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1. Driver 6 weeks post-MI, has cardio cleared temporarily disqualify driver until driver
to return to work without restrictions. ETT 12 meets waiting period of 2 months
METs, echo EF 65%. Examiner should:
2. driver is distant, lacks eye contact and shows disqualify and refer to SAP prior to con-
absolutely no emotional response during the sideration (flat affect seen in severe de-
exam. The examiner's best response should pression and schizophrenia)
be:
3. A driver has a blood pressure of 136/92 mm Stage I. BP 140-159/*90-99*
Hg. This is what stage of HTN?
4. A driver is taking Celexa for the treatment of Temporarily disqualify the driver until
what he calls a "mild depression." He reports he obtains written clearance for the de-
he has not considered or attempted suicide. pression and the medication from the
The examiner should? treating provider.
Medical clearance is required for all
mental health disorders
5. A driver reports that he had a hunting acci- Disqualify the driver pending vision
dent wherein he suffered a left orbital frac- exam to determine if meets peripheral
ture. He presents a note at the time of the vision requirements
examination from an ophthalmologist stating
"may drive". His exam is unremarkable except
for a limitation in peripheral vision in his left
eye, which was inconclusive. His distance vi-
sion was 20/20 right and 20/40 left. The med-
ical examiner should?
6. A driver is taking Topamax for the treatment Obtain medical clearance for the condi-
of migraine headaches. He reports good man- tion and the medication
agement of his headaches and they never
, NRCME question bank review
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seem to interfere with his driving ability with Topamax is a medication that is used
the medication. The medical examiner should for seizure control. The examiner should
confirm with the prescribing provider
that the driver does not take it to control
seizures.
7. Positive Babinski"reflex indicates what? What indicative of abnormalities in the mo-
is examiner's next step? tor control pathways leading from the
cerebral cortex; obtain clearance from a
neurologist prior to reconsidering the
driver for certification
8. Epilepsy 14 years ago but stopped taking Disqualify driver. Even though the driver
antiepileptic medication on his own 11 years reports exceeding the 10-year waiting
ago. Has not seen a neurologist nor a health period, it was not under medical su-
care provider in over 10 years and reports pervision and the driver discontinued
no seizures during this period. The examiner medication use and treatment outside
should: of medical oversight.
9. Waiting period following MI 2 months
10. Waiting period following CABG 3 months
11. The driver uses hearing aids during the whis- Certify x 2 yrs.
per test. He is able to hear at 5 feet on the
right and 4 feet on the left. Certification or no? The driver is able to use hearing aids
during the whisper test (and this should
be marked on the form). A driver must
only qualify in 1 ear to certify.
12. Moderate TBI that occurred 3 years ago. neu- certify x 1 yr
rologist confirmed no seizures and cleared
driver. Examiner should waiting period is 2 years, max cert for
mod TBI without seizure is 1 yr.
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13. Waiting period and max cert in driver with Disqualify.
depression with suicide attempt 10 months
ago. Reports feeling fine now and compliant Waiting period is 1 yr, max cert 1 yr
with meds. Examiner should
14. history a back injury that had occurred 4 years Request medical clearance.
earlier. He states that he was out of work fol-
lowing back surgery for over a year, but since
has returned to driving and his last certifica-
tion was good for 2 years. He lists as his only
medication Oxycodone, which he takes only
as needed. He reports seeing his "pain doc-
tor" every few months for evaluation. He also
reports he has had a steroid injection (series
of 3) about a year ago, which "helped a lot."
The examiner should:
15. waiting period for ECT 6 months; maintenance ECT is disquali-
fying
16. SPE for below knee amputation, max cert for? 2 yrs
17. MI 6 months ago. How often for recertifica- Annual recert; ETT every 2 years
tion? How often for ETT for monitoring?
18. Which stage of hypertension calls for a med- Stage 2
ical certificate that expires in one year?
19. A driver has a limitation of 35 degrees of cer- The FMCSA has not adopted a standard
vical rotation to the right and left but can view cervical range of motion guideline for
both side mirrors. What is the next best step? drivers. However, drivers must be able to
view both mirrors. If the driver can rotate
Study online at https://quizlet.com/_gntqcl
1. Driver 6 weeks post-MI, has cardio cleared temporarily disqualify driver until driver
to return to work without restrictions. ETT 12 meets waiting period of 2 months
METs, echo EF 65%. Examiner should:
2. driver is distant, lacks eye contact and shows disqualify and refer to SAP prior to con-
absolutely no emotional response during the sideration (flat affect seen in severe de-
exam. The examiner's best response should pression and schizophrenia)
be:
3. A driver has a blood pressure of 136/92 mm Stage I. BP 140-159/*90-99*
Hg. This is what stage of HTN?
4. A driver is taking Celexa for the treatment of Temporarily disqualify the driver until
what he calls a "mild depression." He reports he obtains written clearance for the de-
he has not considered or attempted suicide. pression and the medication from the
The examiner should? treating provider.
Medical clearance is required for all
mental health disorders
5. A driver reports that he had a hunting acci- Disqualify the driver pending vision
dent wherein he suffered a left orbital frac- exam to determine if meets peripheral
ture. He presents a note at the time of the vision requirements
examination from an ophthalmologist stating
"may drive". His exam is unremarkable except
for a limitation in peripheral vision in his left
eye, which was inconclusive. His distance vi-
sion was 20/20 right and 20/40 left. The med-
ical examiner should?
6. A driver is taking Topamax for the treatment Obtain medical clearance for the condi-
of migraine headaches. He reports good man- tion and the medication
agement of his headaches and they never
, NRCME question bank review
Study online at https://quizlet.com/_gntqcl
seem to interfere with his driving ability with Topamax is a medication that is used
the medication. The medical examiner should for seizure control. The examiner should
confirm with the prescribing provider
that the driver does not take it to control
seizures.
7. Positive Babinski"reflex indicates what? What indicative of abnormalities in the mo-
is examiner's next step? tor control pathways leading from the
cerebral cortex; obtain clearance from a
neurologist prior to reconsidering the
driver for certification
8. Epilepsy 14 years ago but stopped taking Disqualify driver. Even though the driver
antiepileptic medication on his own 11 years reports exceeding the 10-year waiting
ago. Has not seen a neurologist nor a health period, it was not under medical su-
care provider in over 10 years and reports pervision and the driver discontinued
no seizures during this period. The examiner medication use and treatment outside
should: of medical oversight.
9. Waiting period following MI 2 months
10. Waiting period following CABG 3 months
11. The driver uses hearing aids during the whis- Certify x 2 yrs.
per test. He is able to hear at 5 feet on the
right and 4 feet on the left. Certification or no? The driver is able to use hearing aids
during the whisper test (and this should
be marked on the form). A driver must
only qualify in 1 ear to certify.
12. Moderate TBI that occurred 3 years ago. neu- certify x 1 yr
rologist confirmed no seizures and cleared
driver. Examiner should waiting period is 2 years, max cert for
mod TBI without seizure is 1 yr.
, NRCME question bank review
Study online at https://quizlet.com/_gntqcl
13. Waiting period and max cert in driver with Disqualify.
depression with suicide attempt 10 months
ago. Reports feeling fine now and compliant Waiting period is 1 yr, max cert 1 yr
with meds. Examiner should
14. history a back injury that had occurred 4 years Request medical clearance.
earlier. He states that he was out of work fol-
lowing back surgery for over a year, but since
has returned to driving and his last certifica-
tion was good for 2 years. He lists as his only
medication Oxycodone, which he takes only
as needed. He reports seeing his "pain doc-
tor" every few months for evaluation. He also
reports he has had a steroid injection (series
of 3) about a year ago, which "helped a lot."
The examiner should:
15. waiting period for ECT 6 months; maintenance ECT is disquali-
fying
16. SPE for below knee amputation, max cert for? 2 yrs
17. MI 6 months ago. How often for recertifica- Annual recert; ETT every 2 years
tion? How often for ETT for monitoring?
18. Which stage of hypertension calls for a med- Stage 2
ical certificate that expires in one year?
19. A driver has a limitation of 35 degrees of cer- The FMCSA has not adopted a standard
vical rotation to the right and left but can view cervical range of motion guideline for
both side mirrors. What is the next best step? drivers. However, drivers must be able to
view both mirrors. If the driver can rotate
