NRCME Exam With Latest Updated And Complete Solutions 2024

NRCME Exam With Latest Updated And Complete Solutions 2024 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