NRCME DOT Practice question bank | Answered A+ 2023
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NRCME DOT Practice question bank | Answered A+ 2023
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
B
2. A driver presents with history of an ...
NRCME DOT Practice question bank | Answered A+ 2023
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
B
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 simvastatin. All other aspects of
the exam and history were normal. What should the medical examiner do next?
A. Certify driver for 1 year
B. Disqualify driver for now
C. Certify driver for 3 months
D. Certify driver for 2 years
B
3. FMCSA regulates interstate commercial operation including the:
A. Driver
B. Vehicle
C. Motor Carrier
D. All of above
D
4. During the CMV exam a driver perceived a whispered voice at 5 feet in his left
year and 4 feet in his right year. Exam
was otherwise normal. What do you do as the medical examiner?
A. Required audiometric test to determine the extent of hearing loss in left ear
B. Certify driver for 2 years
C. Certify driver for 1 year
D. Disqualify driver
B
5. Which of the following is an assessment of L4 nerve root pathology?
A. Plantar flexion
B. Patellar reflex
C. Hip extension
D. Babinski reflex
B
6. A driver presents for medical exam and reports being a smoker and having
frequent shortness of breath. What do
you do next?
A. Order an ECG
B. Refer to a pulmonologist
,C. Order a spirometer test
D. Provide 1 year certification
C
7. According to regulation, which of the following must be evaluated as part of
the eye exam?
A. Pupil reaction
B. Iris symmetry
C. Conjunctiva injection
D. Tonometry pressure
A
8. Continued certification of NRCE Medical Examiners requires all EXCEPT which
of the following?
A. Periodic training at least every five years
B. Completion of recertification test every five years
C. Completion of certification test every 10 years
D. Electronic transmission to FMCSA CMV Medical Examination Results at least
monthly
B
9. A driver presents for recertification. The only condition he lists is GERD, for
which he takes OTC omeprazole. He
says that when he is driving and eating fast foods, he is more likely to have
heartburn than when off‐duty. You should:
A. Request recent UGI results
B. Correlate history with abdominal exam
C. Certify for one year with restricted diet
D. Discuss alternative employment
B
10. Which of the following findings is disqualifying?
A. Oxygen saturation 90%
B. LVEF 40%
C. FEV 68% predicted
D. All of the above
A
11. The driver presents for recertification and submits an ultrasound report
indicating an abdominal aortic aneurysm
from two months ago, shortly before he had surgical correction. He has surgical
clearance and says he is doing well, has
no symptoms. You should:
A. Certify for 1 year
B. Certify for 2 years
C. Inform the driver of the 3 month waiting period before he can be certified
D. Inform the driver of the 6 month waiting period before he can be certified
C
12. The driver takes diphenhydramine twice a day to treat nasal congestion. What
must you document in order to
certify?
,A. Take the lowest dose effective on days when driving
B. Cannot drive within 12 hours of taking diphenhydramine
C. Cannot drive within 6 hours of taking diphenhydramine
D. Diphenhydramine is disqualifying
B
13. The driver has a history of carpal tunnel repair of her right hand 2 months
ago. Her grip strengths are symmetrical
and strong. What is necessary in order to qualify this driver?
A. Must first complete a 3‐month post‐op waiting period
B. Document her findings for 1‐year certification
C. Document her findings for 2‐year certification
D. Request that an SPE be obtained before certification
C
14. Which of the following abdominal complaints is most likely to be
incapacitating?
A. IBS
B. GERD
C. Urinary tract infection
D. Nephrolithiasis
D
15. The waiting period for benign positional vertigo is:
A. 1 month
B. 2 months
C. 3 months
D. 6 months
B
16. The driver's BP is 148/96. You verify her history, which indicates she has no
prior history of hypertension. If
otherwise qualified, you may certify her for:
A. 3 months
B. 6 months
C. 1 year
D. 2 years
C
17. The driver's current BP is 135/76. Your records indicate at history of Stage III
hypertension 4 years ago. The
maximum certification for this driver is:
A. 3 months
B. 6 months
C. 1 year
D. 2 years
B
18. The driver presents for examination with a recent history (five weeks ago) of
pneumothorax. He has no prior history
of pneumothorax. In order to be considered medically qualified, his forced vital
capacity (FVC) should be greater than:
, A. 40%
B. 55%
C. 65%
D. 90%
C
19. The recommended waiting period (WP) and certification period (CP) for a
driver following surgical correction for
intermittent claudication are:
A. WP 1 month, CP 6 months
B. WP 3 months, CP 1 year
C. WP 3 months, CP 2 years
D. WP 6 months, CP 2 years
B
20. Which of the following are disqualifying?
A. Pacemaker
B. Implanted defibrillator
C. Both a and b
D. Neither
B
21. Five years post‐CABG, the driver must provide a copy of _________ in order
to qualify for recertification
A. Ultrasound
B. EKG
C. Lipid profile
D. ETT
D
22. The driver has a 5‐year history of asthma, described as "well‐controlled". He
carries rescue inhaler for the times
when he becomes short of breath, but says this is rare. He provides pulmonary
functions performed last week and his
FEV1 is 62% of predicted and his Pa02 is 62 mm. You should:
A. Qualify for 1 year
B. Qualify for 2 years
C. Disqualify and recommend that he return to his personal provider
D. Disqualify and recommend that he pursue a chronic respiratory exemption
C
23. What is the Primary mission of FMCSA?
A. To improve the quality of the highways.
B. To promote the safety of the roadways.
C. To regulate the performance of medical exams.
D. To ensure state regulations coincide with federal regulations
B
24 . During a driver's history, she describes her role and responsibilities as
limited to the driving component and
excluding strenuous activities. You should:
A. Limit the examination to those qualifications associated with driving
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