AK NRCME DOT EXAM STUDY SET PART 2 [ACTUAL EXAM]
LATEST VERSION [QUESTIONS AND ANSWERS] DETAILED
AND VERIFIED FOR GUARANTEED PASS- LATEST UPDATE
2025 GRADED A (BRAND NEW!!)
Allergy Related Life Threatening Conditions: Recommend not to certify if: - CORRECT
ANSWER ✔✔✔✔✔ The driver has a history of an allergy related life threatening
condition does not have:
- Effective treatment regimen
- Successful preventative measures
Asthma - CORRECT ANSWER ✔✔✔✔✔ Waiting Period: none
Max Certification: 2 year
Asthma: Recommend not to certify if: - CORRECT ANSWER ✔✔✔✔✔ The driver
exhibits either:
- continual, uncontrolled, symptomatic asthma
- significant impairment of pulmonary function (forced expiratory volume in the first
second of expiration (FEV1) less than 65%) and significant hypoexemia (partial
pressure of arterial oxygen (PaO2) less than 65 millimeters of mercury (mm Hg).
—> less than 65% FEV1
—> less than 65 mm of mmHg
Hypersensitivity Pneumonitis - CORRECT ANSWER ✔✔✔✔✔ Waiting period: none
maximum certificate: 2 years
Hypersensitivity Pneumonitis- recommend not to certify if: - CORRECT ANSWER
✔✔✔✔✔ - as the medical examiner, you believe that the nature and severity of the
medical condition of the driver endangers the health and safety of the driver and the
public
COPD (chronic obstructive pulmonary disease) - CORRECT ANSWER ✔✔✔✔✔
Waiting period: none
max certificate: 2 years
COPD (chronic obstructive pulmonary disease)- Recommend not to certify if: -
CORRECT ANSWER ✔✔✔✔✔ The driver has:
- hypoxemia at rest
,- chronic respiratory failure
Spirometry should be performed in all smokers over the age of:
A) 35 YO
B) 25 YO
C) 45 YO
D) 65 YO - CORRECT ANSWER ✔✔✔✔✔ 35 YO
Chronic Sleep Disorders - CORRECT ANSWER ✔✔✔✔✔ Waiting period: 1 month
after CPAP
waiting period: 3 months symptom free after surgical treatment
maximum certification: 1 year
Chronic Sleep Disorders - Recommend not to certify if: - CORRECT ANSWER
✔✔✔✔✔ The driver has:
- hypoxemia at rest
Diagnosis of:
- Untreated symptomatic OSA
- narcolepsy
- primary (idiopathic) alveolar hypoventilation syndrome
- idiopathic central nervous system hypersomnolence
- restless leg syndrome associated with excessive daytime sleepiness
The driver who is being treated for sleep apnea should undergo __________________
objective testing:
a) daily
b) weekly
c) monthly
d) yearly - CORRECT ANSWER ✔✔✔✔✔ Yearly
Acute infections diseases - CORRECT ANSWER ✔✔✔✔✔ Waiting period: none
maximum certification: 2 years
Medical examiners should educate drivers who are taking medications such as
antihistamines or narcotic antitussives (which can cause drowsiness and loss of
attention) that they should refrain from operating a vehicle for at least ______________
after taking a medication with sedating side effects.
A) 1 hour
B) 2 hours
, C) 12 hours
D) 24 hours - CORRECT ANSWER ✔✔✔✔✔ 12 hours
Atypical TB - CORRECT ANSWER ✔✔✔✔✔ Waiting period: none
maximum certification: 2 years
Atypical TB - Recommend not to certify if: - CORRECT ANSWER ✔✔✔✔✔ The Driver
has:
- extensive pulmonary dysfunction
- weakness
- fatigue
- adverse reaction to medial treatment
You should perform ___________________ tests if you suspect Atypical TB has
become progressive and may cause extensive pulmonary symptoms.
A) Pulmonary Function Tests
B) Urine Analysis
C) BUN test
D) Blood tests - CORRECT ANSWER ✔✔✔✔✔ A) Pulmonary Function Tests
Pulmonary TB - CORRECT ANSWER ✔✔✔✔✔ Waiting period: none
maximum certificate: 2 years
Pulmonary TB: You should not certify until - CORRECT ANSWER ✔✔✔✔✔ - Driver is
determined not to be contagious
- Etiology is confirmed and treatment has been shown to be adequate/effective, safe
and stable
Pulmonary TB: Recommend to to certify if- - CORRECT ANSWER ✔✔✔✔✔ The
driver has:
- advanced TB respiratory insufficiency not meeting pulmonary function test criteria
- Chronic TB
- Exhibited noncompliance with anti-tubular therapy
- not completed streptomycin therapy
- residual eighth cranial nerve damage that affects balance and or hearing to an extent
that interferes with safe driving
Chest Wall Deformities (kyphosis, kyphoscoliosis, pectus excavatum, AS, massive
obesity, and recent thoracic/upper abdominal surgery or injury) - CORRECT ANSWER
✔✔✔✔✔ Waiting period: none
maximum certificate: 2 years
LATEST VERSION [QUESTIONS AND ANSWERS] DETAILED
AND VERIFIED FOR GUARANTEED PASS- LATEST UPDATE
2025 GRADED A (BRAND NEW!!)
Allergy Related Life Threatening Conditions: Recommend not to certify if: - CORRECT
ANSWER ✔✔✔✔✔ The driver has a history of an allergy related life threatening
condition does not have:
- Effective treatment regimen
- Successful preventative measures
Asthma - CORRECT ANSWER ✔✔✔✔✔ Waiting Period: none
Max Certification: 2 year
Asthma: Recommend not to certify if: - CORRECT ANSWER ✔✔✔✔✔ The driver
exhibits either:
- continual, uncontrolled, symptomatic asthma
- significant impairment of pulmonary function (forced expiratory volume in the first
second of expiration (FEV1) less than 65%) and significant hypoexemia (partial
pressure of arterial oxygen (PaO2) less than 65 millimeters of mercury (mm Hg).
—> less than 65% FEV1
—> less than 65 mm of mmHg
Hypersensitivity Pneumonitis - CORRECT ANSWER ✔✔✔✔✔ Waiting period: none
maximum certificate: 2 years
Hypersensitivity Pneumonitis- recommend not to certify if: - CORRECT ANSWER
✔✔✔✔✔ - as the medical examiner, you believe that the nature and severity of the
medical condition of the driver endangers the health and safety of the driver and the
public
COPD (chronic obstructive pulmonary disease) - CORRECT ANSWER ✔✔✔✔✔
Waiting period: none
max certificate: 2 years
COPD (chronic obstructive pulmonary disease)- Recommend not to certify if: -
CORRECT ANSWER ✔✔✔✔✔ The driver has:
- hypoxemia at rest
,- chronic respiratory failure
Spirometry should be performed in all smokers over the age of:
A) 35 YO
B) 25 YO
C) 45 YO
D) 65 YO - CORRECT ANSWER ✔✔✔✔✔ 35 YO
Chronic Sleep Disorders - CORRECT ANSWER ✔✔✔✔✔ Waiting period: 1 month
after CPAP
waiting period: 3 months symptom free after surgical treatment
maximum certification: 1 year
Chronic Sleep Disorders - Recommend not to certify if: - CORRECT ANSWER
✔✔✔✔✔ The driver has:
- hypoxemia at rest
Diagnosis of:
- Untreated symptomatic OSA
- narcolepsy
- primary (idiopathic) alveolar hypoventilation syndrome
- idiopathic central nervous system hypersomnolence
- restless leg syndrome associated with excessive daytime sleepiness
The driver who is being treated for sleep apnea should undergo __________________
objective testing:
a) daily
b) weekly
c) monthly
d) yearly - CORRECT ANSWER ✔✔✔✔✔ Yearly
Acute infections diseases - CORRECT ANSWER ✔✔✔✔✔ Waiting period: none
maximum certification: 2 years
Medical examiners should educate drivers who are taking medications such as
antihistamines or narcotic antitussives (which can cause drowsiness and loss of
attention) that they should refrain from operating a vehicle for at least ______________
after taking a medication with sedating side effects.
A) 1 hour
B) 2 hours
, C) 12 hours
D) 24 hours - CORRECT ANSWER ✔✔✔✔✔ 12 hours
Atypical TB - CORRECT ANSWER ✔✔✔✔✔ Waiting period: none
maximum certification: 2 years
Atypical TB - Recommend not to certify if: - CORRECT ANSWER ✔✔✔✔✔ The Driver
has:
- extensive pulmonary dysfunction
- weakness
- fatigue
- adverse reaction to medial treatment
You should perform ___________________ tests if you suspect Atypical TB has
become progressive and may cause extensive pulmonary symptoms.
A) Pulmonary Function Tests
B) Urine Analysis
C) BUN test
D) Blood tests - CORRECT ANSWER ✔✔✔✔✔ A) Pulmonary Function Tests
Pulmonary TB - CORRECT ANSWER ✔✔✔✔✔ Waiting period: none
maximum certificate: 2 years
Pulmonary TB: You should not certify until - CORRECT ANSWER ✔✔✔✔✔ - Driver is
determined not to be contagious
- Etiology is confirmed and treatment has been shown to be adequate/effective, safe
and stable
Pulmonary TB: Recommend to to certify if- - CORRECT ANSWER ✔✔✔✔✔ The
driver has:
- advanced TB respiratory insufficiency not meeting pulmonary function test criteria
- Chronic TB
- Exhibited noncompliance with anti-tubular therapy
- not completed streptomycin therapy
- residual eighth cranial nerve damage that affects balance and or hearing to an extent
that interferes with safe driving
Chest Wall Deformities (kyphosis, kyphoscoliosis, pectus excavatum, AS, massive
obesity, and recent thoracic/upper abdominal surgery or injury) - CORRECT ANSWER
✔✔✔✔✔ Waiting period: none
maximum certificate: 2 years
