NRCME PRACTICE TEST QUESTIONS
The following are practice questions which will be of value in your preparation for the
NRCME exam. These are multiple choice questions. There is only one answer.
Choose the most correct answer.
1. During the examination, the examiner notices that the driver is distant and has a flat
affect/expression, and lacks eye contact during the exam. The examiner should?
a. Provide the driver with a “CAGE” questionnaire.
b. Require an SPE and certify the driver with a 3-month certificate
c. Certify the driver with a 1-year certificate.
d. Refer him/her to a mental health profession prior to consideration for
certification.
2. Which of the following medications is most noted to cause drowsiness and impaired
driving
a. Concerta
b. Prozac
c. Toprol
d. Xanax
3. A DOT driver presents for his medical exam. On his history he advised that he regularly
takes Avinza for mild low back pain. This should prompt the ME to do the following.
a. Give a one year recert
b. Give a 3 month recert
c. Possible DQ -Contact the driver’s PCP and get notification from them that the
driver is safe to driver CMV while being prescribed this medication d.
Disqualify
4. A DOT driver presents for his medical exam. On his history he advised that he
regularly takes Concerta for mild low back pain. This should prompt the ME to do
the following.
a. Give a one year recert
b. Give a 3 month recert
c. Contact the driver’s PCP
, d. Disqualify
5. A DOT driver presents for his medical exam. On his history he advised that he
regularly takes Dextromethorphan. This should prompt the ME to do the following.
a. Give a one year recert
b. Give a 3 month recert
c. Counsel the driver about consuming the medication within 12 hours of
driving
d. Disqualify
6. A driver presents for his DOT exam. On his history he marks “diabetes” and that he
is taking Humalin. As the examiner what would you do next?
a. Certify the driver for 2 years.
b. The driver is disqualified until the driver obtains a diabetic exemption.
c. Permanently disqualify the driver.
d. Certify the driver for 1 year provided they have been given clearance by
their treating physician with a properly filled out MCSA-5870.
7. During the DOT exam a driver perceives a whispered voice at 5 feet in his left ear
and 4 feet in his right ear. This is an otherwise normal/unremarkable exam. All
other aspects of his physical examination are unremarkable. As the examiner what
would you do next?
a. Require an audiometric test to determine the extent of hearing loss
in his left ear.
b. Certify the driver for 2 years.
c. Certify the driver for 1 year.
d. Permanently disqualify the driver.
8. A driver presents for his DOT exam. On the medical history the driver notes that it
has been a month since he has smoked and has been taking Chantix to help him
with efforts. Which of the following should the medical examiner do next.
a. Counsel the driver on smoking cessation and order a spirometry test.
The following are practice questions which will be of value in your preparation for the
NRCME exam. These are multiple choice questions. There is only one answer.
Choose the most correct answer.
1. During the examination, the examiner notices that the driver is distant and has a flat
affect/expression, and lacks eye contact during the exam. The examiner should?
a. Provide the driver with a “CAGE” questionnaire.
b. Require an SPE and certify the driver with a 3-month certificate
c. Certify the driver with a 1-year certificate.
d. Refer him/her to a mental health profession prior to consideration for
certification.
2. Which of the following medications is most noted to cause drowsiness and impaired
driving
a. Concerta
b. Prozac
c. Toprol
d. Xanax
3. A DOT driver presents for his medical exam. On his history he advised that he regularly
takes Avinza for mild low back pain. This should prompt the ME to do the following.
a. Give a one year recert
b. Give a 3 month recert
c. Possible DQ -Contact the driver’s PCP and get notification from them that the
driver is safe to driver CMV while being prescribed this medication d.
Disqualify
4. A DOT driver presents for his medical exam. On his history he advised that he
regularly takes Concerta for mild low back pain. This should prompt the ME to do
the following.
a. Give a one year recert
b. Give a 3 month recert
c. Contact the driver’s PCP
, d. Disqualify
5. A DOT driver presents for his medical exam. On his history he advised that he
regularly takes Dextromethorphan. This should prompt the ME to do the following.
a. Give a one year recert
b. Give a 3 month recert
c. Counsel the driver about consuming the medication within 12 hours of
driving
d. Disqualify
6. A driver presents for his DOT exam. On his history he marks “diabetes” and that he
is taking Humalin. As the examiner what would you do next?
a. Certify the driver for 2 years.
b. The driver is disqualified until the driver obtains a diabetic exemption.
c. Permanently disqualify the driver.
d. Certify the driver for 1 year provided they have been given clearance by
their treating physician with a properly filled out MCSA-5870.
7. During the DOT exam a driver perceives a whispered voice at 5 feet in his left ear
and 4 feet in his right ear. This is an otherwise normal/unremarkable exam. All
other aspects of his physical examination are unremarkable. As the examiner what
would you do next?
a. Require an audiometric test to determine the extent of hearing loss
in his left ear.
b. Certify the driver for 2 years.
c. Certify the driver for 1 year.
d. Permanently disqualify the driver.
8. A driver presents for his DOT exam. On the medical history the driver notes that it
has been a month since he has smoked and has been taking Chantix to help him
with efforts. Which of the following should the medical examiner do next.
a. Counsel the driver on smoking cessation and order a spirometry test.
