NRCME DOT SAFETY AND COMPLIANCE
REVIEW QUESTIONS WITH COMPLETE
SOLUTION GUIDE
●● 2. A driver presents with history of an isolated TIA 6 months ago. He
has a return to work letter from his primary care
provider (PCP) and neurologist. He is taking and tolerating well
hydrochlorothiazide and simvastatin. All other aspects of
the exam and history were normal. What should the medical examiner
do next?
A. Certify driver for 1 year
B. Disqualify driver for now
C. Certify driver for 3 months
D. Certify driver for 2 years
Answer: B
●● 3. FMCSA regulates interstate commercial operation including the:
A. Driver
B. Vehicle
C. Motor Carrier
D. All of above
Answer: D
,●● 4. During the CMV exam a driver perceived a whispered voice at 5
feet in his left year and 4 feet in his right year. Exam
was otherwise normal. What do you do as the medical examiner?
A. Required audiometric test to determine the extent of hearing loss in
left ear
B. Certify driver for 2 years
C. Certify driver for 1 year
D. Disqualify driver
Answer: B
●● 5. Which of the following is an assessment of L4 nerve root
pathology?
A. Plantar flexion
B. Patellar reflex
C. Hip extension
D. Babinski reflex
Answer: B
●● 6. A driver presents for medical exam and reports being a smoker
and having frequent shortness of breath. What do
you do next?
A. Order an ECG
,B. Refer to a pulmonologist
C. Order a spirometer test
D. Provide 1 year certification
Answer: C
●● 7. According to regulation, which of the following must be evaluated
as part of the eye exam?
A. Pupil reaction
B. Iris symmetry
C. Conjunctiva injection
D. Tonometry pressure
Answer: A
●● 8. Continued certification of NRCE Medical Examiners requires all
EXCEPT which of the following?
A. Periodic training at least every five years
B. Completion of recertification test every five years
C. Completion of certification test every 10 years
D. Electronic transmission to FMCSA CMV Medical Examination
Results at least monthly
Answer: B
, ●● 9. A driver presents for recertification. The only condition he lists is
GERD, for which he takes OTC omeprazole. He
says that when he is driving and eating fast foods, he is more likely to
have heartburn than when off‐duty. You should:
A. Request recent UGI results
B. Correlate history with abdominal exam
C. Certify for one year with restricted diet
D. Discuss alternative employment
Answer: B
●● 10. Which of the following findings is disqualifying?
A. Oxygen saturation 90%
B. LVEF 40%
C. FEV 68% predicted
D. All of the above
Answer: A
●● 11. The driver presents for recertification and submits an ultrasound
report indicating an abdominal aortic aneurysm
from two months ago, shortly before he had surgical correction. He has
surgical clearance and says he is doing well, has
no symptoms. You should:
A. Certify for 1 year
REVIEW QUESTIONS WITH COMPLETE
SOLUTION GUIDE
●● 2. A driver presents with history of an isolated TIA 6 months ago. He
has a return to work letter from his primary care
provider (PCP) and neurologist. He is taking and tolerating well
hydrochlorothiazide and simvastatin. All other aspects of
the exam and history were normal. What should the medical examiner
do next?
A. Certify driver for 1 year
B. Disqualify driver for now
C. Certify driver for 3 months
D. Certify driver for 2 years
Answer: B
●● 3. FMCSA regulates interstate commercial operation including the:
A. Driver
B. Vehicle
C. Motor Carrier
D. All of above
Answer: D
,●● 4. During the CMV exam a driver perceived a whispered voice at 5
feet in his left year and 4 feet in his right year. Exam
was otherwise normal. What do you do as the medical examiner?
A. Required audiometric test to determine the extent of hearing loss in
left ear
B. Certify driver for 2 years
C. Certify driver for 1 year
D. Disqualify driver
Answer: B
●● 5. Which of the following is an assessment of L4 nerve root
pathology?
A. Plantar flexion
B. Patellar reflex
C. Hip extension
D. Babinski reflex
Answer: B
●● 6. A driver presents for medical exam and reports being a smoker
and having frequent shortness of breath. What do
you do next?
A. Order an ECG
,B. Refer to a pulmonologist
C. Order a spirometer test
D. Provide 1 year certification
Answer: C
●● 7. According to regulation, which of the following must be evaluated
as part of the eye exam?
A. Pupil reaction
B. Iris symmetry
C. Conjunctiva injection
D. Tonometry pressure
Answer: A
●● 8. Continued certification of NRCE Medical Examiners requires all
EXCEPT which of the following?
A. Periodic training at least every five years
B. Completion of recertification test every five years
C. Completion of certification test every 10 years
D. Electronic transmission to FMCSA CMV Medical Examination
Results at least monthly
Answer: B
, ●● 9. A driver presents for recertification. The only condition he lists is
GERD, for which he takes OTC omeprazole. He
says that when he is driving and eating fast foods, he is more likely to
have heartburn than when off‐duty. You should:
A. Request recent UGI results
B. Correlate history with abdominal exam
C. Certify for one year with restricted diet
D. Discuss alternative employment
Answer: B
●● 10. Which of the following findings is disqualifying?
A. Oxygen saturation 90%
B. LVEF 40%
C. FEV 68% predicted
D. All of the above
Answer: A
●● 11. The driver presents for recertification and submits an ultrasound
report indicating an abdominal aortic aneurysm
from two months ago, shortly before he had surgical correction. He has
surgical clearance and says he is doing well, has
no symptoms. You should:
A. Certify for 1 year
