NRCME Exam 2023 Questions with Complete Solutions What are regulations? - Correct Answer Laws that must be followed What are disqualifying medical conditions? - Correct Answer Epilepsy monocular vision hearing loss What are guidelines? - Correct Answer Recommendation to follow but can have raptor ale for variation
FMCSA medical program responsibilities include:
Oversee the Department of Transportation.Regulation of intrastate commercial motor vehicle operations.Conduct and oversee the agency's medical exemption and certificate programs.Provide commercial motor vehicle driver examinations. - Correct Answer Conduct and oversee the agency's medical exemption and certificate programs.Which of the following is true?The FMCSA does not consider feasibility or impact in the rule-making process.Only the Medical Review Board can provide advice and opinions on FMCSA rulemaking.FMCSA medical standards and guidelines are subject to public notice and comment rulemaking.The Code of Federal Regulations provide guidance that the medical examiner may or may not follow.examiner may or may not follow. - Correct Answer FMCSA medical standards and guidelines are subject to public notice and comment rulemaking.FMCSA content sources rules and regulations include 49 CFR Part 16 DOT Procedures for Drug and Alcohol Testing.49 CFR 391.41 Physical Qualifications for Drivers.49 CFR 391.82 Medical examination; certificate of physical qualification.
49 CFR Part 73: Medical Review Board procedures. - Correct Answer 49 CFR 391.41
Physical Qualifications for Drivers.Which of the following is true regarding why regulation is needed to protect public safety?There is little environmental risk from crashes involving hazardous materials.There is greater risk of injury and fatalities to individuals in smaller vehicles from crashes involving commercial motor vehicles.The economic cost of crashes involving commercial vehicles is relatively low. 1 / 3
Commercial vehicles do not carry members of the public. - Correct Answer There is greater risk of injury and fatalities to individuals in smaller vehicles from crashes involving commercial motor vehicles.Which of the following is true?By May 21, 2015, medical providers that perform medical examinations for commercial motor vehicle drivers must have completed an approved training program and passed a national certification examination.The Medical Examiner may request that an appropriate specialist provider make the driver certification determination.The purpose of the commercial motor vehicle driver examination is for treatment of driver medical conditions.FMCSA guidance recommendations may or may not be followed by the Medical Examiner. - Correct Answer FMCSA guidance recommendations may or may not be followed by the Medical Examiner.` What is the role of the medical examiner? - Correct Answer to determine medical fitness for duty.What are the differences between the medical standards and the medical guidelines - Correct Answer Medical Standards - regulations that are non-discretionary - the medical examiner cannot use judgment to certify a driver who does not meet a regulatory standard Medical Guidelines are discretionary - Medical Examiners may decide to certify drivers who do not meet medical guidelines. Most recommendations related to certification of specific medical conditions are guidance What are some medical standards for certifications that need to be done? - Correct Answer Vision requirements, including distant visual acuity, horizontal vision, and color vision. Drivers who do not meet standards cannot be certified unless accompanied by a vision exemption/waiver.
Diabetes requirements: drivers using insulin cannot be certified unless special
procedures for evaluation and certification of such drivers are followed.Epilepsy: drivers with a diagnosis of epilepsy cannot be certified unless accompanied by an epilepsy waiver/exemption.Hearing: drivers who cannot meet whisper test or audiometric test requirements cannot be certified unless accompanied by a hearing waiver/exemption.What are Turn around or short relay drivers? - Correct Answer drivers return to their home base each evening what are Long relay drivers? - Correct Answer drivers drive 9 to 11 hours and then have at least a 10-hour off duty period) What are Straight through haul drivers? - Correct Answer cross country 2 / 3
What are Team drivers? - Correct Answer drivers share the driving by alternating their 5-hour driving periods and 5-hour rest periods What are the instructions for completion of a DOT physical? - Correct Answer Driver arrives at medical examiner's office Driver may bring paperwork -Verify driver identification with photo ID Driver completes formsMCSA 5875 - Medical Examination Report Form driver history -Confirm driver signature and date -Recommend driver sign HIPAA compliant release form(s) Driver testing then completed by medical examiner and/or staff -Vision testing -Hearing - whisper test or audiometry -Dipstick urinalysis -Blood pressure
- pulse
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-Height and weight Medical Examiner examination =Review driver historyAcknowledge driver "Yes" answers and clarify with questions and additional information -Ask if driver has ever received less than a 2-year certification at any prior DOT medical examination Physical examination - driver should be in medical gown or equivalent -Medical Examiner notes abnormal findings with comments Medical Examiner completes forms (MCSA 5875 and MCSA 5876) Provide copy of Driver Certificate to driver and, if requested, to employer Complete online completion of driver certification information no later than midnight (local time) of the calendar day following the date of the examination When does the online completion of driver certification information have to be done? - Correct Answer no later than midnight (local time) of the calendar day following the date of the examination An individual diagnosed with Stage 1 hypertension (BP is 140/90-159/99) may be certified for how long? - Correct Answer 1 year At recertification, an individual with a hx of HTN; BP is greater than 140/90 but less than 160/100, - Correct Answer 3 months An individual diagnosed with Stage 2 (BP is 160/100-179/109) should be treated and given certificate for how long? - Correct Answer 3 months An individual diagnosed with Stage 3 hypertension (BP equal to or greater than 180/110) should - Correct Answer not be certified until his or her BP is reduced to 140/90 or less, and may be recertified every 6 months