#1 - NRCME Pre-Test - (Multiple Choice) Questions And Answers

#1 - NRCME Pre-Test - (Multiple Choice) Questions And Answers What minimum PaO2 level is necessary if the driver has an ABG due to a chronic respiratory disorder? a. 70 mm Hg b. 55 mm Hg c. 60 mm Hg d. 65 mm Hg - ANS-d 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. Disqualify the driver because he "failed" the whispered voice test. b. Certify the driver for 2 years. c. Certify the driver for 1 year. d. Require an audiometric test to determine the extent of hearing loss in his left ear. - ANS-b. only needs to be able to perceive a whispered voice from 5 feet in ONE ear A driver reports for an examination 6 weeks after suffering a mild heart attack and presents a note from his cardiologist stating that he is able to return to work immediately without restriction. Included within the note, the cardiologist provides recent testing information showing that the driver had an ETT that showed he was able to reach 12 METS during the test. His echocardiogram showed an ejection fraction of 65%. The examination of the driver is unremarkable. The examiner should: a. Disqualify the driver. b. Qualify the driver for 1 year. c. Qualify the driver for 2 years. d. Consult with the cardiologist to determine if the driver suffers from angina. - ANS-a. the driver has not waited the required 2 MONTHS of a waiting period A driver provides an audiometric test documenting the following: 500 Hz: 35 Right ear; 40 Left ear 1000 HZ:40 Right ear; 45 Left ear 2000 HZ:40 Right ear; 45 Left ear 4000 Hz:50 Right ear; 50 Left ear The medical examiner should: a. Disqualify the driver because he does not meet minimum hearing requirements to drive. b. Certify the driver for 2 years. c. Certify the driver for 1 year. d. Require the driver to obtain a hearing exemption. - ANS-b. average the results from 500, 1000, and 2000Hz. The average is 38.33 in the right and 43.33 in the left. Average hearing loss must be less than or equal to 40 in the better ear (doesn't have to be met in both ears) During the examination of a commercial driver, the examiner notices that the driver's peripheral vision is 70 degrees to the left and 80 degrees to the right. The examiner should: a. Qualify the driver for 2 years. b. Require the driver to obtain a vision exemption because of the limitation in the driver's left peripheral field. c. Disqualify the driver. d. Have the driver consult with an Ophthalmologist to determine if the driver's peripheral vision meets minimum standards. - ANS-um of 70 degrees bilaterally During examination, the medical examiner notices that the driver is distant, lacks eye contact and shows absolutely no emotional response during the exam. The examiner's best response should be: a. Provide the driver with a "CAGE" questionnaire to determine if he suffers from alcoholism. b. Disqualify the driver and refer him to a mental health profession prior to consideration for certification. c. Certify the driver with a 1-time, 3-month certificate to determine if there is any effect on the driver's ability to drive a CMV. d. Require a skill performance evaluation to ascertain if the driver has any limitations with driving. - ANSb. A driver admits to the use of marijuana for the treatment of his glaucoma, which is legal in theState in which he lives. He provides medical documentation for the glaucoma indicating he isable to drive a truck. He began using the marijuana about three months ago. His currentmedical card has no limitations listed and is for 2 years. His certification examination is within normal limits. The medical examiner should: a. Disqualify the driver. b. Perform a urine drug collection and provide the release from the testingprovider. c. Certify the driver for 1 year. d. Certify the driver for 2 years. - ANS-a. A driver has a blood pressure of 136/92 mm Hg. This is: a. Within normal limits and would not affect the driver's certification. b. Stage 1 Hypertension. c. Stage 2 Hypertension. d. Stage 3 Hypertension. - ANS-b A driver is taking Celexa for the treatment of what he calls a "mild depression." He reports he has not considered or attempted suicide. The examiner should? a. Certify only after obtaining written clearance for the depression and the medication from the treating provider b. Certify the driver for a period of 1 year. c. Certify the driver for a period of 2 years. d. Disqualify the driver until he is no longer requiring medication for the treatment of depression. - ANSa. medical clearance is recommended for all mental health disorders For a driver with insulin-treated diabetes mellitus, the medical examiner can only accept Form MCSA5870 if it has been properly completed within the last:..