NRCME Exam Questions Questions And
Answers With Verified Solutions Graded A+ Latest
Update 2025.
What minimum PaO2 level is necessary if the driver has an ABG due to a chronic respiratory disorder?
a. 70 mm Hg
b. 55 mm Hg
c. 60 mm Hg
d. 65 mm Hg - ANSWER d
A driver first perceives a whispered voice at 5 feet in his right ear and 4 feet in his left ear. All other
aspects of his physical examination are unremarkable. The examiner should:
a. Disqualify the driver because he "failed" the whispered voice test.
b. Certify the driver for 2 years.
c. Certify the driver for 1 year.
d. Require an audiometric test to determine the extent of hearing loss in his left ear. - ANSWER
b. only needs to be able to perceive a whispered voice from 5 feet in ONE ear
A driver reports for an examination 6 weeks after suffering a mild heart attack and presents a note from
his cardiologist stating that he is able to return to work immediately without restriction. Included within
the note, the cardiologist provides recent testing information showing that the driver had an ETT that
showed he was able to reach 12 METS during the test. His echocardiogram showed an ejection fraction of
65%. The examination of the driver is unremarkable. The examiner should:
a. Disqualify the driver.
b. Qualify the driver for 1 year.
c. Qualify the driver for 2 years.
d. Consult with the cardiologist to determine if the driver suffers from angina. - ANSWER a.
the driver has not waited the required 2 MONTHS of a waiting period
A driver provides an audiometric test documenting the following:
500 Hz: 35 Right ear; 40 Left ear
1000 HZ:40 Right ear; 45 Left ear 2000 HZ:40 Right ear; 45 Left ear
4000 Hz:50 Right ear; 50 Left ear
The medical examiner should:
,a. Disqualify the driver because he does not meet minimum hearing requirements to drive.
b. Certify the driver for 2 years.
c. Certify the driver for 1 year.
d. Require the driver to obtain a hearing exemption. - ANSWER b. average the results from
500, 1000, and 2000Hz. The average is 38.33 in the right and 43.33 in the left. Average hearing loss must
be less than or equal to 40 in the better ear (doesn't have to be met in both ears)
During the examination of a commercial driver, the examiner notices that the driver's peripheral vision is
70 degrees to the left and 80 degrees to the right. The examiner should:
a. Qualify the driver for 2 years.
b. Require the driver to obtain a vision exemption because of the limitation in the driver's
left peripheral field.
c. Disqualify the driver.
d. Have the driver consult with an Ophthalmologist to determine if the driver's peripheral vision
meets minimum standards. - ANSWER a.minimum of 70 degrees bilaterally
During examination, the medical examiner notices that the driver is distant, lacks eye contact and shows
absolutely no emotional response during the exam. The examiner's best response should be:
a. Provide the driver with a "CAGE" questionnaire to determine if he suffers from alcoholism.
b. Disqualify the driver and refer him to a mental health profession prior to consideration for certification.
c. Certify the driver with a 1-time, 3-month certificate to determine if there is any effect on the driver's
ability to drive a CMV.
d. Require a skill performance evaluation to ascertain if the driver has any limitations with driving. -
ANSWER b.
A driver admits to the use of marijuana for the treatment of his glaucoma, which is legal in theState in
which he lives. He provides medical documentation for the glaucoma indicating he isable to drive a truck.
He began using the marijuana about three months ago. His currentmedical card has no limitations listed
and is for 2 years. His certification examination is within normal limits. The medical examiner should:
a. Disqualify the driver.
b. Perform a urine drug collection and provide the release from the testingprovider.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years. - ANSWER a.
A driver has a blood pressure of 136/92 mm Hg. This is:
a. Within normal limits and would not affect the driver's certification.
b. Stage 1 Hypertension.
,c. Stage 2 Hypertension.
d. Stage 3 Hypertension. - ANSWER b
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?
a. Certify only after obtaining written clearance for the depression and the medication from the treating
provider
b. Certify the driver for a period of 1 year.
c. Certify the driver for a period of 2 years.
d. Disqualify the driver until he is no longer requiring medication for the treatment of depression. -
ANSWER a. medical clearance is recommended for all mental health disorders
For a driver with insulin-treated diabetes mellitus, the medical examiner can only accept Form MCSA-
5870 if it has been properly completed within the last:
a. 25 days.
b. 30 days.
c. 45 days
d. 60 days - ANSWER c
What minimum PaO2 level on an ABG performed for a chronic respiratory disorder is necessary to
certify a commercial driver?
a. 55 mm Hg.
b. 60 mm Hg.
c. 65 mm Hg.
d. 70 mm Hg. - ANSWER c
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?
a. Obtain medical clearance for the condition and the medication.
b. Disqualify the driver because he is taking an anti-seizure medication.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years. - ANSWER a
A 26 year-old driver presents for a first-time certification. He has a long-standing history of ADHD and is
taking methylphenidate. You have verified his diagnosis and obtained clearance from his treating
psychiatrist. As the certified examiner, you:
a. Should disqualify the driver, explaining that use of such stimulants is cause for disqualification.
, b. May certify for a maximum of 6 months.
c. May certify for a maximum of 12 months.
d. May certify for a maximum of 2 years. - ANSWER c
A driver has a blood pressure of 168/112 mm Hg confirmed during the examination. The driver should be:
a. Disqualified.
b. Certified for 6 months.
c. Certified for 1 year.
d. Certified for 2 years. - ANSWER a
For how long would a driver be certified if he is taking Micardis HCT for hypertension, and has a
confirmed blood pressure of 148/96 mm Hg at the time of the examination?
a. 3 months
b. 6 months
c. 1 year
d. 2 years - ANSWER a
During the examination a driver is found to have a positive "Babinski" reflex. The examiner should:
a. Certify the driver for 1 year.
b. Certify the driver for 2 years.
c. Council the driver to obtain an SPE.
d. Do not certify the driver until s/he has a neurological consultation. - ANSWER d
All of the following are required components of all DOT medical examinations EXCEPT?
a. Vision
b. Hearing
c. Blood Pressure
d. Ophthalmoscopic examination - ANSWER d
A driver reports in his history that he was treated for epilepsy 14 years ago but stopped taking anti-
epileptic medication on his own since his move to your area 11 years ago. He has not seen a neurologist
nor a health care provider in over 10 years and reports no seizures during this period. The examiner
should:
a. Request medical clearance, and if obtained the driver may be certified for 1 year.
b. Request medical clearance, and if obtained the driver may be certified for 2 years.
c. Refer the driver to the epilepsy/seizure exemption program.
Answers With Verified Solutions Graded A+ Latest
Update 2025.
What minimum PaO2 level is necessary if the driver has an ABG due to a chronic respiratory disorder?
a. 70 mm Hg
b. 55 mm Hg
c. 60 mm Hg
d. 65 mm Hg - ANSWER d
A driver first perceives a whispered voice at 5 feet in his right ear and 4 feet in his left ear. All other
aspects of his physical examination are unremarkable. The examiner should:
a. Disqualify the driver because he "failed" the whispered voice test.
b. Certify the driver for 2 years.
c. Certify the driver for 1 year.
d. Require an audiometric test to determine the extent of hearing loss in his left ear. - ANSWER
b. only needs to be able to perceive a whispered voice from 5 feet in ONE ear
A driver reports for an examination 6 weeks after suffering a mild heart attack and presents a note from
his cardiologist stating that he is able to return to work immediately without restriction. Included within
the note, the cardiologist provides recent testing information showing that the driver had an ETT that
showed he was able to reach 12 METS during the test. His echocardiogram showed an ejection fraction of
65%. The examination of the driver is unremarkable. The examiner should:
a. Disqualify the driver.
b. Qualify the driver for 1 year.
c. Qualify the driver for 2 years.
d. Consult with the cardiologist to determine if the driver suffers from angina. - ANSWER a.
the driver has not waited the required 2 MONTHS of a waiting period
A driver provides an audiometric test documenting the following:
500 Hz: 35 Right ear; 40 Left ear
1000 HZ:40 Right ear; 45 Left ear 2000 HZ:40 Right ear; 45 Left ear
4000 Hz:50 Right ear; 50 Left ear
The medical examiner should:
,a. Disqualify the driver because he does not meet minimum hearing requirements to drive.
b. Certify the driver for 2 years.
c. Certify the driver for 1 year.
d. Require the driver to obtain a hearing exemption. - ANSWER b. average the results from
500, 1000, and 2000Hz. The average is 38.33 in the right and 43.33 in the left. Average hearing loss must
be less than or equal to 40 in the better ear (doesn't have to be met in both ears)
During the examination of a commercial driver, the examiner notices that the driver's peripheral vision is
70 degrees to the left and 80 degrees to the right. The examiner should:
a. Qualify the driver for 2 years.
b. Require the driver to obtain a vision exemption because of the limitation in the driver's
left peripheral field.
c. Disqualify the driver.
d. Have the driver consult with an Ophthalmologist to determine if the driver's peripheral vision
meets minimum standards. - ANSWER a.minimum of 70 degrees bilaterally
During examination, the medical examiner notices that the driver is distant, lacks eye contact and shows
absolutely no emotional response during the exam. The examiner's best response should be:
a. Provide the driver with a "CAGE" questionnaire to determine if he suffers from alcoholism.
b. Disqualify the driver and refer him to a mental health profession prior to consideration for certification.
c. Certify the driver with a 1-time, 3-month certificate to determine if there is any effect on the driver's
ability to drive a CMV.
d. Require a skill performance evaluation to ascertain if the driver has any limitations with driving. -
ANSWER b.
A driver admits to the use of marijuana for the treatment of his glaucoma, which is legal in theState in
which he lives. He provides medical documentation for the glaucoma indicating he isable to drive a truck.
He began using the marijuana about three months ago. His currentmedical card has no limitations listed
and is for 2 years. His certification examination is within normal limits. The medical examiner should:
a. Disqualify the driver.
b. Perform a urine drug collection and provide the release from the testingprovider.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years. - ANSWER a.
A driver has a blood pressure of 136/92 mm Hg. This is:
a. Within normal limits and would not affect the driver's certification.
b. Stage 1 Hypertension.
,c. Stage 2 Hypertension.
d. Stage 3 Hypertension. - ANSWER b
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?
a. Certify only after obtaining written clearance for the depression and the medication from the treating
provider
b. Certify the driver for a period of 1 year.
c. Certify the driver for a period of 2 years.
d. Disqualify the driver until he is no longer requiring medication for the treatment of depression. -
ANSWER a. medical clearance is recommended for all mental health disorders
For a driver with insulin-treated diabetes mellitus, the medical examiner can only accept Form MCSA-
5870 if it has been properly completed within the last:
a. 25 days.
b. 30 days.
c. 45 days
d. 60 days - ANSWER c
What minimum PaO2 level on an ABG performed for a chronic respiratory disorder is necessary to
certify a commercial driver?
a. 55 mm Hg.
b. 60 mm Hg.
c. 65 mm Hg.
d. 70 mm Hg. - ANSWER c
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?
a. Obtain medical clearance for the condition and the medication.
b. Disqualify the driver because he is taking an anti-seizure medication.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years. - ANSWER a
A 26 year-old driver presents for a first-time certification. He has a long-standing history of ADHD and is
taking methylphenidate. You have verified his diagnosis and obtained clearance from his treating
psychiatrist. As the certified examiner, you:
a. Should disqualify the driver, explaining that use of such stimulants is cause for disqualification.
, b. May certify for a maximum of 6 months.
c. May certify for a maximum of 12 months.
d. May certify for a maximum of 2 years. - ANSWER c
A driver has a blood pressure of 168/112 mm Hg confirmed during the examination. The driver should be:
a. Disqualified.
b. Certified for 6 months.
c. Certified for 1 year.
d. Certified for 2 years. - ANSWER a
For how long would a driver be certified if he is taking Micardis HCT for hypertension, and has a
confirmed blood pressure of 148/96 mm Hg at the time of the examination?
a. 3 months
b. 6 months
c. 1 year
d. 2 years - ANSWER a
During the examination a driver is found to have a positive "Babinski" reflex. The examiner should:
a. Certify the driver for 1 year.
b. Certify the driver for 2 years.
c. Council the driver to obtain an SPE.
d. Do not certify the driver until s/he has a neurological consultation. - ANSWER d
All of the following are required components of all DOT medical examinations EXCEPT?
a. Vision
b. Hearing
c. Blood Pressure
d. Ophthalmoscopic examination - ANSWER d
A driver reports in his history that he was treated for epilepsy 14 years ago but stopped taking anti-
epileptic medication on his own since his move to your area 11 years ago. He has not seen a neurologist
nor a health care provider in over 10 years and reports no seizures during this period. The examiner
should:
a. Request medical clearance, and if obtained the driver may be certified for 1 year.
b. Request medical clearance, and if obtained the driver may be certified for 2 years.
c. Refer the driver to the epilepsy/seizure exemption program.
