NRCME Questions And Answers Latest Top
Score.
Def CMV - correct answer. Wt =/> 10,001
> 8 passengers if for hire
> 15 passengers (any)
Non-discretionary conditions - correct answer. MUST follow regulation standards and
disqualify:
Hearing
Vision
Epilepsy
Form MCSA-5850 - correct answer. To maintain certification, the examiner must
submit monthly with the following for all drivers examined for the month
- CMV driver's Name
- Date of birth
- Driver's license number and state
- Date of examination
- Indication of examination outcome
- Whether intrastate driver only
Recert/refresher how often? - correct answer. Refresher every 5 years
Recertifcation test every 10
Who publishes guidelines? - correct answer. FMCSA
Parameters tested in UA - correct answer. SG, glucose, pro, blood
What's being determined by examination? - correct answer. Whether the CMV driver
has a fixed deficit that interferes with safe driving or a condition that may cause sudden
death or incapacitation.
When is fitness for duty exam performed outside of expiration of current certification and
who decides it needs to be done? - correct answer. A driver whose ability to perform
his/her normal duties has been impaired by a physical or mental injury or disease
,(391.45). The carrier decides if the driver's illness was severe enough to require
recertification
The only condition for which formal medical exemption is available - correct answer.
Monocular vision
How long must the examiner retain copies of the examination form and card. - correct
answer. 3 years
When can Medical Examination Report form be revised - correct answer. CANNOT be
revised after final determination or after the examination has been in "determination
pending" status for more than 45 days.
Medical conditions for which a certification interval has been recommended - correct
answer. Hypertension
Heart disease
(both one year-considered best practice)
MAY disqualify drive if: - correct answer. Does not meet medical guideline
recommendation
Does not meet FMCSA Medical Advisory Criteria Recommendations
Uncertain or unknown clinical course (Disqualify or limit certification until information
obtained)
Unable to follow up and condition may disqualify
Until additional evaluation is completed
Can the examiner give the driver's medical examination report to the employer - correct
answer. Yes, with the driver's consent
What should the examiner comment on? - correct answer. All findings, even if not
disqualifying
Vision standard - correct answer. At least 20/40 (Snellen) in each eye and together
Field of vision of 70 degrees in horizontal meridian
Eye exam should include - correct answer. -Pupillary equality
-Reaction to light and accommodation
-Ocular motility
-Ocular muscle imbalance
-Extraocular movements
-Nystagmus
-Exophthalmos
Conditions that could require ophthalmology evaluation - correct answer. Retinopathy
Cataracts
Aphakia
, Glaucoma
Macular degeneration
Disqualifying forms of vision correction - correct answer. Monovision contacts (one
eye corrected for near, one eye for far)
Telescopic lenses to compensate for loss of central vision
Monocular vision WAIVER - correct answer. Drivers who participated in study
grandfathered, as long as they meet other medical requirements. Must be seen by
opthalmologist annually and present waiver letter
Federal Vision Exemption Program - correct answer. Driver sees medical examiner
first and is cleared for other medical conditions, then takes examination form and
certificate to ophthalmologist. After eye exam, driver sends paperwork including
ophthalmologists report to FMCSA, who grants exemption. Driver must carry vision
exemption and certificate card.
Vision exemption maximum recertification - correct answer. 1 year
Hearing standards - correct answer. Forced whisper at 5 feet, or
Average hearing loss not greater than 40 dB at 500, 1000 and 2000 Hz
Health history questions related to hearing loss - correct answer. Ear disorders
Loss of hearing
Loss of balance
Dizziness
Tinnitus
Menieres
Cochlear implant
Standard used for audiometry - correct answer. ANSI
Exemption for hearing impairment - correct answer. Issued by FMCSA on defacto
basis
Mark "Valid only with exemption" and write "hearing" in the space
Certification recommendation for acute/chronic peripheral vestibulopathy or benign
positional vertigo - correct answer. 2 month symptom free waiting period
Certification recommendation for uncontrolled vertigo, meniere's disease, labyrinthine
fistula or nonfunctioning labyrinthes - correct answer. do not certify
Ear exam findings that should be documented - correct answer. Scarring of the
tympanic membrane
Occlusion of the external canal
Perforated eardrums
Score.
Def CMV - correct answer. Wt =/> 10,001
> 8 passengers if for hire
> 15 passengers (any)
Non-discretionary conditions - correct answer. MUST follow regulation standards and
disqualify:
Hearing
Vision
Epilepsy
Form MCSA-5850 - correct answer. To maintain certification, the examiner must
submit monthly with the following for all drivers examined for the month
- CMV driver's Name
- Date of birth
- Driver's license number and state
- Date of examination
- Indication of examination outcome
- Whether intrastate driver only
Recert/refresher how often? - correct answer. Refresher every 5 years
Recertifcation test every 10
Who publishes guidelines? - correct answer. FMCSA
Parameters tested in UA - correct answer. SG, glucose, pro, blood
What's being determined by examination? - correct answer. Whether the CMV driver
has a fixed deficit that interferes with safe driving or a condition that may cause sudden
death or incapacitation.
When is fitness for duty exam performed outside of expiration of current certification and
who decides it needs to be done? - correct answer. A driver whose ability to perform
his/her normal duties has been impaired by a physical or mental injury or disease
,(391.45). The carrier decides if the driver's illness was severe enough to require
recertification
The only condition for which formal medical exemption is available - correct answer.
Monocular vision
How long must the examiner retain copies of the examination form and card. - correct
answer. 3 years
When can Medical Examination Report form be revised - correct answer. CANNOT be
revised after final determination or after the examination has been in "determination
pending" status for more than 45 days.
Medical conditions for which a certification interval has been recommended - correct
answer. Hypertension
Heart disease
(both one year-considered best practice)
MAY disqualify drive if: - correct answer. Does not meet medical guideline
recommendation
Does not meet FMCSA Medical Advisory Criteria Recommendations
Uncertain or unknown clinical course (Disqualify or limit certification until information
obtained)
Unable to follow up and condition may disqualify
Until additional evaluation is completed
Can the examiner give the driver's medical examination report to the employer - correct
answer. Yes, with the driver's consent
What should the examiner comment on? - correct answer. All findings, even if not
disqualifying
Vision standard - correct answer. At least 20/40 (Snellen) in each eye and together
Field of vision of 70 degrees in horizontal meridian
Eye exam should include - correct answer. -Pupillary equality
-Reaction to light and accommodation
-Ocular motility
-Ocular muscle imbalance
-Extraocular movements
-Nystagmus
-Exophthalmos
Conditions that could require ophthalmology evaluation - correct answer. Retinopathy
Cataracts
Aphakia
, Glaucoma
Macular degeneration
Disqualifying forms of vision correction - correct answer. Monovision contacts (one
eye corrected for near, one eye for far)
Telescopic lenses to compensate for loss of central vision
Monocular vision WAIVER - correct answer. Drivers who participated in study
grandfathered, as long as they meet other medical requirements. Must be seen by
opthalmologist annually and present waiver letter
Federal Vision Exemption Program - correct answer. Driver sees medical examiner
first and is cleared for other medical conditions, then takes examination form and
certificate to ophthalmologist. After eye exam, driver sends paperwork including
ophthalmologists report to FMCSA, who grants exemption. Driver must carry vision
exemption and certificate card.
Vision exemption maximum recertification - correct answer. 1 year
Hearing standards - correct answer. Forced whisper at 5 feet, or
Average hearing loss not greater than 40 dB at 500, 1000 and 2000 Hz
Health history questions related to hearing loss - correct answer. Ear disorders
Loss of hearing
Loss of balance
Dizziness
Tinnitus
Menieres
Cochlear implant
Standard used for audiometry - correct answer. ANSI
Exemption for hearing impairment - correct answer. Issued by FMCSA on defacto
basis
Mark "Valid only with exemption" and write "hearing" in the space
Certification recommendation for acute/chronic peripheral vestibulopathy or benign
positional vertigo - correct answer. 2 month symptom free waiting period
Certification recommendation for uncontrolled vertigo, meniere's disease, labyrinthine
fistula or nonfunctioning labyrinthes - correct answer. do not certify
Ear exam findings that should be documented - correct answer. Scarring of the
tympanic membrane
Occlusion of the external canal
Perforated eardrums
