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Exam (elaborations)

DOT 2025 STUDY GUIDE SOLUTIONS

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DOT 2025 STUDY GUIDE SOLUTIONS

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NRCME
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Uploaded on
March 28, 2025
Number of pages
70
Written in
2024/2025
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DOT 2025 STUDY GUIDE SOLUTIONS




How nhhoften nhhis nhha nhhdriver nhhwith nhhstage nhh3 nhhhypertension nhhrecertified? nhha.
nhhEvery nhh3 nhhmonths. nhh
b. nhhEvery nhh6 nhhmonths. nhh
c. nhhEvery nhh12 nhhmonths. nhh
d. nhhEvery nhh2 nhhyears. nhh- nhh nhhcorrect nhhanswer- nhhb. nhhEvery nhh6 nhhmonths. nhh

A nhhdriver nhhwith nhha nhhhistory nhhof nhhstage nhh3 nhhhypertension nhhmay nhhbe nhhcertified
nhhfor nhha nhhmaximum nhhof nhh6 nhhmonths.


nhhWhat nhhminimum nhhPaO2 nhhlevel nhhis nhhnecessary nhhif nhhthe nhhdriver nhhhas nhhan
nhhABG nhhdue nhhto nhha nhhchronic nhhrespiratory nhhdisorder? nhh
a. nhh70 nhhmm nhhHg nhh
b. nhh55 nhhmm nhhHg nhh
c. nhh60 nhhmm nhhHg nhh
d. nhh65 nhhmmHg nhh- nhh nhhcorrect nhhanswer- nhhCorrect nhhanswer nhhis nhh"D". nhhTo nhhbe
nhhqualified, nhhthe nhhdriver nhhshould nhhmeet nhha nhhminimum nhharterial nhhblood nhhgas
nhh(PaO2) nhhgreater nhhthan nhh65.


nhhA nhhdriver nhhreports nhhfor nhhan nhhexamination nhh6 nhhweeks nhhafter nhhsuffering nhha
nhhmild nhhheart nhhattack nhhand nhhpresents nhha nhhnote nhhfrom nhhhis nhhcardiologist
nhhstating nhhthat nhhhe nhhis nhhable nhhto nhhreturn nhhto nhhwork nhhimmediately nhhwithout
nhhrestriction. nhhIncluded nhhwithin nhhthe nhhnote, nhhthe nhhcardiologist nhhprovides
nhhrecent nhhtesting nhhinformation nhhshowing nhhthat nhhthe nhhdriver nhhhad nhhan nhhETT
nhhthat nhhshowed nhhhe nhhwas nhhable nhhto nhhreach nhh12 nhhMETS nhhduring nhhthe nhhtest.
nhhHis nhhechocardiogram nhhshowed nhhan nhhejection nhhfraction nhhof nhh65%. nhhThe
nhhexamination nhhof nhhthe nhhdriver nhhis nhhunremarkable. nhhThe nhhexaminer nhhshould:
nhh

,a. nhhDisqualify nhhthe nhhdriver. nhh
b. nhhQualify nhhthe nhhdriver nhhfor nhh1 nhhyear. nhh
c. nhhQualify nhhthe nhhdriver nhhfor nhh2 nhhyears. nhh
d. nhhConsult nhhwith nhhthe nhhcardiologist nhhto nhhdetermine nhhif nhhthe nhhdriver nhhsuffers
nhhfrom nhhangina. nhh- nhh nhhcorrect nhhanswer- nhhCorrect nhhanswer nhhis nhh"A". nhhThe
nhhdriver nhhhas nhhnot nhhcompleted nhhthe nhhrequired nhh2-month nhhwaiting nhhperiod,
nhhbut nhhall nhhother nhhrequirements nhhfor nhhmedical nhhclearance nhhand nhhrequired
nhhtesting nhhhave nhhbeen nhhmet. nhhThe nhhdriver nhhwould nhhbe nhhcertified nhhfor nhh1
nhhyear nhhat nhhthe nhhcompletion nhhof nhhthe nhhwaiting nhhperiod. nhhThe nhhdate nhhof nhhthe
nhhcertification nhhwould nhhbe nhhfrom nhhthe nhhdate nhhof nhhthe nhhoriginal nhhexamination.


nhhA nhhdriver nhhprovides nhhan nhhaudiometric nhhtest nhhdocumenting nhhthe nhhfollowing:
nhh


1. nhh500 nhhHz: nhh35 nhhRight nhhear; nhh40 nhhLeft nhhear nhh
2. nhh1000 nhhHZ: nhh40 nhhRight nhhear; nhh45 nhhLeftear nhh
3. nhh2000 nhhHZ: nhh40 nhhRight nhhear; nhh45 nhhLeftear nhh
4. nhh4000 nhhHz: nhh50 nhhRight nhhear; nhh50 nhhLeft nhhear nhh

The nhhmedical nhhexaminershould: nhh
a. nhhDisqualify nhhthe nhhdriver nhhbecause nhhhe nhhdoes nhhnot nhhmeet nhhminimum
nhhhearing nhhrequirementsto nhhdrive. nhh
b. nhhCertify nhhthe nhhdriver nhhfor nhh2years. nhh
c. nhhCertify nhhthe nhhdriver nhhfor nhh1 nhhyear. nhh
d. nhhRequire nhhthe nhhdriver nhhto nhhobtain nhha nhhhearing nhhexemption. nhh- nhh nhhcorrect
nhhanswer- nhhCorrect nhhanswer nhhis nhh"B". nhhThe nhhexaminer nhhwould nhhaverage nhhthe
nhhresults nhhfrom nhh500 nhhHz, nhh1000 nhhHz nhhand nhh2000 nhhHz. nhhThis nhhaverage nhhis
nhh38.33 nhhin nhhthe nhhRight nhhand nhh43.33 nhhin nhhthe nhhLeft nhhear. nhhA nhhdriver nhhmust
nhhhave nhhan nhhaverage nhhhearing nhhloss nhhof nhhless nhhthan nhhor nhhequal nhhto nhh40
nhhin nhhthe nhhbetter nhhear. nhhThis nhhdoes nhhnot nhhhave nhhto nhhbe nhhmet nhhin nhhboth
nhhears.


nhhDuring nhhthe nhhexamination nhhof nhha nhhcommercial nhhdriver, nhhthe nhhexaminer
nhhnotices nhhthat nhhthe nhhdriver's nhhperipheral nhhvision nhhis nhh70 nhhdegrees nhhto nhhthe
nhhleft nhhand nhh80 nhhdegrees nhhto nhhthe nhhright. nhhThe nhhexaminer nhhshould: nhh
a. nhhQualify nhhthe nhhdriver nhhfor nhh2years. nhh
b. nhhRequire nhhthe nhhdriver nhhto nhhobtain nhha nhhvision nhhexemption nhhbecause nhhof
nhhthe nhhlimitation nhhin nhhthe nhhdriver's nhhleft nhhperipheral nhhfield. nhh
c. nhhDisqualify nhhthe nhhdriver. nhh
d. nhhHave nhhthe nhhdriver nhhconsult nhhwith nhhan nhhOphthalmologist nhhto nhhdetermine
nhhif nhhthe nhhdriver's nhhperipheral nhhvision nhhmeets nhhminimum nhhstandards. nhh- nhh
nhhcorrect nhhanswer- nhhCorrect nhhanswer nhhis nhh"A". nhhA nhhdriver nhhmust nhhexhibit nhha
nhhminimum nhhperipheral nhhvision nhhof nhh70 nhhdegrees nhhbilaterally.


nhhDuring nhhexamination, nhhthe nhhmedical nhhexaminer nhhnotices nhhthat nhhthe nhhdriver
nhhis nhhdistant, nhhlacks nhheye nhhcontact nhhand nhhshows nhhabsolutely nhhno nhhemotional

,nhhresponse nhhduring nhhthe nhhexam. nhhThe nhhexaminer's nhhbest nhhresponse nhhshould
nhhbe: nhh
a. nhhProvide nhhthe nhhdriver nhhwith nhha nhh"CAGE" nhhquestionnaire nhhto nhhdetermine nhhif
nhhhe nhhsuffers nhhfrom nhhalcoholism. nhh
b. nhhDisqualify nhhthe nhhdriver nhhand nhhrefer nhhhim nhhto nhha nhhmental nhhhealth
nhhprofessional nhhprior nhhto nhhconsideration nhhfor nhhcertification. nhh
c. nhhCertify nhhthe nhhdriver nhhwith nhha nhh1-time, nhh3-month nhhcertificate nhhto
nhhdetermine nhhif nhhthere nhhis nhhany nhheffect nhhon nhhthe nhhdriver's nhhability nhhto nhhdrive
nhha nhhCMV. nhh
d. nhhRequire nhha nhhskill nhhperformance nhhevaluation nhhto nhhascertain nhhif nhhthe
nhhdriver nhhhas nhhany nhhlimitations nhhwith nhhdriving. nhh- nhh nhhcorrect nhhanswer-
nhhCorrect nhhanswer nhhis nhh"B". nhhThe nhhdriver nhhexhibits nhhwhat nhhmay nhhbe
nhhconsidered nhha nhh"flat nhhaffect" nhhwhich nhhis nhhseen nhhin nhhschizophrenia nhhand nhhin
nhhsevere nhhdepression. nhhThe nhhdriver nhhshould nhhbe nhhevaluated nhhby nhha nhhmental
nhhhealth nhhexpert nhhto nhhmake nhha nhhdiagnosis nhhprior nhhto nhhcertification.


nhhA nhhdriver nhhadmits nhhto nhhthe nhhuse nhhof nhhmarijuana nhhfor nhhthe nhhtreatment nhhof
nhhhis nhhglaucoma, nhhwhich nhhis nhhlegal nhhin nhhthe nhhState nhhin nhhwhich nhhhe nhhlives.
nhhHe nhhprovides nhhmedical nhhdocumentation nhhfor nhhthe nhhglaucoma nhhindicating nhhhe
nhhis nhhable nhhto nhhdrive nhha nhhtruck. nhhHe nhhbegan nhhusing nhhthe nhhmarijuana nhhabout
nhhthree nhhmonths nhhago. nhhHis nhhcurrent nhhmedical nhhcard nhhhas nhhno nhhlimitations
nhhlisted nhhand nhhis nhhfor nhh2 nhhyears. nhhHis nhhcertification nhhexamination nhhis nhhwithin
nhhnormal nhhlimits. nhhThe nhhmedical nhhexaminer nhhshould: nhh
a. nhhDisqualify nhhthe nhhdriver. nhh
b. nhhPerform nhha nhhurine nhhdrug nhhcollection nhhand nhhprovide nhhthe nhhrelease nhhfrom
nhhthe nhhtesting nhhprovider. nhh
c. nhhCertify nhhthe nhhdriver nhhfor nhh1 nhhyear. nhh
d. nhhCertify nhhthe nhhdriver nhhfor nhh2 nhhyears. nhh- nhh nhhcorrect nhhanswer- nhhCorrect
nhhanswer nhhis nhh"A". nhhUse nhhof nhhmarijuana nhhis nhhprohibited nhhby nhhFederal nhhlaw
nhhwhile nhhdriving nhha nhhCMV nhhand nhhtrumps nhhState nhhlaw nhhin nhhthis nhhmatter.


nhhA nhhdriver nhhhas nhha nhhblood nhhpressure nhhof nhh136/92 nhhmm nhhHg. nhhThis nhhis: nhh
a. nhhWithin nhhnormal nhhlimits nhhand nhhwould nhhnot nhhaffect nhhthe nhhdriver's
nhhcertification. nhh
b. nhhStage nhh1Hypertension. nhh
c. nhhStage nhh2Hypertension. nhh
d. nhhStage nhh3Hypertension. nhh- nhh nhhcorrect nhhanswer- nhhCorrect nhhanswer nhhis nhh"B".
nhhThis nhhis nhhStage nhh1 nhhHypertension, nhhwhich nhhis nhhdefined nhhas nhh140-159/90
nhh- nhh99.


nhhA nhhdriver nhhis nhhtaking nhhCelexa nhhfor nhhthe nhhtreatment nhhof nhhwhat nhhhe nhhcalls
nhha nhh"mild nhhdepression." nhhHe nhhreports nhhhe nhhhas nhhnot nhhconsidered nhhor
nhhattempted nhhsuicide. nhhThe nhhexaminer nhhshould? nhh
a. nhhCertify nhhonly nhhafter nhhobtaining nhhwritten nhhclearance nhhfor nhhthe nhhdepression
nhhand nhhthe nhhmedication nhhfrom nhhthe nhhtreating nhhprovider. nhh
b. nhhCertify nhhthe nhhdriver nhhfor nhha nhhperiod nhhof nhh1 nhhyear. nhh

, c. nhhCertify nhhthe nhhdriver nhhfor nhha nhhperiod nhhof nhh2 nhhyears. nhh
d. nhhDisqualify nhhthe nhhdriver nhhuntil nhhhe nhhis nhhno nhhlonger nhhrequiring nhhmedication
nhhfor nhhthe nhhtreatment nhhof nhhdepression. nhh- nhh nhhcorrect nhhanswer- nhhCorrect
nhhanswer nhhis nhh"A". nhhMedical nhhclearance nhhis nhhrecommended nhhfor nhhall nhhmental
nhhhealth nhhdisorders. nhhCelexa nhhis nhhan nhhSSRI nhhor nhh2nd nhhGeneration nhhanti-
depressant nhhand nhhis nhhacceptable.

nhhFor nhha nhhdriver nhhwith nhhinsulin-treated nhhdiabetes nhhmellitus, nhhthe nhhmedical
nhhexaminer nhhcan nhhonly nhhaccept nhhForm nhhMCSA-5870 nhhif nhhit nhhhas nhhbeen
nhhproperly nhhcompleted nhhwithin nhhthe nhhlast: nhh
a. nhh25 nhhdays. nhh
b. nhh30 nhhdays. nhh
c. nhh45 nhhdays. nhh
d. nhh60 nhhdays. nhh- nhh nhhcorrect nhhanswer- nhhCorrect nhhanswer nhhis nhh"C". nhhThe
nhhmedical nhhexaminer nhhmust nhhreceive nhhthe nhhform nhhand nhhbegin nhhthe nhhmedical
nhhexamination nhhno nhhlater nhhthan nhh45 nhhdays nhhafter nhhthe nhhdate nhhsigned nhhon
nhhthe nhhform; nhhhowever, nhhthe nhhmedical nhhcertification nhhdetermination nhhdoes nhhnot
nhhneed nhhto nhhbe nhhcompleted nhhwithin nhh45 nhhdays.


BG nhhlogs nhhshould nhhbe nhh3 nhhmonth nhhperiods

nhhWhat nhhminimum nhhPaO2 nhhlevel nhhon nhhan nhhABG nhhperformed nhhfor nhha
nhhchronic nhhrespiratory nhhdisorder nhhis nhhnecessary nhhto nhhcertify nhha nhhcommercial
nhhdriver? nhh
a. nhh55 nhhmm nhhHg. nhh
b. nhh60 nhhmm nhhHg. nhh
c. nhh65 nhhmm nhhHg. nhh
d. nhh70 nhhmm nhhHg nhh- nhh nhhcorrect nhhanswer- nhhCorrect nhhanswer nhhis nhh"C". nhhBlood
nhhoxygen nhhsaturation nhhmust nhhbe nhha nhhminimum nhhof nhh65 nhhmm nhhHg nhhfor nhhthe
nhhdriver nhhto nhhcertify.


nhhA nhhdriver nhhis nhhtaking nhhTopamax nhhfor nhhthe nhhtreatment nhhof nhhmigraine
nhhheadaches. nhhHe nhhreports nhhgood nhhmanagement nhhof nhhhis nhhheadaches nhhand
nhhthey nhhnever nhhseem nhhto nhhinterfere nhhwith nhhhis nhhdriving nhhability nhhwith nhhthe
nhhmedication. nhhThe nhhmedical nhhexaminer nhhshould? nhh
a. nhhObtain nhhmedical nhhclearance nhhfor nhhthe nhhcondition nhhand nhhthe nhhmedication.
nhh
b. nhhDisqualify nhhthe nhhdriver nhhbecause nhhhe nhhis nhhtaking nhhan nhhanti-seizure
nhhmedication. nhh
c. nhhCertify nhhthe nhhdriver nhhfor nhh1 nhhyear. nhh
d. nhhCertify nhhthe nhhdriver nhhfor nhh2 nhhyears. nhh- nhh nhhcorrect nhhanswer- nhhCorrect
nhhanswer nhhis nhh"A". nhhTopamax nhhis nhha nhhmedication nhhthat nhhis nhhused nhhfor
nhhseizure nhhcontrol. nhhThe nhhexaminer nhhshould nhhconfirm nhhwith nhhthe nhhprescribing
nhhprovider nhhthat nhhthe nhhdriver nhhdoes nhhnot nhhtake nhhit nhhto nhhcontrol nhhseizures,
nhhand nhhhe nhhis nhhcapable nhhof nhhdriving nhha nhhCMV.

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