NRCME Exam Questions
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1. What minimum PaO2 level is necessary if the d
driver has an ABG due to a chronic 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 b. only needs to be able to perceive
feet in his right ear and 4 feet in his left ear. All a whispered voice from 5 feet in ONE
other aspects of his physical examination are ear
unremarkable. The examiner should:
a. 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 left ear.
3. A driver reports for an examination 6 weeks a. the driver has not waited the re-
after suffering a mild heart attack and presents quired 2 MONTHS of a waiting peri-
a note from his cardiologist stating that he is od
able to return to work immediately without re-
striction. Included within the note, the cardiolo-
gist provides recent testing information show-
ing that the driver had an ETT that showed
he was able to reach 12 METS during the test.
His echocardiogram showed an ejection frac-
tion of 65%. The examination of the driver is
unremarkable. The examiner should:
a. Disqualify the driver.
b. Qualify the driver for 1 year.
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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 docu- b. average the results from 500,
menting the following: 1000, and 2000Hz. The average is
500 Hz: 35 Right ear; 40 Left ear 38.33 in the right and 43.33 in the
1000 HZ:40 Right ear; 45 Left ear 2000 HZ:40 left. Average hearing loss must be
Right ear; 45 Left ear less than or equal to 40 in the better
4000 Hz:50 Right ear; 50 Left ear ear (doesn't have to be met in both
The medical examiner should: ears)
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 exemp-
tion.
5. During the examination of a commercial driver, a.minimum of 70 degrees bilaterally
the examiner notices that the driver's peripher-
al 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 exemp-
tion because of the limitation in the driver's
left peripheral field.
c. Disqualify the driver.
d. Have the driver consult with an Ophthalmol-
ogist to determine if the driver's peripheral vi-
sion
meets minimum standards.
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6. During examination, the medical examiner no- b.
tices 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" question-
naire to determine if he suffers from alco-
holism.
b. Disqualify the driver and refer him to a men-
tal health profession prior to consideration for
certification.
c. Certify the driver with a 1-time, 3-month cer-
tificate 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 a.
treatment of his glaucoma, which is legal in
theState in which he lives. He provides med-
ical documentation for the glaucoma indicating
he isable to drive a truck. He began using the
marijuana about three months ago. His cur-
rentmedical card has no limitations listed and is
for 2 years. His certification examination is with-
in 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.
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8. A driver has a blood pressure of 136/92 mm Hg. b
This is:
a. Within normal limits and would not affect the
driver's certification.
b. Stage 1 Hypertension.
c. Stage 2 Hypertension.
d. Stage 3 Hypertension.
9. A driver is taking Celexa for the treatment of a. medical clearance is recommend-
what he calls a "mild depression." He reports ed for all mental health disorders
he
has not considered or attempted suicide. The
examiner should?
a. Certify only after obtaining written clearance
for the depression and the medication from the
treating provider
b. Certify the driver for a period of 1 year.
c. Certify the driver for a period of 2 years.
d. Disqualify the driver until he is no longer
requiring medication for the treatment of de-
pression.
10. For a driver with insulin-treated diabetes melli- c
tus, the medical examiner can only accept Form
MCSA-5870 if it has been properly completed
within the last:
a. 25 days.
b. 30 days.
c. 45 days
d. 60 days
11. c
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1. What minimum PaO2 level is necessary if the d
driver has an ABG due to a chronic 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 b. only needs to be able to perceive
feet in his right ear and 4 feet in his left ear. All a whispered voice from 5 feet in ONE
other aspects of his physical examination are ear
unremarkable. The examiner should:
a. 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 left ear.
3. A driver reports for an examination 6 weeks a. the driver has not waited the re-
after suffering a mild heart attack and presents quired 2 MONTHS of a waiting peri-
a note from his cardiologist stating that he is od
able to return to work immediately without re-
striction. Included within the note, the cardiolo-
gist provides recent testing information show-
ing that the driver had an ETT that showed
he was able to reach 12 METS during the test.
His echocardiogram showed an ejection frac-
tion of 65%. The examination of the driver is
unremarkable. The examiner should:
a. Disqualify the driver.
b. Qualify the driver for 1 year.
, NRCME Exam Questions
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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 docu- b. average the results from 500,
menting the following: 1000, and 2000Hz. The average is
500 Hz: 35 Right ear; 40 Left ear 38.33 in the right and 43.33 in the
1000 HZ:40 Right ear; 45 Left ear 2000 HZ:40 left. Average hearing loss must be
Right ear; 45 Left ear less than or equal to 40 in the better
4000 Hz:50 Right ear; 50 Left ear ear (doesn't have to be met in both
The medical examiner should: ears)
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 exemp-
tion.
5. During the examination of a commercial driver, a.minimum of 70 degrees bilaterally
the examiner notices that the driver's peripher-
al 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 exemp-
tion because of the limitation in the driver's
left peripheral field.
c. Disqualify the driver.
d. Have the driver consult with an Ophthalmol-
ogist to determine if the driver's peripheral vi-
sion
meets minimum standards.
, NRCME Exam Questions
Study online at https://quizlet.com/_g6e9p6
6. During examination, the medical examiner no- b.
tices 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" question-
naire to determine if he suffers from alco-
holism.
b. Disqualify the driver and refer him to a men-
tal health profession prior to consideration for
certification.
c. Certify the driver with a 1-time, 3-month cer-
tificate 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 a.
treatment of his glaucoma, which is legal in
theState in which he lives. He provides med-
ical documentation for the glaucoma indicating
he isable to drive a truck. He began using the
marijuana about three months ago. His cur-
rentmedical card has no limitations listed and is
for 2 years. His certification examination is with-
in 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.
, NRCME Exam Questions
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8. A driver has a blood pressure of 136/92 mm Hg. b
This is:
a. Within normal limits and would not affect the
driver's certification.
b. Stage 1 Hypertension.
c. Stage 2 Hypertension.
d. Stage 3 Hypertension.
9. A driver is taking Celexa for the treatment of a. medical clearance is recommend-
what he calls a "mild depression." He reports ed for all mental health disorders
he
has not considered or attempted suicide. The
examiner should?
a. Certify only after obtaining written clearance
for the depression and the medication from the
treating provider
b. Certify the driver for a period of 1 year.
c. Certify the driver for a period of 2 years.
d. Disqualify the driver until he is no longer
requiring medication for the treatment of de-
pression.
10. For a driver with insulin-treated diabetes melli- c
tus, the medical examiner can only accept Form
MCSA-5870 if it has been properly completed
within the last:
a. 25 days.
b. 30 days.
c. 45 days
d. 60 days
11. c
