NRCME CORE EXAMS SET QUESTIONS AND ANSWERS
RATED A+
✔✔What are the minimum hearing requirements? - ✔✔be better ear greater than 40
decibels at 500 Hz, 1,000 Hz, and 2,000 Hz, with or without a hearing aid.
✔✔How do you do a hearing eval on someone who uses hearing aides? -
✔✔whispered word or audiologist or otolaryngologist with specialized equipment for
testing.
✔✔What is the minimum symptom free waiting period for drivers with dizziness or
vertigo? - ✔✔2 months
✔✔What otic conditions should you not certify? - ✔✔a) Uncontrolled vertigo.
b) Ménière's disease.
c) Nonfunctioning labyrinth.
d) Nonfunctioning fistula.`
✔✔The medical examiner's role in the exemption process includes _________.
Issuing the exemption.
Issuing the prescription for the driver's contact lenses and/or glasses.
Providing the driver with contact information for the Federal Vision Exemption Program.
Assuring that the driver has peripheral vision of at least 110 degrees in each eye. -
✔✔Providing the driver with contact information for the Federal Vision Exemption
Program.
✔✔What eye conditions must the medical examiner ask the driver about? -
✔✔Retinopathy, cataracts, aphakia, glaucoma, macular degeneration
✔✔A driver who wears contact lenses which correct farsightedness in one eye and
nearsightedness in the other, but has no other visual impairments can be certified under
what additional conditions - ✔✔FMCSA guidance indicates that a driver should not be
certified under these circumstances.
✔✔Which of the following drivers' tests meet hearing certification standards?
Whisper test 4 feet right ear, 3 feet left ear.
Whisper test 5 feet right ear with hearing aid, 3 feet left ear without hearing aid.
Audiogram left 30/500 Hz, 40/1000 Hz, 60/2000 Hz; right 25/500 Hz, 35/1000 Hz,
80/2000 Hz.
Audiogram left 35/500 Hz, 50/1000 Hz, 40/3000 Hz; right 35/500 Hz, 35/1000 Hz,
60/3000 Hz. - ✔✔Whisper test 5 feet right ear with hearing aid, 3 feet left ear without
hearing aid.
, ✔✔An audiometric test produces the following results: Left ear: 500 Hz, 35dB Loss;
1,000 Hz, 35 dB loss; 2,000 Hz 45 dB loss. Right ear: 500 Hz, 40 dB loss; 1,000 Hz, 45
dB loss; 2,000 40 dB loss. What is the certification? - ✔✔2 years
✔✔A driver has loss of hearing in the better ear of 25 dB loss at 500 Hz, 40 dB loss at
1000 Hz, and 60 dB loss at 2000 Hz. With respect to the hearing requirement for
medical certification, the driver __________. - ✔✔do not certify
✔✔What BP readings are considered stage I HTN? - ✔✔140-159/90-99
✔✔What BP readings are considered stage II HTN? - ✔✔160-179/100-109
✔✔Is stage II HTN an indication for anti-hypertensive drug therapy? - ✔✔yes
✔✔What BP readings are considered stage III HTN? - ✔✔BP > 180/110
✔✔If the drivers BP is > 180/110? - ✔✔they are disqualified
✔✔a driver with a history of Stage 3 hypertension may only be certified for... - ✔✔6
months
✔✔how often do you need to monitor INR on coumadin therapy? - ✔✔monthly
✔✔What is the recommended certification if someone has a-fib/a-flutter? - ✔✔1 year
✔✔On examination, a BP of 140/90 is obtained. A follow-up BP is 140/90. What
certification options may be considered? - ✔✔the medical examiner may obtain an
additional reading or use his/her clinical judgment and consider BP and overall driver
medical fitness for duty to determine certification status and certification period.
✔✔Which of the following is true with regard to hypertension?
The lower value of either systolic or diastolic blood pressure determines the stage of
hypertension.
Stage 1 hypertension is BP of 140-149/90-99.
Stage 2 hypertension is BP of 170-179/100-109.
Stage 3 hypertension is BP of greater than or equal to 180/110. - ✔✔Stage 3
hypertension is BP of greater than or equal to 180/110.
✔✔The certification determination for a driver who presents with a confirmed BP of
182/86 is __________.
Qualify 3 months.
Disqualify until BP is < 180/110.
Disqualify until BP is < 160/100.
Disqualify until BP is < 140/90. - ✔✔Disqualify until BP is < 140/90.
RATED A+
✔✔What are the minimum hearing requirements? - ✔✔be better ear greater than 40
decibels at 500 Hz, 1,000 Hz, and 2,000 Hz, with or without a hearing aid.
✔✔How do you do a hearing eval on someone who uses hearing aides? -
✔✔whispered word or audiologist or otolaryngologist with specialized equipment for
testing.
✔✔What is the minimum symptom free waiting period for drivers with dizziness or
vertigo? - ✔✔2 months
✔✔What otic conditions should you not certify? - ✔✔a) Uncontrolled vertigo.
b) Ménière's disease.
c) Nonfunctioning labyrinth.
d) Nonfunctioning fistula.`
✔✔The medical examiner's role in the exemption process includes _________.
Issuing the exemption.
Issuing the prescription for the driver's contact lenses and/or glasses.
Providing the driver with contact information for the Federal Vision Exemption Program.
Assuring that the driver has peripheral vision of at least 110 degrees in each eye. -
✔✔Providing the driver with contact information for the Federal Vision Exemption
Program.
✔✔What eye conditions must the medical examiner ask the driver about? -
✔✔Retinopathy, cataracts, aphakia, glaucoma, macular degeneration
✔✔A driver who wears contact lenses which correct farsightedness in one eye and
nearsightedness in the other, but has no other visual impairments can be certified under
what additional conditions - ✔✔FMCSA guidance indicates that a driver should not be
certified under these circumstances.
✔✔Which of the following drivers' tests meet hearing certification standards?
Whisper test 4 feet right ear, 3 feet left ear.
Whisper test 5 feet right ear with hearing aid, 3 feet left ear without hearing aid.
Audiogram left 30/500 Hz, 40/1000 Hz, 60/2000 Hz; right 25/500 Hz, 35/1000 Hz,
80/2000 Hz.
Audiogram left 35/500 Hz, 50/1000 Hz, 40/3000 Hz; right 35/500 Hz, 35/1000 Hz,
60/3000 Hz. - ✔✔Whisper test 5 feet right ear with hearing aid, 3 feet left ear without
hearing aid.
, ✔✔An audiometric test produces the following results: Left ear: 500 Hz, 35dB Loss;
1,000 Hz, 35 dB loss; 2,000 Hz 45 dB loss. Right ear: 500 Hz, 40 dB loss; 1,000 Hz, 45
dB loss; 2,000 40 dB loss. What is the certification? - ✔✔2 years
✔✔A driver has loss of hearing in the better ear of 25 dB loss at 500 Hz, 40 dB loss at
1000 Hz, and 60 dB loss at 2000 Hz. With respect to the hearing requirement for
medical certification, the driver __________. - ✔✔do not certify
✔✔What BP readings are considered stage I HTN? - ✔✔140-159/90-99
✔✔What BP readings are considered stage II HTN? - ✔✔160-179/100-109
✔✔Is stage II HTN an indication for anti-hypertensive drug therapy? - ✔✔yes
✔✔What BP readings are considered stage III HTN? - ✔✔BP > 180/110
✔✔If the drivers BP is > 180/110? - ✔✔they are disqualified
✔✔a driver with a history of Stage 3 hypertension may only be certified for... - ✔✔6
months
✔✔how often do you need to monitor INR on coumadin therapy? - ✔✔monthly
✔✔What is the recommended certification if someone has a-fib/a-flutter? - ✔✔1 year
✔✔On examination, a BP of 140/90 is obtained. A follow-up BP is 140/90. What
certification options may be considered? - ✔✔the medical examiner may obtain an
additional reading or use his/her clinical judgment and consider BP and overall driver
medical fitness for duty to determine certification status and certification period.
✔✔Which of the following is true with regard to hypertension?
The lower value of either systolic or diastolic blood pressure determines the stage of
hypertension.
Stage 1 hypertension is BP of 140-149/90-99.
Stage 2 hypertension is BP of 170-179/100-109.
Stage 3 hypertension is BP of greater than or equal to 180/110. - ✔✔Stage 3
hypertension is BP of greater than or equal to 180/110.
✔✔The certification determination for a driver who presents with a confirmed BP of
182/86 is __________.
Qualify 3 months.
Disqualify until BP is < 180/110.
Disqualify until BP is < 160/100.
Disqualify until BP is < 140/90. - ✔✔Disqualify until BP is < 140/90.
