NRCME Exam Questions 2024-2025| 270 Real Exam
Questions and Correct Answers| Grade A+ Guaranteed
vision requirements CORRECT ANSWER✔✔ Distant vision 20/40 each eye
and 20/40 both eyes, Peripheral vision at least 70 degrees, Ability to
recognize and distinguish betwen the colors of traffic signals and devices.
If the driver presents a valid vision exemption, how long can he be certified?
CORRECT ANSWER✔✔ 1 year
The driver with a vision exemption must present what 2 things before
receiving the medical examiner's certificate. CORRECT ANSWER✔✔ Valid
vision exemption and copy of the specialist eye examination report.
When applying for a vision exemption, the driver should include a copy of
the Medical Examination Report form and the medical examiner's
certification with what marked?
CORRECT ANSWER✔✔ The "accompanied by" exemption checkbox and write
"vision" to identify the type of exemption.
If the driver is qualified by operation of 49 CFR 391.64 due to participation in
the vision study program, what must the driver present to qualify for
certification? CORRECT ANSWER✔✔ Letter identifying the driver as a
participant and copy of the specialist eye examination.
How long can a driver who is qualified by operation of 49 CFR 391.64 be
certified. CORRECT ANSWER✔✔ 1 year
,hearing requirements CORRECT ANSWER✔✔ Whisper at not less than 5 feet
in 1 ear, or average hearing loss no greater than 40 dB at 500Hz, 1000Hz,
2000 Hz in 1 ear.
What is the waiting period for vertigo caused by benign positional vertigo or
acute/chronic peripheral vestibulopathy? CORRECT ANSWER✔✔ 3 months
Name 4 otic conditions that are automatic disqualification CORRECT
ANSWER✔✔ Meniere's, uncontrolled vertigo, labyrinthine fistula,
nonfunctioning labyrinth
Apnea-hypopnea index of [blank] or more episodes per hour is diagnostic
of OSA CORRECT ANSWER✔✔ 30
3 requirements for a passing ETT CORRECT ANSWER✔✔ 1. increased SBP
of at least 20 without angina 2. workload capacity >6 METs
3. no significant ST depression
Examiners must retain records for how many years? CORRECT ANSWER✔✔ 3
Regulation that describes the physical qualifications of drivers. CORRECT
ANSWER✔✔ 49 CFR 391.41
,Regulation that describes the responsibilities of the medical examiner.
CORRECT ANSWER✔✔ 49 CFR 391.43
Regulation that describes the process for conflict resolution when there is a
disagreement between the primary care provider for the driver and the
medical examiner for the motor carrier concerning driving qualifications.
CORRECT ANSWER✔✔ 49 CFR 391.47
Regulation that describes the Skill Performance Evaluation (SPE) Certification
Program.
CORRECT ANSWER✔✔ 49 CFR 391.49
Regulation that describes limited exemptions for intra-city zone drivers.
CORRECT ANSWER✔✔ 49 CFR 391.62
Regulation that describes grandfathering for certain drivers who
participated in vision and diabetes waiver study programs. CORRECT
ANSWER✔✔ 49 CFR 391.64
Regulation that includes regulations for medical review officers and
substance abuse professionals, including drug and alcohol testing
procedures. CORRECT ANSWER✔✔ 49 CFR 40
Define Stage I Hypertension CORRECT ANSWER✔✔ BP greater than or equal to
140/90
, What is the maximum certification period for stage I hypertension if this is
the 1st examination at which the driver has BP equivalent to stage I
hypertension and has no history of hypertension? CORRECT ANSWER✔✔ 1
year
What is the maximum certification period for untreated known or
inadequately controlled stage I hypertension? CORRECT ANSWER✔✔ 3
months
What is the maximum certification period for blood pressure >140/90 and
the following: follow-up 3 months certificate or history of stage III
hypertension CORRECT ANSWER✔✔ None, driver is disqualified
Define Stage II hypertension. CORRECT ANSWER✔✔ BP is ≥ 160 to <180
SYSTOLIC, and is ≥100 to < 110 Diastolic
What is the maximum certification period for Stage II hypertension with blood
pressure
>140/90? CORRECT ANSWER✔✔ 3 months
What is the maximum certification period for Stage II hypertension with blood
pressure
</140/90? CORRECT ANSWER✔✔ 1 year
Define Stage III hypertension. CORRECT ANSWER✔✔ BP >180 Systolic and >
110 Diastolic
Questions and Correct Answers| Grade A+ Guaranteed
vision requirements CORRECT ANSWER✔✔ Distant vision 20/40 each eye
and 20/40 both eyes, Peripheral vision at least 70 degrees, Ability to
recognize and distinguish betwen the colors of traffic signals and devices.
If the driver presents a valid vision exemption, how long can he be certified?
CORRECT ANSWER✔✔ 1 year
The driver with a vision exemption must present what 2 things before
receiving the medical examiner's certificate. CORRECT ANSWER✔✔ Valid
vision exemption and copy of the specialist eye examination report.
When applying for a vision exemption, the driver should include a copy of
the Medical Examination Report form and the medical examiner's
certification with what marked?
CORRECT ANSWER✔✔ The "accompanied by" exemption checkbox and write
"vision" to identify the type of exemption.
If the driver is qualified by operation of 49 CFR 391.64 due to participation in
the vision study program, what must the driver present to qualify for
certification? CORRECT ANSWER✔✔ Letter identifying the driver as a
participant and copy of the specialist eye examination.
How long can a driver who is qualified by operation of 49 CFR 391.64 be
certified. CORRECT ANSWER✔✔ 1 year
,hearing requirements CORRECT ANSWER✔✔ Whisper at not less than 5 feet
in 1 ear, or average hearing loss no greater than 40 dB at 500Hz, 1000Hz,
2000 Hz in 1 ear.
What is the waiting period for vertigo caused by benign positional vertigo or
acute/chronic peripheral vestibulopathy? CORRECT ANSWER✔✔ 3 months
Name 4 otic conditions that are automatic disqualification CORRECT
ANSWER✔✔ Meniere's, uncontrolled vertigo, labyrinthine fistula,
nonfunctioning labyrinth
Apnea-hypopnea index of [blank] or more episodes per hour is diagnostic
of OSA CORRECT ANSWER✔✔ 30
3 requirements for a passing ETT CORRECT ANSWER✔✔ 1. increased SBP
of at least 20 without angina 2. workload capacity >6 METs
3. no significant ST depression
Examiners must retain records for how many years? CORRECT ANSWER✔✔ 3
Regulation that describes the physical qualifications of drivers. CORRECT
ANSWER✔✔ 49 CFR 391.41
,Regulation that describes the responsibilities of the medical examiner.
CORRECT ANSWER✔✔ 49 CFR 391.43
Regulation that describes the process for conflict resolution when there is a
disagreement between the primary care provider for the driver and the
medical examiner for the motor carrier concerning driving qualifications.
CORRECT ANSWER✔✔ 49 CFR 391.47
Regulation that describes the Skill Performance Evaluation (SPE) Certification
Program.
CORRECT ANSWER✔✔ 49 CFR 391.49
Regulation that describes limited exemptions for intra-city zone drivers.
CORRECT ANSWER✔✔ 49 CFR 391.62
Regulation that describes grandfathering for certain drivers who
participated in vision and diabetes waiver study programs. CORRECT
ANSWER✔✔ 49 CFR 391.64
Regulation that includes regulations for medical review officers and
substance abuse professionals, including drug and alcohol testing
procedures. CORRECT ANSWER✔✔ 49 CFR 40
Define Stage I Hypertension CORRECT ANSWER✔✔ BP greater than or equal to
140/90
, What is the maximum certification period for stage I hypertension if this is
the 1st examination at which the driver has BP equivalent to stage I
hypertension and has no history of hypertension? CORRECT ANSWER✔✔ 1
year
What is the maximum certification period for untreated known or
inadequately controlled stage I hypertension? CORRECT ANSWER✔✔ 3
months
What is the maximum certification period for blood pressure >140/90 and
the following: follow-up 3 months certificate or history of stage III
hypertension CORRECT ANSWER✔✔ None, driver is disqualified
Define Stage II hypertension. CORRECT ANSWER✔✔ BP is ≥ 160 to <180
SYSTOLIC, and is ≥100 to < 110 Diastolic
What is the maximum certification period for Stage II hypertension with blood
pressure
>140/90? CORRECT ANSWER✔✔ 3 months
What is the maximum certification period for Stage II hypertension with blood
pressure
</140/90? CORRECT ANSWER✔✔ 1 year
Define Stage III hypertension. CORRECT ANSWER✔✔ BP >180 Systolic and >
110 Diastolic
