NRCME POST-TEST QUESTIONS
cb cb
ThecbFMCSAcbmedicalcbexaminercbshouldcbdisqualifycbacbdrivercbifcbhecborcbshecbhascbanycb
ofcbthecbfollowingcbclinicalcbdiagnosis:cb-
correctcbanswer✔ ✔ MI,cbCHFcbwithcbLVEFcblesscbthancb40%,cbPulmonarycbHyperten
cb
sion,cborcbAtrialcbfibrillationcb
cb
PulmonarycbHypertension,cbHypertrophiccbCardiomyopathy,cbRestrictivecbCardiomyopath
ycborcbCHFcbwithcbLVEFcbofcb50%cb
cb
AtrialcbFlutter,cbVentricularcbTachycardia,cborcbPulmonarycbEmbolismcb
cb
**HypertrophiccbCardiomyopathy,cbRestrictivecbCardiomyopathycborcbCHFcbwithcbLVEFcble
sscbthancb40%
Whencbshouldcbacbdrivercbwhocbiscbprescribedcbanticoagulationcbtherapycbbecbdisqualified?
- correctcbanswer✔ ✔
cb cb
Whencbtakingcbmedicationcbforcbtreatmentcbpostcbcerebrovascularcbaccidentcb(CVA)
Howcblongcbshouldcbacbdrivercbstatus-
postcbpermanentcbpacemakercb(PPM)cbinsertioncbsecondarycbtocbsinuscbnodecbdysfunction
cb waitcbbeforecbcertification/recertificationcbforcbdutycbcancbbecbconsidered?cb-
correctcbanswer✔ ✔ 1cbmonth
cb
AcbCMVcbdrivercbwhocbhascbancbimplantablecbcardioverter-
defibrillatorcb(ICD)cbcancbbecbcertifiedcbforcbhowcblongcbwhencbhecborcbshecbhascbclearancecb
fromcbacbcardiologistcbindicatingcbthatcbthecbdrivercbiscbfitcbforcbduty?cb-cbcorrectcbanswer✔
✔ Disqualified
Acbdrivercbcandidatecbpresentscbtocbyourcbofficecbforcbacbnewcbmedicalcbcertification.cbIncbhis
medicalcbhistorycbhecbnotescbhecbhascbancballergycbtocbbeecbstings.cbFollowingcbhiscbmostc
cb
, brecentcbbeecbstingcbhecbdevelopedcbsymptomscbofcbanaphylaxiscbincludingcbangioedema,c
bthroatcbtightness,cbandcbdyspnea.cbWhatcbiscbonecbeffectivecbpreventivecbmeasurecbthecbm
edicalcbexaminercbshouldcbadvisecbthecbdrivercbtocbundertake?cb-cbcorrectcbanswer✔ ✔
Carrycbancbepinephrinecbinjectioncbdevicecbincbthecbtruckcbcab.
Thecbmedicalcbexaminercbiscbdeterminingcbfitnesscbforcbdutycbforcbacbdrivercbcandidatecbwith
a historycbofcbasthma.cbThecbdrivercbiscbusingcbancbalbuterolcbinhalercbthreecbtimescbdailyc
cb cb
bforcbtreatmentcbofcbintermittentcbdyspneacbandcbwheezing.cbThecbmedicalcbexaminercbsho
uld:cb-cbcorrectcbanswer✔ ✔
Qualifycbthecbdrivercbforcbacbperiodcbofcbtwocbyearscbascbthecbasthmacbiscbwellcbcontrolled.c
b
**Disqualifycbthecbdrivercbandcbhavecbthemcbreturncbtocbtheircbprimarycbcarecbprovidercbforcbr
ecbevaluationcbofcbtheircbasthmacbtreatmentcbregimen.cb
Qualifycbthecbdrivercbforcbacbperiodcbofcbonecbyearcbascbtheycbwillcbrequirecbmorecbfrequentcb
monitoring.cb
Refercbthecbdrivercbforcbpulmonarycbfunctioncbtesting.
Thecbmedicalcbexaminercbshouldcbrefercbacbdrivercbforcbpulmonarycbfunctioncbtestingcb(PFT)
cb whencbtheycbpresentcbwithcbwhichcbofcbthecbfollowing:cb-cbcorrectcbanswer✔ ✔
Historycbofcbanycbspecificcblungcbdiseasecb
Symptomscbofcbshortnesscbofcbbreath,cbcough,cbchestcbtightness,cborcbwheezingcb
cb
Cigarettecbsmokingcbincbdriverscb35cbyearscbofcbagecborcboldercb
cb
**Allcbofcbthecbabove
cb cb
ThecbFMCSAcbmedicalcbexaminercbshouldcbdisqualifycbacbdrivercbifcbhecborcbshecbhascbanycb
ofcbthecbfollowingcbclinicalcbdiagnosis:cb-
correctcbanswer✔ ✔ MI,cbCHFcbwithcbLVEFcblesscbthancb40%,cbPulmonarycbHyperten
cb
sion,cborcbAtrialcbfibrillationcb
cb
PulmonarycbHypertension,cbHypertrophiccbCardiomyopathy,cbRestrictivecbCardiomyopath
ycborcbCHFcbwithcbLVEFcbofcb50%cb
cb
AtrialcbFlutter,cbVentricularcbTachycardia,cborcbPulmonarycbEmbolismcb
cb
**HypertrophiccbCardiomyopathy,cbRestrictivecbCardiomyopathycborcbCHFcbwithcbLVEFcble
sscbthancb40%
Whencbshouldcbacbdrivercbwhocbiscbprescribedcbanticoagulationcbtherapycbbecbdisqualified?
- correctcbanswer✔ ✔
cb cb
Whencbtakingcbmedicationcbforcbtreatmentcbpostcbcerebrovascularcbaccidentcb(CVA)
Howcblongcbshouldcbacbdrivercbstatus-
postcbpermanentcbpacemakercb(PPM)cbinsertioncbsecondarycbtocbsinuscbnodecbdysfunction
cb waitcbbeforecbcertification/recertificationcbforcbdutycbcancbbecbconsidered?cb-
correctcbanswer✔ ✔ 1cbmonth
cb
AcbCMVcbdrivercbwhocbhascbancbimplantablecbcardioverter-
defibrillatorcb(ICD)cbcancbbecbcertifiedcbforcbhowcblongcbwhencbhecborcbshecbhascbclearancecb
fromcbacbcardiologistcbindicatingcbthatcbthecbdrivercbiscbfitcbforcbduty?cb-cbcorrectcbanswer✔
✔ Disqualified
Acbdrivercbcandidatecbpresentscbtocbyourcbofficecbforcbacbnewcbmedicalcbcertification.cbIncbhis
medicalcbhistorycbhecbnotescbhecbhascbancballergycbtocbbeecbstings.cbFollowingcbhiscbmostc
cb
, brecentcbbeecbstingcbhecbdevelopedcbsymptomscbofcbanaphylaxiscbincludingcbangioedema,c
bthroatcbtightness,cbandcbdyspnea.cbWhatcbiscbonecbeffectivecbpreventivecbmeasurecbthecbm
edicalcbexaminercbshouldcbadvisecbthecbdrivercbtocbundertake?cb-cbcorrectcbanswer✔ ✔
Carrycbancbepinephrinecbinjectioncbdevicecbincbthecbtruckcbcab.
Thecbmedicalcbexaminercbiscbdeterminingcbfitnesscbforcbdutycbforcbacbdrivercbcandidatecbwith
a historycbofcbasthma.cbThecbdrivercbiscbusingcbancbalbuterolcbinhalercbthreecbtimescbdailyc
cb cb
bforcbtreatmentcbofcbintermittentcbdyspneacbandcbwheezing.cbThecbmedicalcbexaminercbsho
uld:cb-cbcorrectcbanswer✔ ✔
Qualifycbthecbdrivercbforcbacbperiodcbofcbtwocbyearscbascbthecbasthmacbiscbwellcbcontrolled.c
b
**Disqualifycbthecbdrivercbandcbhavecbthemcbreturncbtocbtheircbprimarycbcarecbprovidercbforcbr
ecbevaluationcbofcbtheircbasthmacbtreatmentcbregimen.cb
Qualifycbthecbdrivercbforcbacbperiodcbofcbonecbyearcbascbtheycbwillcbrequirecbmorecbfrequentcb
monitoring.cb
Refercbthecbdrivercbforcbpulmonarycbfunctioncbtesting.
Thecbmedicalcbexaminercbshouldcbrefercbacbdrivercbforcbpulmonarycbfunctioncbtestingcb(PFT)
cb whencbtheycbpresentcbwithcbwhichcbofcbthecbfollowing:cb-cbcorrectcbanswer✔ ✔
Historycbofcbanycbspecificcblungcbdiseasecb
Symptomscbofcbshortnesscbofcbbreath,cbcough,cbchestcbtightness,cborcbwheezingcb
cb
Cigarettecbsmokingcbincbdriverscb35cbyearscbofcbagecborcboldercb
cb
**Allcbofcbthecbabove
