DOT EXAM – NRCME TRAINING
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,What are the differences between the medical standards Regulations are law and are mandatory. The ME must use standards to determine
and medical guidelines? interstate CMV driver medical fitness for duty. Medical guidelines are not
regulatory and the ME may choose not to follow the medical guidance.
In which regulations are the driver physical qualification Driver physical qualification standards are found in 49 CFR 391.41. ME
standards and Medical Examiners cited? responsibilities are found in 49 CFR 391.43
What objective tests and measurements are required as Height & weight
part of the driver physical examination? Vision
Hearing
BP & pulse
Urinalysis (spec gravity, protein, blood, glucose)
What are the possible outcomes of the driver physical Certification
examination? Disqualification
Determination pending
What date is used to determine medical examiners The date of the exam is used as the basis for certificate expiration, except when
certificate expiration? determination pending is chosen.
When determination pending is chosen, if the driver returns with the necessary
information prior to the expiration of the driver's current certificate and the driver
is qualified based on that information provided, the date used for the basis of the
certification timeframe is the date the driver returned with the necessary
information.
What is the ME certificate expiration date for the A: 4/16/2013
following drivers? B: 4/16/2012
A - Exam 4/16/2011, meets standards in 49 CFR 391.41, C: 4/25/2012
qualifies for 2 year certificate. D: 5/20/2013
B - Exam 4/16/2011, meets standards, but periodic
monitoring required due to HTN, qualifies for 1 year
certificate.
C - Exam 4/16/2011, determination pending due to not
having results of post-CABG stress test, pt returns and
provides that info on 4/25/2011, driver is qualified for 1
year.
D - Exam 4/16/2011, disqualified due to benign position
vertigo on 3/15/2011, returned to ME for certification
examination on 5/20/11. He has been asymptomatic since
3/11/2011. Qualified for two years.
, Patient example: Two year certification - no disqualifying health history or PE abnormalities.
Karen, recertification exam Ask about medication use, including OTC medications.
42 y/o female ME obtained hemoglobin testing based on PE findings. (not required)
No health history, no medications. The ME should correctly note the body system in which there was an abnormal
Vision acuity: right 20/20, left 20/30. Both 20/20. finding. The note reflects inquiry as to the affect on driving ability and is also
Horizontal field of vision Rt 80 degrees, Lt 80 degrees. supported by Hgb test results. ME also documented medical follow up advice.
Not corrected vision.
No monocular vision.
No hearing aids, Whisper test 5' bilaterally. N/A
audiometric testing
UA: spec grav 1.020, protein 1+, blood 4+, glucose neg.
Hgb 12.4
BP 134/88, P 80, regular.
PE: on 4th day of menses with heavy bleeding. Advised
to consult PCP or GYN for eval of excessive bleeding that
could lead to anemia, leading to fatigue that would affect
her driving.
Who can perform the vision portion of the interstate The certified ME, optometrist, or an opthalmologist. If the specialist provider
CMV driver physical examination? performs the exam, they should complete and sign the provider's information on
the report form and provide the results.
To pass the interstate CMV driver vision exam, a visual 20/40 on Snellen chart in each eye individually AND in both eyes combined.
acuity of ___/___corrected or uncorrected is required.
What eye conditions must the ME ask the driver about Retinopathy, cataracts, aphakia, glaucoma, and macular degeneration.
and if indicated, request specialist evaluation?
Pt example: Exam findings: Left eye muscles do not move eye to the left, discussed
Mr. Brown, 48 y/o male. No current meds, injury 5 years disqualification pending eye exam by specialist. Explained the specialist will get
ago. Hunting accident 2 years ago with facial trauma and precise visual field measurements. Provided driver with appropriate medical
left orbital fracture. Presented a "may drive" note from release and copy of medical exam report with vision section highlighted.
eye surgeon (dated 3 months prior to examination). Driver does not meet requirements. He is pending specialist vision exam.
Uncorrected vision, right eye 20/20. left eye 20/40. Both Diminished vision in left eye noted. Pt could be functionally monocular.
20/20. Horizontal field of vision Right 80 degrees, left eye
is inconclusive. No monocular vision. No hearing aids.
Whisper test 5' bilaterally. N/A audiometric test. UA
normal. BP 122/74, p 80, regular.
What is the purpose of the interstate CMV driver physical To detect the presence of physical, mental, or organic conditions of such
examination? character and extent as to affect the driver ability to operate a CMV safely. This
exam is for public safety determination and is considered by FMCSA to be a
"medical fitness for duty" examination.
INSTITUTE MATERIAL | PRACTICE
QUESTIONS & ANSWERS, STUDY GUIDE,
EXAM PREP & COMPREHENSIVE REVIEW
| GRADED A+ | GUARANTEED SUCCESS
Updated Questions and Answers
100% Verified Exam Prep
,What are the differences between the medical standards Regulations are law and are mandatory. The ME must use standards to determine
and medical guidelines? interstate CMV driver medical fitness for duty. Medical guidelines are not
regulatory and the ME may choose not to follow the medical guidance.
In which regulations are the driver physical qualification Driver physical qualification standards are found in 49 CFR 391.41. ME
standards and Medical Examiners cited? responsibilities are found in 49 CFR 391.43
What objective tests and measurements are required as Height & weight
part of the driver physical examination? Vision
Hearing
BP & pulse
Urinalysis (spec gravity, protein, blood, glucose)
What are the possible outcomes of the driver physical Certification
examination? Disqualification
Determination pending
What date is used to determine medical examiners The date of the exam is used as the basis for certificate expiration, except when
certificate expiration? determination pending is chosen.
When determination pending is chosen, if the driver returns with the necessary
information prior to the expiration of the driver's current certificate and the driver
is qualified based on that information provided, the date used for the basis of the
certification timeframe is the date the driver returned with the necessary
information.
What is the ME certificate expiration date for the A: 4/16/2013
following drivers? B: 4/16/2012
A - Exam 4/16/2011, meets standards in 49 CFR 391.41, C: 4/25/2012
qualifies for 2 year certificate. D: 5/20/2013
B - Exam 4/16/2011, meets standards, but periodic
monitoring required due to HTN, qualifies for 1 year
certificate.
C - Exam 4/16/2011, determination pending due to not
having results of post-CABG stress test, pt returns and
provides that info on 4/25/2011, driver is qualified for 1
year.
D - Exam 4/16/2011, disqualified due to benign position
vertigo on 3/15/2011, returned to ME for certification
examination on 5/20/11. He has been asymptomatic since
3/11/2011. Qualified for two years.
, Patient example: Two year certification - no disqualifying health history or PE abnormalities.
Karen, recertification exam Ask about medication use, including OTC medications.
42 y/o female ME obtained hemoglobin testing based on PE findings. (not required)
No health history, no medications. The ME should correctly note the body system in which there was an abnormal
Vision acuity: right 20/20, left 20/30. Both 20/20. finding. The note reflects inquiry as to the affect on driving ability and is also
Horizontal field of vision Rt 80 degrees, Lt 80 degrees. supported by Hgb test results. ME also documented medical follow up advice.
Not corrected vision.
No monocular vision.
No hearing aids, Whisper test 5' bilaterally. N/A
audiometric testing
UA: spec grav 1.020, protein 1+, blood 4+, glucose neg.
Hgb 12.4
BP 134/88, P 80, regular.
PE: on 4th day of menses with heavy bleeding. Advised
to consult PCP or GYN for eval of excessive bleeding that
could lead to anemia, leading to fatigue that would affect
her driving.
Who can perform the vision portion of the interstate The certified ME, optometrist, or an opthalmologist. If the specialist provider
CMV driver physical examination? performs the exam, they should complete and sign the provider's information on
the report form and provide the results.
To pass the interstate CMV driver vision exam, a visual 20/40 on Snellen chart in each eye individually AND in both eyes combined.
acuity of ___/___corrected or uncorrected is required.
What eye conditions must the ME ask the driver about Retinopathy, cataracts, aphakia, glaucoma, and macular degeneration.
and if indicated, request specialist evaluation?
Pt example: Exam findings: Left eye muscles do not move eye to the left, discussed
Mr. Brown, 48 y/o male. No current meds, injury 5 years disqualification pending eye exam by specialist. Explained the specialist will get
ago. Hunting accident 2 years ago with facial trauma and precise visual field measurements. Provided driver with appropriate medical
left orbital fracture. Presented a "may drive" note from release and copy of medical exam report with vision section highlighted.
eye surgeon (dated 3 months prior to examination). Driver does not meet requirements. He is pending specialist vision exam.
Uncorrected vision, right eye 20/20. left eye 20/40. Both Diminished vision in left eye noted. Pt could be functionally monocular.
20/20. Horizontal field of vision Right 80 degrees, left eye
is inconclusive. No monocular vision. No hearing aids.
Whisper test 5' bilaterally. N/A audiometric test. UA
normal. BP 122/74, p 80, regular.
What is the purpose of the interstate CMV driver physical To detect the presence of physical, mental, or organic conditions of such
examination? character and extent as to affect the driver ability to operate a CMV safely. This
exam is for public safety determination and is considered by FMCSA to be a
"medical fitness for duty" examination.
