NRCME EXAM 2026 VERIFIED QUESTION
COLLECTION
⫸ Can hearing aids be worn during the forced whisper test? Answer:
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: Answer:
⫸ 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: Answer: 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: Answer: 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? Answer: disqualify
the driver
, ⫸ A driver with an Abnormal Aortic Aneurysm (AAA) can be certified:
Answer: 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? Answer: 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:
Answer: 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? Answer: While such drivers may be
certified for 2 years, the FMCSA prefers that such drivers should have
annual re-certification examinations.
COLLECTION
⫸ Can hearing aids be worn during the forced whisper test? Answer:
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: Answer:
⫸ 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: Answer: 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: Answer: 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? Answer: disqualify
the driver
, ⫸ A driver with an Abnormal Aortic Aneurysm (AAA) can be certified:
Answer: 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? Answer: 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:
Answer: 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? Answer: While such drivers may be
certified for 2 years, the FMCSA prefers that such drivers should have
annual re-certification examinations.
