NRCME TEST BANK QUESTIONS – DOT CERTIFICATION EXAM
PRACTICE | MEDICAL EXAMINER CERTIFICATION PREP 180
QUESTIONS AND CORRECT DETAILED ANSWERS WITH LATEST MOST
COVERED QUESTIONS
THE NRCME TEST BANK HELPS MEDICAL PROFESSIONALS PREPARE FOR THE DOT CERTIFICATION
EXAM BY COVERING FMCSA GUIDELINES, MEDICAL CONDITIONS THAT IMPACT DRIVING SAFETY,
AND BEST PRACTICES FOR CONDUCTING DRIVER PHYSICALS. MASTERING THESE CONCEPTS IS
ESSENTIAL FOR BECOMING A CERTIFIED MEDICAL EXAMINER UNDER FEDERAL REGULATIONS.
Which of the following is a requirement for drivers with a diabetes exemption?
A) Possess a rapidly absorbable form of glucose while driving
B) Self—monitor blood glucose one hour before driving and at least once every 2 hours while driving
C) Plan to submit blood glucose monitoring logs every 6 months
D) Maintain a Hemoglobin A1C value less than 7 - CORRECT ANSWER-A. Drivers with diabetes
should self monitor blood glucose before driving and every 4 hours while driving. Blood glucose
monitoring logs should be submitted annually. There is no specific requirement for HgA1C level.
What is the certification for a driver with a one-time, three month certificate, who achieves a
BP<=140/90?
A) Six-month certification from the date of the initial certification examination
B) One-year certification from the date of the initial certification examination
C) One-year certification from the date of the documented BP<=140/90
D) Two-year certification from the date of the documented BP<=140/90 - CORRECT ANSWER-B)
The date of the last complete examination is always used as the basis for the certification interval. A
driver with a one-time three-month certificate may be certified for one year after documentation of
a BP <=140/90.
The stage of BP elevation should be based on the lower of the systolic or diastolic BP result (e.g. if
systolic equals Stage 1 and diastolic equals Stage 2, the driver should be certified according to Stage
1 guidelines.)
A) True
B) False - CORRECT ANSWER-B) Blood pressure stage is based on the highest level of either
systolic or diastolic blood pressure.
The FMCSA considers ___________________ elevated BP readings at consecutive examinations as
readings that confirm elevated BP.
,A) Three
B) Four
C) Two
D) Five - CORRECT ANSWER-C) Two consecutive blood pressure readings, either at the same
examination or on consecutive examinations, are considered by the FMCSA as an indication of
elevated blood pressure.
What is the maximum certification period for drivers with hypertension?
A) Three months
B) One year
C) Two years
D) Six months - CORRECT ANSWER-B) For a driver diagnosed with hypertension, the maximum
certification interval is one year.
When a driver has a BP equivalent to Stage 2 hypertension a medical certification for what time
period can be issued?
A) One time, six months
B) One time, one year
C) One time, three months
D) One time, two years - CORRECT ANSWER-C) The maximum certification interval for Stage 2
hypertension is three months. This is intended to allow the driver to follow up with his/her treating
physician to be placed on medication for hypertension treatment
The expiration date for one-year certification, following issuance of a one-time, three month
certificate:
A) Should be noted on the Medical Examiner's Certificate
B) Should be noted in the comments section or elsewhere in the Medical Examination Report
C) Both a and b
D) Neither a and b - CORRECT ANSWER-C) The expiration date must be noted on both the
Medical Examiners Certificate and in the Medical Examination Report
Which of the following is true?
,1) CMV drivers have an increased propensity for the development of hypertension that exceeds the
risk seen in other professions
2) There should be at least three BP readings taken and documented during the course of the
physical examination
A) 1 only
B) 2 only
C) Both 1 and 2
D) Neither 1 nor 2 - CORRECT ANSWER-A) At least two BP readings should be taken and
documented during the driver examination.
Do not certify a driver who:
A) Has Stage 1 hypertension not on therapy
B) Has had Stage 2 hypertension on initial examination and on reexamination three months later still
has stage 2 hypertension
C) Has stage 2 hypertension currently on therapy
D) Has stage 1 hypertension currently on therapy - CORRECT ANSWER-B) A driver with Stage 2
hypertension who has not been able to reduce her/his blood pressure to 140/90 or less after three
months should be disqualified until achieving a blood pressure of 140/90 or less
The driver should remain under the supervision of a treating physician to:
A) Monitor weight fluctuation with medications
B) Monitor driver nutritional modifications
C) Monitor possible medication side effects
D) Monitor attitudinal/behavioral changes - CORRECT ANSWER-D) Drivers using prescription
medications should be monitored by a supervising or treating physician for possible medications side
effects
Which of the following is not considered a secondary cause of hypertension?
A) Sodium consumption
B) Alcohol consumption
C) Tobacco use
, D) Thyroid disease - CORRECT ANSWER-D) Hypertension may be affected by sodium and alcohol
consumption, tobacco use, use of NSAIDS, and renal artery disease, a month other conditions.
Thyroid disease is not considered a secondary cause of hypertension.
The certification determination for a driver with a diagnosis of hypertension who presents with a
confirmed BP of 182/112 is:
A) Qualify 3 months
B) Disqualify until BP is <=180/110
C) Disqualify until BP is <=160/100
D) Disqualify until BP is <=140/90 - CORRECT ANSWER-D) This is Stage 3 hypertension and the
driver is disqualified until blood pressure less than or equal to 140/90 is attained.
Which of the following is true?
A) Stage 1 hypertension is systolic BP 140-149 and/or diastolic BP 90-99
B) Stage 2 hypertension is systolic BP 150-169 and/or diastolic BP 100-109.
C) Stage 3 hypertension is systolic BP 170 or greater and/or diastolic BP 110 or greater.
D) FMCSA considers two elevated blood pressures, whether follow-up or recertification, as readings
that confirm elevated blood pressure. - CORRECT ANSWER-D) Stage 1 hypertension is systolic
BP 140-159 and/or diastolic BP 90-99, Stage 2 is systolic BP 160-179 and/or diastolic BP 100-109, and
Stage 3 hypertension is systolic BP>=180 and or diastolic BP>=110.
A driver previously diagnosed and treated for hypertension presents on April 4, 2014 with blood
pressure of 150/84. The driver is given a three-month certification until July 4, 2014. At follow-up
two months later, on June 4, 2014, a complete driver examination is performed, and the driver's
blood pressure is 124/74. The driver should be certified for _______________________.
A) Three months until September 4, 2014
B) One year until April 4, 2015
C) One year until June 4, 2015
D) Two years until April 4, 2016 - CORRECT ANSWER-Which of the following is true with respect
to drivers with psychological disorders?
A) With some exceptions (e.g. schizophrenia), exclusion from CMV driving is not based solely on
diagnosis.
B) Recommendations related to effects and/or side effects of medication use the degree of
impairment produced by a 0.08 percent blood alcohol concentration as a benchmark.
PRACTICE | MEDICAL EXAMINER CERTIFICATION PREP 180
QUESTIONS AND CORRECT DETAILED ANSWERS WITH LATEST MOST
COVERED QUESTIONS
THE NRCME TEST BANK HELPS MEDICAL PROFESSIONALS PREPARE FOR THE DOT CERTIFICATION
EXAM BY COVERING FMCSA GUIDELINES, MEDICAL CONDITIONS THAT IMPACT DRIVING SAFETY,
AND BEST PRACTICES FOR CONDUCTING DRIVER PHYSICALS. MASTERING THESE CONCEPTS IS
ESSENTIAL FOR BECOMING A CERTIFIED MEDICAL EXAMINER UNDER FEDERAL REGULATIONS.
Which of the following is a requirement for drivers with a diabetes exemption?
A) Possess a rapidly absorbable form of glucose while driving
B) Self—monitor blood glucose one hour before driving and at least once every 2 hours while driving
C) Plan to submit blood glucose monitoring logs every 6 months
D) Maintain a Hemoglobin A1C value less than 7 - CORRECT ANSWER-A. Drivers with diabetes
should self monitor blood glucose before driving and every 4 hours while driving. Blood glucose
monitoring logs should be submitted annually. There is no specific requirement for HgA1C level.
What is the certification for a driver with a one-time, three month certificate, who achieves a
BP<=140/90?
A) Six-month certification from the date of the initial certification examination
B) One-year certification from the date of the initial certification examination
C) One-year certification from the date of the documented BP<=140/90
D) Two-year certification from the date of the documented BP<=140/90 - CORRECT ANSWER-B)
The date of the last complete examination is always used as the basis for the certification interval. A
driver with a one-time three-month certificate may be certified for one year after documentation of
a BP <=140/90.
The stage of BP elevation should be based on the lower of the systolic or diastolic BP result (e.g. if
systolic equals Stage 1 and diastolic equals Stage 2, the driver should be certified according to Stage
1 guidelines.)
A) True
B) False - CORRECT ANSWER-B) Blood pressure stage is based on the highest level of either
systolic or diastolic blood pressure.
The FMCSA considers ___________________ elevated BP readings at consecutive examinations as
readings that confirm elevated BP.
,A) Three
B) Four
C) Two
D) Five - CORRECT ANSWER-C) Two consecutive blood pressure readings, either at the same
examination or on consecutive examinations, are considered by the FMCSA as an indication of
elevated blood pressure.
What is the maximum certification period for drivers with hypertension?
A) Three months
B) One year
C) Two years
D) Six months - CORRECT ANSWER-B) For a driver diagnosed with hypertension, the maximum
certification interval is one year.
When a driver has a BP equivalent to Stage 2 hypertension a medical certification for what time
period can be issued?
A) One time, six months
B) One time, one year
C) One time, three months
D) One time, two years - CORRECT ANSWER-C) The maximum certification interval for Stage 2
hypertension is three months. This is intended to allow the driver to follow up with his/her treating
physician to be placed on medication for hypertension treatment
The expiration date for one-year certification, following issuance of a one-time, three month
certificate:
A) Should be noted on the Medical Examiner's Certificate
B) Should be noted in the comments section or elsewhere in the Medical Examination Report
C) Both a and b
D) Neither a and b - CORRECT ANSWER-C) The expiration date must be noted on both the
Medical Examiners Certificate and in the Medical Examination Report
Which of the following is true?
,1) CMV drivers have an increased propensity for the development of hypertension that exceeds the
risk seen in other professions
2) There should be at least three BP readings taken and documented during the course of the
physical examination
A) 1 only
B) 2 only
C) Both 1 and 2
D) Neither 1 nor 2 - CORRECT ANSWER-A) At least two BP readings should be taken and
documented during the driver examination.
Do not certify a driver who:
A) Has Stage 1 hypertension not on therapy
B) Has had Stage 2 hypertension on initial examination and on reexamination three months later still
has stage 2 hypertension
C) Has stage 2 hypertension currently on therapy
D) Has stage 1 hypertension currently on therapy - CORRECT ANSWER-B) A driver with Stage 2
hypertension who has not been able to reduce her/his blood pressure to 140/90 or less after three
months should be disqualified until achieving a blood pressure of 140/90 or less
The driver should remain under the supervision of a treating physician to:
A) Monitor weight fluctuation with medications
B) Monitor driver nutritional modifications
C) Monitor possible medication side effects
D) Monitor attitudinal/behavioral changes - CORRECT ANSWER-D) Drivers using prescription
medications should be monitored by a supervising or treating physician for possible medications side
effects
Which of the following is not considered a secondary cause of hypertension?
A) Sodium consumption
B) Alcohol consumption
C) Tobacco use
, D) Thyroid disease - CORRECT ANSWER-D) Hypertension may be affected by sodium and alcohol
consumption, tobacco use, use of NSAIDS, and renal artery disease, a month other conditions.
Thyroid disease is not considered a secondary cause of hypertension.
The certification determination for a driver with a diagnosis of hypertension who presents with a
confirmed BP of 182/112 is:
A) Qualify 3 months
B) Disqualify until BP is <=180/110
C) Disqualify until BP is <=160/100
D) Disqualify until BP is <=140/90 - CORRECT ANSWER-D) This is Stage 3 hypertension and the
driver is disqualified until blood pressure less than or equal to 140/90 is attained.
Which of the following is true?
A) Stage 1 hypertension is systolic BP 140-149 and/or diastolic BP 90-99
B) Stage 2 hypertension is systolic BP 150-169 and/or diastolic BP 100-109.
C) Stage 3 hypertension is systolic BP 170 or greater and/or diastolic BP 110 or greater.
D) FMCSA considers two elevated blood pressures, whether follow-up or recertification, as readings
that confirm elevated blood pressure. - CORRECT ANSWER-D) Stage 1 hypertension is systolic
BP 140-159 and/or diastolic BP 90-99, Stage 2 is systolic BP 160-179 and/or diastolic BP 100-109, and
Stage 3 hypertension is systolic BP>=180 and or diastolic BP>=110.
A driver previously diagnosed and treated for hypertension presents on April 4, 2014 with blood
pressure of 150/84. The driver is given a three-month certification until July 4, 2014. At follow-up
two months later, on June 4, 2014, a complete driver examination is performed, and the driver's
blood pressure is 124/74. The driver should be certified for _______________________.
A) Three months until September 4, 2014
B) One year until April 4, 2015
C) One year until June 4, 2015
D) Two years until April 4, 2016 - CORRECT ANSWER-Which of the following is true with respect
to drivers with psychological disorders?
A) With some exceptions (e.g. schizophrenia), exclusion from CMV driving is not based solely on
diagnosis.
B) Recommendations related to effects and/or side effects of medication use the degree of
impairment produced by a 0.08 percent blood alcohol concentration as a benchmark.
