NRCME Post-test Questions &
Answers11
The FMCSA medical examiner should disqualify a driver if he or she has any of the following
clinical diagnosis: - ANSWERS-MI, CHF with LVEF less than 40%, Pulmonary Hypertension, or
Atrial fibrillation
Pulmonary Hypertension, Hypertrophic Cardiomyopathy, Restrictive Cardiomyopathy or CHF
with LVEF of 50%
Atrial Flutter, Ventricular Tachycardia, or Pulmonary Embolism
**Hypertrophic Cardiomyopathy, Restrictive Cardiomyopathy or CHF with LVEF less than 40%
When should a driver who is prescribed anticoagulation therapy be disqualified? - ANSWERS-
When taking medication for treatment post cerebrovascular accident (CVA)
How long should a driver status-post permanent pacemaker (PPM) insertion secondary to sinus
node dysfunction wait before certification/recertification for duty can be considered? -
ANSWERS-1 month
A CMV driver who has an implantable cardioverter-defibrillator (ICD) can be certified for how
long when he or she has clearance from a cardiologist indicating that the driver is fit for duty? -
ANSWERS-Disqualified
A driver candidate presents to your office for a new medical certification. In his medical history
he notes he has an allergy to bee stings. Following his most recent bee sting he developed
symptoms of anaphylaxis including angioedema, throat tightness, and dyspnea. What is one
, effective preventive measure the medical examiner should advise the driver to undertake? -
ANSWERS-Carry an epinephrine injection device in the truck cab.
The medical examiner is determining fitness for duty for a driver candidate with a history of
asthma. The driver is using an albuterol inhaler three times daily for treatment of intermittent
dyspnea and wheezing. The medical examiner should: - ANSWERS-Qualify the driver for a
period of two years as the asthma is well controlled.
**Disqualify the driver and have them return to their primary care provider for re evaluation of
their asthma treatment regimen.
Qualify the driver for a period of one year as they will require more frequent monitoring.
Refer the driver for pulmonary function testing.
The medical examiner should refer a driver for pulmonary function testing (PFT) when they
present with which of the following: - ANSWERS-History of any specific lung disease
Symptoms of shortness of breath, cough, chest tightness, or wheezing
Cigarette smoking in drivers 35 years of age or older
**All of the above
When assessing a driver with a suspected diagnosis of chronic obstructive pulmonary disease
(COPD), the medical examiner recalls the primary etiologic factor is: - ANSWERS-Cigarette
smoking
Answers11
The FMCSA medical examiner should disqualify a driver if he or she has any of the following
clinical diagnosis: - ANSWERS-MI, CHF with LVEF less than 40%, Pulmonary Hypertension, or
Atrial fibrillation
Pulmonary Hypertension, Hypertrophic Cardiomyopathy, Restrictive Cardiomyopathy or CHF
with LVEF of 50%
Atrial Flutter, Ventricular Tachycardia, or Pulmonary Embolism
**Hypertrophic Cardiomyopathy, Restrictive Cardiomyopathy or CHF with LVEF less than 40%
When should a driver who is prescribed anticoagulation therapy be disqualified? - ANSWERS-
When taking medication for treatment post cerebrovascular accident (CVA)
How long should a driver status-post permanent pacemaker (PPM) insertion secondary to sinus
node dysfunction wait before certification/recertification for duty can be considered? -
ANSWERS-1 month
A CMV driver who has an implantable cardioverter-defibrillator (ICD) can be certified for how
long when he or she has clearance from a cardiologist indicating that the driver is fit for duty? -
ANSWERS-Disqualified
A driver candidate presents to your office for a new medical certification. In his medical history
he notes he has an allergy to bee stings. Following his most recent bee sting he developed
symptoms of anaphylaxis including angioedema, throat tightness, and dyspnea. What is one
, effective preventive measure the medical examiner should advise the driver to undertake? -
ANSWERS-Carry an epinephrine injection device in the truck cab.
The medical examiner is determining fitness for duty for a driver candidate with a history of
asthma. The driver is using an albuterol inhaler three times daily for treatment of intermittent
dyspnea and wheezing. The medical examiner should: - ANSWERS-Qualify the driver for a
period of two years as the asthma is well controlled.
**Disqualify the driver and have them return to their primary care provider for re evaluation of
their asthma treatment regimen.
Qualify the driver for a period of one year as they will require more frequent monitoring.
Refer the driver for pulmonary function testing.
The medical examiner should refer a driver for pulmonary function testing (PFT) when they
present with which of the following: - ANSWERS-History of any specific lung disease
Symptoms of shortness of breath, cough, chest tightness, or wheezing
Cigarette smoking in drivers 35 years of age or older
**All of the above
When assessing a driver with a suspected diagnosis of chronic obstructive pulmonary disease
(COPD), the medical examiner recalls the primary etiologic factor is: - ANSWERS-Cigarette
smoking
