years. D Disqualify the driver until he is no longer requiring medication for the treatment of depression. 00:01 01:28 A. Hearing aids may not be worn during the forced whisper test. The following statements are true concerning hearing requirements of commercial drivers EXCEPT: A. Hearing aids may not be worn during the forced whisper test. B Either the forced whisper or audiometry tests may be performed first. C The forced whisper test is passed if one ear perceives the forced whisper at 5 feet. D Administration of both tests is only necessary if the first test is failed. 45 days What is the maximum length of time a driver can remain in determination pending status? Do not certify until condition has been surgically corrected A driver has had his second spontaneous pneumothorax on the same side 3 months ago. There has been no surgical intervention. The FVC is 68%. The correct determination in this case is: A Disqualify the driver. The driver reports a suicide attempt 6 months earlier, following the break-up of his marriage. He noted seeing a psychiatrist and he takes Citalopram daily and he reports he feels fine now and is moving on with his life. He provides a release from his doctor that he may return to work without restrictions. The medical examiner should? A Disqualify the driver. B Require a CAGE questionnaire. C Certify the driver for 1 year. D Certify the driver for 2 years. B For 1 year if between 4 and 5 cm, asymptomatic, with a recommendation from a cardiovascular specialist who understands the functions and demands of commercial driving. A driver with an Abnormal Aortic Aneurysm (AAA) can be certified: A For 2 years if less than 4 cm and asymptomatic B For 1 year if between 4 and 5 cm, asymptomatic, with a recommendation from a cardiovascular specialist who understands the functions and demands of commercial driving. C For 2 years after surgical repair, after a 2 month waiting period. D For 1 year after surgical repair, after a 2 month waiting period. D Must list only prescription medications, not vitamins or supplements. Which of the following is false concerning additional information the driver is to provide for any "yes" responses on the history section of the examination form? A Any limitations resulting from current or previous conditions. B Must list diagnosis and date of onset of the condition. C Must list treating provider contact information. D Must list only prescription medications, not vitamins or supplements. A Disqualify and refer to his PMD or cardiologist for further evaluation. Upon examination of a 46 year-old male smoker, you detect an irregularly irregular heart rhythm. The rate is 140 bpm. This is unknown to the driver and he denies any symptoms of lightheadedness, shortness of breath, dizziness, palpitations, nor any cardiac history. You would: A Disqualify and refer to his PMD or cardiologist for further evaluation. B Order an ECG, cardiac ECHO, pulse ox and give a 3 mo. card pending results. C Give a 3 month certification pending evaluation by his PMD. D Give a 1 year certification and require cardiology evaluation upon recertification. B Hypertrophic cardiomyopathy. Which cardiac condition is disqualifying: Select an Answer: A Ebstein anomaly. B Hypertrophic cardiomyopathy. C Mitral valve prolapse. D Aortic valve repair for aortic stenosis 4 months prior to exam. macular degeneration Central vision loss is a finding suggestive of: Select an Answer: A Macular degeneration. B Cataracts. C Glaucoma. D All of the above C Qualified for one year. A driver was discharged from the hospital 10 weeks ago after an MI. He is asymptomatic and has a note from the cardiologist that he had a satisfactory in office ETT the week prior to your examination and that he may drive. His pre-discharge ECHO shows an EF of 45%. His examination is normal. Your determination: Select an Answer: A Disqualified until satisfies 3 month waiting period, follow up in 3-4 weeks, certify for 1 year if remains stable. B Disqualified due to ejection fraction 60%. C Qualified for one year. D Qualified for two years after follow up in one month to satisfy the 3 month waiting period.