NRCME DOT Exam Questions & Answers
1.The driver presents with a SPE Certificate. The Medical Examiner's next
step should be
Answer Proceed with the examination.
2.A 21-year-old driver presents with a history of ADHD for 10 years, taking
stable dosing of Adderall. He describes no side effects. Which of the
following is true?
a. A significant percentage of individuals with adult ADHD show a moderate
to marked degree of improvement on central nervous system stimulant
med- ication.
b. ADHD is a disqualifying condition.
c. Adderall is a Schedule 1 drug.
d. Medical Examiners should test for serum drug levels of Adderall.
Answer A signifi- cant percentage of individuals with adult ADHD show a
moderate to marked degree of improvement on central nervous system
stimulant medication
3.Which of the following is the most important examination finding
that requires additional evaluation?
a. Acrochordon.
b. Hyperopia.
c. Palpable calf cords.
d. Verruca vulgaris.
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, Answer Palpable calf cords
4.The driver reports taking Digoxin. What findings would raise the
most significant concerns regarding certification?
a. Arrhythmias.
b. Anorexia.
c. Nausea and vomiting.
d. Diarrhea.
Answer Arrhythmias.
5.The driver is taking theophylline. Which of the following is not true?
a. Serum levels may be checked.
b. The primary indication for theophylline is in the treatment of
neurological conditions.
c. Cardiac toxicity is a significant risk of theophylline use.
d. Theophylline can be administered orally or intravenously (IV
Answer The primary indication for theophylline is in the treatment of
neurological conditions.
6.The driver is taking Celexa and melatonin. The Medical Examiner should
a. Advise the driver to only take these medications more than 12 hours
before driving.
b. Advise the driver to stop melatonin as it can cause drowsiness.
c. Recommend an alternative to Celexa.
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,d. Advise the driver to discuss benzodiazepines as an alternative treatment.
with the driver's prescribing provider
Answer Advise the driver to only take these med- ications more than 12
hours before driving.
7.The driver tells the Medical Examiner he has recently been prescribed
con- tact lenses. He notes that after 3-4 hours of use the contacts cause
irritation and he has to take them out. The driver passes the vision test only
with contacts and does not have eyeglasses. The Medical Examiner should
a. Advise the driver to carry a spare pair of contact lenses.
b. Certify the driver wearing corrective lenses.
c. Refer the driver for evaluation under the Alternative Vision
Qualification standard.
d. Certify the driver without qualifications
Answer Certify the driver wearing corrective lenses.
8.The driver does not indicate any medical conditions on health history.
During the exam the Medical Examiner notes the presence of a hearing aid
in one ear. The driver says that he doesn't need the hearing aid to drive and
doesn't think it should be required. The next step for the Medical Examiner
is
a. Test the driver's hearing without the hearing aid.
b. Examine the driver's ears.
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, c. Refer the driver for hearing assessment by a specialist with specialized
audiometric testing capabilities for testing drivers while wearing a hearing
aid.
d. Certify the driver with the qualification "wearing hearing aid
Answer Test the driver's hearing without the hearing aid.
9.A driver has an indication for obtaining a cardiac stress test. If the driver
is not taking a beta blocker, what is the percentage of maximum heart rate
that the driver should meet to indicate a satisfactory stress test
a. 60%.
b. 75%.
c. 85%.
d. 100%.
Answer 85%
10.The driver is missing the 4th finger of his right hand. The Medical
Examiner should
a. Refer for orthopedic evaluation.
b. Indicate the driver will need a SPE Certificate.
c. Test the driver's grasp and prehension.
d. Disqualify the driver
Answer Test the driver's grasp and prehension.
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1.The driver presents with a SPE Certificate. The Medical Examiner's next
step should be
Answer Proceed with the examination.
2.A 21-year-old driver presents with a history of ADHD for 10 years, taking
stable dosing of Adderall. He describes no side effects. Which of the
following is true?
a. A significant percentage of individuals with adult ADHD show a moderate
to marked degree of improvement on central nervous system stimulant
med- ication.
b. ADHD is a disqualifying condition.
c. Adderall is a Schedule 1 drug.
d. Medical Examiners should test for serum drug levels of Adderall.
Answer A signifi- cant percentage of individuals with adult ADHD show a
moderate to marked degree of improvement on central nervous system
stimulant medication
3.Which of the following is the most important examination finding
that requires additional evaluation?
a. Acrochordon.
b. Hyperopia.
c. Palpable calf cords.
d. Verruca vulgaris.
1/
145
, Answer Palpable calf cords
4.The driver reports taking Digoxin. What findings would raise the
most significant concerns regarding certification?
a. Arrhythmias.
b. Anorexia.
c. Nausea and vomiting.
d. Diarrhea.
Answer Arrhythmias.
5.The driver is taking theophylline. Which of the following is not true?
a. Serum levels may be checked.
b. The primary indication for theophylline is in the treatment of
neurological conditions.
c. Cardiac toxicity is a significant risk of theophylline use.
d. Theophylline can be administered orally or intravenously (IV
Answer The primary indication for theophylline is in the treatment of
neurological conditions.
6.The driver is taking Celexa and melatonin. The Medical Examiner should
a. Advise the driver to only take these medications more than 12 hours
before driving.
b. Advise the driver to stop melatonin as it can cause drowsiness.
c. Recommend an alternative to Celexa.
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,d. Advise the driver to discuss benzodiazepines as an alternative treatment.
with the driver's prescribing provider
Answer Advise the driver to only take these med- ications more than 12
hours before driving.
7.The driver tells the Medical Examiner he has recently been prescribed
con- tact lenses. He notes that after 3-4 hours of use the contacts cause
irritation and he has to take them out. The driver passes the vision test only
with contacts and does not have eyeglasses. The Medical Examiner should
a. Advise the driver to carry a spare pair of contact lenses.
b. Certify the driver wearing corrective lenses.
c. Refer the driver for evaluation under the Alternative Vision
Qualification standard.
d. Certify the driver without qualifications
Answer Certify the driver wearing corrective lenses.
8.The driver does not indicate any medical conditions on health history.
During the exam the Medical Examiner notes the presence of a hearing aid
in one ear. The driver says that he doesn't need the hearing aid to drive and
doesn't think it should be required. The next step for the Medical Examiner
is
a. Test the driver's hearing without the hearing aid.
b. Examine the driver's ears.
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, c. Refer the driver for hearing assessment by a specialist with specialized
audiometric testing capabilities for testing drivers while wearing a hearing
aid.
d. Certify the driver with the qualification "wearing hearing aid
Answer Test the driver's hearing without the hearing aid.
9.A driver has an indication for obtaining a cardiac stress test. If the driver
is not taking a beta blocker, what is the percentage of maximum heart rate
that the driver should meet to indicate a satisfactory stress test
a. 60%.
b. 75%.
c. 85%.
d. 100%.
Answer 85%
10.The driver is missing the 4th finger of his right hand. The Medical
Examiner should
a. Refer for orthopedic evaluation.
b. Indicate the driver will need a SPE Certificate.
c. Test the driver's grasp and prehension.
d. Disqualify the driver
Answer Test the driver's grasp and prehension.
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