NRCME Medical Exam Part III (ME
Guidelines) questions with complete solutions
What |are |the |3 |areas |considered |when |looking |at |safety |implications |for |the |driver? |- |correct |answer-
Physical, |Mental, |and |current |medical |treatment
What |aspects |of |physical |symptoms |should |be |considered |by |the |medical |examiner? |- |correct |answer-
Symptoms |- |does |a |benign |underlying |condition |have |symptoms |that |interfere |with |driving?
Incapacitation |- |is |the |onset |of |symptoms |too |rapid |to |be |considered |safe?
What |aspects |of |mental |symptoms |should |be |considered |by |the |medical |examiner? |- |correct |answer-
Cognitive |- |can |the |driver |process |visual |clues |at |an |appropriate |rate?
Behavioral |- |is |the |driver's |behavior |appropriate |and |non-violent?
What |aspects |of |medical |treatment |should |be |considered |by |the |medical |examiner? |- |correct |answer-
Effects |- |safer |on |the |medication |than |off |the |medication?
Side |effects |- |do |they |interfere |with |safe |driving?
Section |one |of |the |medical |examination |report |is |filled |out |by |whom? |who |is |responsible |for |the |
accuracy |of |this |information? |- |correct |answer-driver; |ME
Section |two |of |the |ME |report |is |the |health |history. |is |the |doctor |required |to |discuss |any |portion |of |
this |section? |- |correct |answer-Yes, |any |box |that |is |checked |"yes" |must |be |discussed.
What |should |the |doctor |ask |if |"head/brain |injuries" |is |checked |"yes" |- |correct |answer-determine |if |the
|symptoms |come |in |recurring |episodes |or |if |there |are |any |residual |physical, |cognitive, |or |behavioral |
effects
What |should |the |doctor |ask |if |"Seizures/epilepsy" |is |checked |"yes" |- |correct |answer-- |does |the |patient
|have |a |dx |of |epilepsy? |(2+ |unprovoked |seizures) |- |this |is |disqualifying
, - |write |down |type, |duration, |fq, |and |date
What |should |the |doctor |ask |if |"eye |disorders" |is |checked |"yes" |- |correct |answer-ask |about |glare |
issues, |changes |in |vision, |dx, |etc.
What |should |the |doctor |ask |if |"ear |disorders" |is |checked |"yes" |- |correct |answer-changes |in |hearing, |
ringing, |balance |issues, |dizziness, |etc.
What |should |the |doctor |ask |if |"CVD" |is |checked |"yes" |- |correct |answer--hx |of |CVD, |syncope, |dyspnea, |
CHF, |angina, |etc.
- |if |s/s |are |present, |the |driver |must |be |cleared |by |a |cardiologist |before |being |certified
- |if |current |dx |of |CVD, |consult |with |their |current |physician |and |obtain |documentation.
What |should |the |doctor |ask |if |"heart |surgery" |is |checked |"yes" |- |correct |answer--obtain |heart |surgery |
information |including |pertinent |operative |reports. |it |is |mandatory |to |get |documentation |from |the |
cardiologist |prior |to |certification.
- |don't |certify |any |driver |with |an |ICD/pacemaker
What |should |the |doctor |ask |if |"high |blood |pressure" |is |checked |"yes" |- |correct |answer-make |sure |the |
medication |isn't |effecting |the |driver
make |sure |it |hasn't |caused |any |organ |damage |including |CVD
What |should |the |doctor |ask |if |"musculoskeletal |disease" |is |checked |"yes" |- |correct |answer-check |that |
the |disease |or |medication |wont |cause |sudden |incapacitating |effects |on |the |driver.
What |should |the |doctor |ask |if |"kidney |disease" |is |checked |"yes" |- |correct |answer-ask |about |renal |
failure, |they |cannot |drive |if |on |dialysis
What |should |the |doctor |ask |if |"DM |or |elevated |blood |sugar" |is |checked |"yes" |- |correct |answer-Ask |
about |tx: |diet, |meds, |byetta, |or |insulin
If |type |I |DM |the |me |must |finish |the |exam |and |check |"meets |standard |but |periodic |monitoring |is |
mandatory". |due |to |"insulin |tx". |one |year |max |cert, |must |be |accompanied |by |a |waiver.
Guidelines) questions with complete solutions
What |are |the |3 |areas |considered |when |looking |at |safety |implications |for |the |driver? |- |correct |answer-
Physical, |Mental, |and |current |medical |treatment
What |aspects |of |physical |symptoms |should |be |considered |by |the |medical |examiner? |- |correct |answer-
Symptoms |- |does |a |benign |underlying |condition |have |symptoms |that |interfere |with |driving?
Incapacitation |- |is |the |onset |of |symptoms |too |rapid |to |be |considered |safe?
What |aspects |of |mental |symptoms |should |be |considered |by |the |medical |examiner? |- |correct |answer-
Cognitive |- |can |the |driver |process |visual |clues |at |an |appropriate |rate?
Behavioral |- |is |the |driver's |behavior |appropriate |and |non-violent?
What |aspects |of |medical |treatment |should |be |considered |by |the |medical |examiner? |- |correct |answer-
Effects |- |safer |on |the |medication |than |off |the |medication?
Side |effects |- |do |they |interfere |with |safe |driving?
Section |one |of |the |medical |examination |report |is |filled |out |by |whom? |who |is |responsible |for |the |
accuracy |of |this |information? |- |correct |answer-driver; |ME
Section |two |of |the |ME |report |is |the |health |history. |is |the |doctor |required |to |discuss |any |portion |of |
this |section? |- |correct |answer-Yes, |any |box |that |is |checked |"yes" |must |be |discussed.
What |should |the |doctor |ask |if |"head/brain |injuries" |is |checked |"yes" |- |correct |answer-determine |if |the
|symptoms |come |in |recurring |episodes |or |if |there |are |any |residual |physical, |cognitive, |or |behavioral |
effects
What |should |the |doctor |ask |if |"Seizures/epilepsy" |is |checked |"yes" |- |correct |answer-- |does |the |patient
|have |a |dx |of |epilepsy? |(2+ |unprovoked |seizures) |- |this |is |disqualifying
, - |write |down |type, |duration, |fq, |and |date
What |should |the |doctor |ask |if |"eye |disorders" |is |checked |"yes" |- |correct |answer-ask |about |glare |
issues, |changes |in |vision, |dx, |etc.
What |should |the |doctor |ask |if |"ear |disorders" |is |checked |"yes" |- |correct |answer-changes |in |hearing, |
ringing, |balance |issues, |dizziness, |etc.
What |should |the |doctor |ask |if |"CVD" |is |checked |"yes" |- |correct |answer--hx |of |CVD, |syncope, |dyspnea, |
CHF, |angina, |etc.
- |if |s/s |are |present, |the |driver |must |be |cleared |by |a |cardiologist |before |being |certified
- |if |current |dx |of |CVD, |consult |with |their |current |physician |and |obtain |documentation.
What |should |the |doctor |ask |if |"heart |surgery" |is |checked |"yes" |- |correct |answer--obtain |heart |surgery |
information |including |pertinent |operative |reports. |it |is |mandatory |to |get |documentation |from |the |
cardiologist |prior |to |certification.
- |don't |certify |any |driver |with |an |ICD/pacemaker
What |should |the |doctor |ask |if |"high |blood |pressure" |is |checked |"yes" |- |correct |answer-make |sure |the |
medication |isn't |effecting |the |driver
make |sure |it |hasn't |caused |any |organ |damage |including |CVD
What |should |the |doctor |ask |if |"musculoskeletal |disease" |is |checked |"yes" |- |correct |answer-check |that |
the |disease |or |medication |wont |cause |sudden |incapacitating |effects |on |the |driver.
What |should |the |doctor |ask |if |"kidney |disease" |is |checked |"yes" |- |correct |answer-ask |about |renal |
failure, |they |cannot |drive |if |on |dialysis
What |should |the |doctor |ask |if |"DM |or |elevated |blood |sugar" |is |checked |"yes" |- |correct |answer-Ask |
about |tx: |diet, |meds, |byetta, |or |insulin
If |type |I |DM |the |me |must |finish |the |exam |and |check |"meets |standard |but |periodic |monitoring |is |
mandatory". |due |to |"insulin |tx". |one |year |max |cert, |must |be |accompanied |by |a |waiver.
