Nrcme Questions And Answers With Verified
Solutions Graded A+ Latest Update 2025.
The medical examiner's role in the alternative vision qualification process includes _________. -
ANSWER Assuring the driver has been examined by a qualified optometrist or
ophthalmologist, meets all requirements of the alternative vision standard and meets all other
medical certification qualifications.
A driver who wears contact lenses which correct farsightedness in one eye and nearsightedness in the
other, but has no other visual impairments can be certified under what additional conditions? -
ANSWER If the driver meets the vision testing requirements for each eye independently and
both eyes together.
What eye conditions must the medical examiner ask the driver about? - ANSWER
Retinopathy, cataracts, aphakia, glaucoma, macular degeneration.
Which of the following drivers' tests meet hearing certification standards? - ANSWER Whisper
test 5 feet right ear with hearing aid, 3 feet left ear without hearing aid.
An audiometric test produces the following results: Left ear: 500 Hz, 35dB Loss; 1,000 Hz, 35 dB loss;
2,000 Hz 45 dB loss. Right ear: 500 Hz, 40 dB loss; 1,000 Hz, 45 dB loss; 2,000 40 dB loss. What is the
certification? - ANSWER Certify for two years.
A driver has loss of hearing in the better ear of 25 dB loss at 500 Hz, 40 dB loss at 1000 Hz, and 60 dB
loss at 2000 Hz. With respect to the hearing requirement for medical certification, the driver __________.
- ANSWER May not be certified.
Which of the following is acceptable for a driver who wears a hearing aid? - ANSWER Testing
of the driver's hearing may be performed by an audiologist or otolaryngologist using specialized
audiometric testing equipment.
On examination, a BP of 140/90 is obtained. A follow-up BP is 140/90. What certification options may be
considered? - ANSWER The medical examiner may obtain an additional reading or use
his/her clinical judgment and consider BP and overall driver medical fitness for duty to determine
certification status and certification period.
Which of the following is true with regard to hypertension? - ANSWER A finding of an
elevated BP should be confirmed with at least 2 additional measurements.
The certification determination for a driver who presents with a confirmed BP of 182/86 is __________. -
ANSWER Disqualify until BP is < 140/90.
The medical examiner may place the driver in Determination Pending if the driver has an elevated BP on
examination? - ANSWER When the driver was diagnosed with essential hypertension on a
previous examination and now has a blood pressure of 162/84.
, The maximum certification interval for a driver disqualified for BP > 179/109, but whose blood pressure
has declined to less than or equal to 140/90, is __________ - ANSWER Six months.
After a heart transplant, the minimum waiting period is _________ and the maximum certification period
is _________. - ANSWER Six months, six months in the first year after transplant, then annual.
For mild aortic stenosis, an echocardiogram should be repeated every _________ years. For moderate
aortic stenosis, an echocardogdram should be repeated every _________ years. - ANSWER
Five, one to two.
A driver underwent surgical repair of a 6 cm abdominal aortic aneurysm three months ago. The driver
may be certified for __________. - ANSWER One year.
A driver with congestive heart failure (CHF) has been determined to have stable cardiac function, has a
recommendation from his treating cardiologist, and is otherwise medically qualified. The driver may be
certified for __________ if the driver meets all other qualifications for CHF. - ANSWER One
year.
Which of the following is true? - ANSWER Left ventricular ejection fraction (LVEF) of at least
40% is required for certification.
Which of the following is a common symptom of congestive heart failure (CHF)? - ANSWER
Swelling in the legs, ankles, or other parts of the body.
Guidelines for supraventricular tachycardias include: 1. Certification should be granted only after
adequate anticoagulation is demonstrated for three months. 2. Certfication for atrial flutter may be
considered if the driver is one month following isthmus ablation. - ANSWER 2 only.
The waiting period for hypertrophic cardiomyopathy is __________. - ANSWER There is no
specific recommended waiting period. Prior FMCSA guidance indicated that hypertrophic
cardiomyopathy is disqualifying, but more recent guidance recommends case-by-case assessment of
drivers with the condition.
Recommendations for exercise tolerance testing (ETT) for drivers with coronary heart disease include: -
ANSWER 3-6 months after percutaneous coronary intervention (PCI) and then every two years
thereafter.
A driver experienced a pneumothorax four weeks ago. The medical examiner tests the driver's respiratory
function and the forced vital capacity (FVC) is 58% of predicted. What should the certification decision
be? - ANSWER Do not certify pending additional testing.
Pulse oximetry O2 saturation = 90%. Arterial blood gas (ABG): PaO2 = 60 mmHg, PaCO2 = 42 mmHg.
What is the certification determination? - ANSWER Certification depends on whether testing is
conducted at altitudes above or below 5,000 feet.
The maximum certification interval for a driver diagnosed with asthma is __________. - ANSWER
Two years.
Spirometry testing should be performed on drivers who smoke who are over __________ years of age. -
ANSWER 35
Which of the following is disqualifying? - ANSWER PaCO2 greater than 45 mmHg.
Solutions Graded A+ Latest Update 2025.
The medical examiner's role in the alternative vision qualification process includes _________. -
ANSWER Assuring the driver has been examined by a qualified optometrist or
ophthalmologist, meets all requirements of the alternative vision standard and meets all other
medical certification qualifications.
A driver who wears contact lenses which correct farsightedness in one eye and nearsightedness in the
other, but has no other visual impairments can be certified under what additional conditions? -
ANSWER If the driver meets the vision testing requirements for each eye independently and
both eyes together.
What eye conditions must the medical examiner ask the driver about? - ANSWER
Retinopathy, cataracts, aphakia, glaucoma, macular degeneration.
Which of the following drivers' tests meet hearing certification standards? - ANSWER Whisper
test 5 feet right ear with hearing aid, 3 feet left ear without hearing aid.
An audiometric test produces the following results: Left ear: 500 Hz, 35dB Loss; 1,000 Hz, 35 dB loss;
2,000 Hz 45 dB loss. Right ear: 500 Hz, 40 dB loss; 1,000 Hz, 45 dB loss; 2,000 40 dB loss. What is the
certification? - ANSWER Certify for two years.
A driver has loss of hearing in the better ear of 25 dB loss at 500 Hz, 40 dB loss at 1000 Hz, and 60 dB
loss at 2000 Hz. With respect to the hearing requirement for medical certification, the driver __________.
- ANSWER May not be certified.
Which of the following is acceptable for a driver who wears a hearing aid? - ANSWER Testing
of the driver's hearing may be performed by an audiologist or otolaryngologist using specialized
audiometric testing equipment.
On examination, a BP of 140/90 is obtained. A follow-up BP is 140/90. What certification options may be
considered? - ANSWER The medical examiner may obtain an additional reading or use
his/her clinical judgment and consider BP and overall driver medical fitness for duty to determine
certification status and certification period.
Which of the following is true with regard to hypertension? - ANSWER A finding of an
elevated BP should be confirmed with at least 2 additional measurements.
The certification determination for a driver who presents with a confirmed BP of 182/86 is __________. -
ANSWER Disqualify until BP is < 140/90.
The medical examiner may place the driver in Determination Pending if the driver has an elevated BP on
examination? - ANSWER When the driver was diagnosed with essential hypertension on a
previous examination and now has a blood pressure of 162/84.
, The maximum certification interval for a driver disqualified for BP > 179/109, but whose blood pressure
has declined to less than or equal to 140/90, is __________ - ANSWER Six months.
After a heart transplant, the minimum waiting period is _________ and the maximum certification period
is _________. - ANSWER Six months, six months in the first year after transplant, then annual.
For mild aortic stenosis, an echocardiogram should be repeated every _________ years. For moderate
aortic stenosis, an echocardogdram should be repeated every _________ years. - ANSWER
Five, one to two.
A driver underwent surgical repair of a 6 cm abdominal aortic aneurysm three months ago. The driver
may be certified for __________. - ANSWER One year.
A driver with congestive heart failure (CHF) has been determined to have stable cardiac function, has a
recommendation from his treating cardiologist, and is otherwise medically qualified. The driver may be
certified for __________ if the driver meets all other qualifications for CHF. - ANSWER One
year.
Which of the following is true? - ANSWER Left ventricular ejection fraction (LVEF) of at least
40% is required for certification.
Which of the following is a common symptom of congestive heart failure (CHF)? - ANSWER
Swelling in the legs, ankles, or other parts of the body.
Guidelines for supraventricular tachycardias include: 1. Certification should be granted only after
adequate anticoagulation is demonstrated for three months. 2. Certfication for atrial flutter may be
considered if the driver is one month following isthmus ablation. - ANSWER 2 only.
The waiting period for hypertrophic cardiomyopathy is __________. - ANSWER There is no
specific recommended waiting period. Prior FMCSA guidance indicated that hypertrophic
cardiomyopathy is disqualifying, but more recent guidance recommends case-by-case assessment of
drivers with the condition.
Recommendations for exercise tolerance testing (ETT) for drivers with coronary heart disease include: -
ANSWER 3-6 months after percutaneous coronary intervention (PCI) and then every two years
thereafter.
A driver experienced a pneumothorax four weeks ago. The medical examiner tests the driver's respiratory
function and the forced vital capacity (FVC) is 58% of predicted. What should the certification decision
be? - ANSWER Do not certify pending additional testing.
Pulse oximetry O2 saturation = 90%. Arterial blood gas (ABG): PaO2 = 60 mmHg, PaCO2 = 42 mmHg.
What is the certification determination? - ANSWER Certification depends on whether testing is
conducted at altitudes above or below 5,000 feet.
The maximum certification interval for a driver diagnosed with asthma is __________. - ANSWER
Two years.
Spirometry testing should be performed on drivers who smoke who are over __________ years of age. -
ANSWER 35
Which of the following is disqualifying? - ANSWER PaCO2 greater than 45 mmHg.
