NRCME (DOT) Exam: Questions & Answers: Latest Updated A+ Guide Solution

FMCSA Mission Statement (Ans- To reduce crashes, injuries, fatalities involving large trucks/buses Medical Examiner (Ans- Licensed, certified, registered provider who can perform PEs in accordance with laws and regulations ; registered through NRS ; has unique identifier ; passes MEC test FMCSA (Ans- Federal Motor Carrier Safety Administration NRCME (Ans- National Registry of Certified Medical Examiners Commerical Motor Vehicle (Ans- Weight >1000 lb ; or transports >8 people for compensation ; or >15 people without compensation ; transports hazardous materials requiring placarding Interstate commerce vs. Intrastate commerce (Ans- Interstate: multiple states or international Intrastate: within 1 state Who regulates treatment/management and aftercare of substance abuse for drivers? (Ans- SAP (Substance Abuse Professional) Who determines the origin of abnormal drug test results, determining whether the driver has violated drug use regulations? (Ans- Medical Review Officer Title 49 CFR 391.41 (Ans- Medical Examiner Report Form - Paperwork completed during DOT physical - Physical exam requirements for driver - Determines if Certificate is granted Title 49 CFR 391.43 (Ans- Describes responsibilities of Medical Examiner, instructions for exam, and requirements for medical certification - Supporting information to explain 391.41 When was DOT established? (Ans- 1966 Became separate entity on Jan 1, 2000 Motor Carrier Safety Improvement Act of 1999 (Ans- Established DOT as separate federal entity Omnibus Transportation Employee Testing Act of 1991 (Ans- Required drug testing for drivers The driver must always keep a copy of ____________________ with them while driving (Ans- Medical Certificate SPE if applicable Does the driver need to sign a medical release before you release their Medical Certification? (Ans- No. Certificate is provided to employer. (Release is required for a copy of medical report form) How many standards are used to determine driver fitness for duty? (Ans- 13 How many standards of "driver fitness for duty" are *discretionary*? (Ans- 9 (according to my review course) - Other sources say 10 and say that T2DM is discretionary How many standards of "driver fitness for duty" are *NON- discretionary*? (Ans- 4 - Vision - Hearing - Epilepsy - T2DM (Some sources say 3 and do not include T2DM) Age requirement for drivers (Ans- 21+ Language requirement for drivers (Ans- Must be able to read/speak English well enough to read signs, communicate Height/weight requirement for drivers (Ans- There is none What is tested for in urine? (Ans- USG PRO BLO GLU How long are you (the provider) required to keep a copy of a driver's Medical Certificate? (Ans- 3 years After a reading of Stage 3 hypertension, how often can a driver be certified? (Ans- Only every 6 months max - Disqualify until BP <140/90 - 3 month cert if <160/100 and they are initiating treatment for the first time - May certify Q1 year post surgical correction of secondary HTN Which generation of antihistamines should be used for drivers? (Ans- 2nd gen - Nonsedating A driver must wait ___ hours after taking a sedating med before driving (Ans- 12+ hours Urine drug testing includes: (Ans- MJ Tobacco Amphetamines Cocaine Opiates Which type of stroke only requires a 1 year waiting period? (Ans- Cerebellar or brainstem, which has low risk for seizures - And NO hx of seizure - + Neuro clearance and normal neuro exam What is the A1C requirement for drivers with T2DM? (Ans- There is not one