NRCME
West Virginia State University
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NRCME DOT EXAM 2023 WITH 100% CORRECT ANSWERS
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Upon examination of a 46 y/o male smoker, you detect an irregularly irregular heart rythm. The rate is 140 bpm. This is unknown to the driver and he denies any symptoms of lightheadedness, shortness of breath, dizziness, palpitations, nor any cardiac history. You would: - correct answer -Disqualify and refer to his PMD or cardiologist for further evaluation. 
 
Concerning the medical certificate, which is false? - correct answer -Provide the original to the driver being examined. Retain a copy f...
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NRCME CERTIFICATION exam 2023 with 100% correct answers
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1 week - correct answer -What is tbe minimum waiting period after PCI? 
 
1 month - correct answer -What is the waiting period after SA node dysfunction pacemaker implantation? 
 
less than or equal to 3.5cm - correct answer -What is the maximum thoracic aneurysm size that allows driver certification? 
 
1 year, 6 months - correct answer -What is the waiting period after heart transplant? What is the max certification? 
 
5 years - correct answer -When should an echo be repeated for mild aortic ...
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NRCME DOT Exam 2023 with 100% correct answers
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According to FMCSA regulations, which of the following must the medical examiner evaluate when examining a driver's eyes? 
A. Pupil reactivity 
B. Iris symmetry 
C. Conjunctival injection 
D. Corneal thickness - correct answer -Correct Response: 
A. Pupil reactivity 
 
Incorrect Responses: 
B. Iris symmetry 
This is incorrect because determining iris symmetry is not required by FMCSA. 
C. Conjunctival injection 
This is incorrect because most causes of conjunctival injection would not be disqua...
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NRCME DOT exam 2023 with 100% correct answers
- Exam (elaborations) • 14 pages • 2023
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The waiting period after pacemaker implantation for treatment of sinus node dysfunction is __________. 
 
One week. 
Two weeks. 
One month. 
Three months. - correct answer -One month. 
 
The maximum thoracic aneurysm size that allows driver certification is _ 
 
3.0 cm 
3.5 cm 
4.0 cm 
5.0 cm - correct answer -3.5cm 
 
Which of the following is a qualification recommendation following coronary artery bypass graft (CABG) surgery? 
 
A. Exercise tolerance testing (ETT) every two years after five y...
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NRCME exam 2023 with 100% correct answers
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vision requirements - correct answer20/40 each eye and 20/40 both eyes 
 
peripheral vision - correct answer70 degrees 
 
Federal exemption for monocular vision: can certify for how long? - correct answer1 year 
 
hearing requirements - correct answerwhisper at not less than 5 feet better ear, or average hearing loss no greater than 40 dB at 500Hz, 1000Hz, 2000 Hz. 
 
name 4 otic conditions that are automatic DQs - correct answerMeniere's, uncontrolled vertigo, labyrinthine fistula, nonfunction...
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NRCME Exam 2023 with 100% correct answers
- Exam (elaborations) • 114 pages • 2023
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Corrective lenses that are prohibited by the FMCSA, including: - correct answer -lenses that correct distance vision in one eye and near vision in the other. 
telescopic lenses 
 
Medical guidelines for the driver with diabetes mellitus include: - correct answer -Annual medical examination. 
Annual ophthalmologist or optometrist eye evaluation. 
Disqualification for a diagnosis of unstable proliferative retinopathy. 
 
Monocular Vision - correct answer -Monocular vision is disqualifying. 
Howeve...
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NRCME Exam 2023 with 100% correct answers
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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 certific...
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NRCME exam 2023 with 100% correct answers
- Exam (elaborations) • 9 pages • 2023
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A driver is taking Celexa for the treatment of what he calls a "mild depression". He reports he has not considered or attempted suicide. The examiner should do what? - correct answer -Temporarily disqualify the driver until he obtains written clearance for the depression and the medication from the treating provider. 
 
Can hearing aids be worn during the forced whisper test? - correct answer -NO 
 
A driver with a history of diabetes, who is taking Metformin, provides a note from his primary ...
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NRCME Medical Exam 2023 with 100% correct answers
- Exam (elaborations) • 95 pages • 2023
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The driver presents with a SPE Certificate. The Medical Examiner's next step should be: - correct answer -Proceed with the examination. 
 
A 21-year-old driver presents with a history of ADHD for 10 years, taking stable dosing of Adderall. He describes no side effects. Which of the following is true? 
 a. A significant percentage of individuals with adult ADHD show a moderate to marked degree of improvement on central nervous system stimulant medication. 
b. ADHD is a disqualifying condition. ...
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NRCME Pre-Test exam 2023 with 100% correct answers
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Which drug is immediately disqualifying for a Department of Transportation driver? - correct answer -Methadone = a synthetic analgesic drug that is similar to morphine in its effects but longer acting, used as a substitute drug in the treatment of morphine and heroin addiction. 
 
A driver has an abdominal aortic aneurysm that is 3 cm and notes insidious onset of low back pain. For how long can the driver be certified? 
(Insidious onset of lower back pain does not guarantee abdominal aorta aneur...
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