AK DOT NRCME FINAL EXAM QUESTIONS
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1. The FMCSA medical examiner should disqualify a D) Hypertrophic Cardiomyopa-
driver if he or she has any of the following clinical thy, Restrictive Cardiomyopathy
diagnosis: or CH with LVEF less than 40%
A) MI, CHF with LVEF less than 40%, Pulmonary Hy-
pertension, or Atrial fibrillation
B) Pulmonary Hypertension, Hypertrophic Car-
diomyopathy, Restrictive Cardiomyopathy or
CHF with LVEF of 50%
C) Atrial Flutter, Ventricular Tachycardia, or Pul-
monary Embolism
D) Hypertrophic Cardiomyopathy, Restrictive Car-
diomyopathy or CH with LVEF less than 40%
2. When should a driver who is prescribed anticoagu- C) When taking medication for
lation therapy be disqualified? treatment post cerebrovascular
accident (CVA)
A) When taking medication for treatment of deep
vein thrombosis (DVT)
B) When taking medication for treatment of Atrial
Fibrillation
C) When taking medication for treatment post cere-
brovascular accident (CVA)
D) When taking medication for treatment of pul-
monary embolism
3. How long should a driver status-post permanent B) 1 month
pacemaker (PPM) insertion secondary to sinus node
dysfunction wait before certification/recertification
for duty can be considered?
A) 3 months
, AK DOT NRCME FINAL EXAM QUESTIONS
Study online at https://quizlet.com/_ewmaya
B) 1 month
C) 6 months
D) 2 weeks
4. A CMV driver who has an implantable cardiovert- D) Disqualified
er-defibrillator (ICD) can be certified for how long
when he or she has clearance from a cardiologist
indicating that the driver is fit for duty?
A) 6 months
B) 1 year
C) 2 years
D) Disqualified
5. A driver candidate presents to your office for a C) Carry an epinephrine injec-
new medical certification. In his medical history he tion device in the truck cab.
notes he has an allergy to bee stings. Following
his most recent bee sting he developed symptoms
of anaphylaxis including angioedema, throat tight-
ness, and dyspnea. What is one effective preventive
measure the medical examiner should advise the
driver to undertake?
A) Always carry bug spray.
B) Avoid going outdoors when possible and keep all
windows in the truck rolled up.
C) Carry an epinephrine injection device in the truck
cab.
D) Take 25mg of diphenhydramine twice daily.
6. The medical examiner is determining fitness for B) Disqualify the driver and
duty for a driver candidate with a history of asth- have them return to their pri-
ma. The driver is using an albuterol inhaler three mary care provider for re evalu-
Study online at https://quizlet.com/_ewmaya
1. The FMCSA medical examiner should disqualify a D) Hypertrophic Cardiomyopa-
driver if he or she has any of the following clinical thy, Restrictive Cardiomyopathy
diagnosis: or CH with LVEF less than 40%
A) MI, CHF with LVEF less than 40%, Pulmonary Hy-
pertension, or Atrial fibrillation
B) Pulmonary Hypertension, Hypertrophic Car-
diomyopathy, Restrictive Cardiomyopathy or
CHF with LVEF of 50%
C) Atrial Flutter, Ventricular Tachycardia, or Pul-
monary Embolism
D) Hypertrophic Cardiomyopathy, Restrictive Car-
diomyopathy or CH with LVEF less than 40%
2. When should a driver who is prescribed anticoagu- C) When taking medication for
lation therapy be disqualified? treatment post cerebrovascular
accident (CVA)
A) When taking medication for treatment of deep
vein thrombosis (DVT)
B) When taking medication for treatment of Atrial
Fibrillation
C) When taking medication for treatment post cere-
brovascular accident (CVA)
D) When taking medication for treatment of pul-
monary embolism
3. How long should a driver status-post permanent B) 1 month
pacemaker (PPM) insertion secondary to sinus node
dysfunction wait before certification/recertification
for duty can be considered?
A) 3 months
, AK DOT NRCME FINAL EXAM QUESTIONS
Study online at https://quizlet.com/_ewmaya
B) 1 month
C) 6 months
D) 2 weeks
4. A CMV driver who has an implantable cardiovert- D) Disqualified
er-defibrillator (ICD) can be certified for how long
when he or she has clearance from a cardiologist
indicating that the driver is fit for duty?
A) 6 months
B) 1 year
C) 2 years
D) Disqualified
5. A driver candidate presents to your office for a C) Carry an epinephrine injec-
new medical certification. In his medical history he tion device in the truck cab.
notes he has an allergy to bee stings. Following
his most recent bee sting he developed symptoms
of anaphylaxis including angioedema, throat tight-
ness, and dyspnea. What is one effective preventive
measure the medical examiner should advise the
driver to undertake?
A) Always carry bug spray.
B) Avoid going outdoors when possible and keep all
windows in the truck rolled up.
C) Carry an epinephrine injection device in the truck
cab.
D) Take 25mg of diphenhydramine twice daily.
6. The medical examiner is determining fitness for B) Disqualify the driver and
duty for a driver candidate with a history of asth- have them return to their pri-
ma. The driver is using an albuterol inhaler three mary care provider for re evalu-
