NRCME (DOT) ACTUAL EXAM WITH
QUESTIONS AND CORRECT VERIFIED
ANSWERS GRADED A+ || 100% GUARANTEED
PASS NEWEST VERSION
Waiting period for a moderate TBI (with LOC) but NO seizure - Answer 2
years (seizure free, off meds, neuro clearance)
Waiting period for TBI with seizure - Answer 5 years (seizure free, off meds,
neuro clearance)
Waiting period for unprovoked seizure with moderate insult - Answer 5 years
(seizure free, off meds, neuro clearance)
Visual disqualifiers - Answer - Monocular vision (without federal exemption)
- Telescopic lens
- Failure to meet vision requirements
Cervical ROM must be - Answer >45 degrees both directions
Points of contact for entering a truck - Answer Hand, arm, leg
Regulations vs. Guidelines - Answer Regulations are law
,Guidelines are based on expert panel, are "best practice" - document if you make
alternative decision
Injury severity = - Answer Relative velocity change
Can a driver be certified with medical marijuana use? - Answer No - Schedule I
drugs are disqualifying
Can a driver take Methadone? - Answer No - Schedule 1 is disqualifying
Stage 2 hypertension (per FMCSA) - Answer 160--109
- Requires 3 month certification while BP is controlled, f/u in 3 months
What generation of antidepressants has fewer side effects and is preferred for
drivers? - Answer 2nd Gen
Smoking/tobacco use requirements - Answer None
- Not required to ask about tobacco use
Visual acuity is measured in: - Answer In each eye separately, and together and
if corrective lens are worn, both with and without corrective lens
, What should always be discussed the driver regarding their medications? - Answer
- Tolerance
- AEs
- Frequency of monitoring (if applicable)
What do you do if you cannot assess a driver's visual acuity or visual fields in the
office? - Answer Disqualification and referral to specialist for precise visual
measurements.
What do you do if a driver is missing fingers on a hand? - Answer - Assess grip
strength
- Document the effect that this has on driving ability
- Determine if driver requires SPE/renewal of SPE
Factors contributing to commercial driving stressors include: - Answer Long
relay routes, abrupt schedule changes, responsibility for passenger safety.
FMCSA definition of severe hypoglycemic reaction - Answer Need of
assistance from another person, loss of consciousness, any period of impaired
cognitive function that occurs without warning, or seizure
A driver with a single unprovoked seizure can - Answer Be cleared if seizure-
free and off anticonvulsant medication(s) for at least 5 years after a single
unprovoked seizure.
*Key word "unprovoked"*
QUESTIONS AND CORRECT VERIFIED
ANSWERS GRADED A+ || 100% GUARANTEED
PASS NEWEST VERSION
Waiting period for a moderate TBI (with LOC) but NO seizure - Answer 2
years (seizure free, off meds, neuro clearance)
Waiting period for TBI with seizure - Answer 5 years (seizure free, off meds,
neuro clearance)
Waiting period for unprovoked seizure with moderate insult - Answer 5 years
(seizure free, off meds, neuro clearance)
Visual disqualifiers - Answer - Monocular vision (without federal exemption)
- Telescopic lens
- Failure to meet vision requirements
Cervical ROM must be - Answer >45 degrees both directions
Points of contact for entering a truck - Answer Hand, arm, leg
Regulations vs. Guidelines - Answer Regulations are law
,Guidelines are based on expert panel, are "best practice" - document if you make
alternative decision
Injury severity = - Answer Relative velocity change
Can a driver be certified with medical marijuana use? - Answer No - Schedule I
drugs are disqualifying
Can a driver take Methadone? - Answer No - Schedule 1 is disqualifying
Stage 2 hypertension (per FMCSA) - Answer 160--109
- Requires 3 month certification while BP is controlled, f/u in 3 months
What generation of antidepressants has fewer side effects and is preferred for
drivers? - Answer 2nd Gen
Smoking/tobacco use requirements - Answer None
- Not required to ask about tobacco use
Visual acuity is measured in: - Answer In each eye separately, and together and
if corrective lens are worn, both with and without corrective lens
, What should always be discussed the driver regarding their medications? - Answer
- Tolerance
- AEs
- Frequency of monitoring (if applicable)
What do you do if you cannot assess a driver's visual acuity or visual fields in the
office? - Answer Disqualification and referral to specialist for precise visual
measurements.
What do you do if a driver is missing fingers on a hand? - Answer - Assess grip
strength
- Document the effect that this has on driving ability
- Determine if driver requires SPE/renewal of SPE
Factors contributing to commercial driving stressors include: - Answer Long
relay routes, abrupt schedule changes, responsibility for passenger safety.
FMCSA definition of severe hypoglycemic reaction - Answer Need of
assistance from another person, loss of consciousness, any period of impaired
cognitive function that occurs without warning, or seizure
A driver with a single unprovoked seizure can - Answer Be cleared if seizure-
free and off anticonvulsant medication(s) for at least 5 years after a single
unprovoked seizure.
*Key word "unprovoked"*
