NRCMEStudySheet issues and Options N N N N N N
vision requirements - correct answers-Distant vision 20/40 each eye and 20/40 both eyes,
N N N N N N N N N N N N
Peripheral vision at least 70 degrees, Abilityto recognize and distinguish betwen the colors of
N N N N N N N N N N N N N N N
traffic signals and devices.
N N N N
If the driver presents a valid vision exemption, howlong can he be certified? - correct
N N N N N N N N N N N N N N N
answers-1 year
N N
The driver with a vision exemption must present what 2 things before receiving the medical
N N N N N N N N N N N N N N
examiner's certificate. -correct answers-Valid vision exemption and copyof the specialist eye
N N N N N N N N N N N N N
examination report.
N N
When applying for a vision exemption, the driver should include a copy of the Medical
N N N N N N N N N N N N N N
Examination Reportform and themedical examiner's certification with what marked? - correct
N N N N N N N N N N N N N
answers-The "accompanied by" exemption checkbox and write "vision" to identify the type of
N N N N N N N N N N N N N
exemption.
N
If the driver is qualified by operation of 49 CFR 391.64 due to participation in the vision study
N N N N N N N N N N N N N N N N N
program, what must the driver present to qualify for certification? - correct answers-Letter
N N N N N N N N N N N N N
identifying the driver as a participant and copy of the specialist eye examination.
N N N N N N N N N N N N N
Howlong can a driver who is qualified byoperation of 49 CFR 391.64 be certified. - correct
N N N N N N N N N N N N N N N N N
answers-1 year
N N
hearing requirements - correct answers-Whisper at not less than 5 feet in 1 ear, or average
N N N N N N N N N N N N N N N
hearing loss no greater than 40 dB at 500Hz, 1000Hz, 2000 Hz in 1 ear.
N N N N N N N N N N N N N N N
What is the waiting period for vertigo caused bybenign positional vertigo or acute/chronic
N N N N N N N N N N N N N
peripheral vestibulopathy? - correct answers-3 months
N N N N N N
Name4 otic conditionsthatare automatic disqualification - correctanswers-Meniere's,
N N N N N N N N N N
uncontrolled vertigo, labyrinthine fistula, nonfunctioning labyrinth
N N N N N N
Apnea-hypopnea indexof [blank] ormore episodes per hour is diagnostic of OSA - correct N N N N N N N N N N N N N N
answers-30
N
3 requirements for a passing ETT - correct answers-1. increased SBP of at least 20 without
N N N N N N N N N N N N N N N
angina
N
2. workload capacity >6 METs N N N
3. no significant ST depression
N N N
,Examiners must retain records forhowmanyyears? - correct answers-3 N N N N N N N N N N
Regulation thatdescribes the physical qualificationsof drivers. - correct answers-49 CFR
N N N N N N N N N N N
391.41
N
Regulation thatdescribes the responsibilities of themedical examiner. - correct
N N N N N N N N N N
answers-49 CFR 391.43
N N N
Regulation that describes the process for conflict resolution when there is a disagreement
N N N N N N N N N N N N
between the primary care provider for the driver and the medical examinerfor the motor
N N N N N N N N N N N N N N N
carrier concerning driving qualifications. - correct answers-49 CFR 391.47
N N N N N N N N N
RegulationthatdescribestheSkillPerformance Evaluation(SPE)CertificationProgram.
N N N N N N N N N
-correctanswers-49CFR391.49
N N N N
Regulation that describes limited exemptionsfor intra-city zone drivers. - correct
N N N N N N N N N N
answers-49 CFR 391.62
N N N
Regulation thatdescribes grandfatheringfor certain drivers who participated in vision and
N N N N N N N N N N N
diabetes waiver study programs. - correct answers-49 CFR 391.64
N N N N N N N N N
Regulation that includes regulations for medical review officers and substance abuse
N N N N N N N N N N
professionals, including drugand alcohol testing procedures. - correct answers-49 CFR 40
N N N N N N N N N N N N
Define Stage I Hypertension - correct answers-BP greater than or equal to 140/90
N N N N N N N N N N N N
What is the maximum certification period for stage I hypertension if this is the 1st examination
N N N N N N N N N N N N N N N
at which the driver has BP equivalent to stage I hypertension and has no history of
N N N N N N N N N N N N N N N N
hypertension? - correct answers-1 year
N N N N N
What is the maximum certification periodfor untreated known or inadequately controlled
N N N N N N N N N N N
stage I hypertension? - correct answers-3 months
N N N N N N N
What is the maximum certification periodforblood pressure>140/90 and the following:
N N N N N N N N N N N N
follow-up 3 months certificate or history of stage III hypertension - correct answers- None,
N N N N N N N N N N N N N N
driver is disqualified
N N N
Define Stage II hypertension. - correct answers-BP is ≥ 160 to <180 SYSTOLIC, and is
N N N N N N N N N N N N N N
≥100 to < 110 Diastolic
N N N N
Whatis the maximum certification periodforStage II hypertension with blood pressure
N N N N N N N N N N N N
>140/90?-correct answers-3 months N N N N
, Whatis the maximum certification periodforStage II hypertension with blood pressure
N N N N N N N N N N N N
</140/90?-correct answers-1 year N N N N
Define Stage III hypertension. - correct answers-BP >180 Systolic and > 110 Diastolic
N N N N N N N N N N N N
Whatis the maximum certification periodforStage III hypertension with blood pressure
N N N N N N N N N N N N
>140/90? - correct answers-1 time certificatefor 3 months in accordance with stage 1 or 2 HTN
N N N N N N N N N N N N N N N N
guidelines, as determined by a case by case basis.
N N N N N N N N N
What is the maximum certification period for a driver with a history of Stage III hypertension
N N N N N N N N N N N N N N N
but t exam hisBP is at or less 140/90 and treatment is well tolerated? - correct answers-6
N N N N N N N N N N N N N N N N N N
months
N
Whatis the maximum certification periodforStage III hypertension with blood pressure
N N N N N N N N N N N N
>180/110?- correct answers-None, driver is disqualified. N N N N N N
What is the waiting period and maximum certification periodfor surgical correction of
N N N N N N N N N N N N
secondary hypertension? - correct answers-3 months and 1 year post surgical correction
N N N N N N N N N N N N
What is the waiting period and maximum certification period for driver on anticoagulants for
N N N N N N N N N N N N N
cardiovascular cause? - correct answers-1 month stabilized and 1 year with monthly INRs
N N N N N N N N N N N N N
What is the waiting period and maximum certification periodfor driver on anticoagulants for
N N N N N N N N N N N N N
neurlogical condition? - correct answers-None, driver is disqualified.
N N N N N N N N
5 reasons to disqualifya driver with AAA - correct answers-1. Symptomatic
N N N N N N N N N N N
2. AAA >5cm N
3. AAA 4-5 cm and does not have clearance from a cardiologist
N N N N N N N N N N
4. AAA increased in size 0.5cm in 6 months
N N N N N N N
5. Surgical repair was recommended but not done N N N N N N
Maximum certification period for driver with AAA that isasymptomatic or <4cm, >4cm and
N N N N N N N N N N N N N
<5cm but has clearance from cardiologist - correct answers-1 year
N N N N N N N N N N
MaximumcertificationperiodforAcuteDVT -correctanswers-1 year
N N N N N N N N N
MaximumcertificationperiodforChronicDVT -correct answers-2 years
N N N N N N N N N
Waitingperiod and maximum certificationperiod for intermittent claudication if driver has no
N N N N N N N N N N N N
resting pain. - correct answers-3 months for post-surgical repair and 1 year
N N N N N N N N N N N N
Waitingperiod and maximum certificationforaneurysms of visceral, peripheralarteries or
N N N N N N N N N N N
venous vessels - correct answers-3 months post-surgical repair and 1 year with clearance
N N N N N N N N N N N N N
from cardiologist
N N
vision requirements - correct answers-Distant vision 20/40 each eye and 20/40 both eyes,
N N N N N N N N N N N N
Peripheral vision at least 70 degrees, Abilityto recognize and distinguish betwen the colors of
N N N N N N N N N N N N N N N
traffic signals and devices.
N N N N
If the driver presents a valid vision exemption, howlong can he be certified? - correct
N N N N N N N N N N N N N N N
answers-1 year
N N
The driver with a vision exemption must present what 2 things before receiving the medical
N N N N N N N N N N N N N N
examiner's certificate. -correct answers-Valid vision exemption and copyof the specialist eye
N N N N N N N N N N N N N
examination report.
N N
When applying for a vision exemption, the driver should include a copy of the Medical
N N N N N N N N N N N N N N
Examination Reportform and themedical examiner's certification with what marked? - correct
N N N N N N N N N N N N N
answers-The "accompanied by" exemption checkbox and write "vision" to identify the type of
N N N N N N N N N N N N N
exemption.
N
If the driver is qualified by operation of 49 CFR 391.64 due to participation in the vision study
N N N N N N N N N N N N N N N N N
program, what must the driver present to qualify for certification? - correct answers-Letter
N N N N N N N N N N N N N
identifying the driver as a participant and copy of the specialist eye examination.
N N N N N N N N N N N N N
Howlong can a driver who is qualified byoperation of 49 CFR 391.64 be certified. - correct
N N N N N N N N N N N N N N N N N
answers-1 year
N N
hearing requirements - correct answers-Whisper at not less than 5 feet in 1 ear, or average
N N N N N N N N N N N N N N N
hearing loss no greater than 40 dB at 500Hz, 1000Hz, 2000 Hz in 1 ear.
N N N N N N N N N N N N N N N
What is the waiting period for vertigo caused bybenign positional vertigo or acute/chronic
N N N N N N N N N N N N N
peripheral vestibulopathy? - correct answers-3 months
N N N N N N
Name4 otic conditionsthatare automatic disqualification - correctanswers-Meniere's,
N N N N N N N N N N
uncontrolled vertigo, labyrinthine fistula, nonfunctioning labyrinth
N N N N N N
Apnea-hypopnea indexof [blank] ormore episodes per hour is diagnostic of OSA - correct N N N N N N N N N N N N N N
answers-30
N
3 requirements for a passing ETT - correct answers-1. increased SBP of at least 20 without
N N N N N N N N N N N N N N N
angina
N
2. workload capacity >6 METs N N N
3. no significant ST depression
N N N
,Examiners must retain records forhowmanyyears? - correct answers-3 N N N N N N N N N N
Regulation thatdescribes the physical qualificationsof drivers. - correct answers-49 CFR
N N N N N N N N N N N
391.41
N
Regulation thatdescribes the responsibilities of themedical examiner. - correct
N N N N N N N N N N
answers-49 CFR 391.43
N N N
Regulation that describes the process for conflict resolution when there is a disagreement
N N N N N N N N N N N N
between the primary care provider for the driver and the medical examinerfor the motor
N N N N N N N N N N N N N N N
carrier concerning driving qualifications. - correct answers-49 CFR 391.47
N N N N N N N N N
RegulationthatdescribestheSkillPerformance Evaluation(SPE)CertificationProgram.
N N N N N N N N N
-correctanswers-49CFR391.49
N N N N
Regulation that describes limited exemptionsfor intra-city zone drivers. - correct
N N N N N N N N N N
answers-49 CFR 391.62
N N N
Regulation thatdescribes grandfatheringfor certain drivers who participated in vision and
N N N N N N N N N N N
diabetes waiver study programs. - correct answers-49 CFR 391.64
N N N N N N N N N
Regulation that includes regulations for medical review officers and substance abuse
N N N N N N N N N N
professionals, including drugand alcohol testing procedures. - correct answers-49 CFR 40
N N N N N N N N N N N N
Define Stage I Hypertension - correct answers-BP greater than or equal to 140/90
N N N N N N N N N N N N
What is the maximum certification period for stage I hypertension if this is the 1st examination
N N N N N N N N N N N N N N N
at which the driver has BP equivalent to stage I hypertension and has no history of
N N N N N N N N N N N N N N N N
hypertension? - correct answers-1 year
N N N N N
What is the maximum certification periodfor untreated known or inadequately controlled
N N N N N N N N N N N
stage I hypertension? - correct answers-3 months
N N N N N N N
What is the maximum certification periodforblood pressure>140/90 and the following:
N N N N N N N N N N N N
follow-up 3 months certificate or history of stage III hypertension - correct answers- None,
N N N N N N N N N N N N N N
driver is disqualified
N N N
Define Stage II hypertension. - correct answers-BP is ≥ 160 to <180 SYSTOLIC, and is
N N N N N N N N N N N N N N
≥100 to < 110 Diastolic
N N N N
Whatis the maximum certification periodforStage II hypertension with blood pressure
N N N N N N N N N N N N
>140/90?-correct answers-3 months N N N N
, Whatis the maximum certification periodforStage II hypertension with blood pressure
N N N N N N N N N N N N
</140/90?-correct answers-1 year N N N N
Define Stage III hypertension. - correct answers-BP >180 Systolic and > 110 Diastolic
N N N N N N N N N N N N
Whatis the maximum certification periodforStage III hypertension with blood pressure
N N N N N N N N N N N N
>140/90? - correct answers-1 time certificatefor 3 months in accordance with stage 1 or 2 HTN
N N N N N N N N N N N N N N N N
guidelines, as determined by a case by case basis.
N N N N N N N N N
What is the maximum certification period for a driver with a history of Stage III hypertension
N N N N N N N N N N N N N N N
but t exam hisBP is at or less 140/90 and treatment is well tolerated? - correct answers-6
N N N N N N N N N N N N N N N N N N
months
N
Whatis the maximum certification periodforStage III hypertension with blood pressure
N N N N N N N N N N N N
>180/110?- correct answers-None, driver is disqualified. N N N N N N
What is the waiting period and maximum certification periodfor surgical correction of
N N N N N N N N N N N N
secondary hypertension? - correct answers-3 months and 1 year post surgical correction
N N N N N N N N N N N N
What is the waiting period and maximum certification period for driver on anticoagulants for
N N N N N N N N N N N N N
cardiovascular cause? - correct answers-1 month stabilized and 1 year with monthly INRs
N N N N N N N N N N N N N
What is the waiting period and maximum certification periodfor driver on anticoagulants for
N N N N N N N N N N N N N
neurlogical condition? - correct answers-None, driver is disqualified.
N N N N N N N N
5 reasons to disqualifya driver with AAA - correct answers-1. Symptomatic
N N N N N N N N N N N
2. AAA >5cm N
3. AAA 4-5 cm and does not have clearance from a cardiologist
N N N N N N N N N N
4. AAA increased in size 0.5cm in 6 months
N N N N N N N
5. Surgical repair was recommended but not done N N N N N N
Maximum certification period for driver with AAA that isasymptomatic or <4cm, >4cm and
N N N N N N N N N N N N N
<5cm but has clearance from cardiologist - correct answers-1 year
N N N N N N N N N N
MaximumcertificationperiodforAcuteDVT -correctanswers-1 year
N N N N N N N N N
MaximumcertificationperiodforChronicDVT -correct answers-2 years
N N N N N N N N N
Waitingperiod and maximum certificationperiod for intermittent claudication if driver has no
N N N N N N N N N N N N
resting pain. - correct answers-3 months for post-surgical repair and 1 year
N N N N N N N N N N N N
Waitingperiod and maximum certificationforaneurysms of visceral, peripheralarteries or
N N N N N N N N N N N
venous vessels - correct answers-3 months post-surgical repair and 1 year with clearance
N N N N N N N N N N N N N
from cardiologist
N N
