NRCME DOT

  CAD - Answer: At least annual examination, and be on board with cardiology, tolerate and comply with meds. No need to disqualify right away. Acceptable Echo - LVEF >/= 40% Pulmonary artery pressure <50% systemic systolic BP. Acceptable exercise tolerance - Achieve >6 mets through Bruce stage 2 or equivalent (medium work up to 50 lb carrying) Attain HR of >/=85% predicted maximum unless on beta blockers Rise in systolic BP >/= 20 mm/hg without angina. No ST segment dep...

  What minimum PaO2 level is necessary if the driver has an ABG due to a chronic respiratory disorder? a. 70mmHg b. 55mmHg c. 60mmHg d. 65mmHg - Answer: d. 65mmHg Correct answer is "D". To be qualified, the driver should meet a minimum arterial blood gas (PaO2) greater than 65. A driver first perceives a whispered voice at 5 feet in his right ear and 4 feet in his left ear. All other aspects of his physical examination are unremarkable. The examiner should: a. Permanently...

  Medical standards/regulations are - Answer: mandatory Medical guidelines are - Answer: advisory If choosing not to follow medical guidelines, you should note the rationale for not following the guidelines in the... - Answer: Medical Examination Report 4 required tests in the examination - Answer: vision, hearing, blood pressure/pulse, and dipstick urinalysis. Dipstick urinalysis includes... - Answer: specific gravity, blood, protein, and glucose. T/F Recurrence of a disquali...

  Allergic Rhinitis - Answer: Waiting Period: No recommended time Maximum Certification: 2 years Allergic Rhinitis: Recommend not to certify if- - Answer: The driver has complications and or treatment that impair function, including: - severe conjunctivitis affecting vision - inability to keep eyes open - photophobia - uncontrollable sneezing fits - sinusitis with severe HA - Medications that cause sedation or other side effects that interfere with save driving Allergy Re...

  Spirometry testing should be performed on... - Answer: all smokers equal to or >35yo Pts with COPD Spirometry testing includes - Answer: FEV1, FVC, and ratio ABG testing should be performed when... (4) - Answer: 1. FEV1 <65% 2. FVC <65% and restrictive lung dz OR <60% 3. FEV1/FVC <65% 4. Pulse ox pO2 <92% Disqualify driver if ABG results are... (3) - Answer: 1. ABG PaCO2 >45mmHg 2. ABG PaO2 <65mmHg if <5,000 ft altitude 3. ABG PaO2 <60mmHg if &...

  To promote the safety of America's roadways through the promulgation and implementation of medical regulations, guidelines and policies that ensure commercial motor vehicle drivers engaged in interstate commerce are physically qualified to do so. Whose mission is this? - Answer: The mission of the Office of Medical Programs To improve highway safety by producing trained, certified medical examiners who can effectively determine if a commercial motor vehicle driver's health meets Fe...

  What minimum PaO2 level is necessary if the driver has an ABG due to a chronic respiratory disorder? a. 70 mm Hg b. 55 mm Hg c. 60 mm Hg d. 65 mm Hg - Answer: d A driver first perceives a whispered voice at 5 feet in his right ear and 4 feet in his left ear. All other aspects of his physical examination are unremarkable. The examiner should: a. Disqualify the driver because he "failed" the whispered voice test. b. Certify the driver for 2 years. c. Certify the driver for 1 y...

  Non-discretionary standards for drivers (there are 4) - Answer: The 13 standards are used to determine driver medical fitness for duty. 4 are non discretionary Objective disqualifiers: 1. Vision 2. Hearing, 3. Epilepsy, and 4. Diabetes mellitus These standards are the "non-discretionary" standards. Medical certification is required when the driver is operating a commercial vehicle that: -weight of ____________ -designed to transport _____ passengers FOR compensation -...

NRCME DOT ACTUAL EXAM/ MOST RECENT QUESTIONS AND CORRECT ANSWERS LATEST AND COMPLETE UPDATE VERIFIED EDITION ALREADY GRADED A+ BRAND NEW!!!! which of the following identifies the requirements for interstate commercial vehicles, drivers, and motor carrier? a. Regulations b. Standards c. Rules d. Qualifications b. Standards T/F: the medical examiner can choose to not use the FMCSA Medical Guidelines to make a certification decision for a driver TRUE **if going against the guidelines,...

NRCME DOT EXAM / NRCME (DOT) ACTUAL EXAM 400 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |AGRADE