Nrcme Dot Medical Exam. Questions And Answers With Explanations.

91. A driver has a blood pressure of 168/112 confirmed during the examination. The driver would be? a) Disqualified b) Certified for 6 months c) Certified for 1 year d) Certified for 2 years 92. How long would the driver be certified for, if they are taking Micardis HCT for hypertension, with a confirmed blood pressure of 148/96 at the time of the examination? a) 3 months b) 6 months c) 1 year d) 2 years 93. A driver with a history of diabetes is taking an injected medication named Byetta, provides a note from his PCP that lists his A1c level as 9.5. His exam is essentially WNL, urinary glucose of 200 mg/dl, notably overweight. The medical examiner should? a) Disqualify the driver until his A1c level is less than 7. b) Disqualify the driver because he is an insulin dependant diabetic. c) Certify the driver for 1 year or less. d) Certify the driver for 2 years. 94. During the examination the driver has a positive "Babinski" reflex. The examiner should? a) Certify the driver for 1 year. b) Certify the driver for 2 years. c) Council the driver to obtain an SPE. d) Disqualify the driver, refer for neurological consult. 95. The driver marks yes for a history of lung disease and lists that he uses an albuterol inhaler multiple times per week to control his asthma, and that it is worse in the spring and fall. Upon further questioning, he denies ever being hospitalized for his asthma and that he sees his PCP annually for a physical. The examiner should? a) Order a PFT or obtain medical records/evaluation from the treating provider prior to certification. b) Counsel the driver to obtain a respiratory waver from the FMCSA. c) Certify the driver for 1 year. d) Certify the driver for 2 years. 96. All of the following are required components of all DOT medical examinations EXCEPT: a) Vision b) Hearing c) Blood Pressure d) Ophthalmoscopic examination 97. The driver reports using the inhaled medication Affrezza (insulin) for control of their diabetes. The rest of the examination is normal. The driver's current A1c 7.0. The examiner should? a) Certify the driver for 3-months. b) Certify the driver for 1 year. c) Certify the driver for 1 year, mark the box requiring an "Insulin" exemption. d) Disqualify the driver until a ITDM MCSA 5870 form is obtained. 98. A driver taking insulin has a letter indicating he is a driver in the FMCSA Waiver program from the mid 1990s. There has been no change in the driver's diabetes condition and is otherwise medically qualified to drive. What is the best course of action. a) Qualify the driver for one year and mark the box "Accompanied by Federal Insulin Exemption" b) Qualify the driver for one year and mark the box "Qualified by Operation of 49 CFR 391.64 c) Require the driver to obtain a signed MCSA-5870 ITDM evaluation form from his treating provider d) If before November 19, 2019, give the driver a choice between answer 2 and 3. 99. The driver is on dialysis, and the examiner is unable to obtain a UA during the certification examination. The examiner should? a) Disqualify the driver. b) Contact the treating provider to obtain urine test results. c) Certify the driver for 1 year. d) Certify the driver for 2 years. 100. The driver reports for a re-certification examination 8 weeks after a having CABG. He presents a note from his cardiologist stating that the driver is able to return to driving without restriction. The driver's results for his ETT were normal and his ECG showed a left ventricular ejection fraction of 43. The examiner should? a) Temporarily disqualify the driver until he has completed the required waiting period. b) Permanently disqualify the driver because his ejection fraction is too low. c) Certify the driver for 1 year only. d) Certify the driver for 2 years because he has medical clearance.