NRCME Test Bank Questions & ANSWERS ALL 100% CORRECT LATEST 2023/24 EDITION GUARANTEED GRADE A+

Which of the following is a requirement for drivers with a diabetes exemption? A) Possess a rapidly absorbable form of glucose while driving B) Self—monitor blood glucose one hour before driving and at least once every 2 hours while driving C) Plan to submit blood glucose monitoring logs every 6 months D) Maintain a Hemoglobin A1C value less than 7 A. Drivers with diabetes should self monitor blood glucose before driving and every 4 hours while driving. Blood glucose monitoring logs should be submitted annually. There is no specific requirement for HgA1C level. Drivers with insulin dependent diabetes: A) May be certified for a maximum of 6 months B) Must maintain a hemoglobin A1C level of less than 7 to qualify for certification C) Cannot be certified if they have a history of myocardial infarction D) May be eligible for a diabetes exemption D) Drivers with insulin dependent diabetes cannot be certified but may be eligible for a diabetes exemption Which of the following is true? A) A driver with diabetes who uses insulin does not meet the minimum requirements of 49 CFR Part 391.41 B) The most important concert related to medication use for treating diabetes is hyperglycemia C) Peripheral neuropathy is not a disqualifying condition D) Diabetes is not a coronary heart disease (CHD) equivalent condition A) The greatest risk for medication use for drivers with diabetes in hypoglycemia, not hyperglycemia. Peripheral neuropathy is disqualifying condition. Diabetes is a CHD equivalent condition. What is the recommended certification interval for a driver with diabetes mellituse who does not use insulin? A) Three months B) Six months C) One year D) Two years C) Drivers with non-insulin dependent diabetes should be certified for a maximum of one year A diabetes exemption may be issued by: A) An endocrinologist B) The Medical Examiner C) The driver's personal physician D) The FMCSA D) Only the FMCSA can grant exemptions A driver with diabetes mellliktus who uses insulin is determined to be otherwise medically qualified. The medical examiner must indicate that a diabetes exemption is required on the : A) Medical Examination Report status section and Medical Examiners Certificate B) Letter to the FMCSA C) Employer authorization form D) Endocrinology consultation form A) Exemption requirements must be noted on the Medical Examination Report status section and the Medical Examiners Certificate If glucose is detected on urinalysis in a driver with no history of diabetes, an appropriate next step is: A) Endocrinology consultation B) One year clearance and recommendation to see personal physician C) Fingerstick or blood glucose determination D) Temporary disqualification C) The medical examiner should first determine blood glucose and then make an appropriate certification determination and referral Drivers with a history of _____________ severe hypoglycemic reactions in the past year or _____________ severe hypoglycemic reactions in the past five years should not be certifed. A) one, three B) one, two C) two, three D) two, five B) A driver should not be certified if the driver has had one hypoglycemic reaction in the past year or two in the past five years. Which of the following is not a criteria that the FMCSA uses to define a severe hypoglycemic reaction? A) Seizure B) Dizziness C) Need of assistance from another person D) Period of impaired cognitive function that occurred without warning B) FMCSA defines severe hypoglycemia as reactions that result in seizure, loss of consciousness, need of assistance from another person, and a period of impaired congitive function that occurred without warning Which diabetes mellitus risk poses the greatest threat to public safety A) Hyperglycemia B) Peripheral neuropathy C) Hypoglycemia D) Metabolic encephalopathy C) Although hyperglycemia, peripheral neuropathy, and metabolic encephalopathy all pose significant risks for safe driving, hypoglycemia poses the greatest risk. The risk is particularly pronounced in drivers who use insulin. FMCSA defines a hypoglycemia episode as one that results in seizure, loss of consciousness, need of assistance from another person, or a period of impaired cognitive function that occurs without warning. A driver with a diabetes exemption should check glucose levels when? A) One hour before driving and at least once every four hours while driving B) One hour before driving and at least every eight hours while driving C) Once after four hours of driving D) Once a day after driving period has ended A) Driver's with diabetes exemption should check glucose values one hour before driving and once every four hours while driving Which of the following is true for diagnosis of a hernia? A) The driver should be referred to a surgeon to determine whether repair of a hernia is necessary B) The waiting period following hernia surgery is two weeks C) Inguinal hernias have been associated with an increased risk for CMV accidents D) The maximum certification interval for a driver with a hernia is two years D) The medical examiner can use his/her judgment as to whether a driver should be referred to a surgeon or other specialist. There is no specified waiting period following hernia surgery - the driver should not be certified until the medical examiner determines that treatment is safe and effective, and that the condition is stable. No evidence has linked hernias of any type to increased CMV accident risk. Which of the following is true of nephropathy? A) Nephropathy is a disqualifying condition B) The maximum certification interval for nephropathy is two years C) A driver with 3+ proteinuria should not be certified D) A renal specialist should make the certification determination for a driver with nephropathy B) Nephropathy is considered on a case-by-case basis. The medical examiner determines what evaluation or monitoring is necessary for a driver with 3+ proteinuria and may disqualify the driver. The certification is always made by the medical examiner and cannot be deferred to a specialist. Drivers with which of the following conditions should be disqualified? A) Cancer requiring chemotherapy treatment B) Umbilical hernia not surgically repaired C) Renal failure on peritoneal dialysis D) Hemochromatosis C) Dialysis of any type is disqualifying If a significant abnormal finding for urinalysis specific gravity, protein, or blood is found, the medical examiner should: A) Disqualify the driver B) Request that a renal specialist determine if the driver is medically qualified C) Use clinical expertise to determine a certification decision and to determine if additional evaluation is required or recommended D) Obtain blood chemistries for renal function C) The medical examiner must determine whether additional evaluation is needed and whether the certification decision should be postponed or limited A driver with a history of kidney disease with or without transplant: A) Is medically disqualified B) Must be assessed regarding the severity, stability, medications used, and medication side effects/adverse reactions C) Should not be assessed for functional ability to operate a CMV safely D) Should have the medical certificaton determination made by a renal specialist B) ASsessment for kidney disease must be ade on a case-by-case basis. Dialysis of any kind is disqualifying. The medical examiner may choose to test the driver for functional ability to operate a CMV safely. The medical certification decision must be made by the medical examiner. Which of the following is not a disqualifying condition? A) Peritoneal dialysis B) Hemodialysis C) Hernia D) Peripheral neuropathy Any type of dialysis is a disqualifying condition. Peripheral neuropathy is usually disqualifying. Although a hernia may be disqualifying, often a driver can be certified if the symptoms and/or examination findings are mild or if the hernia has been surgically repaired and the condition has stabilized (there is no specified waiting period following hernia treatment, including surgery). Urinalysis is required for the driver physical examination and the results must include A) Specific gravity, creatinine, bilirubin, and glucose B) Creatinine, bilirubin, blood, and protein C) Specific gravity, protein, blood, and glucose D) Specific gravity, bilirubin, blood, and protein C) Specific gravity, protein, blood, and glucose should be checked at every driver examination Disqualifying conditions include: A) Chronic constipation B) Obesity C) Cystitis D) Dialysis D) Dialysis of any type of disqualifying A driver who has Hepatitis C who is stable and whose condition does not represent a safety risk may be certified A) True B) False A) Hepatitis C is not disqualifying A driver with a history of acute bleeding ulcer may be certified if: A) Pain has subsided B) Driver tolerates food without nausea and vomiting C) Bleeding has subsided D) The underlying cause has been identified and recurrence risk is low following treatment D) Drivers with bleeding ulcers should not be certified until the underlying cause has been identified and the recurrence risk is low A driver with a successful kidney transplant can be certified A) True B) False A) Kidney transplants are not disqualifying Which of the following is true? A) Medical marijuana use if disqualifying B) The medical examiner should drug test the driver for marijuana if the driver gives a history of recent marijuana's C) A driver with a history of only occasional marijuana may not have to complete a substance abuse professional assessment D) Marijuana is a Schedule II drug A) If a driver gives a history of recent marijuana use, the driver should be referred for substance abuse professional evaluation regardless of drug test result. Drivers with a history of marijuana use, or a drug test positive for marijuana, must undergo substance abuse professional assessment and complete any recommended rehabilitation prior to returning to driving. Marijuana is a Schedule I drug. Which of the following is a requirement for a driver with a history of alcoholism to be certified? A) No residual disqualifying physical impairment B) Successful treatment with naltrexone C) Currently in counseling and/or treatment D) No more than one current alcohol-related disorder A) Treatment with naltrexone is not required for driver certification for a driver with a history of alcoholism. A driver with a history of alcoholism must have completed counseling and/or treatment and must not have a current alcohol-related disorder in order to be certified. Which of the following is a disqualifying condition? A) A past clinical diagnosis of alcoholism B) A breath alcohol result of 0.019% C) An alcohol-related stable physical condition, regardless of the time element D) Use of methadone D) A current diagnosis of alcoholism is disqualifying. A breath alcohol result of 0.02% or higher renders the driver unqualified to drive. An alcohol-related unstable physical condition is disqualifying. Ongoing voluntary attendance at self-help groups (e.g. 12 step programs) for maintenance of recovery from alcoholism: A) Is required for all drivers recovering from alcoholism B) Is disqualifying C) Is allowed but not required for drivers recovering from alcoholism D) Fulfills the requirement for rehabilitation following a violation of alcohol rules. C) 12-step or similar programs do not fulfill rehabiliation requirements for drivers with a violation of alcohol (or drug) regulations. Participation in such programs is allowed, but not required, and is not disqualifying. Which of the following is a mental health professional that the medial examiner may refer to or consult with? 1) Breath alcohol technician (BAT) 2) Designated employer representative (DER) 3) Medical review officer (MRO) 4) Substance abuse professional (SAP) A) 1, 2, and 3 B) 1 and 3 only C) 2 and 4 only D) 4 only E) all of the above According to the FMCSA, all of these are defined as mental health professionals The maximal certification internal for a driver with a history of drug abuse or alcoholism is A) Six months B) One year C) Two years D) Do not certify C) Drivers with a history of drug abuse or alcoholism may be certified forup to two years. Drivers may be subject to drug and/or alcohol testing more frequently, but such testing is performed under 49 CFR Part 40 drug and alcohol testing regulations, not under 49 CFR Part 391.41 driver qualification standards Which of the following is true? A) One of the requirements for the CMV drier physical examination is testing for controlled substances B) A driver taking multiple medications reports daily, regular or moderate use of alcohol. The Medical Examiner should evaluate the possibility of medication interactions with alcohol that may cause impairment C) Even in remission, alcoholism is disabling for the CMV driver D) Use of Schedule I drugs is not disqualifying B) Testing for controlled substances if not required for the CMV driver examination. Alcoholism in remission is not a disqualifying condition. Use of Schedule I drugs is disqualifying. Ongoing attendance at self-help groups A) Fulfills the requirement to complete a rehabilitation program B) Is not disqualifying when used for maintenance of recovery C) Eliminates the need for follow-up testing D) Is mandated by the FMCSA B) Attendance at self-help groups is to disqualifying but does not fulfill the requirement for participation ina rehabilitation program. Follow-up testing must be performed according to FMCSA guidelines, regardless of participation in a self-help group. The Substance Abuse Professional (SAP) determines the need for attendance at self-help groups as a condition of return to work as a CMV driver. A driver taking methadone for substance abuse treatment may be certified for three months. A) True B) False B) False, methadone is disqualifying Schedule I drugs, including marijuana or medical marijuana, are disqualifying A) True B) False A) Driver's taking Schedule I drugs are disqualifying Recertification o the driver disqualifying for alcohol abuse requires the driver to A) Have an evaluation y a substance abuse professional (SAP) B) Have a referral by the driver's primary care physican stating the driver is attending a self-help group C) Have a complete physical examination D) Have a drug test A) A driver disqualified for alcohol abuse must be evaluated by a substance abuse professional prior to return to duty and complete any rehabilitation program recommended by the substance abuse professional. The driver also must undergo return to duty alcohol testing. The Medical Examiner should be familiar with DOT drug and alcohol testing requirements as outlined in: A) 49 CFR Part 40 B) 40 CFR Part 38 C) 49 CFR Part 66 D) 49 CFR Part 12 A) DOT drug and alcohol testing regulations are described in 49 CFR Part 40 If the Substance Abuse Professional determines that current alcoholism exists, the driver is not qualified to drive a commercial motor vehicle in interstate commerce A) True B) False A) Drivers with a current diagnosis of alcoholis are disqualified The impairment benchmark for FMCSA for alcohol is A) 0.01 B) 0.03 C) 0.04 D) 0.08 C) FMCSA recommendations use the degree of imipairment produced by a 0.04 percent food alcohol concentration as a benchmark for impairment A driver with monocular vision who has been granted a federal vision exemption or who is qualified by operation of 49 CFR 391.64 must have an annual physical examination. A) True B) False A) Even though a vision exemption is provided for two years, the driver must undergo annual examinatin Who of the following is not qualified to perform the vision testing portion of the interstate CMV driver physical examination? A) An optometrist B) The medical examiner C) A licensed vision testing technician D) An ophthalmologist C) Vision testing must be performed by the medical examiner, an optometrist, or ophthalmology Which of the following is true with regard to horizontal field of vision testing include: A) Passing parameters are 75 degrees in left and right eye visual fields B) Medial examiners may use a variety of methods in the clinical setting to measure field of vision, including reasonably reliable and accurate tests C) Telescopic lenses that redirect peripheral vision to compensate for loss of central vision are acceptable corrective lenses for meeting commercial driving qualificatin requirements D) Specialized ophthalmological equipment should not be used for precise measurement to determine if vision meets the 70 degree requirement B) Passing parapets for field of vision are 70 degrees in left and right visual fields. Telescopic lenses that redirect peripheral vision to compensate for loss of central vision are not acceptable. Specialized ophthalmological equipment may be used to measure vision parameters. Which of the following will always disqualify a driver from being certified without federal exemption? A) Abnormal reactivity to light B) 70 degrees horizontal field of vision in each eye C) Monocular vision D) Floaters C) Without a federal exemption or grandfathered status, monocular vision will always disqualify a driver from being certified. For a driver to be certified without a waiver for color recognition, they must ________________ A) Correctly identify the true colors of signs and traffic lights B) Sufficiently recognize traffic signals and devices showing the standard red, amber and green traffic signal colors C) Be able to identify the different signs and traffic lights through shape and positional analysis D) Pass an Ishahara color vision test B) Drivers must be able to recognize red, yellow, and green traffic signal colors A driver with monocular vision who has been grandfathered must provide proof of grandfathered status at what time? A) Within three oaths of certification B) When the certification is issued C) Before the certification process is complete D) Never C) Drivers with monocular vision who have grandfathered status must provide proof of such status before the medical examiner may issue certification The maximum duration of a federally-granted waiver or exemption is _______________ A) Three months B) Six months C) One year D) Two years D) Waiver durations may vary, although they cannot exceed two years The medical examiner's role in the exemption process is _______________ A) Issuing the exemption B) Advising the FMCSA on the severity of the driver's impairment C) Providing the driver contact information for the Federal Vision Exemption Program D) Performing vision testing C) The medical examiner's role in securing a vision exemption is to help the driver get in contact with the Federal Vision Exemption Program Under what conditions may a driver diagnosed with lazy eye be certified? A) Under any conditions — lazy eye is not considered a visual impairment for CMV operators B) Only if the driver has a visual acuity of 20/70 or better, or a federal exemption C) Only if the driver has a visual acuity of 20/40 or better, or a federal exemption D) Only by federal exemptoin C) Drivers with lazy eye must meet federal vision standards for certification (20/40 visual acuity in both eyes) or seek a federal exemption Medical examiners may grant vision exemptions for drivers that do not meet vision qualification standards A) True B) False B) Only the FMCSA may grant exemptions of any type Under what circumstances is an ophthalmologist and only an ophthalmologist qualified to perform an examination? A) Under no conditions — optometrist and medical examiners are always qualified to perform vision testing B) Only when the driver is diagnosed with aphakia C) Only when specialized testing is required to resolve an inconclusive examination D) Under no conditions — ophthalmologists are not qualified to examine CMV drivers C) The assistance of an ophthalmologist is only required if specialized testing is necessary Which of the following is considered grounds for additional testing? A) Blurry vision B) Presence of floaters C) Distance vision uncorrected 20/35 in each eye D) Field of vision testing of 70 degrees in each eye A) The presence of floaters is not in and of itself an indication for additional testing. Distance vision of 20/40 or better is considered acceptable, and field of vision of 70 degrees in each eye meets vision testing requirements. A driver with monocular vision who has been granted a federal vision exemption or who is qualified by operation of 49CFR391.64 must have a physical examination every ________________________? A) Six months B) Year C) Two years D) Within six onths of the date of renewal of the vision exemption B) Although a federal vision exemption is usually granted for two years, the driver must be examined annually. To pass the interstate CMV driver vision exam, a visual acuity of ___________________ corrected or I corrected is required. A) 20/20 in each eye individually and both eye combined B) 20/40 in each eye individually and both eyes combined C) 20/20 in at least one eye D) 20/40 in at least one eye B) Monocular vision is disqualifying. Drivers must be able to see at least 20/40 in each eye and both eyes combined. What eye conditions must the medical examiner ask the driver about? A) Cataracts, color deficiencies, retinitis pigmentosa, aphasia, glaucoma B) Lazy eye, cataracts, aphasia, floaters, retinopathy C) Glaucoma, macular degeneration, retinitis pigmentosa, color deficiencies D) Retinopathy, cataracts, aphasia, glaucoma, macular degeneration D) These "ask about" eye conditions require referral to an eye specialist if the driver indicates a history of these conditions FMCSA vision testing standards require field of vision of at least _______ in the horizontal meridian of _____________ eye (s). A) 50, one B) 70, both C) 85, one D) 85, both B) Field of vision should be performed on both eyes, and adequate field of vision of at least 70 degrees in each eye must be demonstrated Certification of vision testing results may be performed by any of the following except: A) An ophthalmologist B) The medical examiner C) Automated vision testing equipment D) An optometrist C) The FMCSA allows the medical examiner, an ophthalmologist, or an optometrist to perform and certify vision testing results. The driver requiring vision correction may be certified for up to A) Six months B) One year C) Two years D) Five years C) Drivers requiring vision correction may be certified for up to two years. A driver may use telescopic lenses that redirect peripheral vision to compensate for loss of central vision as corrective lenses for meeting CMV qualification requirements A) True B) False B) Use of such lenses is prohibited Required vision testing does not include: A) Distance visual acuity B) Near visual acuity C) Peripheral horizontal visual fields D) Color B) Near vision testing is not required. Conditions which are usually disqualifying, but which qualification can be considered ona case-by-case basis include: 1) Autonomic neuropathy 2) Congenital myopathy 3) Neuromuscular disorders 4) Carpal tunnel syndrome A) 1, 2, and 3 only B) 1 and 3 only C) 2 and 4 only D) 4 only E) all of the above A) Carpal tunnel syndrome is not usually disqualifying Only ___________________ can grant drivers a Skill Performance Evaluation (SPE) certificate A) The FMCSA B) The Department of Transportation C) A certified medical examiner D) A physiatrist or orthopedic specialist A) Only the FMCSA can grant waivers/exemptions and SPE certificates The maximum certification period for Skill Performance Evaluation (SPE) certificate is ____________ A) six months B) one year C) two years D) determined on a case-by-case basis C) A SPE certificate is granted for a maximum of two years A driver presents for clearance to return to driving a CMV four weeks after arthroscopic carpal tunnel repair to his left hand. The certification decision should be: A) The driver must complete a two-month waiting period for carpal tunnel surgery B) The driver may be certified if he completes a functional capacity evaluation C) The driver may be certified for a maximum of one year, as long as he meets all the other qualification standards D) The driver may be certified for a maximum of two years, as long s he meets all the other qualification standards D) Ther is no waiting period following carpal tunnel surgery. The driver may be certified for up to two years if the medical examiner considers the driver to have recovered sufficiently from surgery A Skilled Performance Evaluation (SPE) certificate pursuant to 49 CFR 391.49 is granted under the following conditions except: A) the driver has a fixed deficit of an extremity B) the driver meets all the other standards C) The driver has a medical evaluation summary completed by a board qualified or certified physicatrist or orthopedic surgeon D) The driver has completed a driving evaluation per FMCSA standards D) A driving evaluation is not required for issuance of an SPE certificate A Skill Performance Evaluatioin (SPE) certificate: A) Is valid for one year from the date of issuance B) May be renewed 60 days prior to expiration C) Is required when the severity of a fixed deficit of an extremity includes the loss or impairment of a hand, arm, foot or leg D) Is issued by the medical examiner C) A SPE certificate is valid for 2 years, may be renewed 30 days prior to expiration, and is required for a fixed deficit of an extremity includes of loss or impairment of a hand, arm, foot or leg. A SPE certificate is issued by the FMCSA, not the medical examiner. The medical examiner determines that the driver is otherwise medically qualified and meets the criteria for a SPE. Examples of adapting clinical evaluation of the musculoskeletal system to ensure applicability when assessing CMV driver fitness for duty could include all of the following except: A) Using resistive force or a dynamometer to have the driver demonstrate grip strength B) Nerve conduction study testing C) Have the driver simulate the range of motion and coordination of hands and legs required for steering and changing gears when operating a CMV and/or have the driver demonstrate shoulder joint mobility, arm and leg muscle strength. Required to enter and exit the cab, and other driver-related duties. D) Have driver perform activities that demonstrate the ability to maneuver and maintain balance while under the trailer and having the driver demonstrate cervical range of motion sufficient to look in either side mirror of an oversized CMV B) Nerve conduction study testing is not a clinical evaluation of musculoskeletal function According to regulation, what medical examiner documentation is required when a driver applies for a SPE certificate? 1) The Medication Examination Report 2) Certification from a board certified or eligible physiatrist or orthopedic surgeon that the driver is otherwise qualified to drive 3) The Medical Examiner's certificate, indicating that medical certification must be accompanied by a SPE certificate 4) Results of the functional capacity evaluation (FCE) A) 1,2, and 3 only B) 1 and 3 only C) 2 and 4 only D) 4 only E) all of the above A) A functional capacity evaluation (FCE) is not a requirement for SPE certificate application Which of the following conditions are disqualifying? 1) Acute or chronic vestibulopathy after a one-month symptom free interval. 2) Nonfunctioning labyrinths after a three-month free interval. 3) Labyrinthe fistula after a six month symptom free interval. 4) Meniere's disease After a one-year symptom free interval. A) 1, 2 and 3 only B) 1 and 3 only C) 2 and 4 only D) 4 only E) all of the above E) Nonfunctioning labyrinths labyrinthine fistula, and Ménière's disease are all disqualifying and there is no symptom free interval that allows certification. The waiting period for acute and chronic vestibulopathy is two months symptom free. Which of the following drivers meets hearing certification standards? A) Whisper test 4 feet right ear, 3 feet left ear. B) Whisper test 5 feet right ear with hearing aid, 3 feet left ear without hearing aid C) Audiogram left 30/500 Hz, 40/1000 Hz, 60/2000 Hz; right 25/500 Hz, 35/1000 Hz, 80/2000 Hz D) Audiogram left 25/500 Hz, 50/1000 Hz, 40/3000 Hz; right 25/500 Hz, 35/1000 Hz, 60/3000 Hz Whisper test results require 5 feet in at least one ear for passing, with or without a hearing aid. Audiometric testing results require an average of 40 dB loss in the better ear for results averaged from 500, 1000, and 2000 Hz. Although testing may be performed at 3000 Hz, results obtained are not used to determine whether the driver meets hearing requirements. Which of the following is true with respect to hearing testing? A) Audometric testing should be done using International Organization for Standardizaation (ISO) standard B) Drivers requiring a hearing aid to meet hearing requirements may wear a hearing aid only in the ear that was tested and passéd with the hearing aid C) Drivers requiring a hearing aid must be tested using specialized audio metric testing equipment if audio metric testing is required D) Drivers requiring a hearing aid to meet standards should be certified for no more than one year Audiometric testing should be done using American National Standards Institute (ANSI) Z24.5-1951 standard. ISO results should be converted to the ANSI standard. To convert ISO results to ANSI, subtract 14 dB at 500, 10 dBat 1000, and 8.5 dB for 2000. Hearing requirements are for the better ear; a driver may use a hearing aid in only one ear to meet standards. drivers wearing a hearing aid may first be tested with a whisper test; if the driver passes the whisper test, the driver must be referred to an audiologist or otolaryngologist with specialized equipment for performing audio metric testing with use of a hearing aid. Drivers sho require a hearing aid to meet standards may be certified for up to two years. An audio metric test results in the following results: L ear: 500 Hz, 35 dB loss 1000 Hz, 35 dB loss 2000 Hz, 45 dB loss R ear: 500 Hz 40 dB loss 1000 Hz 45 dB loss 2000 Hz, 40 dB loss What is the certification determination? A) Certify for one year B) Certify for two years C) Do not certify D) Certify only when accompanied by a hearing aid. B) Drivers with an average hearing loss of <= 40 decibels averaged across 500, 1000, and 2000 Hz in the better ear may be certified for two years. Which of the following conditions is not disqualifying? A) Meniere's Disease B) Cochlear Implant C) Labyrinthine Fistula D) Nonfunctioning Labyrinth Cochlear implants are not disqualifying When audiometric testing is used, audio metric testing is not required to be performed at which of the following Hz levels? A) 500 B) 1000 C) 2000 D) 3000 Audiometric testing, when used, must be performed at 500, 1000, and 2000 Hz Which of the following is true? 1) If a driver wears a hearing aid, the whisper hearing test can be administered 2) According to FMCSA requirements the driver must pass the hearing requirements with both ears using either forced whisper or audiometric testing A) 1 only B) 2 only C) both 1 and 2 D) neither 1 nor 2 A) a driver with a hearing aid may be tested using the whisper test. Hearing requirements must be met in at least one ear for either forced whisper or audiometric tesitng, not both ears A driver with Meniere's Disease may be certified A) True B) False B) Meniere's Disease is a disqualifying condition If a driver has whisper test results of : |Rt. Ear: 4 feet| Lt. Ear 4 Feet| s/he meets hearing standards for CMV driver certification. A) True B) False B) Whisper test minimums are at least 5 feet in at least one ear. Hearing must be tested using audio metric testing equipment. A) True B) False Of a driver passes a whisper test in at least a one ear, audiometric testing is not required. Which of the following is true? 1) Acute and chronic peripheral vestibulopathy do not require a symptom free waiting period. 2) Benign positional vertigo requires a symptom free waiting period. 3) Uncontrolled vertigo requires a symptom free waiting period. 4) Meniere's Disease is disqualifying. A) 1, 2 and 3 only B) 1 and 3 only C) 2 and 4 only D) 4 only E) all of the above C) The minimum waiting period is two month symptom free for both acute and chronic vestibulopathy and for benign positional vertigo. Uncontrolled vertigo is disqualifying. Drivers must be able to meet minimum hearing requirements in both ears in order to be medically certified. A) True B) False B) Adequate hearing in only one ear is required. A driver who requires a hearing aid to meet certification requirements must be examined annually. A) True B) False B) A driver who needs a hearing aid to meet requirements may be certified for up to two years. If audiometric testing is performed, testing should include which of the following frequencies? A) 1000, 2000, 3000 Hz B) 500, 2000, 4000 Hz C) 500, 1000, 3000 Hz D) 500, 1000, 2000 Hz D) Although additional testing frequencies may be used, minimum FMCSA audio metric testing requirements include testing at 500, 1000, and 2000 Hz. The driver may be certified if the driver does not have more than 40 dB of hearing loss averaged across the three frequencies in the better ear. An audio metric test yields the following results: Left ear: 500 Hz, 35 dB loss 1000 Hz, 35 dB loss 2000 Hz, 55 dB loss Right ear: 500 Hz, 40 dB loss 1000 Hz, 45 dB loss 2000 Hz, 40 dB loss What is the certification determination? A) Certify only when accompanied by a hearing aid. B) Do not certify C) Certify for two years D) Certify for one year B) The passing requirements for audio metric testing are an average loss in the better ear of not more than 40 dB for when averaged across 500, 1000, 2000 Hz Which of the following is true? A) Stage 1 hypertension is associated with immediate safety risks. B) Stage 2 hypertension is associated with immediate safety risks. C) Stage 3 hypertension is associated with unacceptable risk for sudden incapacitation of the driver. D) All stages of hypertension are associated with immediate safety risks. C) Stage 1 and 2 hypertension's are not associated with immediate safety risks. On examination, a BP of 140/90 is obtained. A follow up BP is 140/90. What certification option may bee considered? A) The medial examiner should certify for 6 months if the driver is not taking antihypertension medications. B) If the driver is taking antihypertensive medications, 6 months should be the maximum certification period. C) The medical examiner may obtain additional BP readings and/or use his/her clinical judgment ad consider BP and overall driver fitness for duty to determine certification status and certification period. D) The medial examiner should not certify based not the BP readings. C) The medical examiner may use additional BP readings and/or clinical judgment to make an appropriate certification determination. What date is used to determine the expiration date for a driver with a one-time, three month certificate who achieves a BP less than or equal to 140/90 before the three-month certificate expires, and what is the certification period? A) Two-year certification based on date of initial certification examination. B) One-year certification based on the date of the initial certification examination. C) One-year certification based on date of documented BP <=140/90. D) If the medical examiner performs a complete recertification examination, in addition to the following up on BP, then two-year expiration would be based on the current date. B) Certification is determined from the last date of complete examination. If a new complete certification examination was performed on the date of the confirmation of acceptable blood pressure, then a one-year certification would have been based on the date of that last complete certification examination. Which of the following is true with regard to hypertension? A) The higher value of either systolic or diastolic blood pressure determines the stage of hypertension. B) Stage 1 hypertension is BP of 140-149/90-99. C) Stage 2 hypertension is BP of 150-169/100-109. D) Stage 3 hypertension is BP >=170/110 A) The higher value of either systolic or diastolic blood pressure determines blood pressure stage. Stage 1 is 140-159/90-99, Stage 2 is 160-179/100-109, and Stage 3 is >=180/110 CONTINUED...