1. An unrestricted Commercial Motor Vehicle Driver Medical Certificate must be renewed -
ANSWER every 2 years
2. A driver presents with history of an isolated TIA 6 months ago. He has a return to work let-
ter from his primary care provider (PCP) and neurologist. He is taking and tolerating well hy-
drochlorothiazide and simvastatin. All other aspects of the exam and history were normal.
What should the medical examiner do next? - ANSWER disqualify the driver for now
B. Disqualify driver for now3. FMCSA regulates interstate commercial operation including
the: - ANSWER all of the 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 -
ANSWER certify driver for 2 years
5. Which of the following is an assessment of L4 nerve root pathology? - ANSWER patel-
lar reflex
6. A driver presents for medical exam and reports being a smoker and having frequent short-
ness of breath. What do you do next? - ANSWER order spirometry test
7. According to regulation, which of the following must be evaluated as part of the eye exam
- ANSWER pupil reaction
8. Continued certification of NRCE Medical Examiners requires all EXCEPT which of the fol-
lowing - ANSWER completion of recertification test every 5 years
1
,A driver presents for recertification. The only condition he lists is GERD, for which he takes
OTC omeprazole. He says that when he is driving and eating fast foods, he is more likely to
have heartburn than when off-duty. You should: - ANSWER correlate history with ab-
dominal exam
Which of the following findings is disqualifying? - ANSWER oxygen saturation 90%
The driver presents for recertification and submits an ultrasound report indicating an ab-
dominal aortic aneurysm from two months ago, shortly before he had surgical correction. He
has surgical clearance and says he is doing well, has no symptoms. You should: - ANSWER
inform the driver of the 3 month wait before he can become recertified
The driver takes diphenhydramine twice a day to treat nasal congestion. What must you doc-
ument in order tocertify? - ANSWER cannot drive within 12 hrs of taking diphenhydra-
mine
The driver has a history of carpal tunnel repair of her right hand 2 months ago. Her grip
strengths are symmetricaland strong. What is necessary in order to qualify this driver? - AN-
SWER document her findings for 2 year examination
Which of the following abdominal complaints is most likely to be incapacitating - AN-
SWER nephrolithiasis
The waiting period for benign positional vertigo is: - ANSWER 2 months
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: - ANSWER 1 year
The driver's current BP is 135/76. Your records indicate at history of Stage III hypertension 4
years ago. Themaximum certification for this driver is: - ANSWER 6 months
2
, 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: - ANSWER 65%
The recommended waiting period (WP) and certification period (CP) for a driver following
surgical correction for intermittent claudication are: - ANSWER wp 3 months, cp 1 year
Which of the following are disqualifying? - ANSWER implanted defibrillator
Five years post-CABG, the driver must provide a copy of _________ in order to qualify for
recertification - ANSWER ETT
The driver has a 5-year history of asthma, described as "well-controlled". He carries rescue
inhaler for the timeswhen he becomes short of breath, but says this is rare. He provides pul-
monary functions performed last week and hisFEV1 is 62% of predicted and his Pa02 is 62
mm. You should: - ANSWER disqualify and recommend he return to his primary care pro-
vider
What is the Primary mission of FMCSA? - ANSWER to promote the safety of the roadways
During a driver's history, she describes her role and responsibilities as limited to the driving
component andexcluding strenuous activities. You should: - ANSWER conduct the full and
standard examination
During the examination, a driver reveals, "I had a touch of sugar" two years ago, but stopped
taking the prescribed medication when it ran out, the name of which was forgotten. Driver
did not indicate "yes" on the medical history for diabetes. The examination and urinalysis are
unremarkable. What is the appropriate action you would take to completethis examination?
- ANSWER Correct the medical history in your narrative and discuss the signs, symptoms
and health impact of diabetes andthe need for regular follow-up in certifying the driver
3
ANSWER every 2 years
2. A driver presents with history of an isolated TIA 6 months ago. He has a return to work let-
ter from his primary care provider (PCP) and neurologist. He is taking and tolerating well hy-
drochlorothiazide and simvastatin. All other aspects of the exam and history were normal.
What should the medical examiner do next? - ANSWER disqualify the driver for now
B. Disqualify driver for now3. FMCSA regulates interstate commercial operation including
the: - ANSWER all of the 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 -
ANSWER certify driver for 2 years
5. Which of the following is an assessment of L4 nerve root pathology? - ANSWER patel-
lar reflex
6. A driver presents for medical exam and reports being a smoker and having frequent short-
ness of breath. What do you do next? - ANSWER order spirometry test
7. According to regulation, which of the following must be evaluated as part of the eye exam
- ANSWER pupil reaction
8. Continued certification of NRCE Medical Examiners requires all EXCEPT which of the fol-
lowing - ANSWER completion of recertification test every 5 years
1
,A driver presents for recertification. The only condition he lists is GERD, for which he takes
OTC omeprazole. He says that when he is driving and eating fast foods, he is more likely to
have heartburn than when off-duty. You should: - ANSWER correlate history with ab-
dominal exam
Which of the following findings is disqualifying? - ANSWER oxygen saturation 90%
The driver presents for recertification and submits an ultrasound report indicating an ab-
dominal aortic aneurysm from two months ago, shortly before he had surgical correction. He
has surgical clearance and says he is doing well, has no symptoms. You should: - ANSWER
inform the driver of the 3 month wait before he can become recertified
The driver takes diphenhydramine twice a day to treat nasal congestion. What must you doc-
ument in order tocertify? - ANSWER cannot drive within 12 hrs of taking diphenhydra-
mine
The driver has a history of carpal tunnel repair of her right hand 2 months ago. Her grip
strengths are symmetricaland strong. What is necessary in order to qualify this driver? - AN-
SWER document her findings for 2 year examination
Which of the following abdominal complaints is most likely to be incapacitating - AN-
SWER nephrolithiasis
The waiting period for benign positional vertigo is: - ANSWER 2 months
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: - ANSWER 1 year
The driver's current BP is 135/76. Your records indicate at history of Stage III hypertension 4
years ago. Themaximum certification for this driver is: - ANSWER 6 months
2
, 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: - ANSWER 65%
The recommended waiting period (WP) and certification period (CP) for a driver following
surgical correction for intermittent claudication are: - ANSWER wp 3 months, cp 1 year
Which of the following are disqualifying? - ANSWER implanted defibrillator
Five years post-CABG, the driver must provide a copy of _________ in order to qualify for
recertification - ANSWER ETT
The driver has a 5-year history of asthma, described as "well-controlled". He carries rescue
inhaler for the timeswhen he becomes short of breath, but says this is rare. He provides pul-
monary functions performed last week and hisFEV1 is 62% of predicted and his Pa02 is 62
mm. You should: - ANSWER disqualify and recommend he return to his primary care pro-
vider
What is the Primary mission of FMCSA? - ANSWER to promote the safety of the roadways
During a driver's history, she describes her role and responsibilities as limited to the driving
component andexcluding strenuous activities. You should: - ANSWER conduct the full and
standard examination
During the examination, a driver reveals, "I had a touch of sugar" two years ago, but stopped
taking the prescribed medication when it ran out, the name of which was forgotten. Driver
did not indicate "yes" on the medical history for diabetes. The examination and urinalysis are
unremarkable. What is the appropriate action you would take to completethis examination?
- ANSWER Correct the medical history in your narrative and discuss the signs, symptoms
and health impact of diabetes andthe need for regular follow-up in certifying the driver
3
