West Virginia State University
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What minimum PaO2 level is necessary if the driver has an ABG due to a chronic respiratory disorder? 
a.70mmHg 
b.55mmHg 
c.60mmHg 
d.65mmHg - correct answer -Correct answer is "D". To be qualified, the driver should meet a minimum arterial blood gas (PaO2) greater than 65. 
 
A driver first perceives a whispered voice at 5 feet in his right ear and 4 feet in his left ear. All other aspects of his physical examination are unremarkable. The examiner should: 
a.Permanently disqualify the driver ...
1. An unrestricted Commercial Motor Vehicle Driver Medical Certificate must be renewed: 
 
A. Annually 
B. Every Two Years 
C. Every Four Years 
D. Whenever the State Issued Driver's License is renewed - correct answer -B. Every two years 
 
2 years is the max for a healthy person 
 
2. A driver presents with history of an isolated TIA 6 months ago. He has a return to work letter from his primary care provider (PCP) and neurologist. He is taking and tolerating well hydrochlorothiazide and simva...
FMCSA Mission Statement - correct answer To reduce crashes, injuries, fatalities involving large trucks/buses 
 
Medical Examiner - correct answer Licensed, certified, registered provider who can perform PEs in accordance with laws and regulations ; registered through NRS ; has unique identifier ; passes MEC test 
 
FMCSA - correct answer Federal Motor Carrier Safety Administration 
 
NRCME - correct answer National Registry of Certified Medical Examiners 
 
Commerical Motor Vehicle - correct an...
LTCCS - correct answer -large truck crash causation study, , reported in 2006 
 
#1 cause of fatalities with big trucks? - correct answer -driver fatigue 
 
DOT organization - correct answer -all subcategories are separate entities and require different things 
 
What is covered in NRCME training? - correct answer -federal motor carrier safety administration (FMCSA) 
 
How long does NRCME certification last? - correct answer -10 years with a 5 year update class 
 
once a driver is certified, wha...
True or false: One component of a satisfactory ETT includes a heart rate >75% of predicted maximum unless on beta blocker - correct answerFalse 
 
1) Must attain a HR >85% of predicted maximum unless on beta blocker 
2) No significant ST segment depression or elevation 
3) Increased diastolic BP greater than 20 mmHg without angina 
 
FMCSA mission statement - correct answerThe FMCSA is focused on reducing crashes, injuries, and fatalities involving large trucks and buses 
 
NRCME mission s...
Who can the DOT exam be administered to? - correct answer -Anyone who requests the exam, regardless of age 
 
Who is responsible for ensuring the driver meets the minimum age requirement of 21 years old? - correct answer -Motor carrier 
 
When should a BP be confirmed with a second measurement during the exam? - correct answer -Any BP 140/90 or greater 
 
What BP readings may be used for certification decisions? - correct answer -Only BP readings taken during the DOT physical exam 
 
What is sta...
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