2025 NRCME Study Sheet Actual Exam Questions and
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vision requirements -CORRECT ANSWER Distant vision 20/40 each eye and 20/40
both eyes, Peripheral vision at least 70 degrees, Ability to recognize and distinguish
betwen the colors of traffic signals and devices.
If the driver presents a valid vision exemption, how long can he be certified? -
CORRECT ANSWER 1 year
The driver with a vision exemption must present what 2 things before receiving the
medical examiner's certificate. -CORRECT ANSWER Valid vision exemption and copy
of the specialist eye examination report.
When applying for a vision exemption, the driver should include a copy of the Medical
Examination Report form and the medical examiner's certification with what marked? -
CORRECT ANSWER The "accompanied by" exemption checkbox and write "vision" to
identify the type of exemption.
If the driver is qualified by operation of 49 CFR 391.64 due to participation in the vision
study program, what must the driver present to qualify for certification? -CORRECT
ANSWER Letter identifying the driver as a participant and copy of the specialist eye
examination.
How long can a driver who is qualified by operation of 49 CFR 391.64 be certified. -
CORRECT ANSWER 1 year
hearing requirements -CORRECT ANSWER Whisper at not less than 5 feet in 1 ear, or
average hearing loss no greater than 40 dB at 500Hz, 1000Hz, 2000 Hz in 1 ear.
What is the waiting period for vertigo caused by benign positional vertigo or
acute/chronic peripheral vestibulopathy? -CORRECT ANSWER 3 months
Name 4 otic conditions that are automatic disqualification -CORRECT ANSWER
Meniere's, uncontrolled vertigo, labyrinthine fistula, nonfunctioning labyrinth
Apnea-hypopnea index of [blank] or more episodes per hour is diagnostic of OSA -
CORRECT ANSWER 30
,3 requirements for a passing ETT -CORRECT ANSWER 1. increased SBP of at least
20 without angina
2. workload capacity >6 METs
3. no significant ST depression
Examiners must retain records for how many years? -CORRECT ANSWER 3
Regulation that describes the physical qualifications of drivers. -CORRECT ANSWER
49 CFR 391.41
Regulation that describes the responsibilities of the medical examiner. -CORRECT
ANSWER 49 CFR 391.43
Regulation that describes the process for conflict resolution when there is a
disagreement between the primary care provider for the driver and the medical
examiner for the motor carrier concerning driving qualifications. -CORRECT ANSWER
49 CFR 391.47
Regulation that describes the Skill Performance Evaluation (SPE) Certification Program.
-CORRECT ANSWER 49 CFR 391.49
Regulation that describes limited exemptions for intra-city zone drivers. -CORRECT
ANSWER 49 CFR 391.62
Regulation that describes grandfathering for certain drivers who participated in vision
and diabetes waiver study programs. -CORRECT ANSWER 49 CFR 391.64
Regulation that includes regulations for medical review officers and substance abuse
professionals, including drug and alcohol testing procedures. -CORRECT ANSWER 49
CFR 40
Define Stage I Hypertension -CORRECT ANSWER BP greater than or equal to 140/90
What is the maximum certification period for stage I hypertension if this is the 1st
examination at which the driver has BP equivalent to stage I hypertension and has no
history of hypertension? -CORRECT ANSWER 1 year
What is the maximum certification period for untreated known or inadequately controlled
stage I hypertension? -CORRECT ANSWER 3 months
What is the maximum certification period for blood pressure >140/90 and the following:
follow-up 3 months certificate or history of stage III hypertension -CORRECT ANSWER
None, driver is disqualified
Define Stage II hypertension. -CORRECT ANSWER BP is ≥ 160 to <180 SYSTOLIC,
and is ≥100 to < 110 Diastolic
, What is the maximum certification period for Stage II hypertension with blood pressure
>140/90? -CORRECT ANSWER 3 months
What is the maximum certification period for Stage II hypertension with blood pressure
</140/90? -CORRECT ANSWER 1 year
Define Stage III hypertension. -CORRECT ANSWER BP >180 Systolic and > 110
Diastolic
What is the maximum certification period for Stage III hypertension with blood pressure
>140/90? -CORRECT ANSWER 1 time certificate for 3 months in accordance with
stage 1 or 2 HTN guidelines, as determined by a case by case basis.
What is the maximum certification period for a driver with a history of Stage III
hypertension but t exam his BP is at or less 140/90 and treatment is well tolerated? -
CORRECT ANSWER 6 months
What is the maximum certification period for Stage III hypertension with blood pressure
>180/110? -CORRECT ANSWER None, driver is disqualified.
What is the waiting period and maximum certification period for surgical correction of
secondary hypertension? -CORRECT ANSWER 3 months and 1 year post surgical
correction
What is the waiting period and maximum certification period for driver on anticoagulants
for cardiovascular cause? -CORRECT ANSWER 1 month stabilized and 1 year with
monthly INRs
What is the waiting period and maximum certification period for driver on anticoagulants
for neurlogical condition? -CORRECT ANSWER None, driver is disqualified.
5 reasons to disqualify a driver with AAA -CORRECT ANSWER 1. Symptomatic
2. AAA >5cm
3. AAA 4-5 cm and does not have clearance from a cardiologist
4. AAA increased in size 0.5cm in 6 months
5. Surgical repair was recommended but not done
Maximum certification period for driver with AAA that is asymptomatic or <4cm, >4cm
and <5cm but has clearance from cardiologist -CORRECT ANSWER 1 year
Maximum certification period for Acute DVT -CORRECT ANSWER 1 year
Maximum certification period for Chronic DVT -CORRECT ANSWER 2 years
Correct Verified Answers | Latest Version ||Already
Graded A+||Brand new!!!
vision requirements -CORRECT ANSWER Distant vision 20/40 each eye and 20/40
both eyes, Peripheral vision at least 70 degrees, Ability to recognize and distinguish
betwen the colors of traffic signals and devices.
If the driver presents a valid vision exemption, how long can he be certified? -
CORRECT ANSWER 1 year
The driver with a vision exemption must present what 2 things before receiving the
medical examiner's certificate. -CORRECT ANSWER Valid vision exemption and copy
of the specialist eye examination report.
When applying for a vision exemption, the driver should include a copy of the Medical
Examination Report form and the medical examiner's certification with what marked? -
CORRECT ANSWER The "accompanied by" exemption checkbox and write "vision" to
identify the type of exemption.
If the driver is qualified by operation of 49 CFR 391.64 due to participation in the vision
study program, what must the driver present to qualify for certification? -CORRECT
ANSWER Letter identifying the driver as a participant and copy of the specialist eye
examination.
How long can a driver who is qualified by operation of 49 CFR 391.64 be certified. -
CORRECT ANSWER 1 year
hearing requirements -CORRECT ANSWER Whisper at not less than 5 feet in 1 ear, or
average hearing loss no greater than 40 dB at 500Hz, 1000Hz, 2000 Hz in 1 ear.
What is the waiting period for vertigo caused by benign positional vertigo or
acute/chronic peripheral vestibulopathy? -CORRECT ANSWER 3 months
Name 4 otic conditions that are automatic disqualification -CORRECT ANSWER
Meniere's, uncontrolled vertigo, labyrinthine fistula, nonfunctioning labyrinth
Apnea-hypopnea index of [blank] or more episodes per hour is diagnostic of OSA -
CORRECT ANSWER 30
,3 requirements for a passing ETT -CORRECT ANSWER 1. increased SBP of at least
20 without angina
2. workload capacity >6 METs
3. no significant ST depression
Examiners must retain records for how many years? -CORRECT ANSWER 3
Regulation that describes the physical qualifications of drivers. -CORRECT ANSWER
49 CFR 391.41
Regulation that describes the responsibilities of the medical examiner. -CORRECT
ANSWER 49 CFR 391.43
Regulation that describes the process for conflict resolution when there is a
disagreement between the primary care provider for the driver and the medical
examiner for the motor carrier concerning driving qualifications. -CORRECT ANSWER
49 CFR 391.47
Regulation that describes the Skill Performance Evaluation (SPE) Certification Program.
-CORRECT ANSWER 49 CFR 391.49
Regulation that describes limited exemptions for intra-city zone drivers. -CORRECT
ANSWER 49 CFR 391.62
Regulation that describes grandfathering for certain drivers who participated in vision
and diabetes waiver study programs. -CORRECT ANSWER 49 CFR 391.64
Regulation that includes regulations for medical review officers and substance abuse
professionals, including drug and alcohol testing procedures. -CORRECT ANSWER 49
CFR 40
Define Stage I Hypertension -CORRECT ANSWER BP greater than or equal to 140/90
What is the maximum certification period for stage I hypertension if this is the 1st
examination at which the driver has BP equivalent to stage I hypertension and has no
history of hypertension? -CORRECT ANSWER 1 year
What is the maximum certification period for untreated known or inadequately controlled
stage I hypertension? -CORRECT ANSWER 3 months
What is the maximum certification period for blood pressure >140/90 and the following:
follow-up 3 months certificate or history of stage III hypertension -CORRECT ANSWER
None, driver is disqualified
Define Stage II hypertension. -CORRECT ANSWER BP is ≥ 160 to <180 SYSTOLIC,
and is ≥100 to < 110 Diastolic
, What is the maximum certification period for Stage II hypertension with blood pressure
>140/90? -CORRECT ANSWER 3 months
What is the maximum certification period for Stage II hypertension with blood pressure
</140/90? -CORRECT ANSWER 1 year
Define Stage III hypertension. -CORRECT ANSWER BP >180 Systolic and > 110
Diastolic
What is the maximum certification period for Stage III hypertension with blood pressure
>140/90? -CORRECT ANSWER 1 time certificate for 3 months in accordance with
stage 1 or 2 HTN guidelines, as determined by a case by case basis.
What is the maximum certification period for a driver with a history of Stage III
hypertension but t exam his BP is at or less 140/90 and treatment is well tolerated? -
CORRECT ANSWER 6 months
What is the maximum certification period for Stage III hypertension with blood pressure
>180/110? -CORRECT ANSWER None, driver is disqualified.
What is the waiting period and maximum certification period for surgical correction of
secondary hypertension? -CORRECT ANSWER 3 months and 1 year post surgical
correction
What is the waiting period and maximum certification period for driver on anticoagulants
for cardiovascular cause? -CORRECT ANSWER 1 month stabilized and 1 year with
monthly INRs
What is the waiting period and maximum certification period for driver on anticoagulants
for neurlogical condition? -CORRECT ANSWER None, driver is disqualified.
5 reasons to disqualify a driver with AAA -CORRECT ANSWER 1. Symptomatic
2. AAA >5cm
3. AAA 4-5 cm and does not have clearance from a cardiologist
4. AAA increased in size 0.5cm in 6 months
5. Surgical repair was recommended but not done
Maximum certification period for driver with AAA that is asymptomatic or <4cm, >4cm
and <5cm but has clearance from cardiologist -CORRECT ANSWER 1 year
Maximum certification period for Acute DVT -CORRECT ANSWER 1 year
Maximum certification period for Chronic DVT -CORRECT ANSWER 2 years
