NRCME Exam With Verified Solutions 2024

NRCME Exam With Verified Solutions 2024 Commercial Motor Vehicle - correct answer.Any motor vehicle with a gross vehicle weight rating (GVWR) of 26,001 pounds or more or designed to carry 16 or more passengers, including the driver, or to transport hazardous materials in any weight class requiring the vehicle to be placarded transport >8 passengers for compensation transport >15 passengers compensation or not vision requirements - correct answer.Distant vision 20/40 each eye and 20/40 both eyes, Peripheral vision at least 70 degrees, Ability to recognize and distinguish between the colors of traffic signals and devices. how long to certify driver with stage 2 HTN - correct answer.3 months determination pending - correct answer.45 days to collect information needed to make deciison medical examination report amended Can a driver with monocular vision obtain a DOT certificate? - correct have a vision exemption certify for 1 year Cataracts - correct ing of the lens low, progressve opacification of the crystalline lens of the eye, diminished visual acuity Glare during night driving, oncoming headlights glaucoma - correct ased intraocular pressure results in damage to the retina and optic nerve with loss of vision Deficits in peripheral vision Visual attention, night vision, color vision aphakia - correct ce of the lens of the eye Loss of visual accommodation or hyperopia macular degeneration - correct essive damage to the macula of the retina Leading cause of legal blindness Interferes with detailed, central vision Visual acuity drops-snellen Cannot use telescopic lenses retinopathy - correct erative disease of the retina Diabetes mellitus Damage to the retina Can lead to retinal detachment and blindness Hearing qualifications - correct answer.Hears forced whisper at 5 ft Does not have average hearing loss in the good ear >40db at 500, 1000 and 2000 hz Only has to pass in 1 ear Must use hearing aid while driving vertigo - correct ness Uncontrolled is disqualifying Must be 2 months symptom free of BPV, acute/chronic peripheral vestibulopathy risk factors for cardiovascular disease - correct answer.Age 39 years old Obesity, sedentary lifestyle Driving stressors Environmental stressors arrhythmia - correct answer.Abnormal heart rhythm most likely cause of sudden driver incapacitation echocardiogram - correct sound of the heart LVEF greater than or equal to 40% exercise tolerance test - correct ors ECG and blood pressure during exercise Exercise to a workload capacity greater than 6 metabolic equivalents through bruce protocol stage II or equivalent Attain a HR greater than or equal to 85% of predicted maximum unless on BB Have a rise in systolic BP greater than or equal to 20mmHg w/o angina No ST segment depression acute myocardial infarction - correct condition in which a portion of the myocardium dies as a result of oxygen starvation; often called a heart attack by laypersons Waiting period is a minimum of 2 months Maximum certification period is 1 year Asymptomatic, tolerance, ETT post MI and biennial Resting LVEF greater than or equal to 40% unstable angina - correct pain that occurs while a person is at rest and not exerting himself Waiting period is 3 months