NRCME TEST
Comprehensive Resource To Help You Ace 2026-2027 Exams
Includes Frequently Tested Questions With ELABORATED
100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
Instant Download Pdf!!
1. A driver has a blood pressure of 136/92 mm Hg. This is:
a. Within normal limits and would not affect the driver's certification.
b. Stage 1 Hypertension.
c. Stage 2 Hypertension.
d. Stage 3 Hypertension. - Correct Answer: Correct answer is "B".
This is Stage 1 Hypertension, which is defined as 140-159/90 - 99.
2. A driver is taking Celexa for the treatment of what he calls a "mild
depression." He reports he has not considered or attempted suicide. The
examiner should?
a. Temporarily disqualify the driver until he obtains written clearance for
the depression and the medication from the treating provi
b. Certify the driver for a period of 1 year.
c. Certify the driver for a period of 2 years.
d. Disqualify the driver until he is no longer requiring medication for the
treatment of depression. - Correct Answer: Correct answer is "A".
Medical clearance is required for all mental health disorders. Celexa is an
SSRI or 2nd Generation anti-depressant and is acceptable.
3. A driver reports that he had a hunting accident wherein he suffered a left
orbital fracture. He presents a note at the time of the examination from an
, ophthalmologist stating "may drive". His exam is unremarkable except for a
limitation in peripheral vision in his left eye, which was inconclusive. His
distance vision was 20/20 right and 20/40 left. The medical examiner
should?
a. Council the driver on the need for a vision exemption.
b. Disqualify the driver pending vision exam to determine if it meets
peripheral vision requirements.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years. - Correct Answer: Correct answer is
"B". The driver must have a peripheral vision of 70 degrees bilaterally
to certify to drive a CMV.
4. What minimum PaO2 level on an ABG performed for a chronic respiratory
disorder is necessary to certify a commercial driver?
a. 55 mm Hg.
b. 60 mm Hg.
c. 65 mm Hg.
d. 70 mm Hg. - Correct Answer: Correct answer is "C". Blood oxygen
saturation must be a minimum of 65 mm Hg for the driver to certify.
5. A driver is taking Topamax for the treatment of migraine headaches. He
reports good management of his headaches and they never seem to
interfere with his driving ability with the medication. The medical examiner
should?
a. Obtain medical clearance for the condition and the medication.
b. Disqualify the driver because he is taking an anti-seizure medication.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years. - Correct Answer: Correct answer is
"A". Topamax is a medication that is used for seizure control. The
examiner should confirm with the prescribing provider that the driver
, does not take it to control seizures, and he is capable of driving a
CMV.
6. A 26 year-old driver presents for a first-time certification. He has a long-
standing history of ADHD and is taking methylphenidate. You have verified
his diagnosis and obtained clearance from his treating psychiatrist. As the
certified examiner, you:
a. Should disqualify the driver, explaining that use of such stimulants is
cause for disqualification.
b. May certify for a maximum of 6 months.
c. May certify for a maximum of 12 months.
d. May certify for a maximum of 2 years. - Correct Answer: c. May
certify for a maximum of 12 months.
7. A driver has a blood pressure of 168/112 mm Hg confirmed during the
examination. The driver should be:
a. Disqualified.
b. Certified for 6 months.
c. Certified for 1 year.
d. Certified for 2 years. - Correct Answer: Correct answer is "A". This
is Stage 3 hypertension. The driver is disqualified until his blood
pressure is less than 140/90 mm Hg at which time he will have a
maximum certification of 6 months.
8. For how long would a driver be certified if he is taking Micardis HCT for
hypertension, and has a confirmed blood pressure of 148/96 mm Hg at the
time of the examination?
a. 3 months
b. 6 months
c. 1 year
, d. 2 years - Correct Answer: Correct answer is "A". Because the
driver has a history of hypertension (he is taking medication), and he
had Stage 1 hypertension during his exam, he would be provided a 1-
time, 3-month certificate in order to lower his blood pressure to an
acceptable level during that time.
9. During the examination, a driver is found to have a positive "Babinski"
reflex. The examiner should:
a. Certify the driver for 1 year.
b. Certify the driver for 2 years.
c. Council the driver to obtain an SPE.
d. Disqualify the driver until s/he has a neurological consultation. -
Correct Answer: Correct answer is "D". A positive Babinski reflex is
indicative of abnormalities in the motor control pathways leading
from the cerebral cortex and is widely used as a diagnostic aide in
disorders of the central nervous system. The examiner should obtain
clearance from a neurologist prior to reconsidering the driver for
certification.
10.All of the following are required components of all DOT medical
examinations EXCEPT?
a. Vision
b. Hearing
c. Blood Pressure
d. Ophthalmoscopic examination - Correct Answer: Correct answer
is "D". There are four required components of every examination:
vision, hearing, blood pressure and urinalysis. Ophthalmoscopic
examination is not required but may be done if deemed necessary.
Comprehensive Resource To Help You Ace 2026-2027 Exams
Includes Frequently Tested Questions With ELABORATED
100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
Instant Download Pdf!!
1. A driver has a blood pressure of 136/92 mm Hg. This is:
a. Within normal limits and would not affect the driver's certification.
b. Stage 1 Hypertension.
c. Stage 2 Hypertension.
d. Stage 3 Hypertension. - Correct Answer: Correct answer is "B".
This is Stage 1 Hypertension, which is defined as 140-159/90 - 99.
2. A driver is taking Celexa for the treatment of what he calls a "mild
depression." He reports he has not considered or attempted suicide. The
examiner should?
a. Temporarily disqualify the driver until he obtains written clearance for
the depression and the medication from the treating provi
b. Certify the driver for a period of 1 year.
c. Certify the driver for a period of 2 years.
d. Disqualify the driver until he is no longer requiring medication for the
treatment of depression. - Correct Answer: Correct answer is "A".
Medical clearance is required for all mental health disorders. Celexa is an
SSRI or 2nd Generation anti-depressant and is acceptable.
3. A driver reports that he had a hunting accident wherein he suffered a left
orbital fracture. He presents a note at the time of the examination from an
, ophthalmologist stating "may drive". His exam is unremarkable except for a
limitation in peripheral vision in his left eye, which was inconclusive. His
distance vision was 20/20 right and 20/40 left. The medical examiner
should?
a. Council the driver on the need for a vision exemption.
b. Disqualify the driver pending vision exam to determine if it meets
peripheral vision requirements.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years. - Correct Answer: Correct answer is
"B". The driver must have a peripheral vision of 70 degrees bilaterally
to certify to drive a CMV.
4. What minimum PaO2 level on an ABG performed for a chronic respiratory
disorder is necessary to certify a commercial driver?
a. 55 mm Hg.
b. 60 mm Hg.
c. 65 mm Hg.
d. 70 mm Hg. - Correct Answer: Correct answer is "C". Blood oxygen
saturation must be a minimum of 65 mm Hg for the driver to certify.
5. A driver is taking Topamax for the treatment of migraine headaches. He
reports good management of his headaches and they never seem to
interfere with his driving ability with the medication. The medical examiner
should?
a. Obtain medical clearance for the condition and the medication.
b. Disqualify the driver because he is taking an anti-seizure medication.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years. - Correct Answer: Correct answer is
"A". Topamax is a medication that is used for seizure control. The
examiner should confirm with the prescribing provider that the driver
, does not take it to control seizures, and he is capable of driving a
CMV.
6. A 26 year-old driver presents for a first-time certification. He has a long-
standing history of ADHD and is taking methylphenidate. You have verified
his diagnosis and obtained clearance from his treating psychiatrist. As the
certified examiner, you:
a. Should disqualify the driver, explaining that use of such stimulants is
cause for disqualification.
b. May certify for a maximum of 6 months.
c. May certify for a maximum of 12 months.
d. May certify for a maximum of 2 years. - Correct Answer: c. May
certify for a maximum of 12 months.
7. A driver has a blood pressure of 168/112 mm Hg confirmed during the
examination. The driver should be:
a. Disqualified.
b. Certified for 6 months.
c. Certified for 1 year.
d. Certified for 2 years. - Correct Answer: Correct answer is "A". This
is Stage 3 hypertension. The driver is disqualified until his blood
pressure is less than 140/90 mm Hg at which time he will have a
maximum certification of 6 months.
8. For how long would a driver be certified if he is taking Micardis HCT for
hypertension, and has a confirmed blood pressure of 148/96 mm Hg at the
time of the examination?
a. 3 months
b. 6 months
c. 1 year
, d. 2 years - Correct Answer: Correct answer is "A". Because the
driver has a history of hypertension (he is taking medication), and he
had Stage 1 hypertension during his exam, he would be provided a 1-
time, 3-month certificate in order to lower his blood pressure to an
acceptable level during that time.
9. During the examination, a driver is found to have a positive "Babinski"
reflex. The examiner should:
a. Certify the driver for 1 year.
b. Certify the driver for 2 years.
c. Council the driver to obtain an SPE.
d. Disqualify the driver until s/he has a neurological consultation. -
Correct Answer: Correct answer is "D". A positive Babinski reflex is
indicative of abnormalities in the motor control pathways leading
from the cerebral cortex and is widely used as a diagnostic aide in
disorders of the central nervous system. The examiner should obtain
clearance from a neurologist prior to reconsidering the driver for
certification.
10.All of the following are required components of all DOT medical
examinations EXCEPT?
a. Vision
b. Hearing
c. Blood Pressure
d. Ophthalmoscopic examination - Correct Answer: Correct answer
is "D". There are four required components of every examination:
vision, hearing, blood pressure and urinalysis. Ophthalmoscopic
examination is not required but may be done if deemed necessary.
