NRCME Exam Questions and
Answers Verified by Experts 100%
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What minimum PaO2 level is necessary if the driver has an ABG due to a chronic
respiratory disorder?
a. 70 mm Hg
b. 55 mm Hg
c. 60 mm Hg
d. 65 mm Hg - CORRECT ANSWER-d
A driver first perceives a whispered voice at 5 feet in his right ear and 4 feet in his
left ear. All other aspects of his physical examination are unremarkable. The
examiner should:
a. Disqualify the driver because he "failed" the whispered voice test.
b. Certify the driver for 2 years.
c. Certify the driver for 1 year.
,d. Require an audiometric test to determine the extent of hearing loss in his left
ear. - CORRECT ANSWER-b. only needs to be able to perceive a whispered voice
from 5 feet in ONE ear
A driver reports for an examination 6 weeks after suffering a mild heart attack and
presents a note from his cardiologist stating that he is able to return to work
immediately without restriction. Included within the note, the cardiologist provides
recent testing information showing that the driver had an ETT that showed he was
able to reach 12 METS during the test. His echocardiogram showed an ejection
fraction of 65%. The examination of the driver is unremarkable. The examiner
should:
a. Disqualify the driver.
b. Qualify the driver for 1 year.
c. Qualify the driver for 2 years.
d. Consult with the cardiologist to determine if the driver suffers from angina. -
CORRECT ANSWER-a. the driver has not waited the required 2 MONTHS of a
waiting period
A driver provides an audiometric test documenting the following:
500 Hz: 35 Right ear; 40 Left ear
1000 HZ:40 Right ear; 45 Left ear 2000 HZ:40 Right ear; 45 Left ear
4000 Hz:50 Right ear; 50 Left ear
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,The medical examiner should:
a. Disqualify the driver because he does not meet minimum hearing requirements
to drive.
b. Certify the driver for 2 years.
c. Certify the driver for 1 year.
d. Require the driver to obtain a hearing exemption. - CORRECT ANSWER-b.
average the results from 500, 1000, and 2000Hz. The average is 38.33 in the right
and 43.33 in the left. Average hearing loss must be less than or equal to 40 in the
better ear (doesn't have to be met in both ears)
During the examination of a commercial driver, the examiner notices that the
driver's peripheral vision is 70 degrees to the left and 80 degrees to the right. The
examiner should:
a. Qualify the driver for 2 years.
b. Require the driver to obtain a vision exemption because of the limitation in the
driver's
left peripheral field.
c. Disqualify the driver.
d. Have the driver consult with an Ophthalmologist to determine if the driver's
peripheral vision
, meets minimum standards. - CORRECT ANSWER-a.minimum of 70 degrees
bilaterally
During examination, the medical examiner notices that the driver is distant, lacks
eye contact and shows absolutely no emotional response during the exam. The
examiner's best response should be:
a. Provide the driver with a "CAGE" questionnaire to determine if he suffers from
alcoholism.
b. Disqualify the driver and refer him to a mental health profession prior to
consideration for certification.
c. Certify the driver with a 1-time, 3-month certificate to determine if there is any
effect on the driver's ability to drive a CMV.
d. Require a skill performance evaluation to ascertain if the driver has any
limitations with driving. - CORRECT ANSWER-b.
A driver admits to the use of marijuana for the treatment of his glaucoma, which is
legal in theState in which he lives. He provides medical documentation for the
glaucoma indicating he isable to drive a truck. He began using the marijuana about
three months ago. His currentmedical card has no limitations listed and is for 2
years. His certification examination is within normal limits. The medical examiner
should:
a. Disqualify the driver.
COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED
Answers Verified by Experts 100%
PASS GUARANTEED
What minimum PaO2 level is necessary if the driver has an ABG due to a chronic
respiratory disorder?
a. 70 mm Hg
b. 55 mm Hg
c. 60 mm Hg
d. 65 mm Hg - CORRECT ANSWER-d
A driver first perceives a whispered voice at 5 feet in his right ear and 4 feet in his
left ear. All other aspects of his physical examination are unremarkable. The
examiner should:
a. Disqualify the driver because he "failed" the whispered voice test.
b. Certify the driver for 2 years.
c. Certify the driver for 1 year.
,d. Require an audiometric test to determine the extent of hearing loss in his left
ear. - CORRECT ANSWER-b. only needs to be able to perceive a whispered voice
from 5 feet in ONE ear
A driver reports for an examination 6 weeks after suffering a mild heart attack and
presents a note from his cardiologist stating that he is able to return to work
immediately without restriction. Included within the note, the cardiologist provides
recent testing information showing that the driver had an ETT that showed he was
able to reach 12 METS during the test. His echocardiogram showed an ejection
fraction of 65%. The examination of the driver is unremarkable. The examiner
should:
a. Disqualify the driver.
b. Qualify the driver for 1 year.
c. Qualify the driver for 2 years.
d. Consult with the cardiologist to determine if the driver suffers from angina. -
CORRECT ANSWER-a. the driver has not waited the required 2 MONTHS of a
waiting period
A driver provides an audiometric test documenting the following:
500 Hz: 35 Right ear; 40 Left ear
1000 HZ:40 Right ear; 45 Left ear 2000 HZ:40 Right ear; 45 Left ear
4000 Hz:50 Right ear; 50 Left ear
COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED
,The medical examiner should:
a. Disqualify the driver because he does not meet minimum hearing requirements
to drive.
b. Certify the driver for 2 years.
c. Certify the driver for 1 year.
d. Require the driver to obtain a hearing exemption. - CORRECT ANSWER-b.
average the results from 500, 1000, and 2000Hz. The average is 38.33 in the right
and 43.33 in the left. Average hearing loss must be less than or equal to 40 in the
better ear (doesn't have to be met in both ears)
During the examination of a commercial driver, the examiner notices that the
driver's peripheral vision is 70 degrees to the left and 80 degrees to the right. The
examiner should:
a. Qualify the driver for 2 years.
b. Require the driver to obtain a vision exemption because of the limitation in the
driver's
left peripheral field.
c. Disqualify the driver.
d. Have the driver consult with an Ophthalmologist to determine if the driver's
peripheral vision
, meets minimum standards. - CORRECT ANSWER-a.minimum of 70 degrees
bilaterally
During examination, the medical examiner notices that the driver is distant, lacks
eye contact and shows absolutely no emotional response during the exam. The
examiner's best response should be:
a. Provide the driver with a "CAGE" questionnaire to determine if he suffers from
alcoholism.
b. Disqualify the driver and refer him to a mental health profession prior to
consideration for certification.
c. Certify the driver with a 1-time, 3-month certificate to determine if there is any
effect on the driver's ability to drive a CMV.
d. Require a skill performance evaluation to ascertain if the driver has any
limitations with driving. - CORRECT ANSWER-b.
A driver admits to the use of marijuana for the treatment of his glaucoma, which is
legal in theState in which he lives. He provides medical documentation for the
glaucoma indicating he isable to drive a truck. He began using the marijuana about
three months ago. His currentmedical card has no limitations listed and is for 2
years. His certification examination is within normal limits. The medical examiner
should:
a. Disqualify the driver.
COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED
