NRCME-Exam Questions and Answers 100% Verified 2024

NRCME-Exam Questions and Answers 100% Verified 2024 How many days can a driver be left in determination pending status? - answer45 days Cenral vision loss is due to __________ - answerMacular Degeneration Drivers with insulin-treated diabetes must provide to the treating clinician electronic blood glucose self-monitoring records for the most recent: - answer3 months When an individual has a medical history of epilepsy or a seizure disorder, the medical examiner may certify the individual if the individual is: - answerSeizure free AND off anti- epileptic medications for at least 10 years. What is the waiting period before a driver can be certified following coronary artery bypass grafting? - answer3 months FMCSA defines a severe hypoglycemic reaction as one that results in: - answerSeizure OR Need of assistance from another person OR Period of impaired cognitive function that occurs without warning. After undergoing ablation for atrial fibrillation, what is the minimum waiting period before a driver can be certified? - answer1 month A driver with a recent diagnosis of congestive heart failure and known ventricular arrhythmias may be certified for driving if his left ventricular ejection fraction is at least: - answer40% A 22 year-old male contracted meningococcal meningitis from his college roommate, discharged from the hospital 3 months ago. He brings no records with him. He is on no medications, is otherwise healthy, and his physical examination is entirely normal. The correct determination would be: - answerObtain hospital records. If there was no seizure activity, he must undergo a one year waiting period before he can be qualified, if there was seizure activity, he must undergo a 5 year waiting period seizure free and off anticonvulsant medication before he can be qualified. For how long must you retain a copy of the driver's medical records, including the certificate? - answer3 years When completing the commercial driver examination form for a driver with stage 3 hypertension: - answerA 6 month recertification - fill out a new form, check "recertification," do a complete examination. A driver is taking Lasix. Which of the following should be closely monitored? - answerSerum potassium. The SPE certificate is valid for a period not to exceed how many years from date of issue? - answer2 years A driver with a history of epilepsy must wait a minimum of how long before consideration may be given to certification? - answerTen years seizure free and off anticonvulsant medication. If the underlying condition causing the seizures has been corrected and is now stable, he may be certified for up to ______, or shorter periods at the discretion of the medical examiner. - answer2 years A screening pulse oximetry below what level mandates an ABG analysis? - answer92%. During the physical examination on a driver in whom you have psychological concerns, the questions you should ask: - answerShould be the same questions as you would ask for any individual who is be assessed for psychological concerns. After examining a driver, the Medical Examiner strongly feels that the driver is fit for commercial driving, even though he does not meet all standards per FMCSA regulations. The Medical Examiner should: - answerDisqualify the driver and explain that the regulations are legal requirements. What is the waiting period for certification following percutaneous coronary intervention? - answerA minimum one week post-procedure Checking for pupillary equality is a required part of the examination. On a driver's exam, you notice that the pupils are of different diameters, but both react appropriately to light. This is consistent with: - answerAnisocoria A driver presents for her DOT medical exam. During the exam history it is revealed that the driver is taken Lisinopril for hypertension, Simvastatin, and Antabuse. All other aspects of history and exam were normal. What should the examiner do next: - answerDisqualify the driver. What is the longest a medical examiner can certify a driver with a history of Stage 3 hypertension? - answer6 months What is the maximum certification period for Obstructive Sleep Apnea? - answer1 year A driver presents for clearance to return to driving a CMV six weeks after arthroscopic carpal tunnel repair on his right hand. Can he be recertified if he passes the grip strength test, and, if so, for how long? - answer2 years. A driver is disqualified on 3-11-13 due to benign positional vertigo. She returns on 6-20-13 with a note from her ENT that she has been symptom free since 4-16-13. You would: - answerPerform a recertification exam. If qualified issue a two year certification A driver with Atrial Fibrillation and good rate control: - answerCan be certified for 1 year after one month waiting period for stable anticoagulation therapy. A 70 year-old driver fails his eye exam. He returns after seeing his ophthalmolgist with a new pair of telescopic lenses and a note from the ophthalmologist stating the patient can drive. As the medical examiner you should: - answerDisqualify, telescopic lenses are not acceptable for commercial driving. The exercise tolerance test is the most common test used to evaluate workload capacity and detect cardiac abnormalities. The driver should be able to: - answer- Exercise to a workload capacity greater than 6 Metabolic Equivalents (METs) (through Bruce protocol stage II or equivalent). - Attain a heart rate greater than or equal to 85% of predicted maximum (unless on beta blockers). - Have a rise in systolic blood pressure greater than or equal to 20 mm Hg without angina. After a TIA a driver may not be certified if he/she: - answerHas not completed a one year waiting period seizure free and off anticonvulsants. Following acute myocardial infarction, the waiting period is a minimum of 2 months before the commercial driver can be considered for certification. The driver must have a post-MI echocardiogram demonstrating an EF of at least: - answer40% Recommend not to certify a driver with a history of COPD if: (PaO2 levels) - answerPaO2 is less than 65 mm Hg at altitudes below 5,000 feet. PaO2 is less than 60 mm Hg at altitudes above 5,000 feet. What is the waiting period following cardiac valve replacement (prosthetic valve)? - answer3 months Which of the following is a test for lumbar radiculopathy? - answerLasegue's sign. What is the waiting period before a driver with a history of a transient ischemic attack can be considered for certification to drive a commercial motor vehicle? - answerOne year. The medical examiner should educate the driver to refrain from operating a vehicle for at least how long after taking a medication with sedating side effects? - answer12 hours