NRCME DOT: Respiratory, neuro Questions
And Answers With Verified Solutions Graded A+
Latest Update 2025.
Spirometry testing should be performed on... - ANSWER all smokers equal to or >35yo
Pts with COPD
Spirometry testing includes - ANSWER FEV1, FVC, and ratio
ABG testing should be performed when... (4) - ANSWER 1. FEV1 <65%
2. FVC <65% and restrictive lung dz OR <60%
3. FEV1/FVC <65%
4. Pulse ox pO2 <92%
Disqualify driver if ABG results are... (3) - ANSWER 1. ABG PaCO2 >45mmHg
2. ABG PaO2 <65mmHg if <5,000 ft altitude
3. ABG PaO2 <60mmHg if >5,000 ft altitude
Chest X-ray (CXR) should be performed for the evaluation of... (5) - ANSWER mitral stenosis,
hypersensitivity
pneumonitis, spontaneous pneumothorax, a positive PPD, or other significant respiratory abnormalities.
Sleep study should be considered if driver has... (4) - ANSWER a history suggestive of
obstructive sleep apnea (OSA),
Epworth Sleepiness scale > 10,
previously diagnosed sleep disorder,
previous sleep study apnea/hypoapnea index of > 5 but < 30.
Drivers with suspected or untreated sleep apnea should not be certified until... - ANSWER
etiology is confirmed and
treatment has been shown to be stable, safe, and effective.
Sleep apnea waiting period - ANSWER 1 month after starting CPAP
, 3 months after surgical tx
Sleep apnea max cert interval - ANSWER 1 year
Respiratory conditions which should not be certified (5) - ANSWER untreated symptomatic
obstructive sleep apnea,
restless leg syndrome associated with excessive daytime sleepiness (EDS),
narcolepsy,
hypoxemia at rest,
use of supplementary oxygen.
Asthma or COPD max cert interval - ANSWER 2 years
Pneumothorax cert interval - ANSWER 2 years (asx and resolution confirmed)
Pulmonary TB certification qualifications - ANSWER not contagious, has completed
streptomycin therapy without affecting hearing or balance, and is compliant with treatment.
Do not drive within ? hours of taking antihistamine - ANSWER 12
Neuro do not certify conditions (8) - ANSWER 1. epilepsy,
2. Meniere's disease,
3. dementia,
4. Parkinsonism,
5. cerebellar ataxia,
6. severe traumatic brain injury,
7. arteriovenous malformation (AVM) not surgically treated.
8. severe HAs which interfere with safe driving
Epilepsy can be certified if... - ANSWER sz free and off medication x 10 years
Single unprovoked sz waiting period - ANSWER 5 years
seizure free and off anticonvulsant medication,
Epilepsy diagnosed and waiting period - ANSWER diagnosed when a driver has 2 or more
unprovoked seizures. The waiting period for epilepsy
is 10 years seizure free and off anticonvulsant medication.
Definition of severe TBI - ANSWER dural penetration and LOC >24hrs
Definition of moderateTBI - ANSWER no dural penetration and LOC 30min-24hrs
Definition of mild TBI - ANSWER no dural penetration and LOC <30min
Severe TBI max cert - ANSWER do not certify
And Answers With Verified Solutions Graded A+
Latest Update 2025.
Spirometry testing should be performed on... - ANSWER all smokers equal to or >35yo
Pts with COPD
Spirometry testing includes - ANSWER FEV1, FVC, and ratio
ABG testing should be performed when... (4) - ANSWER 1. FEV1 <65%
2. FVC <65% and restrictive lung dz OR <60%
3. FEV1/FVC <65%
4. Pulse ox pO2 <92%
Disqualify driver if ABG results are... (3) - ANSWER 1. ABG PaCO2 >45mmHg
2. ABG PaO2 <65mmHg if <5,000 ft altitude
3. ABG PaO2 <60mmHg if >5,000 ft altitude
Chest X-ray (CXR) should be performed for the evaluation of... (5) - ANSWER mitral stenosis,
hypersensitivity
pneumonitis, spontaneous pneumothorax, a positive PPD, or other significant respiratory abnormalities.
Sleep study should be considered if driver has... (4) - ANSWER a history suggestive of
obstructive sleep apnea (OSA),
Epworth Sleepiness scale > 10,
previously diagnosed sleep disorder,
previous sleep study apnea/hypoapnea index of > 5 but < 30.
Drivers with suspected or untreated sleep apnea should not be certified until... - ANSWER
etiology is confirmed and
treatment has been shown to be stable, safe, and effective.
Sleep apnea waiting period - ANSWER 1 month after starting CPAP
, 3 months after surgical tx
Sleep apnea max cert interval - ANSWER 1 year
Respiratory conditions which should not be certified (5) - ANSWER untreated symptomatic
obstructive sleep apnea,
restless leg syndrome associated with excessive daytime sleepiness (EDS),
narcolepsy,
hypoxemia at rest,
use of supplementary oxygen.
Asthma or COPD max cert interval - ANSWER 2 years
Pneumothorax cert interval - ANSWER 2 years (asx and resolution confirmed)
Pulmonary TB certification qualifications - ANSWER not contagious, has completed
streptomycin therapy without affecting hearing or balance, and is compliant with treatment.
Do not drive within ? hours of taking antihistamine - ANSWER 12
Neuro do not certify conditions (8) - ANSWER 1. epilepsy,
2. Meniere's disease,
3. dementia,
4. Parkinsonism,
5. cerebellar ataxia,
6. severe traumatic brain injury,
7. arteriovenous malformation (AVM) not surgically treated.
8. severe HAs which interfere with safe driving
Epilepsy can be certified if... - ANSWER sz free and off medication x 10 years
Single unprovoked sz waiting period - ANSWER 5 years
seizure free and off anticonvulsant medication,
Epilepsy diagnosed and waiting period - ANSWER diagnosed when a driver has 2 or more
unprovoked seizures. The waiting period for epilepsy
is 10 years seizure free and off anticonvulsant medication.
Definition of severe TBI - ANSWER dural penetration and LOC >24hrs
Definition of moderateTBI - ANSWER no dural penetration and LOC 30min-24hrs
Definition of mild TBI - ANSWER no dural penetration and LOC <30min
Severe TBI max cert - ANSWER do not certify
