NRCME exam 65 Questions With
Complete Verified Correct Answers by
Expert Tutor 2023/2024!!
A 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 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.
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
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
, NRCME exam 65 Questions With
Complete Verified Correct Answers by
Expert Tutor 2023/2024!!
cardiac history. You would: - Answer Disqualify and refer to his PMD or cardiologist
for further evaluation.
Which of the following best describes the length of time to certify a driver who has
non-insulin diabetes mellitus treated with oral medication and no other medical
issues? - Answer While such drivers may be certified for 2 years, the FMCSA prefers
that such drivers should have annual re-certification examinations.
A driver was discharged from the hospital 10 weeks ago after an MI. He is
asymptomatic and has a note from the cardiologist that he had a satisfactory in office
ETT the week prior to your examination and that he may drive. His pre-discharge
ECHO shows an EF of 45%. His examination is normal. Your determination: Answer
certify for 1 year because waiting period is at least 2 months after MI, no sypmtoms,
ETT pass, LVEF greater than 40 and no ECG changes
What are the 3 things that ME and driver must do with the certificate? - Answer 1.
ME must retain copy for at least 3 years
2. ME must provide a copy to prospective or current employer upon request
3. driver must carry certificate while operating CMV
A 69 year-old male driver had a femoral-popliteal bypass 4 months ago with
resolution of chronic leg pain due to claudication. His surgeon clears him for driving.
He is on coumadin with INRs consistently in the therapeutic range since discharge.
The correct determination is: - Answer Meets standards, qualified for one year.
What physical abilities must drivers have? - Answer grip strength, upper
body
strength and balance and
flexibility
A driver returns to work after a two week absence due to a respiratory
illness. He
presents a note from his physician that he was unable to work as a truck
driver
because of the illness and is now cleared for returning to work. His
medical
certificate expires in 3 months. The driver: - Answer should undergo a
new
examination
A driver is found to have diminished central acuity during Snellen chart acuity
testing.
This is suggestive of: - Answer macular
degeneration
Complete Verified Correct Answers by
Expert Tutor 2023/2024!!
A 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 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.
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
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
, NRCME exam 65 Questions With
Complete Verified Correct Answers by
Expert Tutor 2023/2024!!
cardiac history. You would: - Answer Disqualify and refer to his PMD or cardiologist
for further evaluation.
Which of the following best describes the length of time to certify a driver who has
non-insulin diabetes mellitus treated with oral medication and no other medical
issues? - Answer While such drivers may be certified for 2 years, the FMCSA prefers
that such drivers should have annual re-certification examinations.
A driver was discharged from the hospital 10 weeks ago after an MI. He is
asymptomatic and has a note from the cardiologist that he had a satisfactory in office
ETT the week prior to your examination and that he may drive. His pre-discharge
ECHO shows an EF of 45%. His examination is normal. Your determination: Answer
certify for 1 year because waiting period is at least 2 months after MI, no sypmtoms,
ETT pass, LVEF greater than 40 and no ECG changes
What are the 3 things that ME and driver must do with the certificate? - Answer 1.
ME must retain copy for at least 3 years
2. ME must provide a copy to prospective or current employer upon request
3. driver must carry certificate while operating CMV
A 69 year-old male driver had a femoral-popliteal bypass 4 months ago with
resolution of chronic leg pain due to claudication. His surgeon clears him for driving.
He is on coumadin with INRs consistently in the therapeutic range since discharge.
The correct determination is: - Answer Meets standards, qualified for one year.
What physical abilities must drivers have? - Answer grip strength, upper
body
strength and balance and
flexibility
A driver returns to work after a two week absence due to a respiratory
illness. He
presents a note from his physician that he was unable to work as a truck
driver
because of the illness and is now cleared for returning to work. His
medical
certificate expires in 3 months. The driver: - Answer should undergo a
new
examination
A driver is found to have diminished central acuity during Snellen chart acuity
testing.
This is suggestive of: - Answer macular
degeneration
