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Exam (elaborations)

Nrcme Actual Test | Practice Questions & Answers, Comprehensive Study Guide, Exam Prep & Review Materials

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Comprehensive NRCME Actual Test resource designed to support focused studying, practice, exam preparation, and review. This material includes practice questions, answers, key concepts, and exam-focused review content to help reinforce knowledge, strengthen understanding, identify important study areas, and prepare effectively for the NRCME examination.

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NRCME ACTUAL TEST | PRACTICE
QUESTIONS & ANSWERS,
COMPREHENSIVE STUDY GUIDE, EXAM
PREP & REVIEW MATERIALS
| GRADED A+ | GUARANTEED SUCCESS




Updated Questions and Answers

100% Verified Exam Prep

,A driver first perceives a whispered voice at 5 feet in his Correct answer is "B". The driver is qualified to drive without restriction as long as
right ear and 4 feet in his left ear. All other aspects of his he is able to perceive a whispered voice at 5 feet in 1 ear.
physical examination are unremarkable. The examiner
should:
a.Permanently disqualify the driver because he "failed"
the whispered voice test.
b.Certify the driver for 2 years.
c.Certify the driver for 1 year.
d.Require an audiometric test to determine the extent of
hearing loss in his left ear.


A driver reports for an examination 6 weeks after Correct answer is "A". The driver has not completed the required 2-monthwaiting
suffering a mild heart attack and presents a note from his period, but all other requirements for medical clearance and required testing
cardiologist stating that he is able to return to work have been met. The driver would be certified for 1 year at the completion of the
immediately without restriction. Included within the note, waiting period. The date of the certification would be from the date of the original
the cardiologist provides recent testing information examination.
showing that the driver had an ETT that showed he was
able to reach 12 METS during the test. His
echocardiogram showed an ejection fraction of 65%. The
examination of the driver is unremarkable. The examiner
should:
a. Temporarily disqualify the driver.
b. Qualify the driver for 1 year.
c. Qualify the driver for 2 years.
d. Consult with the cardiologist to determine if the driver
suffers from angina.




A driver provides an audiometric test documenting the Correct answer is "B". The examiner would average the results from 500 Hz, 1000
following: Hz and 2000 Hz. This average is 38.33 in the Right and 43.33 in the Left ear. A
1. 500 Hz: 2. 1000 HZ: 3. 2000 HZ: 4. 4000 Hz: driver must have an average hearing loss of less than or equal to 40 in the better
35 Right ear; 40 Left ear 40 Right ear; 45 Left ear 40 ear. This does not have to be met in both ears.
Right ear; 45 Left ear 50 Right ear; 50 Left ear
5.
The medical examiner should:
a. Disqualify the driver because he does not meet
minimum hearing requirementsto drive.
b. Certify the driver for 2years.
c. Certify the driver for 1 year.
d. Require the driver to obtain a hearing exemption.

,During the examination of a commercial driver, the Correct answer is "A". A driver must exhibit a minimum peripheral vision of 70
examiner notices that the driver's peripheral vision is 70 degrees bilaterally.
degrees to the left and 80 degrees to the right. The
examiner should:
a. Qualify the driver for 2 years.
b. Require the driver to obtain a vision exemption
because of the limitation in the driver's
left peripheral field.
c. Disqualify the driver.
d. Have the driver consult with an Ophthalmologist to
determine if the driver's peripheral vision meets minimum
standards.


During examination, the medical examiner notices that Correct answer is "B". The driver exhibits what may be considered a "flat affect"
the driver is distant, lacks eye contact and shows which is seen in schizophrenia and in severe depression. The driver should be
absolutely no emotional response during the exam. The evaluated by a mental health expert to make a diagnosis prior to certification.
examiner's best response should be:
a. Provide the driver with a "CAGE" questionnaire to
determine if he suffers from
alcoholism.
b.
c. Certify the driver with a 1-time, 3-month certificate to
determine if there is any effect on the driver's ability to
drive a CMV.
d. Require a skill performance evaluation to ascertain if
the driver has any limitations with driving.


A driver admits to the use of marijuana for the treatment Correct answer is "A". Use of marijuana is prohibited by Federal law while driving a
of his glaucoma, which is legal in the State in which he CMV and trumps State law in this matter.
lives. He provides medical documentation for the
glaucoma indicating he is able to drive a truck. He began
using the marijuana about three months ago. His current
medical card has no limitations listed and is for 2 years.
His certification examination is within normal limits. The
medical examiner should:
a. Disqualify the driver.
b. Perform a urine drug collection and provide the
release from the testing provider.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years.


A driver has a blood pressure of 136/92 mm Hg. This is: Correct answer is "B". This is Stage 1 Hypertension, which is defined as 140-159/90 -
a. Within normal limits and would not affect the driver's 99.
certification.
b. Stage 1 Hypertension.
c. Stage 2 Hypertension.
d. Stage 3 Hypertension.

, A driver is taking Celexa for the treatment of what he Correct answer is "A". Medical clearance is required for all mental health disorders.
calls a "mild depression." He reports he has not Celexa is an SSRI or 2nd Generation anti-depressant and is acceptable.
considered or attempted suicide. The examiner should?
a.Temporarily disqualify the driver until he obtains written
clearance for the depression and the medication from the
treating provi
b. Certify the driver for a period of 1 year.
c. Certify the driver for a period of 2 years.
d. Disqualify the driver until he is no longer requiring
medication for the treatment of depression.


A driver reports that he had a hunting accident wherein Correct answer is "B". The driver must have a peripheral vision of 70 degrees
he suffered a left orbital fracture. He presents a note at bilaterally to certify to drive a CMV.
the time of the examination from an ophthalmologist
stating "may drive". His exam is unremarkable except for a
limitation in peripheral vision in his left eye, which was
inconclusive. His distance vision was 20/20 right and
20/40 left. The medical examiner should?
a. Council the driver on the need for a vision exemption.
b. Disqualify the driver pending vision exam to determine
if it meets peripheral vision requirements.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years.


What minimum PaO2 level on an ABG performed for a Correct answer is "C". Blood oxygen saturation must be a minimum of 65 mm Hg
chronic respiratory disorder is necessary to certify a for the driver to certify.
commercial driver?
a. 55 mm Hg.
b. 60 mm Hg.
c. 65 mm Hg.
d. 70 mm Hg.


A driver is taking Topamax for the treatment of migraine Correct answer is "A". Topamax is a medication that is used for seizure control. The
headaches. He reports good management of his examiner should confirm with the prescribing provider that the driver does not
headaches and they never seem to interfere with his take it to control seizures, and he is capable of driving a CMV.
driving ability with the medication. The medical examiner
should?
a. Obtain medical clearance for the condition and the
medication.
b. Disqualify the driver because he is taking an anti-
seizure medication.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years.

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