Page 1 of 46
1
NRCME (DOT) EXAM BEST 2 LATEST STUDY
GUIDES EACH WITH ACTUAL 120 QUESTION AND
CORRECT DETAILED ANSWERS
NRCME (DOT) EXAM STUDY GUIDE A
What is the maximum certification period for stage I hypertension if this is the 1st examination at which the driver has BP equivalent to stage I hypertension and has no history of hypertension? - ANSWER-1 year
What is the maximum certification period for untreated known or inadequately controlled stage I hypertension? - ANSWER-3 months
What is the maximum certification period for blood pressure >140/90 and the following: follow- up 3 months certificate or history of stage III hypertension - ANSWER-None, driver is disqualified
Define Stage II hypertension. - ANSWER-BP is ≥ 160 to <180 SYSTOLIC, and is ≥100 to < 110 Diastolic
What is the maximum certification period for Stage II hypertension with blood pressure >140/90? - ANSWER-3 months
What is the maximum certification period for Stage II hypertension with blood pressure
Define Stage III hypertension. - ANSWER-BP >180 Systolic and > 110 Diastolic
What is the maximum certification period for Stage III hypertension with blood pressure >140/90? - ANSWER-1 time certificate for 3 months in accordance with stage 1 or 2 HTN guidelines, as determined by a case by case basis. 1 / 4
Page 2 of 46
2
What is the maximum certification period for a driver with a history of Stage III hypertension but t exam his BP is at or less 140/90 and treatment is well tolerated? - ANSWER-6 months
What is the maximum certification period for Stage III hypertension with blood pressure >180/110? - ANSWER-None, driver is disqualified.
What is the waiting period and maximum certification period for surgical correction of secondary hypertension? - ANSWER-3 months and 1 year post surgical correction
What is the waiting period and maximum certification period for driver on anticoagulants for cardiovascular cause? - ANSWER-1 month stabilized and 1 year with monthly INRs
What is the waiting period and maximum certification period for driver on anticoagulants for neurlogical condition? - ANSWER-None, driver is disqualified.
- reasons to disqualify a driver with AAA - ANSWER-1. Symptomatic
- AAA >5cm
- AAA 4-5 cm and does not have clearance from a cardiologist
- AAA increased in size 0.5cm in 6 months
- Surgical repair was recommended but not done
Maximum certification period for driver with AAA that is asymptomatic or <4cm, >4cm and <5cm but has clearance from cardiologist - ANSWER-1 year
Maximum certification period for Acute DVT - ANSWER-1 year
Maximum certification period for Chronic DVT - ANSWER-2 years
- / 4
Page 3 of 46
3 Waiting period and maximum certification period for intermittent claudication if driver has no resting pain. - ANSWER-3 months for post-surgical repair and 1 year
Waiting period and maximum certification for aneurysms of visceral, peripheral arteries or venous vessels - ANSWER-3 months post-surgical repair and 1 year with clearance from cardiologist
Waiting period and maximum certification for peripheral vascular disease - ANSWER-3 months post-surgical repair and 1 year without resting pain
Waiting period and maximum certification for pulmonary emboli - ANSWER-3 months with no pulmonary embolism and 1 year if asymptomatic
Maximum certification period for superficial phlebitis - ANSWER-2 years
Waiting period and maximum certification for thoracic aneurysm <3.5cm - ANSWER-3 months post surgical repair and 1 year
True or false: having an ICD is automatic disqualification - ANSWER-true
Min waiting period for pacemaker implantation for sinus node dysfunction or AV block - ANSWER-1 month
Min waiting period for pacemaker implantation for neurocardiogenic syncope or hypersensitive carotid sinus with syncope - ANSWER-3 months
In order for a driver to receive maximum certification period of 1 year for pacemaker the driver must: - ANSWER-Comply with pacemaker center scheduled function checks and provide documentation of pacemaker function checks at examination.
- / 4
Page 4 of 46
4 Minimum waiting period for atrial fibrillation - ANSWER-1 month with adequate anticoagulation
Minimum waiting period for atrial flutter - ANSWER-1 month post-isthmus ablation
Minimum waiting period for AV nodal reentrant tachycardia, AV reentrant tachycardia and Wolff-Parkinson-White syndrome, Atrial tachycardia, Junctional tachycardia - ANSWER-1 month without symptoms
Maximum certification period for SVT with adequate rate control, anticoagulation if indicated, and clearance from a cardiologist. - ANSWER-1 year
Minimum waiting period for VT caused by coronary heart disease, right ventricular outflow VT, Idiopathic LV VT. - ANSWER-1 month after drug or other therapy
Maximum certification for VT if patient is asymptomatic, NSVT with LVEF >40% and has clearance from a cardiologist - ANSWER-1 year
Driver is to be disqualified if VT and the following: - ANSWER-symptomatic, sustained VT, NSVT with LVEF <40% or diagnosis of hypertrophic cardiomyopathy, long QT interval syndrome or Brugada syndrome
Waiting period and maximum certification for Acute MI is - ANSWER-Waiting period 2 months post MI and maximum certification is 1 year
What is required for initial certification following MI? - ANSWER-In-patient post-MI echocardiogram showing LVEF 40%
What are the requirements for certifying driver with history of MI? - ANSWER-Asymptomatic, satisfactory ETT every 2 years, LVEF >/40%, no electrocardiogram ischemic changes and clearance by cardiologist
- / 4