Free NRCME Medical Standards and Regulations Questions and Answers

Question 1

Which of the following stages of hypertension calls for a medical certificate that expires in a year?

Accepted Answer

Stage 1

Answer

Explanation:
Medical certificates for drivers with Stage 1 hypertension expire after a year. Stage 2 hypertension results in a one-time, three-month medical certificate. Stage 3 corresponds to a medical certificate, good for 6 months from date of the examination if the reading is less than or equal to 140/90. Lastly, Stage 4 hypertension doesn’t exist.

Question 2

A medical examiner observes that a driver has a blood pressure of 160/100 and the driver had no prior knowledge of high blood pressure.  Which of the following is the appropriate subsequent action for the medical examiner?

Accepted Answer

Take a second measurement later in the examination and then refer him or her to a primary care provider

Answer

Explanation:
When a medical examiner observes that a driver has a blood pressure reading of 160/100 (or any reading above 139/89), it is vital that the examiner take a second measurement later in the examination. But, since the driver had no prior knowledge of such blood pressure, it is important for the examiner to refer him or her to a primary care provider. It is not the job of the medical examiner to diagnose or treat the underlying disease. Thus, it is important for the driver to see someone who can diagnose and treat such a disease before proceeding in the certification process.

Question 3

The FMCSA provides exemption programs for which of the following?

Accepted Answer

Vision and Diabetes

Answer

Explanation:
FMCSA has two medical driver exemption programs: the Federal Vision Exemption Program (established in 1998) and the Diabetes Exemption Program (established in September of 2003). The medical examiner determines whether the driver would be otherwise qualified if accompanied by the Federal vision or diabetes exemption. As a result of the exemptions, the driver must undergo an annual medical examination for maintenance and renewal of the exemption.

Question 4

Which of the following is not true in regards to performing the physical examination?

Accepted Answer

There is a maximum height requirement

Answer

Explanation:
There is not in fact a maximum (or minimum) height (or weight) requirement for drivers. For each body system, mark “Yes” on the Report Form if abnormalities are detected or “No” if the body system is normal. The medical examiner must document all abnormal findings on the Report Form, even if they are not disqualifying. Lastly, the individual parts of the body system are categorized numerically.

Question 5

How long is the certification period for a driver who has a vision exemption, and how long is the exemption good for?

Accepted Answer

Certify for 1 year and the exemption must be renewed every 2 years.

Answer

Explanation:
Certification for a driver with a vision exemption is annually and the driver must reapply for the exemption every 2 years.

NRCME - National Registry of Certified Medical Examiners Practice Test

NRCME - National Registry of Certified Medical Examiners Practice Test

Free NRCME Medical Standards and Regulations Questions and Answers