NRCME Drug Abuse and Alcoholism 2

Question 1

A CMV driver presents with a BAC of 0.02% during a random DOT alcohol test. What is the correct action?

Accepted Answer

Immediate removal from safety-sensitive duty for at least 24 hours

Answer

A BAC of 0.02–0.039% requires removal from safety-sensitive function for at least 24 hours per DOT regulations.

Question 2

Which of the following best describes the CAGE questionnaire in the context of alcohol screening?

Accepted Answer

A 4-item tool assessing Cut down, Annoyed, Guilty, and Eye-opener drinking behaviors

Answer

The CAGE questionnaire uses four yes/no questions about cutting down, annoyance, guilt, and eye-openers to screen for alcohol use disorder.

Question 3

A truck driver reports using prescribed buprenorphine/naloxone (Suboxone) for opioid use disorder. Under FMCSA regulations, what is the driver's qualification status?

Accepted Answer

Disqualified because opioid-based medications preclude CMV operation

Answer

FMCSA advisory criteria disqualify drivers using Schedule II or III opioids including buprenorphine, as they cannot meet the 'no current use of a controlled substance' standard.

Question 4

Which laboratory marker is most useful for detecting chronic heavy alcohol use over the past 2–4 weeks?

Accepted Answer

Carbohydrate-deficient transferrin (CDT)

Answer

CDT is a sensitive and specific biomarker that reflects heavy alcohol consumption over the preceding 2–4 weeks.

Question 5

Under 49 CFR Part 382, what is the minimum waiting period before a driver who tested positive for drugs may return to safety-sensitive duty?

Accepted Answer

Successful completion of SAP-directed evaluation and follow-up testing

Answer

Drivers must complete the Substance Abuse Professional (SAP) evaluation, recommended treatment/education, and pass a return-to-duty test before resuming safety-sensitive functions.

NRCME - National Registry of Certified Medical Examiners Practice Test

NRCME - National Registry of Certified Medical Examiners Practice Test

NRCME Drug Abuse and Alcoholism 2