2026 NRCME STUDY EXAMS GUIDE ALL QUESTIONS
AND ANSWERS SURE A+
✔✔What are the 3 things that ME and driver must do with the certificate? - ✔✔1. ME
must retain copy for at least 3 years
2. ME must provide a copy to prospective or current employer upon request
3. driver must carry certificate while operating CMV
✔✔A 69 year-old male driver had a femoral-popliteal bypass 4 months ago with
resolution of chronic leg pain due to claudication. His surgeon clears him for driving. He
is on coumadin with INRs consistently in the therapeutic range since discharge. The
correct determination is: - ✔✔Meets standards, qualified for one year.
✔✔What physical abilities must drivers have? - ✔✔grip strength, upper body strength
and balance and flexibility
✔✔A driver returns to work after a two week absence due to a respiratory illness. He
presents a note from his physician that he was unable to work as a truck driver because
of the illness and is now cleared for returning to work. His medical certificate expires in
3 months. The driver: - ✔✔should undergo a new examination
✔✔A driver is found to have diminished central acuity during Snellen chart acuity
testing. This is suggestive of: - ✔✔macular degeneration
, ✔✔As the medical examiner you notice a patient's urinalysis is positive for 3+ protein.
You should: - ✔✔Determine if additional evaluation is required and request or
recommend primary care provider follow-up.
✔✔What are the regulatory non-discretionary standards? - ✔✔E-HIV
Epilepsy, Hearing, Insulin, Vison
✔✔A 47 year-old driver with a Fixed Deficit of an Extremity should have a physical
exam - ✔✔Biannually or more frequently if indicated.
✔✔Can you provide a copy of the Medical Examination Certificate to the driver and a
copy to the employer? - ✔✔YES
✔✔A 50 year-old male smoker had a percutaneous coronary intervention procedure 2
weeks ago after an abnormal stress test. He is asymptomatic, stage 2 HTN controlled
on ramapril and labetolol. What is the certification period? - ✔✔Certify 6 months. Advise
to have ETT before 6 month follow up. If he remains stable with a normal ETT, certify
for one year.
✔✔CAn a driver with a hearing aid use it to pass hearing test? - ✔✔Yes he can use
hearing aid to undergo the forced whisper test. Also he should carry a spare power
source for his hearing aids while driving
✔✔A driver is unable to pick out the numbers in an Ishihara color blindness test.
However, he is able to distinguish red, green, and amber stoplights. Can he be
certified? - ✔✔He may be fully qualified for 2 years.
✔✔What is the waiting period for ablation for Afib? - ✔✔1 month
✔✔Allergic Rhinitis involving inflammation of the nasal portion of the upper respiratory
tract rarely renders a driver incapable of operating a commercial vehicle. A driver may
be certified with allergic rhinitis and on what kinds of meds? - ✔✔nasal steroid sprays
and non-sedating antihistamines
✔✔A driver with a recent diagnosis of congestive heart failure and known ventricular
arrhythmias may be certified for driving if his left ventricular ejection fraction is at least: -
✔✔50%
✔✔Which is true of FMCSA Driver Exemption Programs? - ✔✔An exemption is valid for
2 years, with an annual medical examination.
AND ANSWERS SURE A+
✔✔What are the 3 things that ME and driver must do with the certificate? - ✔✔1. ME
must retain copy for at least 3 years
2. ME must provide a copy to prospective or current employer upon request
3. driver must carry certificate while operating CMV
✔✔A 69 year-old male driver had a femoral-popliteal bypass 4 months ago with
resolution of chronic leg pain due to claudication. His surgeon clears him for driving. He
is on coumadin with INRs consistently in the therapeutic range since discharge. The
correct determination is: - ✔✔Meets standards, qualified for one year.
✔✔What physical abilities must drivers have? - ✔✔grip strength, upper body strength
and balance and flexibility
✔✔A driver returns to work after a two week absence due to a respiratory illness. He
presents a note from his physician that he was unable to work as a truck driver because
of the illness and is now cleared for returning to work. His medical certificate expires in
3 months. The driver: - ✔✔should undergo a new examination
✔✔A driver is found to have diminished central acuity during Snellen chart acuity
testing. This is suggestive of: - ✔✔macular degeneration
, ✔✔As the medical examiner you notice a patient's urinalysis is positive for 3+ protein.
You should: - ✔✔Determine if additional evaluation is required and request or
recommend primary care provider follow-up.
✔✔What are the regulatory non-discretionary standards? - ✔✔E-HIV
Epilepsy, Hearing, Insulin, Vison
✔✔A 47 year-old driver with a Fixed Deficit of an Extremity should have a physical
exam - ✔✔Biannually or more frequently if indicated.
✔✔Can you provide a copy of the Medical Examination Certificate to the driver and a
copy to the employer? - ✔✔YES
✔✔A 50 year-old male smoker had a percutaneous coronary intervention procedure 2
weeks ago after an abnormal stress test. He is asymptomatic, stage 2 HTN controlled
on ramapril and labetolol. What is the certification period? - ✔✔Certify 6 months. Advise
to have ETT before 6 month follow up. If he remains stable with a normal ETT, certify
for one year.
✔✔CAn a driver with a hearing aid use it to pass hearing test? - ✔✔Yes he can use
hearing aid to undergo the forced whisper test. Also he should carry a spare power
source for his hearing aids while driving
✔✔A driver is unable to pick out the numbers in an Ishihara color blindness test.
However, he is able to distinguish red, green, and amber stoplights. Can he be
certified? - ✔✔He may be fully qualified for 2 years.
✔✔What is the waiting period for ablation for Afib? - ✔✔1 month
✔✔Allergic Rhinitis involving inflammation of the nasal portion of the upper respiratory
tract rarely renders a driver incapable of operating a commercial vehicle. A driver may
be certified with allergic rhinitis and on what kinds of meds? - ✔✔nasal steroid sprays
and non-sedating antihistamines
✔✔A driver with a recent diagnosis of congestive heart failure and known ventricular
arrhythmias may be certified for driving if his left ventricular ejection fraction is at least: -
✔✔50%
✔✔Which is true of FMCSA Driver Exemption Programs? - ✔✔An exemption is valid for
2 years, with an annual medical examination.
