Nrcme Complete Study Guide Test.

NRCME COMPLETE STUDY GUIDE TEST. 1. Def CMV Wt =/ 10,001 8 passengers if for hire 15 passengers (any) 2. Non-discretionary conditions MUST follow regulation standards and disqualify: Hearing Vision Epilepsy 3. Form MCSA-5850 To maintain certification, the examiner must submit monthly with the follow- ing 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 4. Recert/refresher how often? 5. Who publishes guidelines? 6. Parameters tested in UA 7. What's being deter- mined by examina- tion? 8. When is fitness for duty exam per- Refresher every 5 years Recertifcation test every 10 FMCSA SG, glucose, pro, blood Whether the CMV driver has a fixed deficit that interferes with safe driving or a condition that may cause sudden death or incapacitation. formed outside of expiration of current 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 certification and who driver's illness was severe enough to require recertification decides it needs to be done? 9. The only condition for which formal medical exemption is available 10. How long must the examiner retain copies of the ex- amination form and card. 11. When can Medical Examination Report form be revised 12. Medical conditions for which a certifi- cation interval has been recommended 13. MAY disqualify drive if: Monocular vision 3 years CANNOT be revised after final determination or after the examination has been in "determination pending" status for more than 45 days. Hypertension Heart disease (both one year-considered best practice) 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 14. Can the examin- er give the driver's medical examination report to the employ- er 15. What should the examiner comment on? Yes, with the driver's consent All findings, even if not disqualifying 16. Vision standard At least 20/40 (Snellen) in each eye and together Field of vision of 70 degrees in horizontal meridian 17. Eye exam should in- clude 18. Conditions that could require oph- thalmology evalua- tion 19. Disqualifying forms of vision correction 20. Monocular vision WAIVER -Pupillary equality -Reaction to light and accommodation -Ocular motility -Ocular muscle imbalance -Extraocular movements -Nystagmus -Exophthalmos Retinopathy Cataracts Aphakia Glaucoma Macular degeneration Monovision contacts (one eye corrected for near, one eye for far) Telescopic lenses to compensate for loss of central vision Drivers who participated in study grandfathered, as long as they meet other medical requirements. Must be seen by opthalmologist annually and present waiver letter 21. Federal Vision Ex- emption Program 22. Vision exemption maximum recertifi- cation Driver sees medical examiner first and is cleared for other medical con- ditions, then takes examination form and certificate to ophthalmologist. After eye exam, driver sends paperwork including ophthalmologists report to FMCSA, who grants exemption. Driver must carry vision exemption and certificate card. 1 year 23. Hearing standards Forced whisper at 5 feet, or Average hearing loss not greater than 40 dB at 500, 1000 and 2000 Hz 24. Health history ques- Ear disorders tions related to hear- Loss of hearing ing loss 25. Standard used for audiometry 26. Exemption for hear- ing impairment Certification rec- ommendation for acute/chronic pe- ripheral vestibulopa- thy or benign posi-