NRCME exam ACTUAL QUESTIONS
AND CORRECT ANSWERS
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 do
what? - CORRECT ANSWERS Temporarily disqualify the driver until
he obtains written clearance for the depression and the medication from the
treating provider.
Can hearing aids be worn during the forced whisper test? - CORRECT
ANSWERS NO
A driver with a history of diabetes, who is taking Metformin, provides a note
from his primary care provider that lists his A1c level as 10. His exam is
essentially normal including laboratory analysis, except he is very overweight.
The medical examiner should: - CORRECT ANSWERS
A driver with a history of diabetes, who is taking Metformin, provides a note
from his primary care provider that lists his A1c level as 10. His exam is
essentially normal including laboratory analysis, except he is very overweight.
The medical examiner should: - CORRECT ANSWERS certify for 1
year
A driver has had his second spontaneous pneumothorax on the same side 3
months ago. There has been no surgical intervention. The FVC is 68%. The
correct determination in this case is: - CORRECT ANSWERS Do not
certify until the condition has been corrected surgically.
The driver reports a suicide attempt 6 months earlier, following the break-up of
his marriage. He noted seeing a psychiatrist and he takes Citalopram daily and
he reports he feels fine now and is moving on with his life. He provides a
release from his doctor that he may return to work without restrictions. The
medical examiner should? - CORRECT ANSWERS disqualify the driver
, A driver with an Abnormal Aortic Aneurysm (AAA) can be certified: -
CORRECT ANSWERS For 1 year if between 4 and 5 cm, asymptomatic,
with a recommendation from a cardiovascular specialist who understands the
functions and demands of commercial driving.
If a driver responds yes to the history section of the exam form, what details
must he include? - CORRECT ANSWERS 1. date of onset
2. diagnosis
3. PCP contact info
4. any limitations
5. medications including prescription, OTC and herbal supplements
Upon examination of a 46 year-old male smoker, you detect an irregularly
irregular heart rhythm. The rate is 140 bpm. This is unknown to the driver and
he denies any symptoms of lightheadedness, shortness of breath, dizziness,
palpitations, nor any cardiac history. You would: - CORRECT ANSWERS
Disqualify and refer to his PMD or cardiologist for further evaluation.
Which of the following best describes the length of time to certify a driver who
has non-insulin diabetes mellitus treated with oral medication and no other
medical issues? - CORRECT ANSWERS While such drivers may be
certified for 2 years, the FMCSA prefers that such drivers should have annual
re-certification examinations.
A driver was discharged from the hospital 10 weeks ago after an MI. He is
asymptomatic and has a note from the cardiologist that he had a satisfactory in
office ETT the week prior to your examination and that he may drive. His pre-
discharge ECHO shows an EF of 45%. His examination is normal. Your
determination: - CORRECT ANSWERS certify for 1 year because
waiting period is at least 2 months after MI, no sypmtoms, ETT pass, LVEF
greater than 40 and no ECG changes
AND CORRECT ANSWERS
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 do
what? - CORRECT ANSWERS Temporarily disqualify the driver until
he obtains written clearance for the depression and the medication from the
treating provider.
Can hearing aids be worn during the forced whisper test? - CORRECT
ANSWERS NO
A driver with a history of diabetes, who is taking Metformin, provides a note
from his primary care provider that lists his A1c level as 10. His exam is
essentially normal including laboratory analysis, except he is very overweight.
The medical examiner should: - CORRECT ANSWERS
A driver with a history of diabetes, who is taking Metformin, provides a note
from his primary care provider that lists his A1c level as 10. His exam is
essentially normal including laboratory analysis, except he is very overweight.
The medical examiner should: - CORRECT ANSWERS certify for 1
year
A driver has had his second spontaneous pneumothorax on the same side 3
months ago. There has been no surgical intervention. The FVC is 68%. The
correct determination in this case is: - CORRECT ANSWERS Do not
certify until the condition has been corrected surgically.
The driver reports a suicide attempt 6 months earlier, following the break-up of
his marriage. He noted seeing a psychiatrist and he takes Citalopram daily and
he reports he feels fine now and is moving on with his life. He provides a
release from his doctor that he may return to work without restrictions. The
medical examiner should? - CORRECT ANSWERS disqualify the driver
, A driver with an Abnormal Aortic Aneurysm (AAA) can be certified: -
CORRECT ANSWERS For 1 year if between 4 and 5 cm, asymptomatic,
with a recommendation from a cardiovascular specialist who understands the
functions and demands of commercial driving.
If a driver responds yes to the history section of the exam form, what details
must he include? - CORRECT ANSWERS 1. date of onset
2. diagnosis
3. PCP contact info
4. any limitations
5. medications including prescription, OTC and herbal supplements
Upon examination of a 46 year-old male smoker, you detect an irregularly
irregular heart rhythm. The rate is 140 bpm. This is unknown to the driver and
he denies any symptoms of lightheadedness, shortness of breath, dizziness,
palpitations, nor any cardiac history. You would: - CORRECT ANSWERS
Disqualify and refer to his PMD or cardiologist for further evaluation.
Which of the following best describes the length of time to certify a driver who
has non-insulin diabetes mellitus treated with oral medication and no other
medical issues? - CORRECT ANSWERS While such drivers may be
certified for 2 years, the FMCSA prefers that such drivers should have annual
re-certification examinations.
A driver was discharged from the hospital 10 weeks ago after an MI. He is
asymptomatic and has a note from the cardiologist that he had a satisfactory in
office ETT the week prior to your examination and that he may drive. His pre-
discharge ECHO shows an EF of 45%. His examination is normal. Your
determination: - CORRECT ANSWERS certify for 1 year because
waiting period is at least 2 months after MI, no sypmtoms, ETT pass, LVEF
greater than 40 and no ECG changes
