NRCME exam|65 Questions and Answers with Complete Solution 2023

NRCME exam|65 Questions and Answers with Complete Solution 2023A driver is taking Celexa for the treatment of what he calls a "mild depression". He reports he has not considered or attempted suicide. The examiner should do what? - Answer Temporarily disqualify the driver until he obtains written clearance for the depression and the medication from the treating provider. Can hearing aids be worn during the forced whisper test? - Answer NO A driver with a history of diabetes, who is taking Metformin, provides a note from his primary care provider that lists his A1c level as 10. His exam is essentially normal including laboratory analysis, except he is very overweight. The medical examiner should: - Answer A driver with a history of diabetes, who is taking Metformin, provides a note from his primary care provider that lists his A1c level as 10. His exam is essentially normal including laboratory analysis, except he is very overweight. The medical examiner should: - Answer certify for 1 year A driver has had his second spontaneous pneumothorax on the same side 3 months ago. There has been no surgical intervention. The FVC is 68%. The correct determination in this case is: - Answer Do not certify until the condition has been corrected surgically. The driver reports a suicide attempt 6 months earlier, following the break-up of his marriage. He noted seeing a psychiatrist and he takes Citalopram daily and he reports he feels fine now and is moving on with his life. He provides a release from his doctor that he may return to work without restrictions. The medical examiner should? - Answer disqualify the driver A driver with an Abnormal Aortic Aneurysm (AAA) can be certified: - Answer For 1 year if between 4 and 5 cm, asymptomatic, with a recommendation from a cardiovascular specialist who understands the functions and demands of commercial driving. If a driver responds yes to the history section of the exam form, what details must he include? - Answer 1. date of onset 2. diagnosis 3. PCP contact info 4. any limitations 5. medications including prescription, OTC and herbal supplements Upon examination of a 46 year-old male smoker, you detect an irregularly irregular heart rhythm. The rate is 140 bpm. This is unknown to the driver and he denies any symptoms of lightheadedness, shortness of breath, dizziness, palpitations, nor any cardiac history. You would: - Answer Disqualify and refer to his PMD or cardiologist for further evaluation.