NRCME Question
Bank
,This PDF file contains 243 sample NRCME exam questions. The first portion contains the
questions without the answers. The second portion of this file contains the questions with
the correct answer indicated and the explanation. The Sample NRMCE Exam included in this
training program contains another 125 questions.
QUESTIONS
1. What minimum PaO2 level is necessary if the driver has an ABG due to achronic
respiratory disorder?
a. 70 mm Hg
b. 55 mm Hg
c. 60 mm Hg
d. 65 mm Hg
2. A driver first perceives a whispered voice at 5 feet in his right ear and 4 feet in his left ear. All other
aspects of his physical examination are unremarkable. The examinershould:
a. Permanently disqualify the driver because he “failed” the whispered voice test.
b. Certify the driver for 2 years.
c. Certify the driver for 1 year.
d. Require an audiometric test to determine the extent of hearing loss in his leftear.
3. A driver reports for an examination 6 weeks after suffering a mild heart attack and presents a note from
his cardiologist stating that he is able to return to work immediately without restriction. Included within
the note, the cardiologist provides recent testing information showing that the driver had an ETT that
showed he was able to reach 12 METS during the test. His echocardiogram showed an ejection fraction
of 65%. The examination of the driver is unremarkable. The examiner should:
a. Temporarily disqualify the driver.
b. Qualify the driver for 1 year.
c. Qualify the driver for 2 years.
d. Consult with the cardiologist to determine if the driver suffers from angina.
,4. A driver provides an audiometric test documenting the following:
i. 500 Hz: 35 Right ear; 40 Left ear
ii. 1000 HZ: 40 Right ear; 45 Left ear
iii. 2000 HZ: 40 Right ear; 45 Left ear
iv. 4000 Hz: 50 Right ear; 50 Left ear
The medical examiner should:
a. Disqualify the driver because he does not meet minimum hearing requirements to drive.
b. Certify the driver for 2 years.
c. Certify the driver for 1 year.
d. Require the driver to obtain a hearing exemption.
5. During the examination of a commercial driver, the examiner notices that the driver’s peripheral
vision is 70 degrees to the left and 80 degrees to the right. The examiner should:
a. Qualify the driver for 2 years.
b. Require the driver to obtain a vision exemption because of the limitation in the driver’s
left peripheral field.
c. Disqualify the driver.
d. Have the driver consult with an Ophthalmologist to determine if the driver’s peripheral vision
meets minimum standards.
6. During examination, the medical examiner notices that the driver is distant, lacks eye contact and
shows absolutely no emotional response during the exam. The examiner’s best response should
be:
a. Provide the driver with a “CAGE” questionnaire to determine if he suffers from
alcoholism.
b. Disqualify the driver and refer him to a mental health profession prior to
consideration for certification.
c. Certify the driver with a 1-time, 3-month certificate to determine if there is any effect on the
driver’s ability to drive a CMV.
d. Require a skill performance evaluation to ascertain if the driver has any limitations with
driving.
, 7. A driver admits to the use of marijuana for the treatment of his glaucoma, which is legal in the
State in which he lives. He provides medical documentation for the glaucoma indicating he is
able to drive a truck. He began using the marijuana about three months ago. His current
medical card has no limitations listed and is for 2 years. His certification examination is within normal
limits. The medical examiner should:
a. Disqualify the driver.
b. Perform a urine drug collection and provide the release from the testingprovider.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years.
8. A driver dhas da dblood dpressure dof d136/92 dmm dHg. dThis dis:
a. Within dnormal dlimits dand dwould dnot daffect dthe ddriver’s dcertification.
b. Stage d1 dHypertension.
c. Stage d2 dHypertension.
d. Stage d3 dHypertension.
9. A ddriver dis dtaking dCelexa dfor dthe dtreatment dof dwhat dhe dcalls da d“mild ddepression.” dHe
dreports dhe dhas dnot dconsidered dor dattempted dsuicide. dThe dexaminer dshould?
a. Certify donly dafter dobtaining dwritten dclearance dfor dthe ddepression dand dthe dmedication
dfrom dthe dtreating dprovider
b. Certify dthe ddriver dfor da dperiod dof d1 dyear.
c. Certify dthe ddriver dfor da dperiod dof d2 dyears.
d. Disqualify dthe ddriver duntil dhe dis dno dlonger drequiring dmedication dfor dthe
dtreatment dof ddepression.
Bank
,This PDF file contains 243 sample NRCME exam questions. The first portion contains the
questions without the answers. The second portion of this file contains the questions with
the correct answer indicated and the explanation. The Sample NRMCE Exam included in this
training program contains another 125 questions.
QUESTIONS
1. What minimum PaO2 level is necessary if the driver has an ABG due to achronic
respiratory disorder?
a. 70 mm Hg
b. 55 mm Hg
c. 60 mm Hg
d. 65 mm Hg
2. A driver first perceives a whispered voice at 5 feet in his right ear and 4 feet in his left ear. All other
aspects of his physical examination are unremarkable. The examinershould:
a. Permanently disqualify the driver because he “failed” the whispered voice test.
b. Certify the driver for 2 years.
c. Certify the driver for 1 year.
d. Require an audiometric test to determine the extent of hearing loss in his leftear.
3. A driver reports for an examination 6 weeks after suffering a mild heart attack and presents a note from
his cardiologist stating that he is able to return to work immediately without restriction. Included within
the note, the cardiologist provides recent testing information showing that the driver had an ETT that
showed he was able to reach 12 METS during the test. His echocardiogram showed an ejection fraction
of 65%. The examination of the driver is unremarkable. The examiner should:
a. Temporarily disqualify the driver.
b. Qualify the driver for 1 year.
c. Qualify the driver for 2 years.
d. Consult with the cardiologist to determine if the driver suffers from angina.
,4. A driver provides an audiometric test documenting the following:
i. 500 Hz: 35 Right ear; 40 Left ear
ii. 1000 HZ: 40 Right ear; 45 Left ear
iii. 2000 HZ: 40 Right ear; 45 Left ear
iv. 4000 Hz: 50 Right ear; 50 Left ear
The medical examiner should:
a. Disqualify the driver because he does not meet minimum hearing requirements to drive.
b. Certify the driver for 2 years.
c. Certify the driver for 1 year.
d. Require the driver to obtain a hearing exemption.
5. During the examination of a commercial driver, the examiner notices that the driver’s peripheral
vision is 70 degrees to the left and 80 degrees to the right. The examiner should:
a. Qualify the driver for 2 years.
b. Require the driver to obtain a vision exemption because of the limitation in the driver’s
left peripheral field.
c. Disqualify the driver.
d. Have the driver consult with an Ophthalmologist to determine if the driver’s peripheral vision
meets minimum standards.
6. During examination, the medical examiner notices that the driver is distant, lacks eye contact and
shows absolutely no emotional response during the exam. The examiner’s best response should
be:
a. Provide the driver with a “CAGE” questionnaire to determine if he suffers from
alcoholism.
b. Disqualify the driver and refer him to a mental health profession prior to
consideration for certification.
c. Certify the driver with a 1-time, 3-month certificate to determine if there is any effect on the
driver’s ability to drive a CMV.
d. Require a skill performance evaluation to ascertain if the driver has any limitations with
driving.
, 7. A driver admits to the use of marijuana for the treatment of his glaucoma, which is legal in the
State in which he lives. He provides medical documentation for the glaucoma indicating he is
able to drive a truck. He began using the marijuana about three months ago. His current
medical card has no limitations listed and is for 2 years. His certification examination is within normal
limits. The medical examiner should:
a. Disqualify the driver.
b. Perform a urine drug collection and provide the release from the testingprovider.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years.
8. A driver dhas da dblood dpressure dof d136/92 dmm dHg. dThis dis:
a. Within dnormal dlimits dand dwould dnot daffect dthe ddriver’s dcertification.
b. Stage d1 dHypertension.
c. Stage d2 dHypertension.
d. Stage d3 dHypertension.
9. A ddriver dis dtaking dCelexa dfor dthe dtreatment dof dwhat dhe dcalls da d“mild ddepression.” dHe
dreports dhe dhas dnot dconsidered dor dattempted dsuicide. dThe dexaminer dshould?
a. Certify donly dafter dobtaining dwritten dclearance dfor dthe ddepression dand dthe dmedication
dfrom dthe dtreating dprovider
b. Certify dthe ddriver dfor da dperiod dof d1 dyear.
c. Certify dthe ddriver dfor da dperiod dof d2 dyears.
d. Disqualify dthe ddriver duntil dhe dis dno dlonger drequiring dmedication dfor dthe
dtreatment dof ddepression.
