NRCME Physical Examination Procedures and Forms 4

Question 1

When documenting blood pressure on the MCSA-5875 form, which finding requires immediate disqualification without treatment?

Accepted Answer

Systolic ≥180 or diastolic ≥110 mmHg

Answer

A blood pressure of ≥180 systolic or ≥110 diastolic requires immediate disqualification until adequately treated and controlled.

Question 2

A CME is examining a driver and notes the driver uses a hearing aid. What is the correct documentation procedure?

Accepted Answer

Note the device and test hearing with the aid in place

Answer

Drivers may use hearing aids, and the examination should document the device and assess hearing ability with the aid worn.

Question 3

Which section of the MCSA-5875 Medical Examiner Certificate requires the CME's National Registry number?

Accepted Answer

The certification/signature block

Answer

The CME must enter their National Registry number in the certification and signature block to validate the medical certificate.

Question 4

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?

Accepted Answer

Refer for neurological evaluation before making a certification decision

Answer

Signs suggestive of Parkinson's disease require specialist evaluation to assess functional impact before a certification determination can be made.

Question 5

What is the correct procedure when a driver presents with a medical variance (exemption or SPE certificate) during the NRCME physical examination?

Accepted Answer

Review the variance document and examine the driver against the conditions of the exemption

Answer

The CME must review the exemption or SPE certificate and conduct the examination in accordance with the specific conditions and limitations granted.

NRCME - National Registry of Certified Medical Examiners Practice Test

NRCME - National Registry of Certified Medical Examiners Practice Test

NRCME Physical Examination Procedures and Forms 4