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NRCME (DOT) PRACTICE EXAM ALL QUESTIONS
AND VERIFIED SOLUTIONS/ MOST RECENT AND
CORRECT ANSWERS ALREADY GRADED A+ |
BRAND NEW
the two disqualifying cardiomyopathies of myocardial disease - ANSWER:
restrictive and hypertrophic
When is pulse oximetry or ABG indicated? - ANSWER: FEV1<65%,
FEV1/FVC<65%, FVC<60%
At what pulse ox finding is ABG indicated? - ANSWER: pulse ox <92%
Minimum required paO2 at <5000ft - ANSWER: 65 mm Hg
Minimum required paO2 at altitudes >5000 ft - ANSWER: 60mm Hg
4 requirements that need to be met for ETT? - ANSWER: 1- >6 METs
2- attain HR > or = 85% (unless taking BB)
3- rise in systolic bp > or = 20 without angina
4- no significant ST depression
Waiting period s/p MI - ANSWER: 2 months
waiting period s/p CABG - ANSWER: 3 months
,2|P a g e
4 requirements for vision: - ANSWER: 1- distant visual acuity in each eye at least
20/40
2- distant binocular vision of at least 20/40 in each eye
3- field of vision at least 70 degrees in horizontal median
4- recognize red, green, amber
Certification for pt with monocular vision and federal exemption: how long to
certify for? how long is the federal vision exemption valid for? - ANSWER: cert for
1 yr; fed exemption valid for 2 yrs
what is the dx of tx of: sxs- glare at night with driving, decreased acuity and
contrast, color resolution, and light scattering effects. - ANSWER: dx- cataracts
tx- surgical removal/lens
Eye condition that causes loss of peripheral vision loss. sxs include redirection of
night vision, color vision, especially peripherally is noticeable. - ANSWER:
glaucoma
lengthened recovery from bright lights, loss of visual acuity, leading cause of
blindness. dx and tx? - ANSWER: macular degeneration. tx- telescopic lenses but
these are not acceptable for driving
retinal hemorrhages, microaneurysms, scotomas affecting central vision -
ANSWER: retinopathy
Hearing requirements - ANSWER: 1- first perceives forced whisper test at <5 feet
in the better ear
2- in better ear avg hearing < or = to40 db at 500, 1000, and 2000 Hz
, 3|P a g e
waiting period symptom free after bppv, acute/chronic peripheral vestibulopathy -
ANSWER: 2 months sx free
3 disqualifying otic conditions: - ANSWER: 1- menieres disease
2- labyrinthe fistula
3- nonfunctioning labyrinths
how long is federal hearing exemption valid for? how long can medical examiner
certify? - ANSWER: 2 yrs. for both
most likely CV cause of sudden driver incapacitation - ANSWER: arrhythmia
driver with CAD should: - ANSWER: be cleared by CV specialist
tol CV meds
comply with treatment plan
have annual med exam
passing an echo test involves: (2) - ANSWER: LVEF > or = or40%
no pulm htn ( pulm artery pressure >50% of systemic systolic bp
passing an ETT involves: (4) - ANSWER: exercise to workload >6 METs
attain HR > or = to 85% predicted maximum unless on BB
rise in systolic bp > or = to 20 without angina
no significant ST depression
waiting period s/p MI - ANSWER: 2 months
NRCME (DOT) PRACTICE EXAM ALL QUESTIONS
AND VERIFIED SOLUTIONS/ MOST RECENT AND
CORRECT ANSWERS ALREADY GRADED A+ |
BRAND NEW
the two disqualifying cardiomyopathies of myocardial disease - ANSWER:
restrictive and hypertrophic
When is pulse oximetry or ABG indicated? - ANSWER: FEV1<65%,
FEV1/FVC<65%, FVC<60%
At what pulse ox finding is ABG indicated? - ANSWER: pulse ox <92%
Minimum required paO2 at <5000ft - ANSWER: 65 mm Hg
Minimum required paO2 at altitudes >5000 ft - ANSWER: 60mm Hg
4 requirements that need to be met for ETT? - ANSWER: 1- >6 METs
2- attain HR > or = 85% (unless taking BB)
3- rise in systolic bp > or = 20 without angina
4- no significant ST depression
Waiting period s/p MI - ANSWER: 2 months
waiting period s/p CABG - ANSWER: 3 months
,2|P a g e
4 requirements for vision: - ANSWER: 1- distant visual acuity in each eye at least
20/40
2- distant binocular vision of at least 20/40 in each eye
3- field of vision at least 70 degrees in horizontal median
4- recognize red, green, amber
Certification for pt with monocular vision and federal exemption: how long to
certify for? how long is the federal vision exemption valid for? - ANSWER: cert for
1 yr; fed exemption valid for 2 yrs
what is the dx of tx of: sxs- glare at night with driving, decreased acuity and
contrast, color resolution, and light scattering effects. - ANSWER: dx- cataracts
tx- surgical removal/lens
Eye condition that causes loss of peripheral vision loss. sxs include redirection of
night vision, color vision, especially peripherally is noticeable. - ANSWER:
glaucoma
lengthened recovery from bright lights, loss of visual acuity, leading cause of
blindness. dx and tx? - ANSWER: macular degeneration. tx- telescopic lenses but
these are not acceptable for driving
retinal hemorrhages, microaneurysms, scotomas affecting central vision -
ANSWER: retinopathy
Hearing requirements - ANSWER: 1- first perceives forced whisper test at <5 feet
in the better ear
2- in better ear avg hearing < or = to40 db at 500, 1000, and 2000 Hz
, 3|P a g e
waiting period symptom free after bppv, acute/chronic peripheral vestibulopathy -
ANSWER: 2 months sx free
3 disqualifying otic conditions: - ANSWER: 1- menieres disease
2- labyrinthe fistula
3- nonfunctioning labyrinths
how long is federal hearing exemption valid for? how long can medical examiner
certify? - ANSWER: 2 yrs. for both
most likely CV cause of sudden driver incapacitation - ANSWER: arrhythmia
driver with CAD should: - ANSWER: be cleared by CV specialist
tol CV meds
comply with treatment plan
have annual med exam
passing an echo test involves: (2) - ANSWER: LVEF > or = or40%
no pulm htn ( pulm artery pressure >50% of systemic systolic bp
passing an ETT involves: (4) - ANSWER: exercise to workload >6 METs
attain HR > or = to 85% predicted maximum unless on BB
rise in systolic bp > or = to 20 without angina
no significant ST depression
waiting period s/p MI - ANSWER: 2 months
