NRCME (DOT) Exam || With complete solutions.
FMCSA Mission Statement correct answers To reduce crashes, injuries, fatalities involving large trucks/buses
Medical Examiner correct answers Licensed, certified, registered provider who can perform PEs in accordance with laws and regulations ; registered through NRS ; has unique identifier ; passes MEC test
FMCSA correct answers Federal Motor Carrier Safety Administration
NRCME correct answers National Registry of Certified Medical Examiners
Commerical Motor Vehicle correct answers Weight >1000 lb ; or transports >8 people for compensation ; or >15 people without compensation ; transports hazardous materials requiring placarding
Interstate commerce
vs. Intrastate commerce correct answers Interstate: multiple states or international
Intrastate: within 1 state
Who regulates treatment/management and aftercare of substance abuse for drivers? correct answers SAP (Substance Abuse Professional)
Who determines the origin of abnormal drug test results, determining whether the driver has violated drug use regulations? correct answers Medical Review Officer
Title 49 CFR 391.41 correct answers Medical Examiner Report Form
- Paperwork completed during DOT physical
- Physical exam requirements for driver
- Determines if Certificate is granted
Title 49 CFR 391.43 correct answers Describes responsibilities of Medical Examiner, instructions for exam, and requirements for medical certification
- Supporting information to explain 391.41
When was DOT established? correct answers 1966
Became separate entity on Jan 1, 2000
Motor Carrier Safety Improvement Act of 1999 correct answers Established DOT as separate federal entity
Omnibus Transportation Employee Testing Act of 1991 correct answers Required drug testing for drivers The driver must always keep a copy of ____________________ with them while driving correct answers Medical Certificate
SPE if applicable
Does the driver need to sign a medical release before you release their Medical Certification? correct answers No. Certificate is provided to employer. (Release is required for a copy of medical report form)
How many standards are used to determine driver fitness for duty? correct answers 13
How many standards of "driver fitness for duty" are *discretionary*? correct answers 9 (according to my review course)
- Other sources say 10 and say that T2DM is discretionary
How many standards of "driver fitness for duty" are *NON- discretionary*? correct answers 4
- Vision
- Hearing
- Epilepsy
- T2DM
(Some sources say 3 and do not include T2DM)
Age requirement for drivers correct answers 21+
Language requirement for drivers correct answers Must be able to read/speak English well enough to read signs, communicate
Height/weight requirement for drivers correct answers There is none
What is tested for in urine? correct answers USG
PRO
BLO
GLU
How long are you (the provider) required to keep a copy of a driver's Medical Certificate? correct answers 3 years
After a reading of Stage 3 hypertension, how often can a driver be certified? correct answers Only every 6 months max
- Disqualify until BP <140/90
- 3 month cert if <160/100 and they are initiating treatment for the first time
- May certify Q1 year post surgical correction of secondary HTN
Which generation of antihistamines should be used for drivers? correct answers 2nd gen
- Nonsedating
FMCSA Mission Statement correct answers To reduce crashes, injuries, fatalities involving large trucks/buses
Medical Examiner correct answers Licensed, certified, registered provider who can perform PEs in accordance with laws and regulations ; registered through NRS ; has unique identifier ; passes MEC test
FMCSA correct answers Federal Motor Carrier Safety Administration
NRCME correct answers National Registry of Certified Medical Examiners
Commerical Motor Vehicle correct answers Weight >1000 lb ; or transports >8 people for compensation ; or >15 people without compensation ; transports hazardous materials requiring placarding
Interstate commerce
vs. Intrastate commerce correct answers Interstate: multiple states or international
Intrastate: within 1 state
Who regulates treatment/management and aftercare of substance abuse for drivers? correct answers SAP (Substance Abuse Professional)
Who determines the origin of abnormal drug test results, determining whether the driver has violated drug use regulations? correct answers Medical Review Officer
Title 49 CFR 391.41 correct answers Medical Examiner Report Form
- Paperwork completed during DOT physical
- Physical exam requirements for driver
- Determines if Certificate is granted
Title 49 CFR 391.43 correct answers Describes responsibilities of Medical Examiner, instructions for exam, and requirements for medical certification
- Supporting information to explain 391.41
When was DOT established? correct answers 1966
Became separate entity on Jan 1, 2000
Motor Carrier Safety Improvement Act of 1999 correct answers Established DOT as separate federal entity
Omnibus Transportation Employee Testing Act of 1991 correct answers Required drug testing for drivers The driver must always keep a copy of ____________________ with them while driving correct answers Medical Certificate
SPE if applicable
Does the driver need to sign a medical release before you release their Medical Certification? correct answers No. Certificate is provided to employer. (Release is required for a copy of medical report form)
How many standards are used to determine driver fitness for duty? correct answers 13
How many standards of "driver fitness for duty" are *discretionary*? correct answers 9 (according to my review course)
- Other sources say 10 and say that T2DM is discretionary
How many standards of "driver fitness for duty" are *NON- discretionary*? correct answers 4
- Vision
- Hearing
- Epilepsy
- T2DM
(Some sources say 3 and do not include T2DM)
Age requirement for drivers correct answers 21+
Language requirement for drivers correct answers Must be able to read/speak English well enough to read signs, communicate
Height/weight requirement for drivers correct answers There is none
What is tested for in urine? correct answers USG
PRO
BLO
GLU
How long are you (the provider) required to keep a copy of a driver's Medical Certificate? correct answers 3 years
After a reading of Stage 3 hypertension, how often can a driver be certified? correct answers Only every 6 months max
- Disqualify until BP <140/90
- 3 month cert if <160/100 and they are initiating treatment for the first time
- May certify Q1 year post surgical correction of secondary HTN
Which generation of antihistamines should be used for drivers? correct answers 2nd gen
- Nonsedating
