NRCME DOT TEST ACTUAL -

NRCME DOT TEST (ACTUAL -)

QUESTIONS AND CORRECT ANSWERS.

Which of the following is NOT true regarding the physical examination?

• The individual parts of the body system are categorized numerically
• For each body system, mark "Yes" on the Report Form if abnormalities are detected, or "No" if the

body system is normal

• There is a maximum height requirement
• The medical examiner must document all abnormal findings on the Report Form, even if they are

not disqualifying - Answers___c. There is a maximum height requirement

Which of the following colors is not necessary to be able to distinguish and recognize in traffic signals and devices?

• Blue
• Green
• Amber
• Red - Answers___Blue

Following an uncomplicated, elective percutaneous coronary intervention procedure to treat stable

angina, the post-procedure waiting period is:

• 1 week.
• 3 weeks.
• 1 month.
• 2 months - Answers___a. 1 week

Which cardiac condition is disqualifying?

• Hypertrophic cardiomyopathy.
• Mitral valve prolapse.
• Ebstein anomaly.
• Aortic valve repair for aortic stenosis 4 months prior to exam - Answers___a. Hypertrophic

cardiomyopathy

The Role of the Medical Examiner specifically includes: a. Assessing the Driver for medical fitness to safely perform all driver duties.

• Refilling medications required by the driver for safe driving.
• Addressing new health concerns of the driver. 1 / 3

NRCME DOT TEST (ACTUAL -)

QUESTIONS AND CORRECT ANSWERS.

• ALL of the above - Answers___a. Assessing the Driver for medical fitness to safely perform all

driver duties.

It is generally accepted that a HgbA1C above what level indicates poor control of diabetes?

• 7%.
• 10%.
• 12%
• 13% - Answers___b. 10%

Central vision loss is a finding suggestive of:

• Macular degeneration.
• Cataracts.
• Glaucoma.
• All of the above. - Answers___A. Macular Degeneration

On examination, the medical examiner palpates an enlarged liver on a driver and find signs suggestive

of early hepatic failure. The medical examiner should:

• Order an abdominal ultrasound as a first step.
• Order an abdominal CT scan as a first step.
• Order a set of Liver Function Tests as a first step.
• Refer the driver to his Primary Care Provider - Answers___d. Refer the driver to his Primary Care

Provider A driver who exhibits difficulty breathing and has a history of COPD should undergo additional pulmonary testing. A forced expiratory volume in the first second of expiration (FEV1) less than what level of predicted should prompt arterial blood gas measurements?

• 50%.
• 55%.
• 65%.
• 70%. - Answers___c. 65%.

. A driver has a fixed deficit that is less than the whole hand. Which of the following is true regarding certification of this driver?

• The driver requires a Skill Performance Evaluation (SPE) certificate. 2 / 3

NRCME DOT TEST (ACTUAL -)

QUESTIONS AND CORRECT ANSWERS.

• As a medical examiner, you determine if the severity of a fixed deficit that is less than the whole

hand is medically disqualifying unless the driver has an SPE certificate.

• The patient requires referral to an orthopedic surgeon who understands the nature of commercial

motor vehicle driving.

• NONE of the above are correct - Answers___b. As a medical examiner, you determine if the

severity of a fixed deficit that is less than the whole hand is medically disqualifying unless the driver has an SPE certificate

A urinalysis is a required part of the driver evaluations. If the UA indicates glycosuria, the medical

examiner:

• Must disqualify the driver.
• Must not certify the driver until a repeat urinalysis in at least one week reveals resolution of

glycosuria.

• Must obtain a consultation with an endocrinologist.
• May elect to perform a finger stick to obtain a random blood glucose. - Answers___d. May elect to

perform a finger stick to obtain a random blood glucose

You are required to perform a urinalysis (dip stick) as a part of every driver certification and recertification medical examination. An abnormal result for which of the following mandates temporary disqualification?

• Protein.
• Blood.
• Glucose.
• NONE of the above - Answers___d. NONE of the above

Each of the following mandates disqualification in a driver with a history of alcoholism EXCEPT:

• He voluntarily attends a 12-step program to maintain his recovery.
• He has not successfully completed counseling and/or treatment.
• He has a current diagnosis of alcoholism.
• ALL of the above are disqualifying - Answers___a. He voluntarily attends a 12-step program to

maintain his recovery.

A female driver presents for re-certification who is in her fourth day of menses with heavy bleeding.Her US shows a Specific gravity of 1.020; Protein is +1; Blood is +4; Glucose is negative. All other

aspects of her medical examination are within normal. The examiner should:

• Obtain medical clearance prior to certification.
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