NRCME MSK Practice Test.

Must discuss w driver Any MSK hx: onset, dx and meds, limitations Potential neg effects of all meds Any abnormal findings Fixed Deficit of an Extremity 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 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 Impairment affects torso No proof or compliance with SPE certificate Disqualifying limb impair d/t progressive disease (MS) Exam Report may be necessary from PCP, orthopedist, physiatrist Cervical Spine ROM Forward flexion 40 to 60° Lateral flexion 30 to 45° Extension 30° Rotation 45 to 80° Thoracic spine range of motion Lateral flexion 50° Rotation 30° Respiratory safety Lumbar spine range of motion Flexion 80 to 90° Extension 30° Lateral flexion 20° Rotation 45° Extremity range of motion Hip flexion to 125° Hip add duction to 45° Knee flexion to 130° Any extension two 120° Ankle plantarflexion to 50° Ankle dorsiflexion to 20° Shoulder flexion to 90° Shoulder extension to 50° Elbow flexion to 160° Elbow extension two 145°