NRCME EXAM REVIEW QUESTIONS AND ANSWERS, GRADED A+| latest 2024/25 exams updates |

NRCME EXAM REVIEW QUESTIONS AND ANSWERS, GRADED A+ Def CMV - -Wt =/ 10,001 8 passengers if for hire 15 passengers (any) Non-discretionary conditions - -MUST follow regulation standards and disqualify: Hearing Vision Epilepsy Form MCSA-5850 - -To maintain certification, the examiner must submit monthly with the following for all drivers examined for the month - CMV driver's Name - Date of birth - Driver's license number and state - Date of examination - Indication of examination outcome - Whether intrastate driver only Recert/refresher how often? - -Refresher every 5 years Recertifcation test every 10 Who publishes guidelines? - -FMCSA Parameters tested in UA - -SG, glucose, pro, blood What's being determined by examination? - -Whether the CMV driver has a fixed deficit that interferes with safe driving or a condition that may cause sudden death or incapacitation. When is fitness for duty exam performed outside of expiration of current certification and who decides it needs to be done? - -A driver whose ability to perform his/her normal duties has been impaired by a physical or mental injury or disease (391.45). The carrier decides if the driver's illness was severe enough to require recertification The only condition for which formal medical exemption is available - -Monocular vision How long must the examiner retain copies of the examination form and card. - -3 years When can Medical Examination Report form be revised - -CANNOT be revised after final determination or after the examination has been in "determination pending" status for more than 45 days. Medical conditions for which a certification interval has been recommended - -Hypertension Heart disease (both one year-considered best practice) MAY disqualify drive if: - -Does not meet medical guideline recommendation Does not meet FMCSA Medical Advisory Criteria Recommendations Uncertain or unknown clinical course (Disqualify or limit certification until information obtained) Unable to follow up and condition may disqualify Until additional evaluation is completed Can the examiner give the driver's medical examination report to the employer - -Yes, with the driver's consent What should the examiner comment on? - -All findings, even if not disqualifying Vision standard - -At least 20/40 (Snellen) in each eye and together Field of vision of 70 degrees in horizontal meridian Eye exam should include - --Pupillary equality -Reaction to light and accommodation -Ocular motility -Ocular muscle imbalance -Extraocular movements -Nystagmus -Exophthalmos Conditions that could require ophthalmology evaluation - -Retinopathy