NRCME Questions And Answers With Verified
Solutions Graded A+ Latest Update 2025.
Def CMV - ANSWER Wt =/> 10,001
> 8 passengers if for hire
> 15 passengers (any)
Non-discretionary conditions - ANSWER MUST follow regulation standards and disqualify:
Hearing
Vision
Epilepsy
Form MCSA-5850 - ANSWER To maintain certification, the examiner must submit monthly
with the following for all drivers examined for the month
- CMV driver's Name
- Date of birth
- Driver's license number and state
- Date of examination
- Indication of examination outcome
- Whether intrastate driver only
Recert/refresher how often? - ANSWER Refresher every 5 years
Recertifcation test every 10
Who publishes guidelines? - ANSWER FMCSA
Parameters tested in UA - ANSWER SG, glucose, pro, blood
What's being determined by examination? - ANSWER Whether the CMV driver has a fixed
deficit that interferes with safe driving or a condition that may cause sudden death or incapacitation.
When is fitness for duty exam performed outside of expiration of current certification and who decides it
needs to be done? - ANSWER A driver whose ability to perform his/her normal duties has been
impaired by a physical or mental injury or disease (391.45). The carrier decides if the driver's illness was
severe enough to require recertification
The only condition for which formal medical exemption is available - ANSWER Monocular
vision
,How long must the examiner retain copies of the examination form and card. - ANSWER 3
years
When can Medical Examination Report form be revised - ANSWER CANNOT be revised after
final determination or after the examination has been in "determination pending" status for more than 45
days.
Medical conditions for which a certification interval has been recommended - ANSWER
Hypertension
Heart disease
(both one year-considered best practice)
MAY disqualify drive if: - ANSWER Does not meet medical guideline recommendation
Does not meet FMCSA Medical Advisory Criteria Recommendations
Uncertain or unknown clinical course (Disqualify or limit certification until information obtained)
Unable to follow up and condition may disqualify
Until additional evaluation is completed
Can the examiner give the driver's medical examination report to the employer - ANSWER Yes,
with the driver's consent
What should the examiner comment on? - ANSWER All findings, even if not disqualifying
Vision standard - ANSWER At least 20/40 (Snellen) in each eye and together
Field of vision of 70 degrees in horizontal meridian
Eye exam should include - ANSWER -Pupillary equality
-Reaction to light and accommodation
-Ocular motility
-Ocular muscle imbalance
-Extraocular movements
-Nystagmus
-Exophthalmos
Conditions that could require ophthalmology evaluation - ANSWER Retinopathy
Cataracts
Aphakia
Glaucoma
Macular degeneration
, Disqualifying forms of vision correction - ANSWER Monovision contacts (one eye corrected
for near, one eye for far)
Telescopic lenses to compensate for loss of central vision
Monocular vision WAIVER - ANSWER Drivers who participated in study grandfathered, as
long as they meet other medical requirements. Must be seen by opthalmologist annually and present
waiver letter
Federal Vision Exemption Program - ANSWER Driver sees medical examiner first and is
cleared for other medical conditions, then takes examination form and certificate to ophthalmologist.
After eye exam, driver sends paperwork including ophthalmologists report to FMCSA, who grants
exemption. Driver must carry vision exemption and certificate card.
Vision exemption maximum recertification - ANSWER 1 year
Hearing standards - ANSWER Forced whisper at 5 feet, or
Average hearing loss not greater than 40 dB at 500, 1000 and 2000 Hz
Health history questions related to hearing loss - ANSWER Ear disorders
Loss of hearing
Loss of balance
Dizziness
Tinnitus
Menieres
Cochlear implant
Standard used for audiometry - ANSWER ANSI
Exemption for hearing impairment - ANSWER Issued by FMCSA on defacto basis
Mark "Valid only with exemption" and write "hearing" in the space
Certification recommendation for acute/chronic peripheral vestibulopathy or benign positional vertigo -
ANSWER 2 month symptom free waiting period
Certification recommendation for uncontrolled vertigo, meniere's disease, labyrinthine fistula or
nonfunctioning labyrinthes - ANSWER do not certify
Ear exam findings that should be documented - ANSWER Scarring of the tympanic membrane
Occlusion of the external canal
Perforated eardrums
How forced whisper test is performed - ANSWER Examiner stands at examinee's side five feet
away. Examinee covers other ear. EAt the end of exhalation, whispers a series of words, numbers or
colors.
Solutions Graded A+ Latest Update 2025.
Def CMV - ANSWER Wt =/> 10,001
> 8 passengers if for hire
> 15 passengers (any)
Non-discretionary conditions - ANSWER MUST follow regulation standards and disqualify:
Hearing
Vision
Epilepsy
Form MCSA-5850 - ANSWER To maintain certification, the examiner must submit monthly
with the following for all drivers examined for the month
- CMV driver's Name
- Date of birth
- Driver's license number and state
- Date of examination
- Indication of examination outcome
- Whether intrastate driver only
Recert/refresher how often? - ANSWER Refresher every 5 years
Recertifcation test every 10
Who publishes guidelines? - ANSWER FMCSA
Parameters tested in UA - ANSWER SG, glucose, pro, blood
What's being determined by examination? - ANSWER Whether the CMV driver has a fixed
deficit that interferes with safe driving or a condition that may cause sudden death or incapacitation.
When is fitness for duty exam performed outside of expiration of current certification and who decides it
needs to be done? - ANSWER A driver whose ability to perform his/her normal duties has been
impaired by a physical or mental injury or disease (391.45). The carrier decides if the driver's illness was
severe enough to require recertification
The only condition for which formal medical exemption is available - ANSWER Monocular
vision
,How long must the examiner retain copies of the examination form and card. - ANSWER 3
years
When can Medical Examination Report form be revised - ANSWER CANNOT be revised after
final determination or after the examination has been in "determination pending" status for more than 45
days.
Medical conditions for which a certification interval has been recommended - ANSWER
Hypertension
Heart disease
(both one year-considered best practice)
MAY disqualify drive if: - ANSWER Does not meet medical guideline recommendation
Does not meet FMCSA Medical Advisory Criteria Recommendations
Uncertain or unknown clinical course (Disqualify or limit certification until information obtained)
Unable to follow up and condition may disqualify
Until additional evaluation is completed
Can the examiner give the driver's medical examination report to the employer - ANSWER Yes,
with the driver's consent
What should the examiner comment on? - ANSWER All findings, even if not disqualifying
Vision standard - ANSWER At least 20/40 (Snellen) in each eye and together
Field of vision of 70 degrees in horizontal meridian
Eye exam should include - ANSWER -Pupillary equality
-Reaction to light and accommodation
-Ocular motility
-Ocular muscle imbalance
-Extraocular movements
-Nystagmus
-Exophthalmos
Conditions that could require ophthalmology evaluation - ANSWER Retinopathy
Cataracts
Aphakia
Glaucoma
Macular degeneration
, Disqualifying forms of vision correction - ANSWER Monovision contacts (one eye corrected
for near, one eye for far)
Telescopic lenses to compensate for loss of central vision
Monocular vision WAIVER - ANSWER Drivers who participated in study grandfathered, as
long as they meet other medical requirements. Must be seen by opthalmologist annually and present
waiver letter
Federal Vision Exemption Program - ANSWER Driver sees medical examiner first and is
cleared for other medical conditions, then takes examination form and certificate to ophthalmologist.
After eye exam, driver sends paperwork including ophthalmologists report to FMCSA, who grants
exemption. Driver must carry vision exemption and certificate card.
Vision exemption maximum recertification - ANSWER 1 year
Hearing standards - ANSWER Forced whisper at 5 feet, or
Average hearing loss not greater than 40 dB at 500, 1000 and 2000 Hz
Health history questions related to hearing loss - ANSWER Ear disorders
Loss of hearing
Loss of balance
Dizziness
Tinnitus
Menieres
Cochlear implant
Standard used for audiometry - ANSWER ANSI
Exemption for hearing impairment - ANSWER Issued by FMCSA on defacto basis
Mark "Valid only with exemption" and write "hearing" in the space
Certification recommendation for acute/chronic peripheral vestibulopathy or benign positional vertigo -
ANSWER 2 month symptom free waiting period
Certification recommendation for uncontrolled vertigo, meniere's disease, labyrinthine fistula or
nonfunctioning labyrinthes - ANSWER do not certify
Ear exam findings that should be documented - ANSWER Scarring of the tympanic membrane
Occlusion of the external canal
Perforated eardrums
How forced whisper test is performed - ANSWER Examiner stands at examinee's side five feet
away. Examinee covers other ear. EAt the end of exhalation, whispers a series of words, numbers or
colors.
