Page 1 of 48
NRCME STUDY SHEET ACTUAL QUESTIONS & CORRECT
DETAILED ANSWERS [GRADED A+] LATEST UPDATE
Terms in this set (263) Q & A
>> vision requirements
- answer- Distant vision 20/40 each eye and 20/40 both eyes, Peripheral vision at least 70
degrees, Ability to recognize and distinguish betwen the colors of traffic signals and devices.
>> If the driver presents a valid vision exemption, how long can he be certified?
- answer- 1 year
>> The driver with a vision exemption must present what 2 things before receiving the
medical examiner's certificate.
- answer- Valid vision exemption and copy of the specialist eye examination report.
>> 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?
- answer- The "accompanied by" exemption checkbox and write "vision" to identify the type
of exemption.
>> 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?
, Page 2 of 48
- answer- Letter identifying the driver as a participant and copy of the specialist eye
examination.
>> How long can a driver who is qualified by operation of 49 CFR 391.64 be certified.
- answer- 1 year
>> hearing requirements
- answer- 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.
>> What is the waiting period for vertigo caused by benign positional vertigo or acute/chronic
peripheral vestibulopathy?
- answer- 3 months
>> Name 4 otic conditions that are automatic disqualification
- answer- Meniere's, uncontrolled vertigo, labyrinthine fistula, nonfunctioning labyrinth
>> Apnea-hypopnea index of [blank] or more episodes per hour is diagnostic of OSA
- answer- 30
>> 3 requirements for a passing ETT
- answer- 1. increased SBP of at least 20 without angina
2. workload capacity >6 METs
, Page 3 of 48
3. no significant ST depression
>> Examiners must retain records for how many years?
- answer- 3
>> Regulation that describes the physical qualifications of drivers.
- answer- 49 CFR 391.41
>> Regulation that describes the responsibilities of the medical examiner.
- answer- 49 CFR 391.43
>> 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.
- answer- 49 CFR 391.47
>> Regulation that describes the Skill Performance Evaluation (SPE) Certification Program.
- answer- 49 CFR 391.49
>> Regulation that describes limited exemptions for intra-city zone drivers.
- answer- 49 CFR 391.62
, Page 4 of 48
>> Regulation that describes grandfathering for certain drivers who participated in vision and
diabetes waiver study programs.
- answer- 49 CFR 391.64
>> Regulation that includes regulations for medical review officers and substance abuse
professionals, including drug and alcohol testing procedures.
- answer- 49 CFR 40
>> Define Stage I Hypertension
- answer- BP greater than or equal to 140/90
>> 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 hypertension and has no history
of hypertension?
- answer- 1 year
>> What is the maximum certification period for untreated known or inadequately controlled
stage I hypertension?
- answer- 3 months
>> What is the maximum certification period for blood pressure >140/90 and the following:
follow-up 3 months certificate or history of stage III hypertension
- answer- None, driver is disqualified
NRCME STUDY SHEET ACTUAL QUESTIONS & CORRECT
DETAILED ANSWERS [GRADED A+] LATEST UPDATE
Terms in this set (263) Q & A
>> vision requirements
- answer- Distant vision 20/40 each eye and 20/40 both eyes, Peripheral vision at least 70
degrees, Ability to recognize and distinguish betwen the colors of traffic signals and devices.
>> If the driver presents a valid vision exemption, how long can he be certified?
- answer- 1 year
>> The driver with a vision exemption must present what 2 things before receiving the
medical examiner's certificate.
- answer- Valid vision exemption and copy of the specialist eye examination report.
>> 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?
- answer- The "accompanied by" exemption checkbox and write "vision" to identify the type
of exemption.
>> 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?
, Page 2 of 48
- answer- Letter identifying the driver as a participant and copy of the specialist eye
examination.
>> How long can a driver who is qualified by operation of 49 CFR 391.64 be certified.
- answer- 1 year
>> hearing requirements
- answer- 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.
>> What is the waiting period for vertigo caused by benign positional vertigo or acute/chronic
peripheral vestibulopathy?
- answer- 3 months
>> Name 4 otic conditions that are automatic disqualification
- answer- Meniere's, uncontrolled vertigo, labyrinthine fistula, nonfunctioning labyrinth
>> Apnea-hypopnea index of [blank] or more episodes per hour is diagnostic of OSA
- answer- 30
>> 3 requirements for a passing ETT
- answer- 1. increased SBP of at least 20 without angina
2. workload capacity >6 METs
, Page 3 of 48
3. no significant ST depression
>> Examiners must retain records for how many years?
- answer- 3
>> Regulation that describes the physical qualifications of drivers.
- answer- 49 CFR 391.41
>> Regulation that describes the responsibilities of the medical examiner.
- answer- 49 CFR 391.43
>> 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.
- answer- 49 CFR 391.47
>> Regulation that describes the Skill Performance Evaluation (SPE) Certification Program.
- answer- 49 CFR 391.49
>> Regulation that describes limited exemptions for intra-city zone drivers.
- answer- 49 CFR 391.62
, Page 4 of 48
>> Regulation that describes grandfathering for certain drivers who participated in vision and
diabetes waiver study programs.
- answer- 49 CFR 391.64
>> Regulation that includes regulations for medical review officers and substance abuse
professionals, including drug and alcohol testing procedures.
- answer- 49 CFR 40
>> Define Stage I Hypertension
- answer- BP greater than or equal to 140/90
>> 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 hypertension and has no history
of hypertension?
- answer- 1 year
>> What is the maximum certification period for untreated known or inadequately controlled
stage I hypertension?
- answer- 3 months
>> What is the maximum certification period for blood pressure >140/90 and the following:
follow-up 3 months certificate or history of stage III hypertension
- answer- None, driver is disqualified
