NRCME Exam Study Guide Questions
and Answers23
How many days can a driver be left in determination pending status? - ANSWERS-45 days
Cenral vision loss is due to __________ - ANSWERS-Macular Degeneration
Drivers with insulin-treated diabetes must provide to the treating clinician electronic blood
glucose self-monitoring records for the most recent: - ANSWERS-3 months
When an individual has a medical history of epilepsy or a seizure disorder, the medical examiner
may certify the individual if the individual is: - ANSWERS-Seizure free AND off anti-epileptic
medications for at least 10 years.
What is the waiting period before a driver can be certified following coronary artery bypass
grafting? - ANSWERS-3 months
FMCSA defines a severe hypoglycemic reaction as one that results in: - ANSWERS-Seizure OR
Need of assistance from another person OR Period of impaired cognitive function that occurs
without warning.
After undergoing ablation for atrial fibrillation, what is the minimum waiting period before a
driver can be certified? - ANSWERS-1 month
A driver with a recent diagnosis of congestive heart failure and known ventricular arrhythmias
may be certified for driving if his left ventricular ejection fraction is at least: - ANSWERS-40%
,A 22 year-old male contracted meningococcal meningitis from his college roommate, discharged
from the hospital 3 months ago. He brings no records with him. He is on no medications, is
otherwise healthy, and his physical examination is entirely normal. The correct determination
would be: - ANSWERS-Obtain hospital records. If there was no seizure activity, he must undergo
a one year waiting period before he can be qualified, if there was seizure activity, he must
undergo a 5 year waiting period seizure free and off anticonvulsant medication before he can be
qualified.
For how long must you retain a copy of the driver's medical records, including the certificate? -
ANSWERS-3 years
When completing the commercial driver examination form for a driver with stage 3
hypertension: - ANSWERS-A 6 month recertification - fill out a new form, check "recertification,"
do a complete examination.
A driver is taking Lasix. Which of the following should be closely monitored? - ANSWERS-Serum
potassium.
The SPE certificate is valid for a period not to exceed how many years from date of issue? -
ANSWERS-2 years
A driver with a history of epilepsy must wait a minimum of how long before consideration may
be given to certification? - ANSWERS-Ten years seizure free and off anticonvulsant medication.
If the underlying condition causing the seizures has been corrected and is now stable, he may
be certified for up to ______, or shorter periods at the discretion of the medical examiner. -
ANSWERS-2 years
A screening pulse oximetry below what level mandates an ABG analysis? - ANSWERS-92%.
, During the physical examination on a driver in whom you have psychological concerns, the
questions you should ask: - ANSWERS-Should be the same questions as you would ask for any
individual who is be assessed for psychological concerns.
After examining a driver, the Medical Examiner strongly feels that the driver is fit for commercial
driving, even though he does not meet all standards per FMCSA regulations. The Medical
Examiner should: - ANSWERS-Disqualify the driver and explain that the regulations are legal
requirements.
What is the waiting period for certification following percutaneous coronary intervention? -
ANSWERS-A minimum one week post-procedure
Checking for pupillary equality is a required part of the examination. On a driver's exam, you
notice that the pupils are of different diameters, but both react appropriately to light. This is
consistent with: - ANSWERS-Anisocoria
A driver presents for her DOT medical exam. During the exam history it is revealed that the
driver is taken Lisinopril for hypertension, Simvastatin, and Antabuse. All other aspects of
history and exam were normal. What should the examiner do next: - ANSWERS-Disqualify the
driver.
What is the longest a medical examiner can certify a driver with a history of Stage 3
hypertension? - ANSWERS-6 months
What is the maximum certification period for Obstructive Sleep Apnea? - ANSWERS-1 year
A driver presents for clearance to return to driving a CMV six weeks after arthroscopic carpal
tunnel repair on his right hand. Can he be recertified if he passes the grip strength test, and, if
so, for how long? - ANSWERS-2 years.
and Answers23
How many days can a driver be left in determination pending status? - ANSWERS-45 days
Cenral vision loss is due to __________ - ANSWERS-Macular Degeneration
Drivers with insulin-treated diabetes must provide to the treating clinician electronic blood
glucose self-monitoring records for the most recent: - ANSWERS-3 months
When an individual has a medical history of epilepsy or a seizure disorder, the medical examiner
may certify the individual if the individual is: - ANSWERS-Seizure free AND off anti-epileptic
medications for at least 10 years.
What is the waiting period before a driver can be certified following coronary artery bypass
grafting? - ANSWERS-3 months
FMCSA defines a severe hypoglycemic reaction as one that results in: - ANSWERS-Seizure OR
Need of assistance from another person OR Period of impaired cognitive function that occurs
without warning.
After undergoing ablation for atrial fibrillation, what is the minimum waiting period before a
driver can be certified? - ANSWERS-1 month
A driver with a recent diagnosis of congestive heart failure and known ventricular arrhythmias
may be certified for driving if his left ventricular ejection fraction is at least: - ANSWERS-40%
,A 22 year-old male contracted meningococcal meningitis from his college roommate, discharged
from the hospital 3 months ago. He brings no records with him. He is on no medications, is
otherwise healthy, and his physical examination is entirely normal. The correct determination
would be: - ANSWERS-Obtain hospital records. If there was no seizure activity, he must undergo
a one year waiting period before he can be qualified, if there was seizure activity, he must
undergo a 5 year waiting period seizure free and off anticonvulsant medication before he can be
qualified.
For how long must you retain a copy of the driver's medical records, including the certificate? -
ANSWERS-3 years
When completing the commercial driver examination form for a driver with stage 3
hypertension: - ANSWERS-A 6 month recertification - fill out a new form, check "recertification,"
do a complete examination.
A driver is taking Lasix. Which of the following should be closely monitored? - ANSWERS-Serum
potassium.
The SPE certificate is valid for a period not to exceed how many years from date of issue? -
ANSWERS-2 years
A driver with a history of epilepsy must wait a minimum of how long before consideration may
be given to certification? - ANSWERS-Ten years seizure free and off anticonvulsant medication.
If the underlying condition causing the seizures has been corrected and is now stable, he may
be certified for up to ______, or shorter periods at the discretion of the medical examiner. -
ANSWERS-2 years
A screening pulse oximetry below what level mandates an ABG analysis? - ANSWERS-92%.
, During the physical examination on a driver in whom you have psychological concerns, the
questions you should ask: - ANSWERS-Should be the same questions as you would ask for any
individual who is be assessed for psychological concerns.
After examining a driver, the Medical Examiner strongly feels that the driver is fit for commercial
driving, even though he does not meet all standards per FMCSA regulations. The Medical
Examiner should: - ANSWERS-Disqualify the driver and explain that the regulations are legal
requirements.
What is the waiting period for certification following percutaneous coronary intervention? -
ANSWERS-A minimum one week post-procedure
Checking for pupillary equality is a required part of the examination. On a driver's exam, you
notice that the pupils are of different diameters, but both react appropriately to light. This is
consistent with: - ANSWERS-Anisocoria
A driver presents for her DOT medical exam. During the exam history it is revealed that the
driver is taken Lisinopril for hypertension, Simvastatin, and Antabuse. All other aspects of
history and exam were normal. What should the examiner do next: - ANSWERS-Disqualify the
driver.
What is the longest a medical examiner can certify a driver with a history of Stage 3
hypertension? - ANSWERS-6 months
What is the maximum certification period for Obstructive Sleep Apnea? - ANSWERS-1 year
A driver presents for clearance to return to driving a CMV six weeks after arthroscopic carpal
tunnel repair on his right hand. Can he be recertified if he passes the grip strength test, and, if
so, for how long? - ANSWERS-2 years.
