{"id":114955,"date":"2023-08-23T10:45:44","date_gmt":"2023-08-23T10:45:44","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=114955"},"modified":"2023-08-23T10:45:48","modified_gmt":"2023-08-23T10:45:48","slug":"nrcme-dot-medical-exam-questions-and-answers-with-explanations","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/23\/nrcme-dot-medical-exam-questions-and-answers-with-explanations\/","title":{"rendered":"NRCME DOT MEDICAL EXAM. QUESTIONS AND ANSWERS WITH EXPLANATIONS."},"content":{"rendered":"\n

NRCME DOT MEDICAL EXAM<\/p>\n\n\n\n

    \n
  1. The driver was recently prescribed insulin for the control of his diabetes. The
    examiner would?
    a. Certify the driver for 2 years with medical clearance provided by their treating
    physical.
    b. Certify the driver for 1 year with medical clearance provided by their treating
    physician.
    c. Permanently disqualify the driver.
    d. The driver is disqualified until the driver obtains a diabetic exemption.
    Explanation:
    Correct answer is “d”. An insulin dependant diabetic is disqualified until they obtain a
    diabetic exemption.<\/li>\n\n\n\n
  2. The 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
    would?
    a. Permanently disqualify the driver because he “failed” the whispered voice test.
    b. Certify the driver for 2 years.
    c. Certify the driver for 1 year.
    d. Require an audiometric test to determine the extent of hearing loss in his left ear.
    Explanation:
    Correct answer is “b”. The driver is qualified to drive without restriction as long as he is
    able to perceive a whispered voice at 5 feet in 1 ear.<\/li>\n\n\n\n
  3. The medical examiner notices that the driver has recently been prescribed “Chantix”
    to help him stop smoking while reviewing the drivers history. The driver is?
    a. Qualified for 2 years if the rest of his exam is within normal limits. b. Provided a 1-
    time, 3-month certificate so that the examiner can monitor how well the driver is doing
    with smoking cessation.
    c. Disqualified until it has been confirmed he is no longer taking Chantix and that he has
    suffered no ill effects from withdrawal from the medication.
    d. Qualified for only 1 year while taking Chantix, and then he may be qualified for 2
    years once he no longer needs the medication.<\/li>\n<\/ol>\n\n\n\n

    Explanation:
    Correct answer is “c”. A driver may not use Chantix and drive a CMV and it must be
    confirmed that they are no longer taking the medication and that there are no effects
    from withdrawal, by the treating provider.<\/p>\n\n\n\n

      \n
    1. The driver reports for an examination 6 weeks after suffering a mild heart attack and
      presents a note from the cardiologist stating that he is able to return to work
      immediately without restriction. Included within the note, the cardiologist provides recent
      testing
      information showing that the driver had an ETT that showed that the driver was able to
      reach 12 METS during the test. His ECG showed an ejection fraction of 65%. The
      examination of the driver was unremarkable. The examiner should?
      a. Temporarily disqualify the driver.
      b. Qualify the driver for 1 year.
      c. Qualify the driver for 2 years.
      d. Consult with the cardiologist to determine if the driver suffers from angina.
      Explanation:
      Correct answer is “a”. The driver has not completed the required 2-month waiting
      period, but all other requirements for medical clearance and required testing have been
      met. The driver would be certified for 1 year at the completion of the remaining for the
      waiting period (2 weeks). The date of the certification would be from the date of the
      original examination.<\/li>\n\n\n\n
    2. A driver provides an audiometric test listing the following findings: 500 Hz: 35 Right
      ear; 40 Left ear
      1000 HZ: 40 Right ear; 45 Left ear
      2000 HZ: 40 Right ear; 45 Left ear
      4000 Hz: 50 Right ear; 50 Left ear
      The medical examiner should:
      a. Disqualify the driver because he does not meet minimum hearing requirements to
      drive.
      b. Certify the driver for 2 years.
      c. Certify the driver for 1 year.
      d. Require the driver to obtain a hearing exemption.
      Explanation:<\/li>\n<\/ol>\n\n\n\n

      Correct answer is “b”. The examiner would average the results from 500 Hz, 1000 Hz
      and 2000 Hz (required). This average is 38.33 in the Right and 43.33 in the Left ear. A
      driver must have an average hearing loss of les than or equal to 40 in the better ear.
      They do not have to meet this in both ears.<\/p>\n\n\n\n

        \n
      1. The medical examiner notes that the driver is taking Metformin for the treatment of
        diabetes, Antabuyse, and Crestor to reduce serum cholesterol levels. He reports no
        side effects from any of the medications. The rest of the examination is unremarkable.
        The examiner should:
        a. Disqualify the driver.
        b. Request clearance for all medication due to side effects.
        c. Certify the driver for 1 year.
        d. Certify the driver for 2 years.
        Explanation:
        Correct answer is “a”. The driver is taking Antabuse which is used to treat alcohol
        addiction. This indicates that the driver currently suffers from a current clinical diagnosis
        of alcoholism.<\/li>\n\n\n\n
      2. The following are symptoms of Congestive Heart Failure EXCEPT:
        a. Shortness of breath on exertion or at rest in severe cases.
        b. Need to urinate at night.
        c. Headache.
        d. Swelling in the ankles and the abdomen.
        Explanation:
        Correct answer is “c”. Headache is not a typical symptom of congestive heart failure.
        Additional symptoms include wheezing, enlargement or prominent neck and facial
        veins, raised jugular venous pulse, bluish discoloration of face, presence of abnormal
        heart sounds, fatigue, weight gain and more.<\/li>\n\n\n\n
      3. During the examination, the examiner notices that the driver’s peripheral vision is 70
        degrees to the left and 80 degrees to the right. The examiner should?
        a. Qualify the driver for 2 years.
        b. Require the driver to obtain a vision exemption because of the limitation in the driver’s
        left peripheral field.<\/li>\n<\/ol>\n\n\n\n

        c. Disqualify the driver.
        d. Have the driver consult with an Ophthalmologist to determine if the driver’s peripheral
        vision meets minimum standards.
        Explanation:
        Correct answer is “a”. A driver must exhibit a minimum peripheral vision of 70 degrees
        bilaterally.<\/p>\n\n\n\n

          \n
        1. During the examination, the examiner notices that the driver is distant, lacks eye
          contact and shows absolutely no emotional response during the exam. The examiner’s
          best response should be?
          a. Provide the driver with a “CAGE” questionnaire to determine if they suffer from
          alcoholism.
          b. Disqualify the driver and refer them to a mental health profession prior to
          consideration for certification.
          c. Certify the driver with a 1-time, 3-month certificate to determine if there is any effect
          on the driver’s ability to drive a CMV.
          d. Require a skill performance evaluation to ascertain if the driver has any limitations
          with driving
          Explanation:
          Correct answer is “b”. The driver exhibits what may be considered a “Flat affect” which
          is seen in schizophrenia and in severe depression. The driver should be evaluated by a
          mental health expert to make a diagnosis prior to certification.<\/li>\n\n\n\n
        2. The driver reports that he had surgery on his cervical spine 2 years ago. It involved
          a fusion of C4, 5 and 6. He has recovered fully and been provided a release to return to
          work without restriction. He reports no pain and does not require medication of any kind.
          During the examination, the examiner notices that the driver exhibits only 30 degree of
          cervical rotation to both the right and the left. The examiners best decision would be to?
          a. Disqualify the driver.
          b. Certify the driver for 1 year.
          c. Certify the driver for 2 years.
          d. Request additional information and clearance from the specialist who performed the
          surgery relating to any possible limitations the driver may have and provide the job
          description for a truck driver.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

          NRCME DOT MEDICAL EXAM Explanation:Correct answer is “c”. A driver may not use Chantix and drive a CMV and it must beconfirmed that they are no longer taking the medication and that there are no effectsfrom withdrawal, by the treating provider. Correct answer is “b”. The examiner would average the results from 500 Hz, 1000 […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-114955","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/114955","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=114955"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/114955\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=114955"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=114955"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=114955"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}