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AK DOT NRCME FINAL EXAM QUESTIONS AND CORRECT
DETAILED SOLUTIONS LATEST UPDATED VERSION JUST
RELEASED
Question: FMCS recommendations indicate drivers with any of the following conditions should
be disqualified EXCEPT:
A) Autonomic neuropathy
B) Congenital muscular dystrophy
C) Myasthenia gravis
D) Centronuclear myopathy - ANSWER✔✔A) Autonomic neuropathy
Question: Smith is a 45 year old male with a history of Hypertension. He comes to see the
FMCSA medical examiner
for his annual re-certification examination. During physical exam, the medical examiner detects
a displaced
apical impulse and an S4 gallop. His blood pressure is 132/82, Pulse is 72 and regular. Based on
these physical
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examination findings, how long should the medical examiner certify Mr. Smith for?
A) Refer Mr. Smith to his primary care physician for
aggressive blood pressure management.
B) Certify Mr. Smith for a period of one year as
physical examination findings are normal.
C) The medical examiner should disqualify Mr. Smith
as physical examination findings suggest end organ
damage that should be further evaluated
D) a & b - ANSWER✔✔C) The medical examiner should disqualify Mr. Smith
as physical examination findings suggest end organ
damage that should be further evaluated
Question: The risk of an acute incapacitating event for a CMV driver with Hypertension is more
likely to be caused by?
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A) Cerebrovascular event
B) Aortic Dissection
C) Sudden acute coronary event
D) Subarachnoid Hemorrhage - ANSWER✔✔C) Sudden acute coronary event
Question: During re-certification examination, a CMV driver with history of Hypertension takes
Lasix 20mg daily, Vasotec
5mg daily, and Atenolol 25mg daily for blood pressure control. The driver reports symptoms of
dizziness,
lightheadedness, fatigue, and muscle cramps 2 to 3 times per week for past 2 months. Based on
this
information, the FMCSA medical examiner should certify this driver for a period of?
A) One year, as the driver's symptoms should not
interfere with driving.
B) 3 month and have the driver following up with his
primary care physician for further evaluation.
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C) The driver should be disqualified as the drivers
symptoms are likely due to side effects of
medications that can interfere with safe driving
D) One year, the medical examiner is not the drivers
primary care physician and should not be
concerned about how well the driver tolerates his or
her medications - ANSWER✔✔C) The driver should be disqualified as the drivers
symptoms are likely due to side effects of
medications that can interfere with safe driving
Q:The FMCSA medical examiner should disqualify a driver if he or she has any of the following
clinical diagnosis:
A) MI, CHF with LVEF less than 40%, Pulmonary Hypertension, or Atrial fibrillation
B) Pulmonary Hypertension, Hypertrophic Cardiomyopathy, Restrictive Cardiomyopathy or
CHF with LVEF of 50%
AK DOT NRCME FINAL EXAM QUESTIONS AND CORRECT
DETAILED SOLUTIONS LATEST UPDATED VERSION JUST
RELEASED
Question: FMCS recommendations indicate drivers with any of the following conditions should
be disqualified EXCEPT:
A) Autonomic neuropathy
B) Congenital muscular dystrophy
C) Myasthenia gravis
D) Centronuclear myopathy - ANSWER✔✔A) Autonomic neuropathy
Question: Smith is a 45 year old male with a history of Hypertension. He comes to see the
FMCSA medical examiner
for his annual re-certification examination. During physical exam, the medical examiner detects
a displaced
apical impulse and an S4 gallop. His blood pressure is 132/82, Pulse is 72 and regular. Based on
these physical
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examination findings, how long should the medical examiner certify Mr. Smith for?
A) Refer Mr. Smith to his primary care physician for
aggressive blood pressure management.
B) Certify Mr. Smith for a period of one year as
physical examination findings are normal.
C) The medical examiner should disqualify Mr. Smith
as physical examination findings suggest end organ
damage that should be further evaluated
D) a & b - ANSWER✔✔C) The medical examiner should disqualify Mr. Smith
as physical examination findings suggest end organ
damage that should be further evaluated
Question: The risk of an acute incapacitating event for a CMV driver with Hypertension is more
likely to be caused by?
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A) Cerebrovascular event
B) Aortic Dissection
C) Sudden acute coronary event
D) Subarachnoid Hemorrhage - ANSWER✔✔C) Sudden acute coronary event
Question: During re-certification examination, a CMV driver with history of Hypertension takes
Lasix 20mg daily, Vasotec
5mg daily, and Atenolol 25mg daily for blood pressure control. The driver reports symptoms of
dizziness,
lightheadedness, fatigue, and muscle cramps 2 to 3 times per week for past 2 months. Based on
this
information, the FMCSA medical examiner should certify this driver for a period of?
A) One year, as the driver's symptoms should not
interfere with driving.
B) 3 month and have the driver following up with his
primary care physician for further evaluation.
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C) The driver should be disqualified as the drivers
symptoms are likely due to side effects of
medications that can interfere with safe driving
D) One year, the medical examiner is not the drivers
primary care physician and should not be
concerned about how well the driver tolerates his or
her medications - ANSWER✔✔C) The driver should be disqualified as the drivers
symptoms are likely due to side effects of
medications that can interfere with safe driving
Q:The FMCSA medical examiner should disqualify a driver if he or she has any of the following
clinical diagnosis:
A) MI, CHF with LVEF less than 40%, Pulmonary Hypertension, or Atrial fibrillation
B) Pulmonary Hypertension, Hypertrophic Cardiomyopathy, Restrictive Cardiomyopathy or
CHF with LVEF of 50%
