FREE NRCME Medical Conditions and Guidelines Questions and Answers

Question 1

When conducting a vision examination, a driver must have at least what distant visual acuity in each eye with or without correction?

Accepted Answer

20/40

Answer

20/60

Answer

20/20

Answer

20/10

Question 2

All but which of the following are respiratory conditions that interfere with oxygen exchange and could result in gradual or sudden incapacitation?

Accepted Answer

Mitral regurgitation

Answer

Carcinoma

Answer

Chronic bronchitis

Answer

Asthma

Question 3

Which of the following colors is not necessary to be able to distinguish and recognize in traffic signals and devices?

Accepted Answer

Blue

Answer

Red

Answer

Amber

Answer

Green

Question 4

An implantable cardioverter-defibrillator is:

Accepted Answer

An electronic device that treats cardiac arrest, ventricular fibrillation, and ventricular tachycardia through the delivery of rapid-pacing stimuli or shock therapy

Answer

A type of arrhythmia that is usually not considered a risk for sudden death

Answer

An implantable device designed to treat bradycardia

Answer

A type of arrhythmia categorized as ventricular fibrillation and ventricular tachycardia and is responsible for the majority of instances of cardiac sudden death

Question 5

Which of the following is not true about the risk of headaches?

Accepted Answer

Most headaches, vertigo, and dizziness are consequential, causing danger for drivers that experience such conditions

Answer

Headache and chronic "nagging" pain may be present to such a degree that certification for driving is inadvisable

Answer

Medication used to treat headaches may further interfere with safe driving

Answer

Disorders with incapacitating symptoms, even if periodic or in the early stages of the disease, warrant the decision to not certify the driver

Question 6

Which of the following is a medical examiner required to inquire about from a driver with diabetes mellitus?

Accepted Answer

If the driver has glycosuria

Answer

If the driver carries rescue glucose while driving

Answer

If the driver routinely monitors his or her blood glucose level

Answer

If the driver uses incretin mimetic

Question 7

Which of the following is true in regard to an implantable cardioverter-defibrillator?

Accepted Answer

Drivers are at a risk for syncope

Answer

Combination ICD/pacemaker devices are also effective in preventing incapacitation cardiac and arrhythmia events

Answer

Management of the underlying disease is effective enough for the driver to meet cardiovascular qualification requirements

Answer

ICDs treat and prevent arrhythmias

Question 8

If a medical examiner uses the number 1 during the physical examination, the medical examiner is indicating which of the following parts of the body system?

Accepted Answer

General Appearance

Answer

Abdomen and viscera

Answer

Heart

Answer

Ears

Question 9

Which of the following is not a concern that predisposes commercial drivers to an increased risk of cardiovascular disease?

Accepted Answer

Long hours and rotating work schedules

Answer

Obesity and a sedentary lifestyle increase the risk of such a disease

Answer

Exposed to environmental stressors that are detrimental to the cardiovascular system

Answer

Driving stressors can lead to increased neurosympathetic and adrenocortical catecholamine and cortisol release

Question 10

Types of vertigo and dizziness with incapacitating symptoms can interfere with all but which of the following?

Accepted Answer

Staying awake

Answer

Judgment

Answer

Concentration

Answer

Cognitive abilities