NRCME (DOT) TESTBAK LATEST VERSION EXAM
WITH ACTUAL 170 QUESTION AND CORRECT
DETAILED ANSWERS WITH RATIONALES.
12. The driver takes diphenhydramine twice a day to treat
nasal congestion. What must you document in order to
certify?
A. Take the lowest dose effective on days when driving
B. Cannot drive within 12 hours of taking diphenhydramine
C. Cannot drive within 6 hours of taking diphenhydramine
D. Diphenhydramine is disqualifying - B.Cannot drive within
12 hours of taking diphenhydramin
13. The driver has a history of carpal tunnel repair of her right
hand 2 months ago. Her grip strengths are symmetrical
and strong. What is necessary in order to qualify this driver?
A. Must first complete a 3‐month post‐op waiting period
B. Document her findings for 1‐year certification
C. Document her findings for 2‐year certification
D. Request that an SPE be obtained before certification -
C.Document her findings for 2‐year certification
14. Which of the following abdominal complaints is most likely
to be incapacitating?
A. IBS
B. GERD
C. Urinary tract infection
D. Nephrolithiasis - D.Nephrolithiasis
,15. The waiting period for benign positional vertigo is:
A. 1 month
B. 2 months
C. 3 months
D. 6 months - B.2 month
16. The driver's BP is 148/96. You verify her history, which
indicates she has no prior history of hypertension. If
otherwise qualified, you may certify her for:
A. 3 months
B. 6 months
C. 1 year
D. 2 years - C.1 year
17. The driver's current BP is 135/76. Your records indicate at
history of Stage III hypertension 4 years ago. The
maximum certification for this driver is:
A. 3 months
B. 6 months
C. 1 year
D. 2 years - B.6 months
18. The driver presents for examination with a recent history
(five weeks ago) of pneumothorax. He has no prior history
,of pneumothorax. In order to be considered medically
qualified, his forced vital capacity (FVC) should be greater
than:
A. 40%
B. 55%
C. 65%
D. 90% - C. 65%
1. An unrestricted Commercial Motor Vehicle Driver Medical
Certificate must be renewed:
A. Annually
B. Every Two Years
C. Every Four Years
D. Whenever the State Issued Driver's License is renewed - B.
Every Two Years
2. A driver presents with history of an isolated TIA 6 months
ago. He has a return to work letter from his primary care
provider (PCP) and neurologist. He is taking and tolerating
well hydrochlorothiazide and simvastatin. All other aspects of
the exam and history were normal. What should the medical
examiner do next?
A. Certify driver for 1 year
B. Disqualify driver for now
C. Certify driver for 3 months
Certify driver for 2 years - B. Disqualify driver for now
, 3. FMCSA regulates interstate commercial operation
including the:
A. Driver
B. Vehicle
C. Motor Carrier
D. All of above - D. All of above
4. During the CMV exam a driver perceived a whispered voice
at 5 feet in his left year and 4 feet in his right year. Exam
was otherwise normal. What do you do as the medical
examiner?
A. Required audiometric test to determine the extent of
hearing loss in left ear
B. Certify driver for 2 years
C. Certify driver for 1 year
D. Disqualify driver - B. Certify driver for 2 years
5. Which of the following is an assessment of L4 nerve root
pathology?
A. Plantar flexion
B. Patellar reflex
C. Hip extension
D. Babinski reflex - B. Patellar reflex
6. A driver presents for medical exam and reports being a
smoker and having frequent shortness of breath. What do
you do next?
A. Order an ECG
WITH ACTUAL 170 QUESTION AND CORRECT
DETAILED ANSWERS WITH RATIONALES.
12. The driver takes diphenhydramine twice a day to treat
nasal congestion. What must you document in order to
certify?
A. Take the lowest dose effective on days when driving
B. Cannot drive within 12 hours of taking diphenhydramine
C. Cannot drive within 6 hours of taking diphenhydramine
D. Diphenhydramine is disqualifying - B.Cannot drive within
12 hours of taking diphenhydramin
13. The driver has a history of carpal tunnel repair of her right
hand 2 months ago. Her grip strengths are symmetrical
and strong. What is necessary in order to qualify this driver?
A. Must first complete a 3‐month post‐op waiting period
B. Document her findings for 1‐year certification
C. Document her findings for 2‐year certification
D. Request that an SPE be obtained before certification -
C.Document her findings for 2‐year certification
14. Which of the following abdominal complaints is most likely
to be incapacitating?
A. IBS
B. GERD
C. Urinary tract infection
D. Nephrolithiasis - D.Nephrolithiasis
,15. The waiting period for benign positional vertigo is:
A. 1 month
B. 2 months
C. 3 months
D. 6 months - B.2 month
16. The driver's BP is 148/96. You verify her history, which
indicates she has no prior history of hypertension. If
otherwise qualified, you may certify her for:
A. 3 months
B. 6 months
C. 1 year
D. 2 years - C.1 year
17. The driver's current BP is 135/76. Your records indicate at
history of Stage III hypertension 4 years ago. The
maximum certification for this driver is:
A. 3 months
B. 6 months
C. 1 year
D. 2 years - B.6 months
18. The driver presents for examination with a recent history
(five weeks ago) of pneumothorax. He has no prior history
,of pneumothorax. In order to be considered medically
qualified, his forced vital capacity (FVC) should be greater
than:
A. 40%
B. 55%
C. 65%
D. 90% - C. 65%
1. An unrestricted Commercial Motor Vehicle Driver Medical
Certificate must be renewed:
A. Annually
B. Every Two Years
C. Every Four Years
D. Whenever the State Issued Driver's License is renewed - B.
Every Two Years
2. A driver presents with history of an isolated TIA 6 months
ago. He has a return to work letter from his primary care
provider (PCP) and neurologist. He is taking and tolerating
well hydrochlorothiazide and simvastatin. All other aspects of
the exam and history were normal. What should the medical
examiner do next?
A. Certify driver for 1 year
B. Disqualify driver for now
C. Certify driver for 3 months
Certify driver for 2 years - B. Disqualify driver for now
, 3. FMCSA regulates interstate commercial operation
including the:
A. Driver
B. Vehicle
C. Motor Carrier
D. All of above - D. All of above
4. During the CMV exam a driver perceived a whispered voice
at 5 feet in his left year and 4 feet in his right year. Exam
was otherwise normal. What do you do as the medical
examiner?
A. Required audiometric test to determine the extent of
hearing loss in left ear
B. Certify driver for 2 years
C. Certify driver for 1 year
D. Disqualify driver - B. Certify driver for 2 years
5. Which of the following is an assessment of L4 nerve root
pathology?
A. Plantar flexion
B. Patellar reflex
C. Hip extension
D. Babinski reflex - B. Patellar reflex
6. A driver presents for medical exam and reports being a
smoker and having frequent shortness of breath. What do
you do next?
A. Order an ECG
