NRCME Training DOT
Comprehensive Resource To Help You Ace 2026-2027 Exams
Includes Frequently Tested Questions With ELABORATED
100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
Instant Download Pdf
1. An unrestricted Commercial Motor Vehicle Driver Medical Certificate must be
renewed:
A. Annually
B. Every Two Years
C. Every Four Years
D. Whenever the State Issued Driver's License is renewed - Correct Answer: B
2. A driver presents with history of an isolated TIA 6 months ago. He has a return
to work letter from his primary care
provider (PCP) and neurologist. He is taking and tolerating well
hydrochlorothiazide and simvastatin. All other aspects of
the exam and history were normal. What should the medical examiner do next?
A. Certify driver for 1 year
B. Disqualify driver for now
C. Certify driver for 3 months
D. Certify driver for 2 years - Correct Answer: B
,3. FMCSA regulates interstate commercial operation including the:
A. Driver
B. Vehicle
C. Motor Carrier
D. All of above - Correct Answer: D
4. During the CMV exam a driver perceived a whispered voice at 5 feet in his left
year and 4 feet in his right year. Exam
was otherwise normal. What do you do as the medical examiner?
A. Required audiometric test to determine the extent of hearing loss in left ear
B. Certify driver for 2 years
C. Certify driver for 1 year
D. Disqualify driver - Correct Answer: B
5. Which of the following is an assessment of L4 nerve root pathology?
A. Plantar flexion
B. Patellar reflex
C. Hip extension
D. Babinski reflex - Correct Answer: B
6. A driver presents for medical exam and reports being a smoker and having
frequent shortness of breath. What do
you do next?
A. Order an ECG
,B. Refer to a pulmonologist
C. Order a spirometer test
D. Provide 1 year certification - Correct Answer: C
7. According to regulation, which of the following must be evaluated as part of
the eye exam?
A. Pupil reaction
B. Iris symmetry
C. Conjunctiva injection
D. Tonometry pressure - Correct Answer: A
8. Continued certification of NRCE Medical Examiners requires all EXCEPT which
of the following?
A. Periodic training at least every five years
B. Completion of recertification test every five years
C. Completion of certification test every 10 years
D. Electronic transmission to FMCSA CMV Medical Examination Results at least
monthly - Correct Answer: B
9. A driver presents for recertification. The only condition he lists is GERD, for
which he takes OTC omeprazole. He
says that when he is driving and eating fast foods, he is more likely to have
heartburn than when off-duty. You should:
A. Request recent UGI results
, B. Correlate history with abdominal exam
C. Certify for one year with restricted diet
D. Discuss alternative employment - Correct Answer: B
10. Which of the following findings is disqualifying?
A. Oxygen saturation 90%
B. LVEF 40%
C. FEV 68% predicted
D. All of the above - Correct Answer: A
11. The driver presents for recertification and submits an ultrasound report
indicating an abdominal aortic aneurysm
from two months ago, shortly before he had surgical correction. He has surgical
clearance and says he is doing well, has
no symptoms. You should:
A. Certify for 1 year
B. Certify for 2 years
C. Inform the driver of the 3 month waiting period before he can be certified
D. Inform the driver of the 6 month waiting period before he can be certified -
Correct Answer: C
12. The driver takes diphenhydramine twice a day to treat nasal congestion. What
must you document in order to
certify?
Comprehensive Resource To Help You Ace 2026-2027 Exams
Includes Frequently Tested Questions With ELABORATED
100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
Instant Download Pdf
1. An unrestricted Commercial Motor Vehicle Driver Medical Certificate must be
renewed:
A. Annually
B. Every Two Years
C. Every Four Years
D. Whenever the State Issued Driver's License is renewed - Correct Answer: B
2. A driver presents with history of an isolated TIA 6 months ago. He has a return
to work letter from his primary care
provider (PCP) and neurologist. He is taking and tolerating well
hydrochlorothiazide and simvastatin. All other aspects of
the exam and history were normal. What should the medical examiner do next?
A. Certify driver for 1 year
B. Disqualify driver for now
C. Certify driver for 3 months
D. Certify driver for 2 years - Correct Answer: B
,3. FMCSA regulates interstate commercial operation including the:
A. Driver
B. Vehicle
C. Motor Carrier
D. All of above - Correct Answer: D
4. During the CMV exam a driver perceived a whispered voice at 5 feet in his left
year and 4 feet in his right year. Exam
was otherwise normal. What do you do as the medical examiner?
A. Required audiometric test to determine the extent of hearing loss in left ear
B. Certify driver for 2 years
C. Certify driver for 1 year
D. Disqualify driver - Correct Answer: B
5. Which of the following is an assessment of L4 nerve root pathology?
A. Plantar flexion
B. Patellar reflex
C. Hip extension
D. Babinski reflex - Correct Answer: B
6. A driver presents for medical exam and reports being a smoker and having
frequent shortness of breath. What do
you do next?
A. Order an ECG
,B. Refer to a pulmonologist
C. Order a spirometer test
D. Provide 1 year certification - Correct Answer: C
7. According to regulation, which of the following must be evaluated as part of
the eye exam?
A. Pupil reaction
B. Iris symmetry
C. Conjunctiva injection
D. Tonometry pressure - Correct Answer: A
8. Continued certification of NRCE Medical Examiners requires all EXCEPT which
of the following?
A. Periodic training at least every five years
B. Completion of recertification test every five years
C. Completion of certification test every 10 years
D. Electronic transmission to FMCSA CMV Medical Examination Results at least
monthly - Correct Answer: B
9. A driver presents for recertification. The only condition he lists is GERD, for
which he takes OTC omeprazole. He
says that when he is driving and eating fast foods, he is more likely to have
heartburn than when off-duty. You should:
A. Request recent UGI results
, B. Correlate history with abdominal exam
C. Certify for one year with restricted diet
D. Discuss alternative employment - Correct Answer: B
10. Which of the following findings is disqualifying?
A. Oxygen saturation 90%
B. LVEF 40%
C. FEV 68% predicted
D. All of the above - Correct Answer: A
11. The driver presents for recertification and submits an ultrasound report
indicating an abdominal aortic aneurysm
from two months ago, shortly before he had surgical correction. He has surgical
clearance and says he is doing well, has
no symptoms. You should:
A. Certify for 1 year
B. Certify for 2 years
C. Inform the driver of the 3 month waiting period before he can be certified
D. Inform the driver of the 6 month waiting period before he can be certified -
Correct Answer: C
12. The driver takes diphenhydramine twice a day to treat nasal congestion. What
must you document in order to
certify?
