NRCME Study Sheet Questions & Answers
1.vision requirements
Answer Distant vision 20/40 each eye and 20/40 both eyes, Periph- eral
vision at least 70 degrees, Ability to recognize and distinguish betwen
the colors of traffic signals and devices.
2.If the driver presents a valid vision exemption, how long can he be
certi- fied?
Answer 1 year
3.The driver with a vision exemption must present what 2 things before
receiving the medical examiner's certificate.
Answer Valid vision exemption and copy of the specialist eye
examination report.
4.When applying for a vision exemption, the driver should include a copy of
the Medical Examination Report form and the medical examiner's
certification with what marked?
Answer The "accompanied by" exemption checkbox and write "vision"
to identify the type of exemption.
5.If the driver is qualified by operation of 49 CFR 391.64 due to participation
in the vision study program, what must the driver present to qualify for
,certification?
Answer Letter identifying the driver as a participant and copy of the
specialist eye examination.
6.How long can a driver who is qualified by operation of 49 CFR 391.64
be certified.
Answer 1 year
7.hearing requirements
Answer Whisper at not less than 5 feet in 1 ear, or average hearing
loss no greater than 40 dB at 500Hz, 1000Hz, 2000 Hz in 1 ear.
8.What is the waiting period for vertigo caused by benign positional vertigo
or acute/chronic peripheral vestibulopathy?
Answer 3 months
9.Name 4 otic conditions that are automatic disqualification
Answer Meniere's, uncon- trolled vertigo, labyrinthine fistula,
nonfunctioning labyrinth
10.Apnea-hypopnea index of [blank] or more episodes per hour is
diagnostic of OSA
Answer 30
11.3 requirements for a passing ETT
,Answer 1. increased SBP of at least 20 without angina
2.workload capacity >6 METs
3.no significant ST depression
12.Examiners must retain records for how many years?
Answer 3
13.Regulation that describes the physical qualifications of drivers.
Answer 49 CFR 391.41
14.Regulation that describes the responsibilities of the medical examiner.
Answer 49 CFR 391.43
15.Regulation that describes the process for conflict resolution when there
is a disagreement between the primary care provider for the driver and the
medical examiner for the motor carrier concerning driving qualifications.
Answer 49 CFR 391.47
16.Regulation that describes the Skill Performance Evaluation (SPE)
Certifi- cation Program.
Answer 49 CFR 391.49
17.Regulation that describes limited exemptions for intra-city zone drivers.
Answer -
, 49 CFR 391.62
18.Regulation that describes grandfathering for certain drivers who partici-
pated in vision and diabetes waiver study programs.
Answer 49 CFR 391.64
19.Regulation that includes regulations for medical review officers and
sub- stance abuse professionals, including drug and alcohol testing
procedures.-
Answer 49 CFR 40
20.Define Stage I Hypertension
Answer BP greater than or equal to 140/90
21.What is the maximum certification period for stage I hypertension if this
is the 1st examination at which the driver has BP equivalent to stage I
hyperten- sion and has no history of hypertension?
Answer 1 year
22.What is the maximum certification period for untreated known or
inade- quately controlled stage I hypertension?
Answer 3 months
23.What is the maximum certification period for blood pressure >140/90
1.vision requirements
Answer Distant vision 20/40 each eye and 20/40 both eyes, Periph- eral
vision at least 70 degrees, Ability to recognize and distinguish betwen
the colors of traffic signals and devices.
2.If the driver presents a valid vision exemption, how long can he be
certi- fied?
Answer 1 year
3.The driver with a vision exemption must present what 2 things before
receiving the medical examiner's certificate.
Answer Valid vision exemption and copy of the specialist eye
examination report.
4.When applying for a vision exemption, the driver should include a copy of
the Medical Examination Report form and the medical examiner's
certification with what marked?
Answer The "accompanied by" exemption checkbox and write "vision"
to identify the type of exemption.
5.If the driver is qualified by operation of 49 CFR 391.64 due to participation
in the vision study program, what must the driver present to qualify for
,certification?
Answer Letter identifying the driver as a participant and copy of the
specialist eye examination.
6.How long can a driver who is qualified by operation of 49 CFR 391.64
be certified.
Answer 1 year
7.hearing requirements
Answer Whisper at not less than 5 feet in 1 ear, or average hearing
loss no greater than 40 dB at 500Hz, 1000Hz, 2000 Hz in 1 ear.
8.What is the waiting period for vertigo caused by benign positional vertigo
or acute/chronic peripheral vestibulopathy?
Answer 3 months
9.Name 4 otic conditions that are automatic disqualification
Answer Meniere's, uncon- trolled vertigo, labyrinthine fistula,
nonfunctioning labyrinth
10.Apnea-hypopnea index of [blank] or more episodes per hour is
diagnostic of OSA
Answer 30
11.3 requirements for a passing ETT
,Answer 1. increased SBP of at least 20 without angina
2.workload capacity >6 METs
3.no significant ST depression
12.Examiners must retain records for how many years?
Answer 3
13.Regulation that describes the physical qualifications of drivers.
Answer 49 CFR 391.41
14.Regulation that describes the responsibilities of the medical examiner.
Answer 49 CFR 391.43
15.Regulation that describes the process for conflict resolution when there
is a disagreement between the primary care provider for the driver and the
medical examiner for the motor carrier concerning driving qualifications.
Answer 49 CFR 391.47
16.Regulation that describes the Skill Performance Evaluation (SPE)
Certifi- cation Program.
Answer 49 CFR 391.49
17.Regulation that describes limited exemptions for intra-city zone drivers.
Answer -
, 49 CFR 391.62
18.Regulation that describes grandfathering for certain drivers who partici-
pated in vision and diabetes waiver study programs.
Answer 49 CFR 391.64
19.Regulation that includes regulations for medical review officers and
sub- stance abuse professionals, including drug and alcohol testing
procedures.-
Answer 49 CFR 40
20.Define Stage I Hypertension
Answer BP greater than or equal to 140/90
21.What is the maximum certification period for stage I hypertension if this
is the 1st examination at which the driver has BP equivalent to stage I
hyperten- sion and has no history of hypertension?
Answer 1 year
22.What is the maximum certification period for untreated known or
inade- quately controlled stage I hypertension?
Answer 3 months
23.What is the maximum certification period for blood pressure >140/90
