NRCME Exam ACTUAL QUESTIONS
AND CORRECT ANSWERS
How many days can a driver be left in determination pending status? -
CORRECT ANSWERS 45 days
Cenral vision loss is due to __________ - CORRECT ANSWERS
Macular Degeneration
Drivers with insulin-treated diabetes must provide to the treating clinician
electronic blood glucose self-monitoring records for the most recent: -
CORRECT ANSWERS 3 months
When an individual has a medical history of epilepsy or a seizure disorder, the
medical examiner may certify the individual if the individual is: - CORRECT
ANSWERS Seizure free AND off anti-epileptic medications for at least
10 years.
What is the waiting period before a driver can be certified following coronary
artery bypass grafting? - CORRECT ANSWERS 3 months
FMCSA defines a severe hypoglycemic reaction as one that results in: -
CORRECT ANSWERS Seizure OR Need of assistance from another
person OR Period of impaired cognitive function that occurs without warning.
After undergoing ablation for atrial fibrillation, what is the minimum waiting
period before a driver can be certified? - CORRECT ANSWERS 1
month
,A driver with a recent diagnosis of congestive heart failure and known
ventricular arrhythmias may be certified for driving if his left ventricular
ejection fraction is at least: - CORRECT ANSWERS 40%
A 22 year-old male contracted meningococcal meningitis from his college
roommate, discharged from the hospital 3 months ago. He brings no records
with him. He is on no medications, is otherwise healthy, and his physical
examination is entirely normal. The correct determination would be: -
CORRECT ANSWERS Obtain hospital records. If there was no seizure
activity, he must undergo a one year waiting period before he can be qualified,
if there was seizure activity, he must undergo a 5 year waiting period seizure
free and off anticonvulsant medication before he can be qualified.
For how long must you retain a copy of the driver's medical records, including
the certificate? - CORRECT ANSWERS 3 years
When completing the commercial driver examination form for a driver with
stage 3 hypertension: - CORRECT ANSWERS A 6 month recertification
- fill out a new form, check "recertification," do a complete examination.
A driver is taking Lasix. Which of the following should be closely monitored? -
CORRECT ANSWERS Serum potassium.
The SPE certificate is valid for a period not to exceed how many years from
date of issue? - CORRECT ANSWERS 2 years
A driver with a history of epilepsy must wait a minimum of how long before
consideration may be given to certification? - CORRECT ANSWERS
Ten years seizure free and off anticonvulsant medication.
, If the underlying condition causing the seizures has been corrected and is now
stable, he may be certified for up to ______, or shorter periods at the discretion
of the medical examiner. - CORRECT ANSWERS 2 years
A screening pulse oximetry below what level mandates an ABG analysis? -
CORRECT ANSWERS 92%.
During the physical examination on a driver in whom you have psychological
concerns, the questions you should ask: - CORRECT ANSWERS Should
be the same questions as you would ask for any individual who is be assessed
for psychological concerns.
After examining a driver, the Medical Examiner strongly feels that the driver is
fit for commercial driving, even though he does not meet all standards per
FMCSA regulations. The Medical Examiner should: - CORRECT ANSWERS
Disqualify the driver and explain that the regulations are legal
requirements.
What is the waiting period for certification following percutaneous coronary
intervention? - CORRECT ANSWERS A minimum one week post-
procedure
Checking for pupillary equality is a required part of the examination. On a
driver's exam, you notice that the pupils are of different diameters, but both
react appropriately to light. This is consistent with: - CORRECT ANSWERS
Anisocoria
A driver presents for her DOT medical exam. During the exam history it is
revealed that the driver is taken Lisinopril for hypertension, Simvastatin, and
Antabuse. All other aspects of history and exam were normal. What should the
examiner do next: - CORRECT ANSWERS Disqualify the driver.
AND CORRECT ANSWERS
How many days can a driver be left in determination pending status? -
CORRECT ANSWERS 45 days
Cenral vision loss is due to __________ - CORRECT ANSWERS
Macular Degeneration
Drivers with insulin-treated diabetes must provide to the treating clinician
electronic blood glucose self-monitoring records for the most recent: -
CORRECT ANSWERS 3 months
When an individual has a medical history of epilepsy or a seizure disorder, the
medical examiner may certify the individual if the individual is: - CORRECT
ANSWERS Seizure free AND off anti-epileptic medications for at least
10 years.
What is the waiting period before a driver can be certified following coronary
artery bypass grafting? - CORRECT ANSWERS 3 months
FMCSA defines a severe hypoglycemic reaction as one that results in: -
CORRECT ANSWERS Seizure OR Need of assistance from another
person OR Period of impaired cognitive function that occurs without warning.
After undergoing ablation for atrial fibrillation, what is the minimum waiting
period before a driver can be certified? - CORRECT ANSWERS 1
month
,A driver with a recent diagnosis of congestive heart failure and known
ventricular arrhythmias may be certified for driving if his left ventricular
ejection fraction is at least: - CORRECT ANSWERS 40%
A 22 year-old male contracted meningococcal meningitis from his college
roommate, discharged from the hospital 3 months ago. He brings no records
with him. He is on no medications, is otherwise healthy, and his physical
examination is entirely normal. The correct determination would be: -
CORRECT ANSWERS Obtain hospital records. If there was no seizure
activity, he must undergo a one year waiting period before he can be qualified,
if there was seizure activity, he must undergo a 5 year waiting period seizure
free and off anticonvulsant medication before he can be qualified.
For how long must you retain a copy of the driver's medical records, including
the certificate? - CORRECT ANSWERS 3 years
When completing the commercial driver examination form for a driver with
stage 3 hypertension: - CORRECT ANSWERS A 6 month recertification
- fill out a new form, check "recertification," do a complete examination.
A driver is taking Lasix. Which of the following should be closely monitored? -
CORRECT ANSWERS Serum potassium.
The SPE certificate is valid for a period not to exceed how many years from
date of issue? - CORRECT ANSWERS 2 years
A driver with a history of epilepsy must wait a minimum of how long before
consideration may be given to certification? - CORRECT ANSWERS
Ten years seizure free and off anticonvulsant medication.
, If the underlying condition causing the seizures has been corrected and is now
stable, he may be certified for up to ______, or shorter periods at the discretion
of the medical examiner. - CORRECT ANSWERS 2 years
A screening pulse oximetry below what level mandates an ABG analysis? -
CORRECT ANSWERS 92%.
During the physical examination on a driver in whom you have psychological
concerns, the questions you should ask: - CORRECT ANSWERS Should
be the same questions as you would ask for any individual who is be assessed
for psychological concerns.
After examining a driver, the Medical Examiner strongly feels that the driver is
fit for commercial driving, even though he does not meet all standards per
FMCSA regulations. The Medical Examiner should: - CORRECT ANSWERS
Disqualify the driver and explain that the regulations are legal
requirements.
What is the waiting period for certification following percutaneous coronary
intervention? - CORRECT ANSWERS A minimum one week post-
procedure
Checking for pupillary equality is a required part of the examination. On a
driver's exam, you notice that the pupils are of different diameters, but both
react appropriately to light. This is consistent with: - CORRECT ANSWERS
Anisocoria
A driver presents for her DOT medical exam. During the exam history it is
revealed that the driver is taken Lisinopril for hypertension, Simvastatin, and
Antabuse. All other aspects of history and exam were normal. What should the
examiner do next: - CORRECT ANSWERS Disqualify the driver.
