NRCME General Exam Questions with Complete Solutions

Order of Hierarchy - DOTFMCSANRCME Motor carrier safety improvement act of 1990 - Established that FM CSA what operate within the DOT. The FM CSA is focused on reducing crashes injuries and fatalities involving large trucks and buses FM CSA mission - Promote the safety of America is roadways through implementation of medical regulations, guidelines and policies that ensure the driver is physically capable of being safe NRCME mission - Improve Highway safety by producing trained, certified medical examiners, you can effectively determine if a CMV driver is healthy enough to meet standards set by FM CSA Medical examiner qualifications - Professional license and a scope of practice that includes performing physical exams Role of medical examiner - Perform physical examinations to determine fitness of duty DOT regulates what types of vehicles/passengers? - Gross vehicle weight of 10,001 pounds or more Vehicles that transport eight passengers or more forfor a profit Any vehicle that transports 15 passengers Any vehicle that carries hazmat Examples of drivers that do not require CDL's - Farm equipment, firefighters, motor homes How to maintain a medical examiner certification - Maintain professional license Complete in our CME reporting monthly Keep exams and records for three years Refresher training and a minimum of five years Medical examiner retest every 10 years CMV driver requirements - 21 years old Read and speak English Be physically qualified Successfully completes driving test Driver fxn and environment - Odd schedules, irregular lifestyle, irregular sleep patterns, irregular eating patterns Physical task- loading/ unloading trailer, equip inspection, climbing, grasping Emotional issues- loneliness, Average CMV DRIVER - Male 40 yo Sedentary Overweight Smoker Poor diet 2 medical conditions CVD hx Less healthy than average Driver demands - Alert Mobility of neck and vision to see mirrors Mobility in arms for steering wheel Vision and dexterity for complex dash Stamina, flexibility, ROM CMV UNIQUES STRESSORS - route changes, traffic, weather, tight schedules, cargo: people, HAZMAT Purpose of physical exam - TO DETERMINE MEDICAL FITNESS FOR DUTY obligation is to establish if there is a condition that can potentiate public endangerment to include safely operating a vehicle, sudden death risk and gradual incapacitation. Do not do or tx Educate and refer. Acceptable Risk - Probability of an event occurrence 1% Non-discretionary qualifications - Insulin treated diabetes Epilepsy Vision Hearing