DOT Exam - NRCME Training Institute Material (Pretest review) Qs&As 2024

DOT Exam - NRCME Training Institute Material (Pretest review) Qs&As 2024 What is the mission of FMCSA? - ANS-FMCSA is focused on reducing crashes, injuries, and fatalities involving large trucks and buses. Who and what does the FMCSA regulate? - ANS-Interstate commercial operation, including the driver, vehicle, motor carrier, and the transport of hazardous materials. Examples of CMV driver stress factors - ANS-Interruption of normal sleep, exercising, eating pattern, and access to social support networks resulting in fatigue, obesity, and or/alienation of affection. Environment that may have excessive vibration, noise, and extremes in temperature and or/adverse road or traffic conditions that can interfere with driver ability to recognize a driving hazard, cause temporary or permanent physical damage to sensory perception or affect driver behavior. Increased potential for injury and fatalities should there be a crash when driver is responsible for passenger safety or hazardous cargo. What are the differences between the medical standards and medical guidelines? - ANS-Regulations are law and are mandatory. The ME must use standards to determine 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 standards and Medical Examiners cited? - ANSDriver physical qualification standards are found in 49 CFR 391.41. ME responsibilities are found in 49 CFR 391.43 What objective tests and measurements are required as part of the driver physical examination? - ANSHeight & weight Vision Hearing BP & pulse Urinalysis (spec gravity, protein, blood, glucose) What are the possible outcomes of the driver physical examination? - ANS-Certification Disqualification Determination pending What date is used to determine medical examiners certificate expiration? - ANS-The date of the exam is used as the basis for certificate expiration, except when 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 following drivers? A - Exam 4/16/2011, meets standards in 49 CFR 391.41, qualifies for 2 year certificate. 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. - ANS-A: 4/16/2013 B: 4/16/2012 C: 4/25/2012 D: 5/20/2013 Patient example: Karen, recertification exam 42 y/o female No health history, no medications. CONTINUES...