NRCME TEST BANK QUESTIONS AND ANSWERS

Arterial blood gas (ABG) testing should be performed on drivers with a FEV1 of less
than _____________ on spirometry testing?


A) 60% of predicted
B) 65% of predicted
C) 70% of predicted
D) 80% of predicted


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, B) ABG testing is required with FEV1 of less than 65% of predicted




Pulse oximetry or ABG testing is indicated when the driver has an obstructive
respiratory condition and results of spirometry testing are _________:


A) FEV1 <70% predicted
B) FEV1/FVC ratio less than 65%
C) FVC <80% predicted
D) FEF 25/75<80% predicted


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Pulse oximetry or ABG testing is indicated if FEV1/FVC ratio is less than
65%




The waiting period for certification of a driver after removal of an ingrate trial
meningioma is:


A) One year
B) Two years
C) Six months
D) Five years


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A) The waiting period following removal of an infratentorial meningioma is
one year seizure free and off anticonvulsant medication

,Driver suicide attempts could result in:
A) Temporary three-month loss of certification and start of minimum six month waiting
period for consideration of certification
B) Temporary six month loss of certification and start of minimum nine month waiting
period for consideration of certification
C) Loss of certification and start of minimum one year waiting period for
consideration of certification
D) Temporary six month loss of certification and start of minimum one year waiting
period for consideration of certification


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C) The Medical Examiner should advise the driver that suicide attempts will
result in loss of certification and create the starting of a minimum one year
waiting period for consideration of certification.




Drivers with sleep apnea should have all of the following except:
A) multiple sleep latency testing values within the normal range
B) Resolution of apneas confirmed by a sleep study
D) Certification by a sleep apnea specialist


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D) Certification by a sleep apnea specialist is not a requirement for drivers
diagnosed with sleep apnea




If audiometric testing is performed, testing should include which of the following
frequencies?
A) 1000, 2000, 3000 Hz
B) 500, 2000, 4000 Hz

, C) 500, 1000, 3000 Hz
D) 500, 1000, 2000 Hz


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D) Although additional testing frequencies may be used, minimum FMCSA
audio metric testing requirements include testing at 500, 1000, and 2000
Hz. The driver may be certified if the driver does not have more than 40 dB
of hearing loss averaged across the three frequencies in the better ear.




Driver qualification standards include not certifying an individual with which of the
following:
A) PaCO2 greater than 40 mm Hg
B) Diagnosis of COPD
C) Paroxysms of cough leading to cough syncope
D) FVC < 75%


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C) Any condition involving syncope is disqualifying




The expiration date for one-year certification, following issuance of a one-time, three
month certificate:
A) Should be noted on the Medical Examiner's Certificate
B) Should be noted in the comments section or elsewhere in the Medical Examination
Report
C) Both a and b
D) Neither a and b


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