NRCME CERTIFICATION EXAM LATEST
ACTUAL EXAM QUESTIONS AND
DETAILED CORRECT ANSWERS WITH
RATIONALES | A+ GRADE 2025
A driver with monocular vision who has been granted a
federal vision exemption or who is qualified by operation of
49CFR391.64 must have a physical examination every
________________________?
A) Six months
B) Year
C) Two years
D) Within six onths of the date of renewal of the vision
exemption Correct Answer B) Although a federal vision
exemption is usually granted for two years, the driver
must be examined annually.
To pass the interstate CMV driver vision exam, a visual
acuity of ___________________ corrected or I corrected
is required.
A) 20/20 in each eye individually and both eye combined
B) 20/40 in each eye individually and both eyes combined
C) 20/20 in at least one eye
D) 20/40 in at least one eye Correct Answer B)
Monocular vision is disqualifying. Drivers must be
able to see at least 20/40 in each eye and both eyes
combined.
,What eye conditions must the medical examiner ask the
driver about?
A) Cataracts, color deficiencies, retinitis pigmentosa,
aphasia, glaucoma
B) Lazy eye, cataracts, aphasia, floaters, retinopathy
C) Glaucoma, macular degeneration, retinitis pigmentosa,
color deficiencies
D) Retinopathy, cataracts, aphasia, glaucoma, macular
degeneration Correct Answer D) These "ask about" eye
conditions require referral to an eye specialist if the
driver indicates a history of these conditions
FMCSA vision testing standards require field of vision of at
least _______ in the horizontal meridian of
_____________ eye (s).
A) 50, one
B) 70, both
C) 85, one
D) 85, both Correct Answer B) Field of vision should be
performed on both eyes, and adequate field of vision
of at least 70 degrees in each eye must be
demonstrated
Certification of vision testing results may be performed by
any of the following except:
A) An ophthalmologist
B) The medical examiner
C) Automated vision testing equipment
D) An optometrist Correct Answer C) The FMCSA allows
the medical examiner, an ophthalmologist, or an
,optometrist to perform and certify vision testing
results.
The driver requiring vision correction may be certified for
up to
A) Six months
B) One year
C) Two years
D) Five years Correct Answer C) Drivers requiring vision
correction may be certified for up to two years.
A driver may use telescopic lenses that redirect peripheral
vision to compensate for loss of central vision as
corrective lenses for meeting CMV qualification
requirements
A) True
B) False Correct Answer B) Use of such lenses is
prohibited
Required vision testing does not include:
A) Distance visual acuity
B) Near visual acuity
C) Peripheral horizontal visual fields
D) Color Correct Answer B) Near vision testing is not
required.
Conditions which are usually disqualifying, but which
qualification can be considered ona case-by-case basis
include:
1) Autonomic neuropathy
2) Congenital myopathy
, 3) Neuromuscular disorders
4) Carpal tunnel syndrome
A) 1, 2, and 3 only
B) 1 and 3 only
C) 2 and 4 only
D) 4 only
E) all of the above Correct Answer A) Carpal tunnel
syndrome is not usually disqualifying
Only ___________________ can grant drivers a Skill
Performance Evaluation (SPE) certificate
A) The FMCSA
B) The Department of Transportation
C) A certified medical examiner
D) A physiatrist or orthopedic specialist Correct Answer A)
Only the FMCSA can grant waivers/exemptions and SPE
certificates
The maximum certification period for Skill Performance
Evaluation (SPE) certificate is ____________
A) six months
B) one year
C) two years
D) determined on a case-by-case basis Correct Answer C)
A SPE certificate is granted for a maximum of two years
A driver presents for clearance to return to driving a CMV
four weeks after arthroscopic carpal tunnel repair to his left
hand. The certification decision should be:
ACTUAL EXAM QUESTIONS AND
DETAILED CORRECT ANSWERS WITH
RATIONALES | A+ GRADE 2025
A driver with monocular vision who has been granted a
federal vision exemption or who is qualified by operation of
49CFR391.64 must have a physical examination every
________________________?
A) Six months
B) Year
C) Two years
D) Within six onths of the date of renewal of the vision
exemption Correct Answer B) Although a federal vision
exemption is usually granted for two years, the driver
must be examined annually.
To pass the interstate CMV driver vision exam, a visual
acuity of ___________________ corrected or I corrected
is required.
A) 20/20 in each eye individually and both eye combined
B) 20/40 in each eye individually and both eyes combined
C) 20/20 in at least one eye
D) 20/40 in at least one eye Correct Answer B)
Monocular vision is disqualifying. Drivers must be
able to see at least 20/40 in each eye and both eyes
combined.
,What eye conditions must the medical examiner ask the
driver about?
A) Cataracts, color deficiencies, retinitis pigmentosa,
aphasia, glaucoma
B) Lazy eye, cataracts, aphasia, floaters, retinopathy
C) Glaucoma, macular degeneration, retinitis pigmentosa,
color deficiencies
D) Retinopathy, cataracts, aphasia, glaucoma, macular
degeneration Correct Answer D) These "ask about" eye
conditions require referral to an eye specialist if the
driver indicates a history of these conditions
FMCSA vision testing standards require field of vision of at
least _______ in the horizontal meridian of
_____________ eye (s).
A) 50, one
B) 70, both
C) 85, one
D) 85, both Correct Answer B) Field of vision should be
performed on both eyes, and adequate field of vision
of at least 70 degrees in each eye must be
demonstrated
Certification of vision testing results may be performed by
any of the following except:
A) An ophthalmologist
B) The medical examiner
C) Automated vision testing equipment
D) An optometrist Correct Answer C) The FMCSA allows
the medical examiner, an ophthalmologist, or an
,optometrist to perform and certify vision testing
results.
The driver requiring vision correction may be certified for
up to
A) Six months
B) One year
C) Two years
D) Five years Correct Answer C) Drivers requiring vision
correction may be certified for up to two years.
A driver may use telescopic lenses that redirect peripheral
vision to compensate for loss of central vision as
corrective lenses for meeting CMV qualification
requirements
A) True
B) False Correct Answer B) Use of such lenses is
prohibited
Required vision testing does not include:
A) Distance visual acuity
B) Near visual acuity
C) Peripheral horizontal visual fields
D) Color Correct Answer B) Near vision testing is not
required.
Conditions which are usually disqualifying, but which
qualification can be considered ona case-by-case basis
include:
1) Autonomic neuropathy
2) Congenital myopathy
, 3) Neuromuscular disorders
4) Carpal tunnel syndrome
A) 1, 2, and 3 only
B) 1 and 3 only
C) 2 and 4 only
D) 4 only
E) all of the above Correct Answer A) Carpal tunnel
syndrome is not usually disqualifying
Only ___________________ can grant drivers a Skill
Performance Evaluation (SPE) certificate
A) The FMCSA
B) The Department of Transportation
C) A certified medical examiner
D) A physiatrist or orthopedic specialist Correct Answer A)
Only the FMCSA can grant waivers/exemptions and SPE
certificates
The maximum certification period for Skill Performance
Evaluation (SPE) certificate is ____________
A) six months
B) one year
C) two years
D) determined on a case-by-case basis Correct Answer C)
A SPE certificate is granted for a maximum of two years
A driver presents for clearance to return to driving a CMV
four weeks after arthroscopic carpal tunnel repair to his left
hand. The certification decision should be:
