NRCME Medical Conditions and Guidelines 4

Question 1

Under FMCSA regulations, which peripheral vision standard must a CMV driver meet?

Accepted Answer

At least 70 degrees in the horizontal meridian in each eye

Answer

FMCSA requires a field of vision of at least 70 degrees in the horizontal meridian in each eye, making 70 degrees the correct answer.

Question 2

A driver on insulin for type 1 diabetes wishes to operate a commercial vehicle in interstate commerce. What program must they participate in?

Accepted Answer

FMCSA Insulin-Treated Diabetes Mellitus (ITDM) Exemption Program

Answer

Drivers using insulin for diabetes must obtain an exemption through the FMCSA ITDM Exemption Program to legally operate CMVs in interstate commerce.

Question 3

Which condition affecting the respiratory system would most likely result in disqualification of a CMV driver?

Accepted Answer

Severe COPD causing significant dyspnea at rest

Answer

Respiratory dysfunction that interferes with the ability to control and drive a CMV safely, such as severe dyspnea at rest, is disqualifying.

Question 4

A driver has a blood pressure of 182/112 mmHg at examination. According to FMCSA hypertension guidelines, what is the correct action?

Accepted Answer

Disqualify; no certification until adequately treated and rechecked

Answer

Stage 3 hypertension (≥180/110) is disqualifying; the driver must be treated and return for recheck before any certification can be issued.

Question 5

Which medication used to treat a psychiatric condition is most likely to be flagged as potentially disqualifying under FMCSA standards?

Accepted Answer

Benzodiazepine used daily for anxiety

Answer

Daily benzodiazepine use is disqualifying under FMCSA regulations as it is a Schedule IV controlled substance with sedating properties.

NRCME - National Registry of Certified Medical Examiners Practice Test