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“NRCME EXAM QUESTIONS AND ANSWERS
VERIFIED BY EXPERTS 2026 ”LATEST EXAM
2026 – 2027 SOLVED QUESTIONS & ANSWERS
VERIFIED 100% GRADED A+ (LATEST VERSION)
WELL REVISED 100% GUARANTEE PASS
NRCME Test Bank Questions
Which of the following is a criterion for certification after a myocardial
infarction?
a. EKG showing no signs of ischemia
b. Echocardiogram showing an EF >= 40%.
c. ETT showing 85% of maximum predicted HR.
d. All of the above.
d
A driver presents for initial certification. His blood pressure is 180/102 mm Hg
treated with amlodipine 5 mg daily. Which of the following best represents the
medical examiner's BP staging and certification decision?
a. Stage II hypertension, certify x 3 months
b. Stage III hypertension, disqualify
c. Stage III hypertension, certify x 6 months
d. Stage II hypertension, certify x 1 year
b
A driver reports that he was hospitalized recently for palpitations. He states he
was diagnosed with atrial fibrillation, and was put on warfarin therapy. Which
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of the following is the correct certification criteria for atrial fibrillation?
a. Waiting time: 1 month, inr monthly, certify x 1 yer
b. Waiting time: 1 week, inr monthly, certify x 2 years
c. Waiting time: none, inr annually, certify x 6 months
d. Waiting time: 1 year, inr weekly, certify x 1 year
a
A driver presents for certification. She reports that she was hospitalized
recently for chest pain. She states she was diagnosed with a myocardial
infarction, and subsequently underwent left coronary artery balloon
angioplasty. She was put on Xarelto. Which of the following best represents
certification decision for this driver?
a. Waiting time: 2 months, inr none, certify x 2 yers
b. Waiting time: 1 week, inr none, certify x 1 year
c. Waiting time: 2 months, inr none, certify x 1 year
d. Waiting time: I year. inr monthly, certify x 2 years
c
The driver presents for re-certification. He admits a cerebellar stroke 2 years
ago that has resolved without any residual deficits. He presents clearance
from his neurologist, and he is on no anti-seizure or stroke medication. He is
otherwise medically fit. What is the certification decision?
a. Disqualify, as he has not met the waiting period.
b. Certify for 1 year.
c. Certify for 2 years.
d. Obtain head CT to rule residual deficits.
b
A driver presents for examination following a spontaneous pneumothorax one
month earlier. The records provided by the driver indicate that the
pneumothorax reduced the driver's forced vital capacity (FVC) to 58% of
predicted forced vital capacity. As the medical examiner, you should:
a. Certify the driver for one year.
b. Certify the driver for two years.
c. Do not certify the driver.
d. Disqualify the driver for 6 months and re-evaluate at 6-month recheck.
c
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Who can perform the vision portion of the interstate CMV driver physical
examination other than the medical examiner?
a. Medical assistant.
b. Ophthalmologist.
c. Optometrist.
d. Any of the above.
d
Which of the following mandates disqualification, per regulation?
a. Idiopathic hypersomnia.
b. Narcolepsy.
c. ICD placement.
d. ALL of the above.
d
According to regulations, which of the following can grant drivers an SPE
certificate?
a. Medical examiners.
b. Orthopedic surgeons.
c. Physical Medicine & Rehab physicians.
d. The FMCSA.
d
As a certified medical examiner, for how long must you retain a copy of the
Medical Examination Report Form for each driver?
a. 1 year.
b. 3 years.
c. 5 years.
d. 10 years.
b
As a medical examiner, you will need to provide a copy of the Medical
Examination Report Form to a driver who is applying for, or renewing, a:
a. Skill Performance Evaluation (SPE) certificate.
b. Hearing exemption certificate.
c. Seizure exemption certificate.
d. Any of the above.
d
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Which of the following is true of the vision requirements for commercial
drivers?
a. The requirement for central distant visual acuity is at least 20/40 in each eye.
b. The requirement for distant binocular visual acuity is at least 20/50.
c. Contact lenses may not be worn to meet distant visual acuityrequirements.
d. The driver must meet either the distant visual acuity requirement for each
eye OR the
binocular visual acuity requirement.
a
Which is accurate regarding the hearing test required of commercial motor
vehicle drivers?
a. The forced whisper test must be administered first.
b. Hearing aids cannot be used to pass the test.
c. If the driver perceives a forced whisper in one ear at 6 feet, he has met the
hearing
requirement.
d. If the driver attempts to meet the requirement using a hearing aid, only the
audiometric
test is administered.
c
When a driver who wears a hearing aid is unable to pass a forced whisper test,
referral to which of the following is required?
a. An audiologist.
b. An otolaryngologist.
c. A hearing aid center.
d. Any of the above is acceptable.
d
Which of the following frequencies is NOT included as part of the audiometric
hearing test for commercial motor vehicledrivers?
a. 500 hertz (Hz).
b. 1,000Hz.
c. 2,000 Hz.
d. 4,000Hz.
d.
“NRCME EXAM QUESTIONS AND ANSWERS
VERIFIED BY EXPERTS 2026 ”LATEST EXAM
2026 – 2027 SOLVED QUESTIONS & ANSWERS
VERIFIED 100% GRADED A+ (LATEST VERSION)
WELL REVISED 100% GUARANTEE PASS
NRCME Test Bank Questions
Which of the following is a criterion for certification after a myocardial
infarction?
a. EKG showing no signs of ischemia
b. Echocardiogram showing an EF >= 40%.
c. ETT showing 85% of maximum predicted HR.
d. All of the above.
d
A driver presents for initial certification. His blood pressure is 180/102 mm Hg
treated with amlodipine 5 mg daily. Which of the following best represents the
medical examiner's BP staging and certification decision?
a. Stage II hypertension, certify x 3 months
b. Stage III hypertension, disqualify
c. Stage III hypertension, certify x 6 months
d. Stage II hypertension, certify x 1 year
b
A driver reports that he was hospitalized recently for palpitations. He states he
was diagnosed with atrial fibrillation, and was put on warfarin therapy. Which
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of the following is the correct certification criteria for atrial fibrillation?
a. Waiting time: 1 month, inr monthly, certify x 1 yer
b. Waiting time: 1 week, inr monthly, certify x 2 years
c. Waiting time: none, inr annually, certify x 6 months
d. Waiting time: 1 year, inr weekly, certify x 1 year
a
A driver presents for certification. She reports that she was hospitalized
recently for chest pain. She states she was diagnosed with a myocardial
infarction, and subsequently underwent left coronary artery balloon
angioplasty. She was put on Xarelto. Which of the following best represents
certification decision for this driver?
a. Waiting time: 2 months, inr none, certify x 2 yers
b. Waiting time: 1 week, inr none, certify x 1 year
c. Waiting time: 2 months, inr none, certify x 1 year
d. Waiting time: I year. inr monthly, certify x 2 years
c
The driver presents for re-certification. He admits a cerebellar stroke 2 years
ago that has resolved without any residual deficits. He presents clearance
from his neurologist, and he is on no anti-seizure or stroke medication. He is
otherwise medically fit. What is the certification decision?
a. Disqualify, as he has not met the waiting period.
b. Certify for 1 year.
c. Certify for 2 years.
d. Obtain head CT to rule residual deficits.
b
A driver presents for examination following a spontaneous pneumothorax one
month earlier. The records provided by the driver indicate that the
pneumothorax reduced the driver's forced vital capacity (FVC) to 58% of
predicted forced vital capacity. As the medical examiner, you should:
a. Certify the driver for one year.
b. Certify the driver for two years.
c. Do not certify the driver.
d. Disqualify the driver for 6 months and re-evaluate at 6-month recheck.
c
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Who can perform the vision portion of the interstate CMV driver physical
examination other than the medical examiner?
a. Medical assistant.
b. Ophthalmologist.
c. Optometrist.
d. Any of the above.
d
Which of the following mandates disqualification, per regulation?
a. Idiopathic hypersomnia.
b. Narcolepsy.
c. ICD placement.
d. ALL of the above.
d
According to regulations, which of the following can grant drivers an SPE
certificate?
a. Medical examiners.
b. Orthopedic surgeons.
c. Physical Medicine & Rehab physicians.
d. The FMCSA.
d
As a certified medical examiner, for how long must you retain a copy of the
Medical Examination Report Form for each driver?
a. 1 year.
b. 3 years.
c. 5 years.
d. 10 years.
b
As a medical examiner, you will need to provide a copy of the Medical
Examination Report Form to a driver who is applying for, or renewing, a:
a. Skill Performance Evaluation (SPE) certificate.
b. Hearing exemption certificate.
c. Seizure exemption certificate.
d. Any of the above.
d
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Which of the following is true of the vision requirements for commercial
drivers?
a. The requirement for central distant visual acuity is at least 20/40 in each eye.
b. The requirement for distant binocular visual acuity is at least 20/50.
c. Contact lenses may not be worn to meet distant visual acuityrequirements.
d. The driver must meet either the distant visual acuity requirement for each
eye OR the
binocular visual acuity requirement.
a
Which is accurate regarding the hearing test required of commercial motor
vehicle drivers?
a. The forced whisper test must be administered first.
b. Hearing aids cannot be used to pass the test.
c. If the driver perceives a forced whisper in one ear at 6 feet, he has met the
hearing
requirement.
d. If the driver attempts to meet the requirement using a hearing aid, only the
audiometric
test is administered.
c
When a driver who wears a hearing aid is unable to pass a forced whisper test,
referral to which of the following is required?
a. An audiologist.
b. An otolaryngologist.
c. A hearing aid center.
d. Any of the above is acceptable.
d
Which of the following frequencies is NOT included as part of the audiometric
hearing test for commercial motor vehicledrivers?
a. 500 hertz (Hz).
b. 1,000Hz.
c. 2,000 Hz.
d. 4,000Hz.
d.
