NRCME NEWEST QUESTION BANK REVIEW
2024 .2025 WITH CORRECT ANSWERS
GRADED A+
Driver 6 weeks post-MI, has cardio cleared to return to work
without restrictions. ETT 12 METs, echo EF 65%. Examiner
should: -CORRECT ANSWER ✔️ temporarily disqualify driver
until driver meets waiting period of 2 months
driver is distant, lacks eye contact and shows absolutely no
emotional response during the exam. The examiner's best
response should be: -CORRECT ANSWER ✔️ disqualify and
refer to SAP prior to consideration (flat affect seen in severe
depression and schizophrenia)
A driver has a blood pressure of 136/92 mm Hg. This is what
stage of HTN? -CORRECT ANSWER ✔️ Stage I. BP 140-
159/*90-99*
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? -CORRECT ANSWER ✔️
,Temporarily disqualify the driver until he obtains written clearance
for the depression and the medication from the treating provider.
Medical clearance is required for all mental health disorders
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? -
CORRECT ANSWER ✔️ Disqualify the driver pending vision
exam to determine if meets peripheral vision requirements
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 -CORRECT ANSWER
✔️ Obtain medical clearance for the condition and the
medication
, 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.
Positive Babinski"reflex indicates what? What is examiner's next
step? -CORRECT ANSWER ✔️ indicative of abnormalities in the
motor control pathways leading from the cerebral cortex; obtain
clearance from a neurologist prior to reconsidering the driver for
certification
Epilepsy 14 years ago but stopped taking antiepileptic medication
on his own 11 years ago. Has not seen a neurologist nor a health
care provider in over 10 years and reports no seizures during this
period. The examiner should: -CORRECT ANSWER ✔️
Disqualify driver. Even though the driver reports exceeding the
10-year waiting period, it was not under medical supervision and
the driver discontinued medication use and treatment outside of
medical oversight.
Waiting period following MI -CORRECT ANSWER ✔️ 2 months
Waiting period following CABG -CORRECT ANSWER ✔️ 3
months
2024 .2025 WITH CORRECT ANSWERS
GRADED A+
Driver 6 weeks post-MI, has cardio cleared to return to work
without restrictions. ETT 12 METs, echo EF 65%. Examiner
should: -CORRECT ANSWER ✔️ temporarily disqualify driver
until driver meets waiting period of 2 months
driver is distant, lacks eye contact and shows absolutely no
emotional response during the exam. The examiner's best
response should be: -CORRECT ANSWER ✔️ disqualify and
refer to SAP prior to consideration (flat affect seen in severe
depression and schizophrenia)
A driver has a blood pressure of 136/92 mm Hg. This is what
stage of HTN? -CORRECT ANSWER ✔️ Stage I. BP 140-
159/*90-99*
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? -CORRECT ANSWER ✔️
,Temporarily disqualify the driver until he obtains written clearance
for the depression and the medication from the treating provider.
Medical clearance is required for all mental health disorders
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? -
CORRECT ANSWER ✔️ Disqualify the driver pending vision
exam to determine if meets peripheral vision requirements
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 -CORRECT ANSWER
✔️ Obtain medical clearance for the condition and the
medication
, 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.
Positive Babinski"reflex indicates what? What is examiner's next
step? -CORRECT ANSWER ✔️ indicative of abnormalities in the
motor control pathways leading from the cerebral cortex; obtain
clearance from a neurologist prior to reconsidering the driver for
certification
Epilepsy 14 years ago but stopped taking antiepileptic medication
on his own 11 years ago. Has not seen a neurologist nor a health
care provider in over 10 years and reports no seizures during this
period. The examiner should: -CORRECT ANSWER ✔️
Disqualify driver. Even though the driver reports exceeding the
10-year waiting period, it was not under medical supervision and
the driver discontinued medication use and treatment outside of
medical oversight.
Waiting period following MI -CORRECT ANSWER ✔️ 2 months
Waiting period following CABG -CORRECT ANSWER ✔️ 3
months
