NRCME Study Sheet
Study online at https://quizlet.com/_qned4
1. vision requirements: Distant vision 20/40 each eye and 20/40 both eyes, Periph-
eral vision at least 70 degrees, Ability to recognize and distinguish betwen the colors
of traffic signals and devices.
2. If the driver presents a valid vision exemption, how long can he be certi-
fied?: 1 year
3. The driver with a vision exemption must present what 2 things before
receiving the medical examiner's certificate.: Valid vision exemption and copy
of the specialist eye examination report.
4. When applying for a vision exemption, the driver should include a copy of
the Medical Examination Report form and the medical examiner's certification
with what marked?: The "accompanied by" exemption checkbox and write "vision"
to identify the type of exemption.
5. If the driver is qualified by operation of 49 CFR 391.64 due to participation
in the vision study program, what must the driver present to qualify for
certification?: Letter identifying the driver as a participant and copy of the specialist
eye examination.
6. How long can a driver who is qualified by operation of 49 CFR 391.64 be
certified.: 1 year
7. hearing requirements: Whisper at not less than 5 feet in 1 ear, or average
hearing loss no greater than 40 dB at 500Hz, 1000Hz, 2000 Hz in 1 ear.
8. What is the waiting period for vertigo caused by benign positional vertigo
or acute/chronic peripheral vestibulopathy?: 3 months
9. Name 4 otic conditions that are automatic disqualification: Meniere's, uncon-
trolled vertigo, labyrinthine fistula, nonfunctioning labyrinth
10. Apnea-hypopnea index of [blank] or more episodes per hour is diagnostic
of OSA: 30
11. 3 requirements for a passing ETT: 1. increased SBP of at least 20 without
angina
2. workload capacity >6 METs
3. no significant ST depression
12. Examiners must retain records for how many years?: 3
13. Regulation that describes the physical qualifications of drivers.: 49 CFR
391.41
14. Regulation that describes the responsibilities of the medical examiner.: 49
CFR 391.43
15. Regulation that describes the process for conflict resolution when there
is a disagreement between the primary care provider for the driver and the
medical examiner for the motor carrier concerning driving qualifications.: 49
CFR 391.47
, NRCME Study Sheet
Study online at https://quizlet.com/_qned4
16. Regulation that describes the Skill Performance Evaluation (SPE) Certifi-
cation Program.: 49 CFR 391.49
17. Regulation that describes limited exemptions for intra-city zone drivers.: -
49 CFR 391.62
18. Regulation that describes grandfathering for certain drivers who partici-
pated in vision and diabetes waiver study programs.: 49 CFR 391.64
19. Regulation that includes regulations for medical review officers and sub-
stance abuse professionals, including drug and alcohol testing procedures.-
: 49 CFR 40
20. Define Stage I Hypertension: BP greater than or equal to 140/90
21. What is the maximum certification period for stage I hypertension if this is
the 1st examination at which the driver has BP equivalent to stage I hyperten-
sion and has no history of hypertension?: 1 year
22. What is the maximum certification period for untreated known or inade-
quately controlled stage I hypertension?: 3 months
23. What is the maximum certification period for blood pressure >140/90 and
the following: follow-up 3 months certificate or history of stage III hyperten-
sion: None, driver is disqualified
24. Define Stage II hypertension.: BP is e 160 to <180 SYSTOLIC, and is e100 to
110 Diastolic
25. What is the maximum certification period for Stage II hypertension with
blood pressure >140/90?: 3 months
26. What is the maximum certification period for Stage II hypertension with
blood pressure </140/90?: 1 year
27. Define Stage III hypertension.: BP >180 Systolic and > 110 Diastolic
28. What is the maximum certification period for Stage III hypertension with
blood pressure >140/90?: 1 time certificate for 3 months in accordance with stage
1 or 2 HTN guidelines, as determined by a case by case basis.
29. What is the maximum certification period for a driver with a history of Stage
III hypertension but t exam his BP is at or less 140/90 and treatment is well
tolerated?: 6 months
30. What is the maximum certification period for Stage III hypertension with
blood pressure >180/110?: None, driver is disqualified.
31. What is the waiting period and maximum certification period for surgical
correction of secondary hypertension?: 3 months and 1 year post surgical cor-
rection
32. What is the waiting period and maximum certification period for driver on
anticoagulants for cardiovascular cause?: 1 month stabilized and 1 year with
monthly INRs
, NRCME Study Sheet
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33. What is the waiting period and maximum certification period for driver on
anticoagulants for neurlogical condition?: None, driver is disqualified.
34. 5 reasons to disqualify a driver with AAA: 1. Symptomatic
2. AAA >5cm
3. AAA 4-5 cm and does not have clearance from a cardiologist
4. AAA increased in size 0.5cm in 6 months
5. Surgical repair was recommended but not done
35. Maximum certification period for driver with AAA that is asymptomatic or
<4cm, >4cm and <5cm but has clearance from cardiologist: 1 year
36. Maximum certification period for Acute DVT: 1 year
37. Maximum certification period for Chronic DVT: 2 years
38. Waiting period and maximum certification period for intermittent claudica-
tion if driver has no resting pain.: 3 months for post-surgical repair and 1 year
39. Waiting period and maximum certification for aneurysms of visceral, pe-
ripheral arteries or venous vessels: 3 months post-surgical repair and 1 year with
clearance from cardiologist
40. Waiting period and maximum certification for peripheral vascular disease-
: 3 months post-surgical repair and 1 year without resting pain
41. Waiting period and maximum certification for pulmonary emboli: 3 months
with no pulmonary embolism and 1 year if asymptomatic
42. Maximum certification period for superficial phlebitis: 2 years
43. Waiting period and maximum certification for thoracic aneurysm <3.5cm: 3
months post surgical repair and 1 year
44. True or false: having an ICD is automatic disqualification: true
45. Min waiting period for pacemaker implantation for sinus node dysfunction
or AV block: 1 month
46. Min waiting period for pacemaker implantation for neurocardiogenic syn-
cope or hypersensitive carotid sinus with syncope: 3 months
47. In order for a driver to receive maximum certification period of 1 year for
pacemaker the driver must:: Comply with pacemaker center scheduled function
checks and provide documentation of pacemaker function checks at examination.
48. Minimum waiting period for atrial fibrillation: 1 month with adequate antico-
agulation
49. Minimum waiting period for atrial flutter: 1 month post-isthmus ablation
50. Minimum waiting period for AV nodal reentrant tachycardia, AV reentrant
tachycardia and Wolff-Parkinson-White syndrome, Atrial tachycardia, Junc-
tional tachycardia: 1 month without symptoms
51. Maximum certification period for SVT with adequate rate control, anticoag-
ulation if indicated, and clearance from a cardiologist.: 1 year
Study online at https://quizlet.com/_qned4
1. vision requirements: Distant vision 20/40 each eye and 20/40 both eyes, Periph-
eral vision at least 70 degrees, Ability to recognize and distinguish betwen the colors
of traffic signals and devices.
2. If the driver presents a valid vision exemption, how long can he be certi-
fied?: 1 year
3. The driver with a vision exemption must present what 2 things before
receiving the medical examiner's certificate.: Valid vision exemption and copy
of the specialist eye examination report.
4. When applying for a vision exemption, the driver should include a copy of
the Medical Examination Report form and the medical examiner's certification
with what marked?: The "accompanied by" exemption checkbox and write "vision"
to identify the type of exemption.
5. If the driver is qualified by operation of 49 CFR 391.64 due to participation
in the vision study program, what must the driver present to qualify for
certification?: Letter identifying the driver as a participant and copy of the specialist
eye examination.
6. How long can a driver who is qualified by operation of 49 CFR 391.64 be
certified.: 1 year
7. hearing requirements: Whisper at not less than 5 feet in 1 ear, or average
hearing loss no greater than 40 dB at 500Hz, 1000Hz, 2000 Hz in 1 ear.
8. What is the waiting period for vertigo caused by benign positional vertigo
or acute/chronic peripheral vestibulopathy?: 3 months
9. Name 4 otic conditions that are automatic disqualification: Meniere's, uncon-
trolled vertigo, labyrinthine fistula, nonfunctioning labyrinth
10. Apnea-hypopnea index of [blank] or more episodes per hour is diagnostic
of OSA: 30
11. 3 requirements for a passing ETT: 1. increased SBP of at least 20 without
angina
2. workload capacity >6 METs
3. no significant ST depression
12. Examiners must retain records for how many years?: 3
13. Regulation that describes the physical qualifications of drivers.: 49 CFR
391.41
14. Regulation that describes the responsibilities of the medical examiner.: 49
CFR 391.43
15. Regulation that describes the process for conflict resolution when there
is a disagreement between the primary care provider for the driver and the
medical examiner for the motor carrier concerning driving qualifications.: 49
CFR 391.47
, NRCME Study Sheet
Study online at https://quizlet.com/_qned4
16. Regulation that describes the Skill Performance Evaluation (SPE) Certifi-
cation Program.: 49 CFR 391.49
17. Regulation that describes limited exemptions for intra-city zone drivers.: -
49 CFR 391.62
18. Regulation that describes grandfathering for certain drivers who partici-
pated in vision and diabetes waiver study programs.: 49 CFR 391.64
19. Regulation that includes regulations for medical review officers and sub-
stance abuse professionals, including drug and alcohol testing procedures.-
: 49 CFR 40
20. Define Stage I Hypertension: BP greater than or equal to 140/90
21. What is the maximum certification period for stage I hypertension if this is
the 1st examination at which the driver has BP equivalent to stage I hyperten-
sion and has no history of hypertension?: 1 year
22. What is the maximum certification period for untreated known or inade-
quately controlled stage I hypertension?: 3 months
23. What is the maximum certification period for blood pressure >140/90 and
the following: follow-up 3 months certificate or history of stage III hyperten-
sion: None, driver is disqualified
24. Define Stage II hypertension.: BP is e 160 to <180 SYSTOLIC, and is e100 to
110 Diastolic
25. What is the maximum certification period for Stage II hypertension with
blood pressure >140/90?: 3 months
26. What is the maximum certification period for Stage II hypertension with
blood pressure </140/90?: 1 year
27. Define Stage III hypertension.: BP >180 Systolic and > 110 Diastolic
28. What is the maximum certification period for Stage III hypertension with
blood pressure >140/90?: 1 time certificate for 3 months in accordance with stage
1 or 2 HTN guidelines, as determined by a case by case basis.
29. What is the maximum certification period for a driver with a history of Stage
III hypertension but t exam his BP is at or less 140/90 and treatment is well
tolerated?: 6 months
30. What is the maximum certification period for Stage III hypertension with
blood pressure >180/110?: None, driver is disqualified.
31. What is the waiting period and maximum certification period for surgical
correction of secondary hypertension?: 3 months and 1 year post surgical cor-
rection
32. What is the waiting period and maximum certification period for driver on
anticoagulants for cardiovascular cause?: 1 month stabilized and 1 year with
monthly INRs
, NRCME Study Sheet
Study online at https://quizlet.com/_qned4
33. What is the waiting period and maximum certification period for driver on
anticoagulants for neurlogical condition?: None, driver is disqualified.
34. 5 reasons to disqualify a driver with AAA: 1. Symptomatic
2. AAA >5cm
3. AAA 4-5 cm and does not have clearance from a cardiologist
4. AAA increased in size 0.5cm in 6 months
5. Surgical repair was recommended but not done
35. Maximum certification period for driver with AAA that is asymptomatic or
<4cm, >4cm and <5cm but has clearance from cardiologist: 1 year
36. Maximum certification period for Acute DVT: 1 year
37. Maximum certification period for Chronic DVT: 2 years
38. Waiting period and maximum certification period for intermittent claudica-
tion if driver has no resting pain.: 3 months for post-surgical repair and 1 year
39. Waiting period and maximum certification for aneurysms of visceral, pe-
ripheral arteries or venous vessels: 3 months post-surgical repair and 1 year with
clearance from cardiologist
40. Waiting period and maximum certification for peripheral vascular disease-
: 3 months post-surgical repair and 1 year without resting pain
41. Waiting period and maximum certification for pulmonary emboli: 3 months
with no pulmonary embolism and 1 year if asymptomatic
42. Maximum certification period for superficial phlebitis: 2 years
43. Waiting period and maximum certification for thoracic aneurysm <3.5cm: 3
months post surgical repair and 1 year
44. True or false: having an ICD is automatic disqualification: true
45. Min waiting period for pacemaker implantation for sinus node dysfunction
or AV block: 1 month
46. Min waiting period for pacemaker implantation for neurocardiogenic syn-
cope or hypersensitive carotid sinus with syncope: 3 months
47. In order for a driver to receive maximum certification period of 1 year for
pacemaker the driver must:: Comply with pacemaker center scheduled function
checks and provide documentation of pacemaker function checks at examination.
48. Minimum waiting period for atrial fibrillation: 1 month with adequate antico-
agulation
49. Minimum waiting period for atrial flutter: 1 month post-isthmus ablation
50. Minimum waiting period for AV nodal reentrant tachycardia, AV reentrant
tachycardia and Wolff-Parkinson-White syndrome, Atrial tachycardia, Junc-
tional tachycardia: 1 month without symptoms
51. Maximum certification period for SVT with adequate rate control, anticoag-
ulation if indicated, and clearance from a cardiologist.: 1 year
