NRCME DOT Study Guide Questions & Answer
1. What minimum PaO2 level on an ABG performed for a chronic respiratory
disorder is necessary to certify a commercial driver?
a. 55 mm Hg.
b. 60 mm Hg.
c. 65 mm Hg.
d. 70 mm Hg
Answer Correct answer is "C". Blood oxygen saturation must be a
minimum of 65 mm Hg for the driver to certify.
2. A driver is taking Topamax for the treatment of migraine headaches. He
reports good management of his headaches and they never seem to
interfere with his driving ability with the medication. The medical examiner
should?
a. Obtain medical clearance for the condition and the medication.
b. Disqualify the driver because he is taking an anti-seizure medication.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years.
Answer Correct answer is "A". Topamax is a medication that is used for
seizure control. The examiner should confirm with the prescribing
provider that the driver does not take it to control seizures, and he is
capable of driving a CMV.
3. A 26 year-old driver presents for a first-time certification. He has a
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,long-standing history of ADHD and is taking methylphenidate. You have
ver- ified his diagnosis and obtained clearance from his treating
psychiatrist. As the certified examiner, you
a. Should disqualify the driver, explaining that use of such stimulants is
cause for disqualification.
b. May certify for a maximum of 6 months.
c. May certify for a maximum of 12 months.
d. May certify for a maximum of 2 years.
Answer certify for maximum 1 year
4. A driver has a blood pressure of 168/112 mm Hg confirmed during the
examination. The driver should be
a. Disqualified.
b. Certified for 6 months.
c. Certified for 1 year.
d. Certified for 2 years.
Answer Correct answer is "A". This is Stage 3 hypertension. The driver
is disqualified until his blood pressure is less than 140/90 mm Hg at
which time he will have a maximum certification of 6 months.
5. For how long would a driver be certified if he is taking Micardis HCT
for hypertension, and has a confirmed blood pressure of 148/96 mm Hg at
the time of the examination?
a. 3 months
b. 6 months
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,c. 1 year
d. 2 years
Answer Correct answer is "A". Because the driver has a history of
hypertension (he is taking medication), and he had Stage 1 hypertension
during his exam, he
would be provided a 1- time, 3-month certificate in order to lower his
blood pressure to an acceptable level during that time.
6.How often is a driver with stage 3 hypertension recertified? a. Every
3 months.
b. Every 6 months.
c. Every 12 months.
d. Every 2 years.
Answer b. Every 6 months.
A driver with a history of stage 3 hypertension may be certified for a
maximum of 6 months.
7.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 mmHg
Answer Correct answer is "D". To be qualified, the driver should
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, meet a minimum arterial blood gas (PaO2) greater than 65.
8.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 angi-
na.
Answer Correct answer is "A". The driver has not completed the
required 2-month waiting period, but all other requirements for medical
clearance and required testing have been met. The driver would be
certified for 1 year at the completion of the waiting period. The date of
the certification would be from the date of the original examination.
9.A driver provides an audiometric test documenting the following
1. 500 Hz
35 Right ear; 40 Left ear
2. 1000 HZ
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1. What minimum PaO2 level on an ABG performed for a chronic respiratory
disorder is necessary to certify a commercial driver?
a. 55 mm Hg.
b. 60 mm Hg.
c. 65 mm Hg.
d. 70 mm Hg
Answer Correct answer is "C". Blood oxygen saturation must be a
minimum of 65 mm Hg for the driver to certify.
2. A driver is taking Topamax for the treatment of migraine headaches. He
reports good management of his headaches and they never seem to
interfere with his driving ability with the medication. The medical examiner
should?
a. Obtain medical clearance for the condition and the medication.
b. Disqualify the driver because he is taking an anti-seizure medication.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years.
Answer Correct answer is "A". Topamax is a medication that is used for
seizure control. The examiner should confirm with the prescribing
provider that the driver does not take it to control seizures, and he is
capable of driving a CMV.
3. A 26 year-old driver presents for a first-time certification. He has a
1/
126
,long-standing history of ADHD and is taking methylphenidate. You have
ver- ified his diagnosis and obtained clearance from his treating
psychiatrist. As the certified examiner, you
a. Should disqualify the driver, explaining that use of such stimulants is
cause for disqualification.
b. May certify for a maximum of 6 months.
c. May certify for a maximum of 12 months.
d. May certify for a maximum of 2 years.
Answer certify for maximum 1 year
4. A driver has a blood pressure of 168/112 mm Hg confirmed during the
examination. The driver should be
a. Disqualified.
b. Certified for 6 months.
c. Certified for 1 year.
d. Certified for 2 years.
Answer Correct answer is "A". This is Stage 3 hypertension. The driver
is disqualified until his blood pressure is less than 140/90 mm Hg at
which time he will have a maximum certification of 6 months.
5. For how long would a driver be certified if he is taking Micardis HCT
for hypertension, and has a confirmed blood pressure of 148/96 mm Hg at
the time of the examination?
a. 3 months
b. 6 months
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,c. 1 year
d. 2 years
Answer Correct answer is "A". Because the driver has a history of
hypertension (he is taking medication), and he had Stage 1 hypertension
during his exam, he
would be provided a 1- time, 3-month certificate in order to lower his
blood pressure to an acceptable level during that time.
6.How often is a driver with stage 3 hypertension recertified? a. Every
3 months.
b. Every 6 months.
c. Every 12 months.
d. Every 2 years.
Answer b. Every 6 months.
A driver with a history of stage 3 hypertension may be certified for a
maximum of 6 months.
7.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 mmHg
Answer Correct answer is "D". To be qualified, the driver should
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, meet a minimum arterial blood gas (PaO2) greater than 65.
8.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 angi-
na.
Answer Correct answer is "A". The driver has not completed the
required 2-month waiting period, but all other requirements for medical
clearance and required testing have been met. The driver would be
certified for 1 year at the completion of the waiting period. The date of
the certification would be from the date of the original examination.
9.A driver provides an audiometric test documenting the following
1. 500 Hz
35 Right ear; 40 Left ear
2. 1000 HZ
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