AK DOT NRCME FINAL EXAM QUESTIONS
A 30 year old driver presents to the medical examiner's office for a biennial recertification. The
driver notes in his history that he had 3 episodes of benign positional vertigo 6 months ago but
has been asymptomatic since this time. The driver provides the medical examiner with a letter
from his neurologist stating he is cleared to return to work and regular duties. All other history
for the driver is negative and physical exam uncovers no abnormalities.Based on FMCS
recommendations for benign positional vertigo the medical examiner:
A) Disqualifies the driver as they have not completed the recommended waiting period
B) Qualifies the driver for a period of up to two years
C) Refers the driver for tilt table testing
D) Refers the driver for CT Scan of the brain - ANS-B) Qualifies the driver for a period of up to
two years
A CMV driver presents to the medical examiner's office for recertification. It is noted in the
driver's history that he
utilizes a hearing aid due to chronic hearing loss. Upon conducting the forced whisper test the
driver candidate
is unable to perceive a forced whispered voice at five feet or greater in either ear. When making
the medical
fitness for duty determination the medical examiner should:
A) Disqualify the driver as he did not meet minimum
hearing requirements.
B) Qualify the driver candidate for a period of not more
than six months while he obtains an evaluation from
his ENT physician
C) Disqualify the driver and refer him for audiometric
testing conducted by an audiologist
D) Re conduct the forced whisper test at a distance of
3 feet and record results on the medical examiner
report - ANS-C) Disqualify the driver and refer him for audiometric
testing conducted by an audiologist
A CMV driver who has an implantable cardioverter-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 - ANS-D) Disqualified
A CMV driver who is post heart transplant that is able to tolerate medications well can be
certified for a period of?
A) One year as long as he or she has clearance from a cardiologist
B) 6 months as long as he or she has clearance from a cardiologist
C) The driver who has had heart transplant must be disqualified because of the high risk for
organ rejection
D) The driver can be certified every 6 months, if he or she is asymptomatic, tolerates
medications, and has
completed a minimum waiting period of one year - ANS-D) The driver can be certified every 6
months, if he or she is asymptomatic, tolerates medications, and has
completed a minimum waiting period of one year
A driver candidate presents to the medical examiner's office for a new certification. The driver's
history indicates
a diagnosis of bipolar mood disorder. The minimum symptom free waiting period following a
nonpsychotic major
depression unaccompanied by suicidal behavior is:
A) 3 Months
B) 6 Months
C) 1 Year
D) 2 Years - ANS-C) 1 Year
A driver candidate presents to your office for a new medical certification. In his medical history
he notes he has an allergy to bee stings. Following his most recent bee sting he developed
symptoms of anaphylaxis including angioedema, throat tightness, 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. - ANS-C) Carry an epinephrine injection device in
the truck cab.
A driver candidate's urinalysis indicates the presence of hematuria. The medical examiner
should be concerned
because hematuria:
A) May indicate the presence of nephropathy
B) May indicate the presence of diabetes
C) May indicate the presence of congestive heart
A 30 year old driver presents to the medical examiner's office for a biennial recertification. The
driver notes in his history that he had 3 episodes of benign positional vertigo 6 months ago but
has been asymptomatic since this time. The driver provides the medical examiner with a letter
from his neurologist stating he is cleared to return to work and regular duties. All other history
for the driver is negative and physical exam uncovers no abnormalities.Based on FMCS
recommendations for benign positional vertigo the medical examiner:
A) Disqualifies the driver as they have not completed the recommended waiting period
B) Qualifies the driver for a period of up to two years
C) Refers the driver for tilt table testing
D) Refers the driver for CT Scan of the brain - ANS-B) Qualifies the driver for a period of up to
two years
A CMV driver presents to the medical examiner's office for recertification. It is noted in the
driver's history that he
utilizes a hearing aid due to chronic hearing loss. Upon conducting the forced whisper test the
driver candidate
is unable to perceive a forced whispered voice at five feet or greater in either ear. When making
the medical
fitness for duty determination the medical examiner should:
A) Disqualify the driver as he did not meet minimum
hearing requirements.
B) Qualify the driver candidate for a period of not more
than six months while he obtains an evaluation from
his ENT physician
C) Disqualify the driver and refer him for audiometric
testing conducted by an audiologist
D) Re conduct the forced whisper test at a distance of
3 feet and record results on the medical examiner
report - ANS-C) Disqualify the driver and refer him for audiometric
testing conducted by an audiologist
A CMV driver who has an implantable cardioverter-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 - ANS-D) Disqualified
A CMV driver who is post heart transplant that is able to tolerate medications well can be
certified for a period of?
A) One year as long as he or she has clearance from a cardiologist
B) 6 months as long as he or she has clearance from a cardiologist
C) The driver who has had heart transplant must be disqualified because of the high risk for
organ rejection
D) The driver can be certified every 6 months, if he or she is asymptomatic, tolerates
medications, and has
completed a minimum waiting period of one year - ANS-D) The driver can be certified every 6
months, if he or she is asymptomatic, tolerates medications, and has
completed a minimum waiting period of one year
A driver candidate presents to the medical examiner's office for a new certification. The driver's
history indicates
a diagnosis of bipolar mood disorder. The minimum symptom free waiting period following a
nonpsychotic major
depression unaccompanied by suicidal behavior is:
A) 3 Months
B) 6 Months
C) 1 Year
D) 2 Years - ANS-C) 1 Year
A driver candidate presents to your office for a new medical certification. In his medical history
he notes he has an allergy to bee stings. Following his most recent bee sting he developed
symptoms of anaphylaxis including angioedema, throat tightness, 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. - ANS-C) Carry an epinephrine injection device in
the truck cab.
A driver candidate's urinalysis indicates the presence of hematuria. The medical examiner
should be concerned
because hematuria:
A) May indicate the presence of nephropathy
B) May indicate the presence of diabetes
C) May indicate the presence of congestive heart
