NRCME Exam 2023/2024 VERIFIED VERSION 100+ QUESTIONS AND ANSWERS ALREADY GRADED A GUARANTEED PASS/NRCME FINAL

NRCME Exam 2023/2024 VERIFIED VERSION 100+ QUESTIONS AND ANSWERS ALREADY GRADED A GUARANTEED PASS/NRCME FINAL A driver is taking Celexa for the treatment of what he calls a "mild depression". He reports he has not considered or attempted suicide. The examiner should A. Temporarily disqualify the driver until he obtains written clearance for the depression and the medication from the treating provider. B Certify the driver for a period of 1 year. C Certify the driver for a period of 2 years. D Disqualify the driver until he is no longer requiring medication for the treatment of depression. A. Temporarily disqualify the driver until he obtains written clearance for the depression and the medication from the treating provider. The following statements are true concerning hearing requirements of commercial drivers EXCEPT: A. Hearing aids may not be worn during the forc ed whisper test. B Either the forced whisper or audiometry tests may be performed first. C The forced whisper test is passed if one ear perceives the forced whisper at 5 feet. D Administration of both tests is only necessary if the first test is failed. A. Hearing aids may not be worn during the forced whisper test. What is the maximum length of time a driver can remain in determination pending status? 45 days A driver has had his second spontaneous pneumothorax on the same side 3 months ago. There has been no surgical intervention. The FVC is 68%. The correct determination in this case is: Do not certify until condition has been surgically corrected The driver reports a suicide attempt 6 months earlier, following the break -up of his marriage. He noted seein g a psychiatrist and he takes Citalopram daily and he reports he feels fine now and is moving on with his life. He provides a release from his doctor that he may return to work without restrictions. The medical examiner should? A Disqualify the driver. B Require a CAGE questionnaire. C Certify the driver for 1 year. D Certify the driver for 2 years. A Disqualify the driver. A driver with an Abnormal Aortic Aneurysm (AAA) can be certified: A For 2 years if less than 4 cm and asymptomatic B For 1 year if between 4 and 5 cm, asymptomatic, with a recommendation from a cardiovascular specialist who understands the functions and demands of commercial driving. C For 2 years after surgical repair, after a 2 month waiting period. D For 1 year afte r surgical repair, after a 2 month waiting period. B For 1 year if between 4 and 5 cm, asymptomatic, with a recommendation from a cardiovascular specialist who understands the functions and demands of commercial driving. Which of the following is false con cerning additional information the driver is to provide for any "yes" responses on the history section of the examination form? A Any limitations resulting from current or previous conditions. B Must list diagnosis and date of onset of the condition. C Must list treating provider contact information. D Must list only prescription medications, not vitamins or supplements. D Must list only prescription medications, not vitamins or supplements. Upon examination of a 46 year -old male smoker, you detect an irregularly irregular heart rhythm. The rate is 140 bpm. This is unknown to the driver and he denies any symptoms of lightheadedness, shortness of breath, dizziness, palpitations, nor any cardiac history. You would: A Disqualify and refer to his PMD or car diologist for further evaluation. B Order an ECG, cardiac ECHO, pulse ox and give a 3 mo. card pending results. C Give a 3 month certification pending evaluation by his PMD. D Give a 1 year certification and require cardiology evaluation upon recertificati on. A Disqualify and refer to his PMD or cardiologist for further evaluation. Which cardiac condition is disqualifying: Select an Answer: A Ebstein anomaly. B Hypertrophic cardiomyopathy. C Mitral valve prolapse. D Aortic valve repair for aortic stenosis 4 months prior to exam. B Hypertrophic cardiomyopathy. Central vision loss is a finding suggestive of: Select an Answer: A Macular degeneration. B Cataracts. C Glaucoma. D All of the above macular degeneration A driver was discharged from the hospital 10 w eeks ago after an MI. He is asymptomatic and has a note from the cardiologist that he had a satisfactory in office ETT the week prior to your examination and that he may drive. His pre -discharge ECHO shows an EF of 45%. His examination is normal. Your dete rmination: Select an Answer: A Disqualified until satisfies 3 month waiting period, follow up in 3 -4 weeks, certify for 1 year if remains stable. B Disqualified due to ejection fraction < 60%. C Qualified for one year. D Qualified for two years after follo w up in one month to satisfy the 3 month waiting period. C Qualified for one year. Concerning the medical certificate, which is true? Select an Answer: A You may provide a copy to the driver's employer. B Retain a copy for at least 3 years. C The driver mu st carry the original certificate during operation of a CMV. D ALL of the above are true. d. All of the above are true. Which of the following is an assessment of L4 nerve root pathology? Select an Answer: A Plantar flexion. B Patellar reflex. C Hip Extens ion. D Big toe extension. B Patellar reflex. Indicators for referring a driver for pulmonary function testing include: Select an Answer: A A history of COPD. B Symptoms of wheezing. C Cigarette smoking in drivers 35 years of age or older. D All of the above. D. All of the above How soon may a driver be certified after coronary artery bypass grafting (CABG) surgery? Select an Answer: A 1 month if the CABG was less than 5 vessels. B 3 months with clearance by cardiologist, resting echocardiog ram with an LVEF >40% after CABG, and asymptomatic status with no angina. C 6 months but only after he is cleared by his cardiologist. D Not sooner than 1 year regardless of how many vessels were bypassed. B 3 months with clearance by cardiologist, resting echocardiogram with an LVEF >40% after CABG, and asymptomatic status with no angina. A driver presents for his DOT physical. He notes occasional lower back pain. A lateral pulsation is palpated approximately 2 inches superior of the umbilicus. Auscultatio n in this area reveals an obvious bruit. What is the most important next step? Select an Answer: A Schedule an ultrasound. B Arrange for immediate transport to an Emergency Department. C Refer to a general surgeon. D Refer to a vascular surgeon.