NRCME DOT
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CAD - Answer: At least annual examination, and be on board with cardiology, tolerate and comply with meds. No need to disqualify right away. 
Acceptable Echo - 
LVEF >/= 40% 
Pulmonary artery pressure <50% systemic systolic BP. 
Acceptable exercise tolerance - 
Achieve >6 mets through Bruce stage 2 or equivalent (medium work up to 50 lb carrying) 
Attain HR of >/=85% predicted maximum unless on beta blockers 
Rise in systolic BP >/= 20 mm/hg without angina. 
No ST segment dep...
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CAD - Answer: At least annual examination, and be on board with cardiology, tolerate and comply with meds. No need to disqualify right away. 
Acceptable Echo - 
LVEF >/= 40% 
Pulmonary artery pressure <50% systemic systolic BP. 
Acceptable exercise tolerance - 
Achieve >6 mets through Bruce stage 2 or equivalent (medium work up to 50 lb carrying) 
Attain HR of >/=85% predicted maximum unless on beta blockers 
Rise in systolic BP >/= 20 mm/hg without angina. 
No ST segment dep...

What minimum PaO2 level is necessary if the driver has an ABG due to a chronic respiratory disorder? 
 
a. 70mmHg 
b. 55mmHg 
c. 60mmHg 
d. 65mmHg - Answer: d. 65mmHg 
 
Correct answer is "D". To be qualified, the driver should meet a minimum arterial blood gas (PaO2) greater than 65. 
 
A driver first perceives a whispered voice at 5 feet in his right ear and 4 feet in his left ear. All other aspects of his physical examination are unremarkable. The examiner should: 
 
a. Permanently...
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What minimum PaO2 level is necessary if the driver has an ABG due to a chronic respiratory disorder? 
 
a. 70mmHg 
b. 55mmHg 
c. 60mmHg 
d. 65mmHg - Answer: d. 65mmHg 
 
Correct answer is "D". To be qualified, the driver should meet a minimum arterial blood gas (PaO2) greater than 65. 
 
A driver first perceives a whispered voice at 5 feet in his right ear and 4 feet in his left ear. All other aspects of his physical examination are unremarkable. The examiner should: 
 
a. Permanently...

Medical standards/regulations are - Answer: mandatory 
 
Medical guidelines are - Answer: advisory 
 
If choosing not to follow medical guidelines, you should note the rationale for not following the guidelines in the... - Answer: Medical Examination Report 
 
4 required tests in the examination - Answer: vision, hearing, blood pressure/pulse, and 
dipstick urinalysis. 
 
Dipstick urinalysis includes... - Answer: specific gravity, blood, protein, and glucose. 
 
T/F Recurrence of a disquali...
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Medical standards/regulations are - Answer: mandatory 
 
Medical guidelines are - Answer: advisory 
 
If choosing not to follow medical guidelines, you should note the rationale for not following the guidelines in the... - Answer: Medical Examination Report 
 
4 required tests in the examination - Answer: vision, hearing, blood pressure/pulse, and 
dipstick urinalysis. 
 
Dipstick urinalysis includes... - Answer: specific gravity, blood, protein, and glucose. 
 
T/F Recurrence of a disquali...

Allergic Rhinitis - Answer: Waiting Period: No recommended time 
 
Maximum Certification: 2 years 
 
Allergic Rhinitis: Recommend not to certify if- - Answer: The driver has complications and or treatment that impair function, including: 
- severe conjunctivitis affecting vision 
- inability to keep eyes open 
- photophobia 
- uncontrollable sneezing fits 
- sinusitis with severe HA 
- Medications that cause sedation or other side effects that interfere with save driving 
 
Allergy Re...
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Allergic Rhinitis - Answer: Waiting Period: No recommended time 
 
Maximum Certification: 2 years 
 
Allergic Rhinitis: Recommend not to certify if- - Answer: The driver has complications and or treatment that impair function, including: 
- severe conjunctivitis affecting vision 
- inability to keep eyes open 
- photophobia 
- uncontrollable sneezing fits 
- sinusitis with severe HA 
- Medications that cause sedation or other side effects that interfere with save driving 
 
Allergy Re...

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 &...
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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 &...

To promote the safety of America's roadways through the promulgation and implementation of medical regulations, guidelines and policies that ensure commercial motor vehicle drivers engaged in interstate commerce are physically qualified to do so. Whose mission is this? - Answer: The mission of the Office of Medical Programs 
 
To improve highway safety by producing trained, certified medical examiners who can effectively determine if a commercial motor vehicle driver's health meets Fe...
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To promote the safety of America's roadways through the promulgation and implementation of medical regulations, guidelines and policies that ensure commercial motor vehicle drivers engaged in interstate commerce are physically qualified to do so. Whose mission is this? - Answer: The mission of the Office of Medical Programs 
 
To improve highway safety by producing trained, certified medical examiners who can effectively determine if a commercial motor vehicle driver's health meets Fe...

What minimum PaO2 level is necessary if the driver has an ABG due to a chronic respiratory disorder? 
a. 70 mm Hg 
b. 55 mm Hg 
c. 60 mm Hg 
d. 65 mm Hg - Answer: d 
 
A driver first perceives a whispered voice at 5 feet in his right ear and 4 feet in his left ear. All other aspects of his physical examination are unremarkable. The examiner should: 
a. Disqualify the driver because he "failed" the whispered voice test. 
b. Certify the driver for 2 years. 
c. Certify the driver for 1 y...
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What minimum PaO2 level is necessary if the driver has an ABG due to a chronic respiratory disorder? 
a. 70 mm Hg 
b. 55 mm Hg 
c. 60 mm Hg 
d. 65 mm Hg - Answer: d 
 
A driver first perceives a whispered voice at 5 feet in his right ear and 4 feet in his left ear. All other aspects of his physical examination are unremarkable. The examiner should: 
a. Disqualify the driver because he "failed" the whispered voice test. 
b. Certify the driver for 2 years. 
c. Certify the driver for 1 y...

Non-discretionary standards for drivers (there are 4) - Answer: The 13 standards are used to determine driver medical fitness for duty. 
4 are non discretionary 
Objective disqualifiers: 
1. Vision 
2. Hearing, 
3. Epilepsy, and 
4. Diabetes mellitus 
These standards are the "non-discretionary" standards. 
 
Medical certification is required when the driver is operating a commercial vehicle that: 
-weight of ____________ 
-designed to transport _____ passengers FOR compensation 
-...
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Non-discretionary standards for drivers (there are 4) - Answer: The 13 standards are used to determine driver medical fitness for duty. 
4 are non discretionary 
Objective disqualifiers: 
1. Vision 
2. Hearing, 
3. Epilepsy, and 
4. Diabetes mellitus 
These standards are the "non-discretionary" standards. 
 
Medical certification is required when the driver is operating a commercial vehicle that: 
-weight of ____________ 
-designed to transport _____ passengers FOR compensation 
-...
NRCME DOT ACTUAL EXAM/ MOST RECENT 
QUESTIONS AND CORRECT ANSWERS LATEST 
AND COMPLETE UPDATE VERIFIED EDITION 
ALREADY GRADED A+ BRAND NEW!!!! 
which of the following identifies the requirements for interstate commercial 
vehicles, drivers, and motor carrier? 
a. Regulations 
b. Standards 
c. Rules 
d. Qualifications 
b. Standards 
T/F: the medical examiner can choose to not use the FMCSA Medical Guidelines 
to make a certification decision for a driver 
TRUE 
**if going against the guidelines,...
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NRCME DOT ACTUAL EXAM/ MOST RECENT 
QUESTIONS AND CORRECT ANSWERS LATEST 
AND COMPLETE UPDATE VERIFIED EDITION 
ALREADY GRADED A+ BRAND NEW!!!! 
which of the following identifies the requirements for interstate commercial 
vehicles, drivers, and motor carrier? 
a. Regulations 
b. Standards 
c. Rules 
d. Qualifications 
b. Standards 
T/F: the medical examiner can choose to not use the FMCSA Medical Guidelines 
to make a certification decision for a driver 
TRUE 
**if going against the guidelines,...
NRCME DOT EXAM / NRCME (DOT) ACTUAL EXAM 400 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |AGRADE
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DOT Medical Exam - Quick Reference • Brian Tasky• ISBN 9780996071109
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NRCME DOT EXAM / NRCME (DOT) ACTUAL EXAM 400 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |AGRADE