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Answers |Latest Version |Already Graded A+
1. An unrestricted Commercial Motor Vehicle Driver Medical Certificate must be renewed
✔Correct Answer-every 2 years
2. A driver presents with history of an isolated TIA 6 months ago. He has a return to work letter from
his primary care provider (PCP) and neurologist. He is taking and tolerating well hydrochlorothiazide
and simvastatin. All other aspects of the exam and history were normal. What should the medical
examiner do next? ✔Correct Answer-disqualify the driver for now
B. Disqualify driver for now3. FMCSA regulates interstate commercial operation including the:
✔Correct Answer-all of the above
4. During the CMV exam a driver perceived a whispered voice at 5 feet in his left year and 4 feet in
his right year. Exam was otherwise normal. What do you do as the medical examiner ✔Correct
Answer-certify driver for 2 years
5. Which of the following is an assessment of L4 nerve root pathology? ✔Correct Answer-patellar
reflex
6. A driver presents for medical exam and reports being a smoker and having frequent shortness of
breath. What do you do next? ✔Correct Answer-order spirometry test
7. According to regulation, which of the following must be evaluated as part of the eye exam
✔Correct Answer-pupil reaction
8. Continued certification of NRCE Medical Examiners requires all EXCEPT which of the following
✔Correct Answer-completion of recertification test every 5 years
A driver presents for recertification. The only condition he lists is GERD, for which he takes OTC
omeprazole. He says that when he is driving and eating fast foods, he is more likely to have
heartburn than when off‐duty. You should: ✔Correct Answer-correlate history with abdominal
exam
Which of the following findings is disqualifying? ✔Correct Answer-oxygen saturation 90%
The driver presents for recertification and submits an ultrasound report indicating an abdominal
aortic aneurysm from two months ago, shortly before he had surgical correction. He has surgical
clearance and says he is doing well, has no symptoms. You should: ✔Correct Answer-inform the
driver of the 3 month wait before he can become recertified
The driver takes diphenhydramine twice a day to treat nasal congestion. What must you document in
order tocertify? ✔Correct Answer-cannot drive within 12 hrs of taking diphenhydramine
The driver has a history of carpal tunnel repair of her right hand 2 months ago. Her grip strengths are
symmetricaland strong. What is necessary in order to qualify this driver? ✔Correct Answer-
document her findings for 2 year examination
, Which of the following abdominal complaints is most likely to be incapacitating ✔Correct Answer-
nephrolithiasis
The waiting period for benign positional vertigo is: ✔Correct Answer-2 months
The driver's BP is 148/96. You verify her history, which indicates she has no prior history of
hypertension. If otherwise qualified, you may certify her for: ✔Correct Answer-1 year
The driver's current BP is 135/76. Your records indicate at history of Stage III hypertension 4 years
ago. Themaximum certification for this driver is: ✔Correct Answer-6 months
The driver presents for examination with a recent history (five weeks ago) of pneumothorax. He has
no prior history of pneumothorax. In order to be considered medically qualified, his forced vital
capacity (FVC) should be greater than: ✔Correct Answer-65%
The recommended waiting period (WP) and certification period (CP) for a driver following surgical
correction for intermittent claudication are: ✔Correct Answer-wp 3 months, cp 1 year
Which of the following are disqualifying? ✔Correct Answer-implanted defibrillator
Five years post‐CABG, the driver must provide a copy of _________ in order to qualify for
recertification ✔Correct Answer-ETT
The driver has a 5‐year history of asthma, described as "well ‐controlled". He carries rescue inhaler
for the timeswhen he becomes short of breath, but says this is rare. He provides pulmonary
functions performed last week and hisFEV1 is 62% of predicted and his Pa02 is 62 mm. You should:
✔Correct Answer-disqualify and recommend he return to his primary care provider
What is the Primary mission of FMCSA? ✔Correct Answer-to promote the safety of the roadways
During a driver's history, she describes her role and responsibilities as limited to the driving
component andexcluding strenuous activities. You should: ✔Correct Answer-conduct the full and
standard examination
During the examination, a driver reveals, "I had a touch of sugar" two years ago, but stopped taking
the prescribed medication when it ran out, the name of which was forgotten. Driver did not indicate
"yes" on the medical history for diabetes. The examination and urinalysis are unremarkable. What is
the appropriate action you would take to completethis examination? ✔Correct Answer-Correct the
medical history in your narrative and discuss the signs, symptoms and health impact of diabetes
andthe need for regular follow‐up in certifying the driver
Which of the following tests is not recommended as medical guidance for initial pulmonary function
testing ✔Correct Answer-peak flow spirometry, best effort
A 60 year old driver reveals a 6 month history of progressive worsening of dizziness and ringing in the
ears. It is worse when he bends over. He denies hearing loss, no trauma or recent infections, and
takes no chronic medications, but was told by another driver to try meclizine. He did try and it
seemed to help. Which of the following routine screening tests may help you best decide on the
severity of the symptoms during this CDL medical examination? ✔Correct Answer-romberg test
Answers |Latest Version |Already Graded A+
1. An unrestricted Commercial Motor Vehicle Driver Medical Certificate must be renewed
✔Correct Answer-every 2 years
2. A driver presents with history of an isolated TIA 6 months ago. He has a return to work letter from
his primary care provider (PCP) and neurologist. He is taking and tolerating well hydrochlorothiazide
and simvastatin. All other aspects of the exam and history were normal. What should the medical
examiner do next? ✔Correct Answer-disqualify the driver for now
B. Disqualify driver for now3. FMCSA regulates interstate commercial operation including the:
✔Correct Answer-all of the above
4. During the CMV exam a driver perceived a whispered voice at 5 feet in his left year and 4 feet in
his right year. Exam was otherwise normal. What do you do as the medical examiner ✔Correct
Answer-certify driver for 2 years
5. Which of the following is an assessment of L4 nerve root pathology? ✔Correct Answer-patellar
reflex
6. A driver presents for medical exam and reports being a smoker and having frequent shortness of
breath. What do you do next? ✔Correct Answer-order spirometry test
7. According to regulation, which of the following must be evaluated as part of the eye exam
✔Correct Answer-pupil reaction
8. Continued certification of NRCE Medical Examiners requires all EXCEPT which of the following
✔Correct Answer-completion of recertification test every 5 years
A driver presents for recertification. The only condition he lists is GERD, for which he takes OTC
omeprazole. He says that when he is driving and eating fast foods, he is more likely to have
heartburn than when off‐duty. You should: ✔Correct Answer-correlate history with abdominal
exam
Which of the following findings is disqualifying? ✔Correct Answer-oxygen saturation 90%
The driver presents for recertification and submits an ultrasound report indicating an abdominal
aortic aneurysm from two months ago, shortly before he had surgical correction. He has surgical
clearance and says he is doing well, has no symptoms. You should: ✔Correct Answer-inform the
driver of the 3 month wait before he can become recertified
The driver takes diphenhydramine twice a day to treat nasal congestion. What must you document in
order tocertify? ✔Correct Answer-cannot drive within 12 hrs of taking diphenhydramine
The driver has a history of carpal tunnel repair of her right hand 2 months ago. Her grip strengths are
symmetricaland strong. What is necessary in order to qualify this driver? ✔Correct Answer-
document her findings for 2 year examination
, Which of the following abdominal complaints is most likely to be incapacitating ✔Correct Answer-
nephrolithiasis
The waiting period for benign positional vertigo is: ✔Correct Answer-2 months
The driver's BP is 148/96. You verify her history, which indicates she has no prior history of
hypertension. If otherwise qualified, you may certify her for: ✔Correct Answer-1 year
The driver's current BP is 135/76. Your records indicate at history of Stage III hypertension 4 years
ago. Themaximum certification for this driver is: ✔Correct Answer-6 months
The driver presents for examination with a recent history (five weeks ago) of pneumothorax. He has
no prior history of pneumothorax. In order to be considered medically qualified, his forced vital
capacity (FVC) should be greater than: ✔Correct Answer-65%
The recommended waiting period (WP) and certification period (CP) for a driver following surgical
correction for intermittent claudication are: ✔Correct Answer-wp 3 months, cp 1 year
Which of the following are disqualifying? ✔Correct Answer-implanted defibrillator
Five years post‐CABG, the driver must provide a copy of _________ in order to qualify for
recertification ✔Correct Answer-ETT
The driver has a 5‐year history of asthma, described as "well ‐controlled". He carries rescue inhaler
for the timeswhen he becomes short of breath, but says this is rare. He provides pulmonary
functions performed last week and hisFEV1 is 62% of predicted and his Pa02 is 62 mm. You should:
✔Correct Answer-disqualify and recommend he return to his primary care provider
What is the Primary mission of FMCSA? ✔Correct Answer-to promote the safety of the roadways
During a driver's history, she describes her role and responsibilities as limited to the driving
component andexcluding strenuous activities. You should: ✔Correct Answer-conduct the full and
standard examination
During the examination, a driver reveals, "I had a touch of sugar" two years ago, but stopped taking
the prescribed medication when it ran out, the name of which was forgotten. Driver did not indicate
"yes" on the medical history for diabetes. The examination and urinalysis are unremarkable. What is
the appropriate action you would take to completethis examination? ✔Correct Answer-Correct the
medical history in your narrative and discuss the signs, symptoms and health impact of diabetes
andthe need for regular follow‐up in certifying the driver
Which of the following tests is not recommended as medical guidance for initial pulmonary function
testing ✔Correct Answer-peak flow spirometry, best effort
A 60 year old driver reveals a 6 month history of progressive worsening of dizziness and ringing in the
ears. It is worse when he bends over. He denies hearing loss, no trauma or recent infections, and
takes no chronic medications, but was told by another driver to try meclizine. He did try and it
seemed to help. Which of the following routine screening tests may help you best decide on the
severity of the symptoms during this CDL medical examination? ✔Correct Answer-romberg test
