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NRCME Medical Exa1 Questions Answered 100% correct
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Exam of 5 pages for the course nrcme at nrcme (NRCME Medical Exa1)
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NRCME Medical Exam: Part III (ME Guidelines)What are the 3 areas considered when looking at safety implications for the driver? - answer Physical, Mental, and current medical treatment
What aspects of physical symptoms should be considered by the medical examiner? - answer Symptoms - does a benign underlying condition have symptoms that interfere with driving?
Incapacitation - is the onset of symptoms too rapid to be considered safe?
What aspects of mental symptoms should be considered by the medical examiner? - answer Cognitive - can the driver process visual clues at an appropriate rate?
Behavioral - is the driver's behavior appropriate and non-violent?
What aspects of medical treatment should be considered by the medical examiner? - answer Effects - safer on the medication than off the medication?
Side effects - do they interfere with safe driving?
Section one of the medical examination report is filled out by whom? who is responsible for the accuracy of this information? - answer driver; ME
Section two of the ME report is the health history. is the doctor required to discuss any portion of this section? - answer Yes, any box that is checked "yes" must be discussed.
What should the doctor ask if "head/brain injuries" is checked "yes" - answer determine if the symptoms come in recurring episodes or if there are any residual physical, cognitive, or behavioral effects
What should the doctor ask if "Seizures/epilepsy" is checked "yes" - answer - does the patient have a dx of epilepsy? (2+ unprovoked seizures) - this is disqualifying
- write down type, duration, fq, and date
What should the doctor ask if "eye disorders" is checked "yes" - answer ask about glare issues, changes in vision, dx, etc.
What should the doctor ask if "ear disorders" is checked "yes" - answer changes in hearing, ringing, balance issues, dizziness, etc.
What should the doctor ask if "CVD" is checked "yes" - answer -hx of CVD, syncope,
dyspnea, CHF, angina, etc. - if s/s are present, the driver must be cleared by a cardiologist before being certified
- if current dx of CVD, consult with their current physician and obtain documentation.
What should the doctor ask if "heart surgery" is checked "yes" - answer -obtain heart surgery information including pertinent operative reports. it is mandatory to get documentation from the cardiologist prior to certification.
- don't certify any driver with an ICD/pacemaker
What should the doctor ask if "high blood pressure" is checked "yes" - answer make sure the medication isn't effecting the driver
make sure it hasn't caused any organ damage including CVD
What should the doctor ask if "musculoskeletal disease" is checked "yes" - answer check that the disease or medication wont cause sudden incapacitating effects on the driver.
What should the doctor ask if "kidney disease" is checked "yes" - answer ask about renal failure, they cannot drive if on dialysis
What should the doctor ask if "DM or elevated blood sugar" is checked "yes" - answer Ask about tx: diet, meds, byetta, or insulin
If type I DM the me must finish the exam and check "meets standard but periodic monitoring is mandatory". due to "insulin tx". one year max cert, must be accompanied by a waiver.
What should the doctor ask if "missing or impaired lime/digit" is checked "yes" - answer remember that an SPE is required for fixed deficits of the extremities.
What should the doctor ask if "alcohol abuse" is checked "yes" - answer utilize CAGE questionnaire, refer to specialist if needed
What should the doctor ask if "narcotics/habit forming drugs" is checked "yes" - answer dq driver if the driver's medication adversely impacts the ability of the driver to operate the vehicle safely.
What 3 things should the doctor include when commenting on positive health hx items? - answer 1. nature of a positive hx and effect on driving
2. discussion about medication and tx effects/side effects
3. copy any supplementary medical reports obtained
What is the required distant visual acuity in each eye? - answer 1. 20/40 snellen with
or w/o corrective lenses in each eye
2. 20/40 binocular vision
3. monocular vision is automatically disqualifying
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