#1 - NRCME Pre-Test - (Multiple Choice) DOT Examiner Training Questions and Answers

Which drug is immediately disqualifying for a Department of Transportation driver? Methadone = a synthetic analgesic drug that is similar to morphine in its effects but longer acting, used as a substitute drug in the treatment of morphine and heroin addiction. 3 MULTIPLE CHOICE OPTIONS A driver has an abdominal aortic aneurysm that is 3 cm and notes insidious onset of low back pain. For how long can the driver be certified? (Insidious onset of lower back pain does not guarantee abdominal aorta aneurysm is associated; 3-cm dilatation requires watchful waiting and a reduced certification time.) 1 year 3 MULTIPLE CHOICE OPTIONS When checking the urinalysis during the physical exam, which of the following carries the greatest concern? Glycosuria (undetected or uncontrolled NIDDM) 3 MULTIPLE CHOICE OPTIONS A driver should be disqualified if the driver has a blood pressure of 164/90. (This driver would be given a 1-time certification for 3 months.) FALSE 1 MULTIPLE CHOICE OPTION A pre-employment commercial motor vehicle physical examination requires both a drug and alcohol test. (Alcohol evaluation on a pre-employment examination is employer optional) FALSE 1 MULTIPLE CHOICE OPTION A new driver with a blood pressure of 142/92 can be certified for how long? 1 year 3 MULTIPLE CHOICE OPTIONS A driver who has recently had a myocardial infarction should wait how long before he/she can be certified? 2 months (A 2-month wait is minimum before returning to safety sensitive duties) 3 MULTIPLE CHOICE OPTIONS Joining and disjoining trailers requires: Prehension and power grasp (mandatory in FMCSA drivers) 3 MULTIPLE CHOICE OPTIONS A driver who is taking insulin for diabetes, accompanied with a treating clinician's certification, can be certified for: Cannot be certified 3 MULTIPLE CHOICE OPTIONS A driver with a stable angina pectoris who is taking nitroglycerin cannot be certified. FALSE 1 MULTIPLE CHOICE OPTION A non-discretionary (no examiner laterality) standard is: Vision 3 MULTIPLE CHOICE OPTIONS During the examination, a driver has a blood pressure (BP) level of 148/94 while taking BP medication for 2 years. The examiner's recommendation is: (The driver is currently taking hypertension medications. Minimum standard is 140/90 to receive a 1-year certification. He does not meet that. He can be given only a 1-time certification for 3 months) Give a 1-time certification for 3 months 3 MULTIPLE CHOICE OPTIONS What is the waiting period for someone who has had a moderate traumatic brain injury without early seizure? 2 years 3 MULTIPLE CHOICE OPTIONS A driver with an implantable cardioverter-defibrillator can be certified for 1 year as long as the driver gets a checkup with a cardiologist yearly, has a letter from the cardiologist, and is tolerating medication. (Implantable defibrillators are non-certifiable) FALSE 1 MULTIPLE CHOICE OPTION