NRCME DOT Examiner Test Practice Questions

NRCME DOT Examiner Test Practice Questions and Verified Correct Answers Guaranteed 100% Score Rate At Your First Attempt A 25-year-old female driver denies a history of any medical problems. She is a non- smoker who exercises regularly without symptoms. The medical examiner auscultates bilateral wheezes during the examination. The driver's SpO2 is 90 percent in the medical examiner's office. The rest of the examination is normal. The driver should be...?

• Temporarily disqualified pending results of a cardiac workup.
• Qualified since she has no cardiac symptoms.
• Temporarily disqualified until further evaluation.
• Qualified because her O2 saturation exceeds the minimum. - Correct AnswerCorrect

Response:

• Temporarily disqualified until further evaluation.

This is the correct response because the driver has a non-diagnosed respiratory or thoracic illness that might interfere with the ability to safely operate a CMV. The driver should not be certified until the etiology is confirmed and treatment has been shown to be effective, safe, and stable. Also, according to FMCSA medical guidelines, a SpO2 of less than 92 percent warrants obtaining an arterial blood gas analysis.

A 46-year-old male driver presents for recertification. He has a history of chronic gastro esophageal reflux disease (GERD). He takes esomeprazole (Nexium) and over-the- counter cimetidine (Tagamet). He states that he feels fine, but has trouble finding foods that do not trigger his GERD when he is on the road. Which of the following should the medical examiner do first?

• Disqualify the driver until he has a nutritional consultation.
• Certify the driver and advise him to carry non-triggering foods in a cooler.
• Contact the driver's physician and request an upper GI study.
• Correlate the GI history findings with the abdominal examination. - Correct

AnswerCorrect Response:

• Correlate the GI history findings with the abdominal examination.

This is the correct response because given the information in the question; a medical examiner would need to examine the driver before having sufficient information about the health of the driver to consider any of the other options.

Incorrect Responses:

• Disqualify the driver until he has a nutritional consultation.This is not the correct

response because until completion of the examination, there is insufficient information to make a certification decision. In addition, there is no regulation or medical guideline that requires a nutritional consultation in order to be certified.

• Certify the driver and advise him to carry non-triggering foods in a cooler.

This is not the correct response because until completion of the examination, there is insufficient information to make a certification decision.

• Contact the driver's primary care provider and request an upper-GI study. 1 / 2

This is not the correct response because until completion of the examination, one does not have sufficient information to make a referral decision.

A medical examiner is required to ask all but which of the following questions?

• Do you smoke? If so, how much and for how long?
• Do you have shortness of breath?
• Do you have lung disease?
• Do you have emphysema? - Correct AnswerA. Do you smoke? If so, how much and

for how long?

While it is recommended to ask, it is not required that the medical examiner ask about the driver's smoking habits. The other questions are necessary questions to ask during a medical examination.

A medical examiner observes that a driver has a blood pressure of 160/100 and the driver had no prior knowledge of high blood pressure. Which of the following is the appropriate subsequent action for the medical examiner?

• Take a second measurement later in the examination and then refer him or her to a

primary care provider

• Make note of the measurement on the report form
• Disqualify the driver for high blood pressure
• Take a second measurement and then make note on the report form - Correct

AnswerA. Take a second measurement later in the examination and then refer him or her to a primary care provider

When a medical examiner observes that a driver has a blood pressure reading of 160/100 (or any reading above 139/89), it is vital that the examiner take a second measurement later in the examination. But, since the driver had no prior knowledge of such blood pressure, it is important for the examiner to refer him or her to a primary care provider. It is not the job of the medical examiner to diagnose or treat the underlying disease. Thus, it is important for the driver to see someone who can diagnose and treat such a disease before proceeding in the certification process.

A new driver who had a myocardial infarction six months ago is certified after completing an acceptable exercise tolerance test and is cleared by a cardiologist.According to FMCSA guidelines, which of the following is recommended regarding recertification and exercise tolerance test monitoring intervals?Recertification / Exercise tolerance

• Every year / Every year
• Every two years / Every year
• Every year / Every two years

D. Every two years / Every two years - Correct AnswerCorrect Response:

• Every year / Every two years
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