NRCME Test Bank Questions
An exemption for diabetes can be granted by: A) An endocrinologist
B) The Examiner for a Death C) The personal physician of the driver D) The FMCSA - ANS-D)
Only the FMCSA can grant exemptions
A driver experienced a pneumothorax four weeks ago. The pneumothorax reduced the driver's
forced vital capacity (FVC) to 58% of predicted forced vital capacity. What should the decision
on certification be? A) Do not sign. B) Maintain certification for three months subject to driver
follow-up with a personal physician or specialist. C) Be certified for a year. D) Maintain
certification for two years - ANS-A) The driver may not be certified until the FVC is greater than
60% of predicted A driver may use telescopic lenses that redirect peripheral vision to
compensate for loss of central vision as corrective lenses for meeting CMV qualification
requirements
A) True
B) False - ANS-B) Use of such lenses is prohibited
A driver presents for clearance to return to driving a CMV four weeks after arthroscopic carpal
tunnel repair to his left hand. The certification decision should be:
A) A two-month waiting period for carpal tunnel surgery must be completed by the driver. B)
The driver may be certified if he completes a functional capacity evaluation
C) The driver may be certified for a maximum of one year, as long as he meets all the other
qualification standards
D) The driver may be certified for a maximum of two years, as long s he meets all the other
qualification standards - ANS-D) Ther is no waiting period following carpal tunnel surgery. If the
medical examiner determines that the driver has sufficiently recovered from surgery, the driver
may be certified for up to two years. A driver presents for examination with a history of
pneumothorax 6 weeks ago. According to the records that are available, this is the second
spontaneous pneumothorax that has occurred on the same side. With no surgical intervention,
the driver's forced vital capacity (FVC) is 68% of the predicted FVC. What criteria determines
certification? A). Do not certify
B) Certify for 3 months, pending driver follow up with personal physician and/or specialist
C) Certify for one year
D) Certify for 2 years - ANS-A) A driver with a history of two or more spontaneous
pneumothoraxes on the same side must undergo surgical treatment to prevent recurrence prior
to certification.
A driver previously diagnosed and treated for hypertension presents on April 4, 2014 with blood
pressure of 150/84. The driver is given a three-month certification until July 4, 2014. At
follow-up two months later, on June 4, 2014, a complete driver examination is performed, and
the driver's blood pressure is 124/74. The driver should be certified for
_______________________.
A) Three months until September 4, 2014
B) One year until April 4, 2015
, C) A year, through June 4, 2015 D) Two years until April 4, 2016 - ANS-Which of the following
is true with respect to drivers with psychological disorders?
A) Exclusion from CMV driving is not solely based on diagnosis, with a few exceptions, such as
schizophrenia. B) Recommendations regarding the effects and/or side effects of medication use,
using the impairment level caused by a blood alcohol concentration of 0.08 percent as a
standard. C) Medical examiners may not request medical records related to treatment of
psychological disorders due to HIPAA regulation.
D) Treatment with antipsychotic medications is disqualifying
A) The degree of of impairment produced by a 0.04 percent blood alcohol level is considered
the impairment benchmark by the FMCSA. HIPAA regulations do not preclude a medical
examiner from requesting records related to treatment of psychological disorders. The medical
examiner requesting such records should have the driver sign a HIPAA-compliant consent form
for the release of such records. Treatment with antipsychotic medications is not in and of itself
disqualifying, although the underlying diagnosis for which such medications are used may be
disqualifying.
To relieve congestion in the nose, a driver takes 25 mg of Benadryl twice or three times daily.
The medical examiner should:
A) Advised the driver to use diphenhydramine nor more than twice daily
B) Advise the driver to consult with PCP to evaluate chronic congestion and obtain treatment
that does not interfere with safe driving
C) Give a nonsedating inhaler prescription. D) Contact DOT to advise of a safety concern -
ANS-B) Drivers should be advised to follow up with their treating physicians to obtain treatments
that are not sedating
A driver taking methadone for substance abuse treatment may be certified for three months.
A) True
B) False - ANS-B) False, methadone is disqualifying
A driver treated for hypertension presents on September 8, 2012 with a blood pressure of
142/96. The driver is given a three-month certification until December 8, 2012. On blood
pressure check one month later, on October 14, 2012, the driver's blood pressure is 144/72.
The driver should be certified for __________________.
A) Do not certify
B) From now until January 14, 2013 C) One year to September 8, 2018
D) The driver maintains their certification for a period of three months, which runs through
December 8, 2012 (ANS-D). The driver's blood pressure did not disqualify the driver from
obtaining a one-year certification. By December 8, 2012, the driver's blood pressure must be
below 140/90 or they will be disqualified until their blood pressure is stable below 140/90. A
driver who has Hepatitis C who is stable and whose condition does not represent a safety risk
may be certified
A) True
B) False - ANS-A) Hepatitis C is not disqualifying
An annual examination is required for a driver who requires a hearing aid to meet certification
requirements. A) True
B) False - ANS-B) A driver who needs a hearing aid to meet requirements may be certified for
up to two years.
, When should a driver who is exempt from diabetes check their glucose levels? A) One hour
before driving and at least once every four hours while driving
B) One hour before driving and at least every eight hours while driving
C) Once after four hours of driving
D) Once a day after driving period has ended - ANS-A) Driver's with diabetes exemption should
check glucose values one hour before driving and once every four hours while driving
A driver with a history of acute bleeding ulcer may be certified if:
A) The pain is gone. B) Driver tolerates food without nausea and vomiting
C) Bleeding has subsided
D) The underlying cause has been determined, and the likelihood of recurrence following
treatment is low - ANS-D) Drivers with bleeding ulcers should not be certified until the underlying
cause has been determined and the likelihood of recurrence is low. A driver with a history of
acute seizure secondary to an acute structural insult requires a waiting period of one-year
seizure free and off anticonvulsant medications for:
A) Mild injury that did not cause early seizures B) Moderate insult without early seizures
C) Mild insult with early seizures
D) Stroke with risk for seizures - ANS-A) A history of seizure secondary to acute structural
insult requires a waiting period of one year for mild insult without early seizure, stroke without
risk for seizure, or intracerebral hemorrhage without risk for seizure. Moderate insult without
early seizures and mild insult with early seizures requires a two-year waiting period, and stroke
with risk for seizures requires a five-year waiting period.
A driver with a history of bacterial meningitis with early seizures or a single unprovoked seizure
requires a waiting period of _____________ seizure free and off anticonvulsant medications.
A) One year
B) Two years
C) Five years
D) Ten years - ANS-C) The waiting period for a history of bacterial meningitis with early
seizures or single unprovoked seizure is five years
A driver with a history of kidney disease with or without transplant:
A) Has medical limitations B) The severity, stability, medications used, and adverse drug
reactions or side effects must be evaluated. C) Should not be assessed for functional ability to
operate a CMV safely
D) Should have the medical certificaton determination made by a renal specialist - ANS-B)
ASsessment for kidney disease must be ade on a case-by-case basis. Dialysis of any kind is
disqualifying. The medical examiner may choose to test the driver for functional ability to
operate a CMV safely. The medical certification decision must be made by the medical
examiner.
A driver with a history of major depression should be evaluated at least every
_______________ by an appropriate mental health specialist who understands the functions
and demands of commercial motor vehicle driving.
A) Six months
B) One year
C) Two years
An exemption for diabetes can be granted by: A) An endocrinologist
B) The Examiner for a Death C) The personal physician of the driver D) The FMCSA - ANS-D)
Only the FMCSA can grant exemptions
A driver experienced a pneumothorax four weeks ago. The pneumothorax reduced the driver's
forced vital capacity (FVC) to 58% of predicted forced vital capacity. What should the decision
on certification be? A) Do not sign. B) Maintain certification for three months subject to driver
follow-up with a personal physician or specialist. C) Be certified for a year. D) Maintain
certification for two years - ANS-A) The driver may not be certified until the FVC is greater than
60% of predicted A driver may use telescopic lenses that redirect peripheral vision to
compensate for loss of central vision as corrective lenses for meeting CMV qualification
requirements
A) True
B) False - ANS-B) Use of such lenses is prohibited
A driver presents for clearance to return to driving a CMV four weeks after arthroscopic carpal
tunnel repair to his left hand. The certification decision should be:
A) A two-month waiting period for carpal tunnel surgery must be completed by the driver. B)
The driver may be certified if he completes a functional capacity evaluation
C) The driver may be certified for a maximum of one year, as long as he meets all the other
qualification standards
D) The driver may be certified for a maximum of two years, as long s he meets all the other
qualification standards - ANS-D) Ther is no waiting period following carpal tunnel surgery. If the
medical examiner determines that the driver has sufficiently recovered from surgery, the driver
may be certified for up to two years. A driver presents for examination with a history of
pneumothorax 6 weeks ago. According to the records that are available, this is the second
spontaneous pneumothorax that has occurred on the same side. With no surgical intervention,
the driver's forced vital capacity (FVC) is 68% of the predicted FVC. What criteria determines
certification? A). Do not certify
B) Certify for 3 months, pending driver follow up with personal physician and/or specialist
C) Certify for one year
D) Certify for 2 years - ANS-A) A driver with a history of two or more spontaneous
pneumothoraxes on the same side must undergo surgical treatment to prevent recurrence prior
to certification.
A driver previously diagnosed and treated for hypertension presents on April 4, 2014 with blood
pressure of 150/84. The driver is given a three-month certification until July 4, 2014. At
follow-up two months later, on June 4, 2014, a complete driver examination is performed, and
the driver's blood pressure is 124/74. The driver should be certified for
_______________________.
A) Three months until September 4, 2014
B) One year until April 4, 2015
, C) A year, through June 4, 2015 D) Two years until April 4, 2016 - ANS-Which of the following
is true with respect to drivers with psychological disorders?
A) Exclusion from CMV driving is not solely based on diagnosis, with a few exceptions, such as
schizophrenia. B) Recommendations regarding the effects and/or side effects of medication use,
using the impairment level caused by a blood alcohol concentration of 0.08 percent as a
standard. C) Medical examiners may not request medical records related to treatment of
psychological disorders due to HIPAA regulation.
D) Treatment with antipsychotic medications is disqualifying
A) The degree of of impairment produced by a 0.04 percent blood alcohol level is considered
the impairment benchmark by the FMCSA. HIPAA regulations do not preclude a medical
examiner from requesting records related to treatment of psychological disorders. The medical
examiner requesting such records should have the driver sign a HIPAA-compliant consent form
for the release of such records. Treatment with antipsychotic medications is not in and of itself
disqualifying, although the underlying diagnosis for which such medications are used may be
disqualifying.
To relieve congestion in the nose, a driver takes 25 mg of Benadryl twice or three times daily.
The medical examiner should:
A) Advised the driver to use diphenhydramine nor more than twice daily
B) Advise the driver to consult with PCP to evaluate chronic congestion and obtain treatment
that does not interfere with safe driving
C) Give a nonsedating inhaler prescription. D) Contact DOT to advise of a safety concern -
ANS-B) Drivers should be advised to follow up with their treating physicians to obtain treatments
that are not sedating
A driver taking methadone for substance abuse treatment may be certified for three months.
A) True
B) False - ANS-B) False, methadone is disqualifying
A driver treated for hypertension presents on September 8, 2012 with a blood pressure of
142/96. The driver is given a three-month certification until December 8, 2012. On blood
pressure check one month later, on October 14, 2012, the driver's blood pressure is 144/72.
The driver should be certified for __________________.
A) Do not certify
B) From now until January 14, 2013 C) One year to September 8, 2018
D) The driver maintains their certification for a period of three months, which runs through
December 8, 2012 (ANS-D). The driver's blood pressure did not disqualify the driver from
obtaining a one-year certification. By December 8, 2012, the driver's blood pressure must be
below 140/90 or they will be disqualified until their blood pressure is stable below 140/90. A
driver who has Hepatitis C who is stable and whose condition does not represent a safety risk
may be certified
A) True
B) False - ANS-A) Hepatitis C is not disqualifying
An annual examination is required for a driver who requires a hearing aid to meet certification
requirements. A) True
B) False - ANS-B) A driver who needs a hearing aid to meet requirements may be certified for
up to two years.
, When should a driver who is exempt from diabetes check their glucose levels? A) One hour
before driving and at least once every four hours while driving
B) One hour before driving and at least every eight hours while driving
C) Once after four hours of driving
D) Once a day after driving period has ended - ANS-A) Driver's with diabetes exemption should
check glucose values one hour before driving and once every four hours while driving
A driver with a history of acute bleeding ulcer may be certified if:
A) The pain is gone. B) Driver tolerates food without nausea and vomiting
C) Bleeding has subsided
D) The underlying cause has been determined, and the likelihood of recurrence following
treatment is low - ANS-D) Drivers with bleeding ulcers should not be certified until the underlying
cause has been determined and the likelihood of recurrence is low. A driver with a history of
acute seizure secondary to an acute structural insult requires a waiting period of one-year
seizure free and off anticonvulsant medications for:
A) Mild injury that did not cause early seizures B) Moderate insult without early seizures
C) Mild insult with early seizures
D) Stroke with risk for seizures - ANS-A) A history of seizure secondary to acute structural
insult requires a waiting period of one year for mild insult without early seizure, stroke without
risk for seizure, or intracerebral hemorrhage without risk for seizure. Moderate insult without
early seizures and mild insult with early seizures requires a two-year waiting period, and stroke
with risk for seizures requires a five-year waiting period.
A driver with a history of bacterial meningitis with early seizures or a single unprovoked seizure
requires a waiting period of _____________ seizure free and off anticonvulsant medications.
A) One year
B) Two years
C) Five years
D) Ten years - ANS-C) The waiting period for a history of bacterial meningitis with early
seizures or single unprovoked seizure is five years
A driver with a history of kidney disease with or without transplant:
A) Has medical limitations B) The severity, stability, medications used, and adverse drug
reactions or side effects must be evaluated. C) Should not be assessed for functional ability to
operate a CMV safely
D) Should have the medical certificaton determination made by a renal specialist - ANS-B)
ASsessment for kidney disease must be ade on a case-by-case basis. Dialysis of any kind is
disqualifying. The medical examiner may choose to test the driver for functional ability to
operate a CMV safely. The medical certification decision must be made by the medical
examiner.
A driver with a history of major depression should be evaluated at least every
_______________ by an appropriate mental health specialist who understands the functions
and demands of commercial motor vehicle driving.
A) Six months
B) One year
C) Two years
