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NCRME EXAM PRACTICE EXAM TEST BANK 2025 /
NCRME EXAM TEST BANK ACTUAL EXAM
COMPLETE 250 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
The longest the medical examiner would certify a driver with a
history of Stage 3 hypertension is:
a. 3 months
b. 6 months
c. 12 months
d. 24 months - ANSWER-Correct answer is "B". The driver may
only be certified for a maximum of 6 months for the rest of
his/her driving career.
A driver is taking Wellbutrin to help him stop smoking. He has
provided a note from his PCP stating that he has no side effects
and confirms that he is taking the medication for smoking
cessation.The examiner would?
a. Certify the driver for 2 years.
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b. Certify the driver for 1 year.
c. Disqualify the driver because the medication is not allowed.
d. Council the driver to only take the medication at night. -
ANSWER-Correct answer is "A". The driver is not being treated
for a psychiatric condition such as anxiety or depression, and he
has clearance. He would be able to be certified for 2 years.
During the history, the driver admits to taking Benadryl for
seasonal allergies. The examiner should?
a. Counsel the driver to not take the medication for 12 hours
prior to driving.
b. Obtain medical clearance from the driver's PCP that he/she
can drive.
c. Disqualify the driver until he/she is no longer taking
Benadryl.
d. Provide a 1-time, 3-month certificate to determine the
medication's effect on the driver. - ANSWER-Correct answer is
"A". Counsel the driver concerning use of over-the-counter anti-
histamines, and anti-tussives (both cause drowsiness and should
not be taken while driving) and about the 12- hour rule.
A driver has a history of a moderate Traumatic Brain Injury that
occurred 3 years ago as a result of a car accident. He reports he
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has fully recovered and provides a note from his neurologist
stating that he suffered no seizures and that he is able to return
to driving. He does not list any medications in his history. The
examiner should:
a. Disqualify the driver.
b. Require the driver to take a "Folstein's mini mental state
exam."
c. Certify the driver for one year.
d. Certify the driver for two years. - ANSWER-Correct answer
is "C". The driver suffered no seizures from the TBI, has
completed the required waiting period (2 years), and has medical
clearance. If the rest of the examination is unremarkable, the
driver could be certified for 1 year.
A driver reports a suicide attempt 10 months earlier, following
the break-up of his marriage. He noted seeing a psychiatrist and
he takes Citalopram daily and he reports he feels fine now and is
moving on with his life. He provides a release from his doctor
that he may return to work without restrictions. The medical
examiner should:
a. Disqualify the driver.
b. Require a CAGE questionnaire.
c. Certify the driver for 1 year.
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d. Certify the driver for 2 years. - ANSWER-Correct answer is
"A". The driver is temporarily disqualified because he has not
completed the mandatory waiting period for suicide attempt of 1
year. Once he has completed this, he may be certified for 1 year
due to the continued treatment of depression (taking an SSRI).
The certification is from the date of the original examination.
The driver lists Synthroid for the treatment of hypothyroidism.
He has been taking it for about 6 months and feels fine now. His
examination is essentially normal. The examiner's best course of
action is to?
a. Request medical clearance for the medication prior to
certification.
b. Certify the driver for 1 year.
c. Certify the driver for 2 years.
d. Counsel the driver that he needs to apply for an endocrine
exemption. - ANSWER-Correct answer is "C". The driver's
hypothyroidism is well managed and he is asymptomatic. The
driver may be certified for 2 years.
A 48-year-old male driver presents for a certification
examination. He reports in his history a back injury that had
occurred 4 years earlier. He states that he was out of work
following back surgery for over a year, but since has returned to
NCRME EXAM PRACTICE EXAM TEST BANK 2025 /
NCRME EXAM TEST BANK ACTUAL EXAM
COMPLETE 250 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
The longest the medical examiner would certify a driver with a
history of Stage 3 hypertension is:
a. 3 months
b. 6 months
c. 12 months
d. 24 months - ANSWER-Correct answer is "B". The driver may
only be certified for a maximum of 6 months for the rest of
his/her driving career.
A driver is taking Wellbutrin to help him stop smoking. He has
provided a note from his PCP stating that he has no side effects
and confirms that he is taking the medication for smoking
cessation.The examiner would?
a. Certify the driver for 2 years.
,2|Page
b. Certify the driver for 1 year.
c. Disqualify the driver because the medication is not allowed.
d. Council the driver to only take the medication at night. -
ANSWER-Correct answer is "A". The driver is not being treated
for a psychiatric condition such as anxiety or depression, and he
has clearance. He would be able to be certified for 2 years.
During the history, the driver admits to taking Benadryl for
seasonal allergies. The examiner should?
a. Counsel the driver to not take the medication for 12 hours
prior to driving.
b. Obtain medical clearance from the driver's PCP that he/she
can drive.
c. Disqualify the driver until he/she is no longer taking
Benadryl.
d. Provide a 1-time, 3-month certificate to determine the
medication's effect on the driver. - ANSWER-Correct answer is
"A". Counsel the driver concerning use of over-the-counter anti-
histamines, and anti-tussives (both cause drowsiness and should
not be taken while driving) and about the 12- hour rule.
A driver has a history of a moderate Traumatic Brain Injury that
occurred 3 years ago as a result of a car accident. He reports he
,3|Page
has fully recovered and provides a note from his neurologist
stating that he suffered no seizures and that he is able to return
to driving. He does not list any medications in his history. The
examiner should:
a. Disqualify the driver.
b. Require the driver to take a "Folstein's mini mental state
exam."
c. Certify the driver for one year.
d. Certify the driver for two years. - ANSWER-Correct answer
is "C". The driver suffered no seizures from the TBI, has
completed the required waiting period (2 years), and has medical
clearance. If the rest of the examination is unremarkable, the
driver could be certified for 1 year.
A driver reports a suicide attempt 10 months earlier, following
the break-up of his marriage. He noted seeing a psychiatrist and
he takes Citalopram daily and he reports he feels fine now and is
moving on with his life. He provides a release from his doctor
that he may return to work without restrictions. The medical
examiner should:
a. Disqualify the driver.
b. Require a CAGE questionnaire.
c. Certify the driver for 1 year.
, 4|Page
d. Certify the driver for 2 years. - ANSWER-Correct answer is
"A". The driver is temporarily disqualified because he has not
completed the mandatory waiting period for suicide attempt of 1
year. Once he has completed this, he may be certified for 1 year
due to the continued treatment of depression (taking an SSRI).
The certification is from the date of the original examination.
The driver lists Synthroid for the treatment of hypothyroidism.
He has been taking it for about 6 months and feels fine now. His
examination is essentially normal. The examiner's best course of
action is to?
a. Request medical clearance for the medication prior to
certification.
b. Certify the driver for 1 year.
c. Certify the driver for 2 years.
d. Counsel the driver that he needs to apply for an endocrine
exemption. - ANSWER-Correct answer is "C". The driver's
hypothyroidism is well managed and he is asymptomatic. The
driver may be certified for 2 years.
A 48-year-old male driver presents for a certification
examination. He reports in his history a back injury that had
occurred 4 years earlier. He states that he was out of work
following back surgery for over a year, but since has returned to