NRCME TRAINING DOT QUESTION BANK | FROM
QUESTION TO PERFECTION| STUDY WITH
CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027.
Duration: 2 Hours.
Total Marks: 100.
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
,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 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 Answer: B
3. FMCSA regulates interstate commercial operation including the:
A. Driver
B. Vehicle
C. Motor Carrier
D. All of above 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 Answer: B
5. Which of the following is an assessment of L4 nerve root pathology?
A. Plantar flexion
B. Patellar reflex
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
,C. Hip extension
D. Babinski reflex 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 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 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
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 Answer: B
10. Which of the following findings is disqualifying?
A. Oxygen saturation 90%
APPHIA – Crafted with Care and Precision for Academic Excellence.
3
, B. LVEF 40%
C. FEV 68% predicted
D. All of the above 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 Answer: C
12. The driver takes diphenhydramine twice a day to treat nasal congestion. What must you
document in order to
certify?
A. Take the lowest dose effective on days when driving
B. Cannot drive within 12 hours of taking diphenhydramine
C. Cannot drive within 6 hours of taking diphenhydramine
D. Diphenhydramine is disqualifying Answer: B
13. The driver has a history of carpal tunnel repair of her right hand 2 months ago. Her grip
strengths are symmetrical
and strong. What is necessary in order to qualify this driver?
A. Must first complete a 3‐month post‐op waiting period
B. Document her findings for 1‐year certification
C. Document her findings for 2‐year certification
D. Request that an SPE be obtained before certification Answer: C
14. Which of the following abdominal complaints is most likely to be incapacitating?
A. IBS
B. GERD
C. Urinary tract infection
D. Nephrolithiasis Answer: D
APPHIA – Crafted with Care and Precision for Academic Excellence.
4
QUESTION TO PERFECTION| STUDY WITH
CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027.
Duration: 2 Hours.
Total Marks: 100.
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
,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 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 Answer: B
3. FMCSA regulates interstate commercial operation including the:
A. Driver
B. Vehicle
C. Motor Carrier
D. All of above 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 Answer: B
5. Which of the following is an assessment of L4 nerve root pathology?
A. Plantar flexion
B. Patellar reflex
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
,C. Hip extension
D. Babinski reflex 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 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 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
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 Answer: B
10. Which of the following findings is disqualifying?
A. Oxygen saturation 90%
APPHIA – Crafted with Care and Precision for Academic Excellence.
3
, B. LVEF 40%
C. FEV 68% predicted
D. All of the above 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 Answer: C
12. The driver takes diphenhydramine twice a day to treat nasal congestion. What must you
document in order to
certify?
A. Take the lowest dose effective on days when driving
B. Cannot drive within 12 hours of taking diphenhydramine
C. Cannot drive within 6 hours of taking diphenhydramine
D. Diphenhydramine is disqualifying Answer: B
13. The driver has a history of carpal tunnel repair of her right hand 2 months ago. Her grip
strengths are symmetrical
and strong. What is necessary in order to qualify this driver?
A. Must first complete a 3‐month post‐op waiting period
B. Document her findings for 1‐year certification
C. Document her findings for 2‐year certification
D. Request that an SPE be obtained before certification Answer: C
14. Which of the following abdominal complaints is most likely to be incapacitating?
A. IBS
B. GERD
C. Urinary tract infection
D. Nephrolithiasis Answer: D
APPHIA – Crafted with Care and Precision for Academic Excellence.
4
