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DOT NRCME Questions and Answers
the two disqualifying cardiomyopathies of myocardial disease
Ans: restrictive and hypertrophic
When is pulse oximetry or ABG indicated?
Ans: FEV1<65%, FEV1/FVC<65%, FVC<60%
At what pulse ox finding is ABG indicated?
Ans: pulse ox <92%
Minimum required paO2 at <5000ft
Ans: 65 mm Hg
Minimum required paO2 at altitudes >5000 ft
Ans: 60mm Hg
4 requirements that need to be met for ETT?
Ans: 1- >6 METs
2- attain HR > or = 85% (unless taking BB)
3- rise in systolic bp > or = 20 without angina
4- no significant ST depression
Waiting period s/p MI
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Ans: 2 months
waiting period s/p CABG
Ans: 3 months
4 requirements for vision:
Ans: 1- distant visual acuity in each eye at least 20/40
2- distant binocular vision of at least 20/40 in each eye
3- field of vision at least 70 degrees in horizontal median
4- recognize red, green, amber
Certification for pt with monocular vision and federal exemption:
how long to certify for? how long is the federal vision exemption
valid for?
Ans: cert for 1 yr; fed exemption valid for 2 yrs
what is the dx of tx of: sxs- glare at night with driving, decreased
acuity and contrast, color resolution, and light scattering effects.
Ans: dx- cataracts
tx- surgical removal/lens
Eye condition that causes loss of peripheral vision loss. sxs
include redirection of night vision, color vision, especially
peripherally is noticeable.
Ans: glaucoma
lengthened recovery from bright lights, loss of visual acuity,
leading cause of blindness. dx and tx?
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Ans: macular degeneration. tx- telescopic lenses but these are not
acceptable for driving
retinal hemorrhages, microaneurysms, scotomas affecting central
vision
Ans: retinopathy
Hearing requirements
Ans: 1- first perceives forced whisper test at <5 feet in the better ear
2- in better ear avg hearing < or = to40 db at 500, 1000, and 2000 Hz
waiting period symptom free after bppv, acute/chronic peripheral
vestibulopathy
Ans: 2 months sx free
3 disqualifying otic conditions:
Ans: 1- menieres disease
2- labyrinthe fistula
3- nonfunctioning labyrinths
how long is federal hearing exemption valid for? how long can
medical examiner certify?
Ans: 2 yrs. for both
most likely CV cause of sudden driver incapacitation
Ans: arrhythmia
driver with CAD should:
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Ans: be cleared by CV specialist
tol CV meds
comply with treatment plan
have annual med exam
passing an echo test involves: (2)
Ans: LVEF > or = or40%
no pulm htn ( pulm artery pressure >50% of systemic systolic bp
passing an ETT involves: (4)
Ans: exercise to workload >6 METs
attain HR > or = to 85% predicted maximum unless on BB
rise in systolic bp > or = to 20 without angina
no significant ST depression
waiting period s/p MI
Ans: 2 months
max cert for MI
Ans: 1 year
ok to cert for MI if: (4)
Ans: no sxs
tol meds
satisfactory ETT and bi ennial ETT thereafter
has resting LVEF > or = to 40%
© 2025 All rights reserved
DOT NRCME Questions and Answers
the two disqualifying cardiomyopathies of myocardial disease
Ans: restrictive and hypertrophic
When is pulse oximetry or ABG indicated?
Ans: FEV1<65%, FEV1/FVC<65%, FVC<60%
At what pulse ox finding is ABG indicated?
Ans: pulse ox <92%
Minimum required paO2 at <5000ft
Ans: 65 mm Hg
Minimum required paO2 at altitudes >5000 ft
Ans: 60mm Hg
4 requirements that need to be met for ETT?
Ans: 1- >6 METs
2- attain HR > or = 85% (unless taking BB)
3- rise in systolic bp > or = 20 without angina
4- no significant ST depression
Waiting period s/p MI
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, 2 | Page
Ans: 2 months
waiting period s/p CABG
Ans: 3 months
4 requirements for vision:
Ans: 1- distant visual acuity in each eye at least 20/40
2- distant binocular vision of at least 20/40 in each eye
3- field of vision at least 70 degrees in horizontal median
4- recognize red, green, amber
Certification for pt with monocular vision and federal exemption:
how long to certify for? how long is the federal vision exemption
valid for?
Ans: cert for 1 yr; fed exemption valid for 2 yrs
what is the dx of tx of: sxs- glare at night with driving, decreased
acuity and contrast, color resolution, and light scattering effects.
Ans: dx- cataracts
tx- surgical removal/lens
Eye condition that causes loss of peripheral vision loss. sxs
include redirection of night vision, color vision, especially
peripherally is noticeable.
Ans: glaucoma
lengthened recovery from bright lights, loss of visual acuity,
leading cause of blindness. dx and tx?
© 2025 All rights reserved
, 3 | Page
Ans: macular degeneration. tx- telescopic lenses but these are not
acceptable for driving
retinal hemorrhages, microaneurysms, scotomas affecting central
vision
Ans: retinopathy
Hearing requirements
Ans: 1- first perceives forced whisper test at <5 feet in the better ear
2- in better ear avg hearing < or = to40 db at 500, 1000, and 2000 Hz
waiting period symptom free after bppv, acute/chronic peripheral
vestibulopathy
Ans: 2 months sx free
3 disqualifying otic conditions:
Ans: 1- menieres disease
2- labyrinthe fistula
3- nonfunctioning labyrinths
how long is federal hearing exemption valid for? how long can
medical examiner certify?
Ans: 2 yrs. for both
most likely CV cause of sudden driver incapacitation
Ans: arrhythmia
driver with CAD should:
© 2025 All rights reserved
, 4 | Page
Ans: be cleared by CV specialist
tol CV meds
comply with treatment plan
have annual med exam
passing an echo test involves: (2)
Ans: LVEF > or = or40%
no pulm htn ( pulm artery pressure >50% of systemic systolic bp
passing an ETT involves: (4)
Ans: exercise to workload >6 METs
attain HR > or = to 85% predicted maximum unless on BB
rise in systolic bp > or = to 20 without angina
no significant ST depression
waiting period s/p MI
Ans: 2 months
max cert for MI
Ans: 1 year
ok to cert for MI if: (4)
Ans: no sxs
tol meds
satisfactory ETT and bi ennial ETT thereafter
has resting LVEF > or = to 40%
© 2025 All rights reserved
