AK DOT NRCME FINAL EXAM QUESTIONS

AK DOT NRCME FINAL EXAM QUESTIONS

Latest Update - am 220 Questions and 100% Verified Correct Answers Guaranteed A+ A 30 year old driver presents to the medical examiner's office for a biennial recertification. The driver notes in his history that he had 3 episodes of benign positional vertigo 6 months ago but has been asymptomatic since this time. The driver provides the medical examiner with a letter from his neurologist stating he is cleared to return to work and regular duties. All other history for the driver is negative and physical exam uncovers no abnormalities.Based on FMCS recommendations for benign positional

vertigo the medical examiner:

• Disqualifies the driver as they have not completed the recommended waiting period
• Qualifies the driver for a period of up to two years
• Refers the driver for tilt table testing
• Refers the driver for CT Scan of the brain - CORRECT ANSWER: B) Qualifies the

driver for a period of up to two years

A CMV driver presents to the medical examiner's office for recertification. It is noted in the driver's history that he utilizes a hearing aid due to chronic hearing loss. Upon conducting the forced whisper test the driver candidate is unable to perceive a forced whispered voice at five feet or greater in either ear. When making the medical

fitness for duty determination the medical examiner should:

• Disqualify the driver as he did not meet minimum

hearing requirements.

• Qualify the driver candidate for a period of not more

than six months while he obtains an evaluation from his ENT physician

• Disqualify the driver and refer him for audiometric

testing conducted by an audiologist

• Re conduct the forced whisper test at a distance of
• feet and record results on the medical examiner

report - CORRECT ANSWER: C) Disqualify the driver and refer him for audiometric

testing conducted by an audiologist

A CMV driver who has an implantable cardioverter-defibrillator (ICD) can be certified for how long when he or she has clearance from a cardiologist indicating that the driver is fit for duty?

• 6 months 1 / 3

• 1 year
• 2 years

D) Disqualified - CORRECT ANSWER: D) Disqualified

A CMV driver who is post heart transplant that is able to tolerate medications well can be certified for a period of?

• One year as long as he or she has clearance from a cardiologist
• 6 months as long as he or she has clearance from a cardiologist
• The driver who has had heart transplant must be disqualified because of the high risk

for organ rejection

• The driver can be certified every 6 months, if he or she is asymptomatic, tolerates

medications, and has

completed a minimum waiting period of one year - CORRECT ANSWER: D) The driver

can be certified every 6 months, if he or she is asymptomatic, tolerates medications, and has completed a minimum waiting period of one year

A driver candidate presents to the medical examiner's office for a new certification. The driver's history indicates a diagnosis of bipolar mood disorder. The minimum symptom free waiting period following a nonpsychotic major

depression unaccompanied by suicidal behavior is:

• 3 Months
• 6 Months
• 1 Year

D) 2 Years - CORRECT ANSWER: C) 1 Year

A driver candidate presents to your office for a new medical certification. In his medical history he notes he has an allergy to bee stings. Following his most recent bee sting he developed symptoms of anaphylaxis including angioedema, throat tightness, and dyspnea. What is one effective preventive measure the medical examiner should advise the driver to undertake?

• Always carry bug spray.
• Avoid going outdoors when possible and keep all windows in the truck rolled up.
• Carry an epinephrine injection device in the truck cab.

D) Take 25mg of diphenhydramine twice daily. - CORRECT ANSWER: C) Carry an

epinephrine injection device in the truck cab.

A driver candidate's urinalysis indicates the presence of hematuria. The medical examiner should be concerned

because hematuria:

• May indicate the presence of nephropathy 2 / 3

• May indicate the presence of diabetes
• May indicate the presence of congestive heart

failure

• May indicate the presence of a degenerative nerve

disorder - CORRECT ANSWER: A) May indicate the presence of nephropathy

CMV driver has been diagnosed with severe Aortic Stenosis (AS) but he denies symptoms of dyspnea, chest pain, dizziness, or syncope. The FMCSA medical examiner should certify the driver for how long?

• For 6 months
• For one year
• For 3 months
• The driver with severe AS should be disqualified regardless of symptoms -

CORRECT ANSWER: D) The driver with severe AS should be disqualified regardless of symptoms

Comorbid conditions common in bipolar disorder include which of the following?

• Alcohol abuse
• Anxiety
• Binge eating disorder

D) All of the above - CORRECT ANSWER: A) Alcohol abuse

• Anxiety
• Binge eating disorder

Drivers diagnosed with the following motor neuron disease are disqualified per FMCSA

guidelines:

• Amyotrophic lateral sclerosis (ALS)
• Peripheral neuropathy
• Fibromyalgia

D) Myofascial pain syndrome - CORRECT ANSWER: A) Amyotrophic lateral sclerosis

(ALS)

During re-certification examination, a CMV driver with history of Hypertension takes Lasix 20mg daily, Vasotec 5mg daily, and Atenolol 25mg daily for blood pressure control. The driver reports symptoms of dizziness, lightheadedness, fatigue, and muscle cramps 2 to 3 times per week for past 2 months.Based on this information, the FMCSA medical examiner should certify this driver for a period of?

• One year, as the driver's symptoms should not

interfere with driving.

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