2022-2024 NRCME Pharmacology Review Questions With Answers (96 Solved Questions)

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NRCME (DOT) Exam 2022ReviewQuestions (105 Terms)with verifiedAnswers 2023-2024.FMCSA Mission Statement-Exact Answer:To reduce crashes, injuries,fatalities involving large trucks/busesMedical Examiner-Exact Answer:Licensed, certified, registeredprovider who can perform PEs in accordance with laws andregulations;registered through NRS ; has unique identifier ; passes MEC testFMCSA-Exact Answer:Federal Motor Carrier Safety AdministrationNRCME-Exact Answer:National Registry of Certified MedicalExaminersCommercialMotor Vehicle-Exact Answer:Weight >1000 lb ; ortransports >8 people for compensation ; or >15 people withoutcompensation ; transports hazardous materials requiring placardingInterstatecommercevs.

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Intrastate commerce-Exact Answer:Interstate: multiple states orinternationalIntrastate: within 1 stateWho regulates treatment/management and aftercare of substanceabuse for drivers?-Exact Answer:SAP (Substance Abuse Professional)Who determines the origin of abnormal drug test results, determiningwhether the driver has violated drug use regulations?-Exact Answer:Medical Review OfficerTitle 49 CFR 391.41-Exact Answer:Medical Examiner Report Form-Paperwork completed during DOT physical-Physical examrequirements for driver-Determines if Certificate is granted

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Title 49 CFR 391.43-Exact Answer:Describes responsibilities ofMedical Examiner, instructions for exam, and requirements for medicalcertification-Supporting information to explain 391.41When was DOT established?-Exact Answer:1966Became separate entity on Jan 1, 2000Motor Carrier Safety Improvement Act of 1999-Exact Answer:Established DOT as separate federal entityOmnibus Transportation Employee Testing Act of 1991-Exact Answer:Required drug testing for driversThe driver must always keep a copy of ____________________ withthem while driving-Exact Answer:Medical CertificateSPE if applicable

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Does the driver need to sign a medical release before you releasetheirMedical Certification?-Exact Answer:No. Certificate is provided toemployer.(Release is required for a copy of medical report form)How many standards are used to determine driver fitness for duty?-Exact Answer:13How many standards of "driver fitness forduty" are *discretionary*?-Exact Answer:9(according to my review course)-Other sources say 10 and say that T2DM is discretionaryHow many standards of "driver fitness for duty" are *NON-discretionary*?-Exact Answer:4-Vision-Hearing

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-Epilepsy-T2DM(Some sources say 3 and do not include T2DM)Age requirement for drivers-Exact Answer:21+Language requirement for drivers-Exact Answer:Must be able toread/speak English well enough to read signs, communicateHeight/weight requirement for drivers-Exact Answer:There is noneWhat is tested for in urine?-Exact Answer:USGPROBLOGLUHow long are you (the provider) required to keep a copy of a driver'sMedical Certificate?-Exact Answer:3 years

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After a reading of Stage 3 hypertension, how often can a driver becertified?-Exact Answer:Only every 6 months max-Disqualify until BP <140/90-3 month cert if <160/100 and they are initiating treatment for the firsttime-May certify Q1 year post surgical correction of secondary HTNWhich generation of antihistamines should be used for drivers?-ExactAnswer:2nd gen-NonsedatingA driver must wait ___ hours after taking a sedating med before driving-Exact Answer:12+ hoursUrine drug testing includes:-Exact Answer:MJTobaccoAmphetaminesCocaine

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OpiatesWhich type of stroke only requires a 1 year waiting period?-ExactAnswer:Cerebellar or brainstem, which has low risk for seizures-And NO hx of seizure-+ Neuro clearance and normal neuro examWhat is the A1C requirement for drivers with T2DM?-Exact Answer:Thereis not oneVision requirements-Exact Answer:20/40 in each eye and both eyes(or better)Field >70 degreesCan see amber, red, green colorsExam: Fundoscopic, PERRLA, ocular movements

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