Physical Examination Procedures and Forms Flashcards
7 cards from real NRCME practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Physical Examination Procedures and Forms flashcards as text
When documenting blood pressure on the MCSA-5875 form, which finding requires immediate disqualification without treatment?
Answer: Systolic ≥180 or diastolic ≥110 mmHg
A blood pressure of ≥180 systolic or ≥110 diastolic requires immediate disqualification until adequately treated and controlled.
A CME is examining a driver and notes the driver uses a hearing aid. What is the correct documentation procedure?
Answer: Note the device and test hearing with the aid in place
Drivers may use hearing aids, and the examination should document the device and assess hearing ability with the aid worn.
Which section of the MCSA-5875 Medical Examiner Certificate requires the CME's National Registry number?
Answer: The certification/signature block
The CME must enter their National Registry number in the certification and signature block to validate the medical certificate.
During the neurological examination of a CMV driver, the CME observes a resting tremor and pill-rolling movements. What is the most appropriate next step?
Answer: Refer for neurological evaluation before making a certification decision
Signs suggestive of Parkinson's disease require specialist evaluation to assess functional impact before a certification determination can be made.
What is the correct procedure when a driver presents with a medical variance (exemption or SPE certificate) during the NRCME physical examination?
Answer: Review the variance document and examine the driver against the conditions of the exemption
The CME must review the exemption or SPE certificate and conduct the examination in accordance with the specific conditions and limitations granted.
When performing the physical examination, at what point should the CME review the driver's completed health history form (Section 4)?
Answer: Before beginning the physical examination
The CME should review the driver's self-reported health history before the physical examination to guide clinical evaluation.
A driver's urinalysis on the MCSA-5875 shows 2+ proteinuria. What is the most appropriate action?
Answer: Note the finding and evaluate for underlying renal disease before certifying
Significant proteinuria warrants further evaluation for underlying renal or systemic disease before a certification decision is made.