NRCME STUDY SHEET 2026 COMPLETE
QUESTIONS AND ANSWERS
◉As the medical examiner you notice a patient's urinalysis is
positive for 3+ protein. You should: Answer: Determine if additional
evaluation is required and request or recommend primary care
provider follow-up.
◉What are the regulatory non-discretionary standards? Answer: E-
HIV
Epilepsy, Hearing, Insulin, Vison
◉A 47 year-old driver with a Fixed Deficit of an Extremity should
have a physical exam Answer: Biannually or more frequently if
indicated.
◉Can you provide a copy of the Medical Examination Certificate to
the driver and a copy to the employer? Answer: YES
◉A 50 year-old male smoker had a percutaneous coronary
intervention procedure 2 weeks ago after an abnormal stress test.
, He is asymptomatic, stage 2 HTN controlled on ramapril and
labetolol. What is the certification period? Answer: Certify 6
months. Advise to have ETT before 6 month follow up. If he remains
stable with a normal ETT, certify for one year.
◉CAn a driver with a hearing aid use it to pass hearing test?
Answer: Yes he can use hearing aid to undergo the forced whisper
test. Also he should carry a spare power source for his hearing aids
while driving
◉A driver is unable to pick out the numbers in an Ishihara color
blindness test. However, he is able to distinguish red, green, and
amber stoplights. Can he be certified? Answer: He may be fully
qualified for 2 years.
◉What is the waiting period for ablation for Afib? Answer: 1 month
◉Allergic Rhinitis involving inflammation of the nasal portion of the
upper respiratory tract rarely renders a driver incapable of
operating a commercial vehicle. A driver may be certified with
allergic rhinitis and on what kinds of meds? Answer: nasal steroid
sprays and non-sedating antihistamines
◉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: Answer: 50%
QUESTIONS AND ANSWERS
◉As the medical examiner you notice a patient's urinalysis is
positive for 3+ protein. You should: Answer: Determine if additional
evaluation is required and request or recommend primary care
provider follow-up.
◉What are the regulatory non-discretionary standards? Answer: E-
HIV
Epilepsy, Hearing, Insulin, Vison
◉A 47 year-old driver with a Fixed Deficit of an Extremity should
have a physical exam Answer: Biannually or more frequently if
indicated.
◉Can you provide a copy of the Medical Examination Certificate to
the driver and a copy to the employer? Answer: YES
◉A 50 year-old male smoker had a percutaneous coronary
intervention procedure 2 weeks ago after an abnormal stress test.
, He is asymptomatic, stage 2 HTN controlled on ramapril and
labetolol. What is the certification period? Answer: Certify 6
months. Advise to have ETT before 6 month follow up. If he remains
stable with a normal ETT, certify for one year.
◉CAn a driver with a hearing aid use it to pass hearing test?
Answer: Yes he can use hearing aid to undergo the forced whisper
test. Also he should carry a spare power source for his hearing aids
while driving
◉A driver is unable to pick out the numbers in an Ishihara color
blindness test. However, he is able to distinguish red, green, and
amber stoplights. Can he be certified? Answer: He may be fully
qualified for 2 years.
◉What is the waiting period for ablation for Afib? Answer: 1 month
◉Allergic Rhinitis involving inflammation of the nasal portion of the
upper respiratory tract rarely renders a driver incapable of
operating a commercial vehicle. A driver may be certified with
allergic rhinitis and on what kinds of meds? Answer: nasal steroid
sprays and non-sedating antihistamines
◉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: Answer: 50%
