1
NRCME Test Bank Questions with
Correct Answers Latest 2025-2026.
Graded A
A diabetes exemption may be issued by:
A) An endocrinologist
B) The Medical Examiner
C) The driver's personal physician
D) The FMCSA - ANSD) Only the FMCSA can grant exemptions
A driver experienced a pneumothorax four weeks ago. The pneumothorax
reduced the driver's forced vital capacity (FVC) to 58% of predicted forced
vital capacity. What should the certification decision be?
A) Do no certify
B) Certify for 3 months, pending driver follow up with personal physician
and/or specialist
C) Certify for one year
D) Certify for 2 years - ANSA) The driver may not be certified until FVC is
>60% of predicted
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 - ANSB) Use of such lenses is prohibited
1
, 2
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:
A) The driver must complete a two-month waiting period for carpal tunnel
surgery
B) The driver may be certified if he completes a functional capacity
evaluation
C) The driver may be certified for a maximum of one year, as long as he
meets all the other qualification standards
D) The driver may be certified for a maximum of two years, as long s he
meets all the other qualification standards - ANSD) Ther is no waiting
period following carpal tunnel surgery. The driver may be certified for up to
two years if the medical examiner considers the driver to have recovered
sufficiently from surgery
A driver presents for examination with a history of pneumothorax 6 weeks
ago. Available medical records indicate that this is the second spontaneous
pneumothorax on the same side. The driver's forced vital capacity (FVC) is
68% of predicted forced vital capacity with no surgical intervention. What is
the certification determination?
A). Do not certify
B) Certify for 3 months, pending driver follow up with personal physician
and/or specialist
C) Certify for one year
2
, 3
D) Certify for 2 years - ANSA) A driver with a history of two or more
spontaneous pneumothoraxes on the same side must undergo surgical
treatment to prevent recurrence prior to certification.
A driver previously diagnosed and treated for hypertension presents on
April 4, 2014 with blood pressure of 150/84. The driver is given a three-
month certification until July 4, 2014. At follow-up two months later, on June
4, 2014, a complete driver examination is performed, and the driver's blood
pressure is 124/74. The driver should be certified for
_______________________.
A) Three months until September 4, 2014
B) One year until April 4, 2015
C) One year until June 4, 2015
D) Two years until April 4, 2016 - ANSWhich of the following is true with
respect to drivers with psychological disorders?
A) With some exceptions (e.g. schizophrenia), exclusion from CMV driving
is not based solely on diagnosis.
B) Recommendations related to effects and/or side effects of medication
use the degree of impairment produced by a 0.08 percent blood alcohol
concentration as a benchmark.
C) Medical examiners may not request medical records related to treatment
of psychological disorders due to HIPAA regulation.
D) Treatment with antipsychotic medications is disqualifying
A) The degree of of impairment produced by a 0.04 percent blood alcohol
level is considered the impairment benchmark by the FMCSA. HIPAA
regulations do not preclude a medical examiner from requesting records
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related to treatment of psychological disorders. The medical examiner
requesting such records should have the driver sign a HIPAA-compliant
consent form for the release of such records. Treatment with antipsychotic
medications is not in and of itself disqualifying, although the underlying
diagnosis for which such medications are used may be disqualifying.
A driver takes Benadryl 25 mg, 2 to 3 times per day, to treat nasal
congestion. The medical examiner should:
A) Advised the driver to use diphenhydramine nor more than twice daily
B) Advise the driver to consult with PCP to evaluate chronic congestion and
obtain treatment that does not interfere with safe driving
C) Prescribe a non-sedating inhaler
D) Contact DOT to advise of a safety concern - ANSB) Drivers should be
advised to follow up with their treating physicians to obtain treatments that
are not sedating
A driver taking methadone for substance abuse treatment may be certified
for three months.
A) True
B) False - ANSB) False, methadone is disqualifying
A driver treated for hypertension presents on September 8, 2012 with a
blood pressure of 142/96. The driver is given a three-month certification
until December 8, 2012. On blood pressure check one month later, on
October 14, 2012, the driver's blood pressure is 144/72. The driver should
be certified for __________________.
A) Do not certify
4
NRCME Test Bank Questions with
Correct Answers Latest 2025-2026.
Graded A
A diabetes exemption may be issued by:
A) An endocrinologist
B) The Medical Examiner
C) The driver's personal physician
D) The FMCSA - ANSD) Only the FMCSA can grant exemptions
A driver experienced a pneumothorax four weeks ago. The pneumothorax
reduced the driver's forced vital capacity (FVC) to 58% of predicted forced
vital capacity. What should the certification decision be?
A) Do no certify
B) Certify for 3 months, pending driver follow up with personal physician
and/or specialist
C) Certify for one year
D) Certify for 2 years - ANSA) The driver may not be certified until FVC is
>60% of predicted
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 - ANSB) Use of such lenses is prohibited
1
, 2
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:
A) The driver must complete a two-month waiting period for carpal tunnel
surgery
B) The driver may be certified if he completes a functional capacity
evaluation
C) The driver may be certified for a maximum of one year, as long as he
meets all the other qualification standards
D) The driver may be certified for a maximum of two years, as long s he
meets all the other qualification standards - ANSD) Ther is no waiting
period following carpal tunnel surgery. The driver may be certified for up to
two years if the medical examiner considers the driver to have recovered
sufficiently from surgery
A driver presents for examination with a history of pneumothorax 6 weeks
ago. Available medical records indicate that this is the second spontaneous
pneumothorax on the same side. The driver's forced vital capacity (FVC) is
68% of predicted forced vital capacity with no surgical intervention. What is
the certification determination?
A). Do not certify
B) Certify for 3 months, pending driver follow up with personal physician
and/or specialist
C) Certify for one year
2
, 3
D) Certify for 2 years - ANSA) A driver with a history of two or more
spontaneous pneumothoraxes on the same side must undergo surgical
treatment to prevent recurrence prior to certification.
A driver previously diagnosed and treated for hypertension presents on
April 4, 2014 with blood pressure of 150/84. The driver is given a three-
month certification until July 4, 2014. At follow-up two months later, on June
4, 2014, a complete driver examination is performed, and the driver's blood
pressure is 124/74. The driver should be certified for
_______________________.
A) Three months until September 4, 2014
B) One year until April 4, 2015
C) One year until June 4, 2015
D) Two years until April 4, 2016 - ANSWhich of the following is true with
respect to drivers with psychological disorders?
A) With some exceptions (e.g. schizophrenia), exclusion from CMV driving
is not based solely on diagnosis.
B) Recommendations related to effects and/or side effects of medication
use the degree of impairment produced by a 0.08 percent blood alcohol
concentration as a benchmark.
C) Medical examiners may not request medical records related to treatment
of psychological disorders due to HIPAA regulation.
D) Treatment with antipsychotic medications is disqualifying
A) The degree of of impairment produced by a 0.04 percent blood alcohol
level is considered the impairment benchmark by the FMCSA. HIPAA
regulations do not preclude a medical examiner from requesting records
3
, 4
related to treatment of psychological disorders. The medical examiner
requesting such records should have the driver sign a HIPAA-compliant
consent form for the release of such records. Treatment with antipsychotic
medications is not in and of itself disqualifying, although the underlying
diagnosis for which such medications are used may be disqualifying.
A driver takes Benadryl 25 mg, 2 to 3 times per day, to treat nasal
congestion. The medical examiner should:
A) Advised the driver to use diphenhydramine nor more than twice daily
B) Advise the driver to consult with PCP to evaluate chronic congestion and
obtain treatment that does not interfere with safe driving
C) Prescribe a non-sedating inhaler
D) Contact DOT to advise of a safety concern - ANSB) Drivers should be
advised to follow up with their treating physicians to obtain treatments that
are not sedating
A driver taking methadone for substance abuse treatment may be certified
for three months.
A) True
B) False - ANSB) False, methadone is disqualifying
A driver treated for hypertension presents on September 8, 2012 with a
blood pressure of 142/96. The driver is given a three-month certification
until December 8, 2012. On blood pressure check one month later, on
October 14, 2012, the driver's blood pressure is 144/72. The driver should
be certified for __________________.
A) Do not certify
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