NRCME TEST QUESTIONS AND ANSWERS GRADED A+ vv vv vv vv vv vv
LATEST UPDATE.
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1. What minimum PaO2 level is necessary if the driver has an ABG due to a chronic
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respiratory disorder?
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a. 70 mm Hg vv vv
b. 55 mm Hg vv vv
c. 60 mm Hg vv vv
d. 65 mm Hg vv vv
Answer65 mmhg v vv
2. A driver first perceives a whispered voice at 5 feet in his right ear and 4 feet in his left ear.
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All other aspects of his physical examination are unremarkable. The examiner should
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a. Disqualify the driver because he "failed"thewhispered voice test.
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b. Certify the driver for 2 years. c. Certify the driver for 1 year. d. Require an
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audiometric test to determine the extent of hearing loss in his leftear.
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Answercertify for 2 years
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3. A driver reports for an examination 6 weeks after suffering a mild heart attack and
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,presents a note from his cardiologist stating that he is able to return to work
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vv immediately without restriction. Included within the note, the cardiologist provides
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vv recent testing information showing that the driver had an ETT that showed he was able
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to reach 12 METS during the test. His echocardiogram showed an ejection fraction of
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vv 65%.The examination of the driver is unremarkable. The examiner should
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a. Disqualify the driver. vv vv
b. Qualifythedriverfor1year.c.Qualifythe driver for2years.d.Consultwith the
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vv cardiologist to determine if the driver suffers from angina. vv vv vv vv vv vv vv vv
Answer disqualify the drivervv vv vv
The driver has not completed the required 2-month waiting period, but all other
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vv requirements for medical clearance and required testing have been met.The driver would bevv vv vv vv vv vv vv vv vv v vv vv vv
vv certified for 1 year at the completion of the waiting period
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4. A driver provides an audiometric test documenting the following
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1. 500 Hz 35 Right ear;40 Left ear
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2. 1000 HZ40 Right ear;45 Left ear
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3. 2000 HZ40 Right ear;45 Left ear
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4. 4000 Hz50 Right ear;50 Left ear
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,The medical examiner should
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, a. Disqualify the driver because he does not meet minimum hearing require- ments to
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vv drive.
b. Certify the driver for 2years. c. Certify the driver for 1 year. d. Require the driver to
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vv obtain a hearing exemption
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Answer certify the driver for 2 years
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5. During the examination of a commercial driver, the examiner notices that the driver's
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vv peripheral vision is 70 degrees to the left and 80 degrees to the right. The examiner
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vv should
a. Qualify the driver for 2years. b. Require the driver to obtain a vision exemp- tion
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vv because of the limitation in the driver's left peripheral field.
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c. Disqualify the driver. vv vv
d. HavethedriverconsultwithanOphthalmologisttodetermineifthedriver's
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vv peripheral vision meets minimum standards.vv vv vv vv
Answer Qualify the driver for two years
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6. Duringexamination,the medicalexaminer notices thatthe driverisdistant, lacks eye
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vv contact and shows absolutely no emotional response during the exam.The examiner's
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vv vv
LATEST UPDATE.
vv vv
1. What minimum PaO2 level is necessary if the driver has an ABG due to a chronic
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
respiratory disorder?
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a. 70 mm Hg vv vv
b. 55 mm Hg vv vv
c. 60 mm Hg vv vv
d. 65 mm Hg vv vv
Answer65 mmhg v vv
2. A driver first perceives a whispered voice at 5 feet in his right ear and 4 feet in his left ear.
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
All other aspects of his physical examination are unremarkable. The examiner should
vv vv vv vv vv vv vv vv vv vv vv vv
a. Disqualify the driver because he "failed"thewhispered voice test.
vv vv vv vv vv vv v vv vv
b. Certify the driver for 2 years. c. Certify the driver for 1 year. d. Require an
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
audiometric test to determine the extent of hearing loss in his leftear.
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Answercertify for 2 years
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3. A driver reports for an examination 6 weeks after suffering a mild heart attack and
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
vv vv
,presents a note from his cardiologist stating that he is able to return to work
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
vv immediately without restriction. Included within the note, the cardiologist provides
vv vv vv vv vv vv vv vv vv
vv recent testing information showing that the driver had an ETT that showed he was able
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
to reach 12 METS during the test. His echocardiogram showed an ejection fraction of
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
vv 65%.The examination of the driver is unremarkable. The examiner should
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a. Disqualify the driver. vv vv
b. Qualifythedriverfor1year.c.Qualifythe driver for2years.d.Consultwith the
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vv cardiologist to determine if the driver suffers from angina. vv vv vv vv vv vv vv vv
Answer disqualify the drivervv vv vv
The driver has not completed the required 2-month waiting period, but all other
vv vv vv vv vv vv vv vv vv vv vv vv
vv requirements for medical clearance and required testing have been met.The driver would bevv vv vv vv vv vv vv vv vv v vv vv vv
vv certified for 1 year at the completion of the waiting period
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4. A driver provides an audiometric test documenting the following
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1. 500 Hz 35 Right ear;40 Left ear
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2. 1000 HZ40 Right ear;45 Left ear
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3. 2000 HZ40 Right ear;45 Left ear
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4. 4000 Hz50 Right ear;50 Left ear
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vv vv
,The medical examiner should
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, a. Disqualify the driver because he does not meet minimum hearing require- ments to
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vv drive.
b. Certify the driver for 2years. c. Certify the driver for 1 year. d. Require the driver to
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vv obtain a hearing exemption
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Answer certify the driver for 2 years
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5. During the examination of a commercial driver, the examiner notices that the driver's
vv vv vv vv vv vv vv vv vv vv vv vv
vv peripheral vision is 70 degrees to the left and 80 degrees to the right. The examiner
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
vv should
a. Qualify the driver for 2years. b. Require the driver to obtain a vision exemp- tion
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vv because of the limitation in the driver's left peripheral field.
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c. Disqualify the driver. vv vv
d. HavethedriverconsultwithanOphthalmologisttodetermineifthedriver's
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vv peripheral vision meets minimum standards.vv vv vv vv
Answer Qualify the driver for two years
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6. Duringexamination,the medicalexaminer notices thatthe driverisdistant, lacks eye
v v vv v vv vv v vv vv v vv vv
vv contact and shows absolutely no emotional response during the exam.The examiner's
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