NRCME Test Bank Questions & Correct
Answers Already Graded A 2025 Latest
According to the regulation, what medical examiner documentation is required when a driver
applies for a SPE certificate? correct answer
1) The Medication Examination Report
2) Certification from a board-certified or eligible physiatrist or orthopedic surgeon that the driver
is otherwise qualified to drive
3) The Medical Examiner's certificate, indicating that a SPE certificate must accompany medical
certification
4) Results of the functional capacity evaluation (FCE)
A) 1,2, and 3 only
B) 1 and 3 only
C) 2 and 4 only
D) 4 only
E) all of the above
A) A functional capacity evaluation (FCE) is not a requirement for SPE certificate application
Which of the following is true? correct answer
A) The greatest risk for medication use for drivers with diabetes in hypoglycemia, not
hyperglycemia. Peripheral neuropathy is disqualifying condition. Diabetes is a CHD equivalent
condition.
What is the recommended certification interval for a driver with diabetes mellituse who does not
use insulin? correct answer
C) Drivers with non-insulin dependent diabetes should be certified for a maximum of one year
A diabetes exemption may be issued by:
D) Only the FMCSA can grant exemptions
A driver with diabetes mellliktus who uses insulin is determined to be otherwise medically
,A) Exemption requirements must be noted on the Medical Examination Report status section and
the Medical Examiners Certificate
If glucose is detected on urinalysis in a driver with no history of diabetes, an appropriate next step
is:
C) The medical examiner should first determine blood glucose and then make an appropriate
certification determination and referral
Drivers with a history of _____________ severe hypoglycemic reactions in the past year or
_____________ severe hypoglycemic reactions in the past five years should not be certifed.
B) A driver should not be certified if the driver has had one hypoglycemic reaction in the past year
or two in the past five years.
Which of the following is not a criteria that the FMCSA uses to define a severe hypoglycemic
reaction? correct answer
B) FMCSA defines severe hypoglycemia as reactions that result in seizure, loss of consciousness,
need of assistance from another person, and a period of impaired congitive function that occurred
without warning
Which diabetes mellitus risk poses the greatest threat to public safety
C) Although hyperglycemia, peripheral neuropathy, and metabolic encephalopathy all pose
significant risks for safe driving, hypoglycemia poses the greatest risk. The risk is particularly
pronounced in drivers who use insulin. FMCSA defines a hypoglycemia episode as one that results
in seizure, loss of consciousness, need of assistance from another person, or a period of impaired
cognitive function that occurs without warning.
A driver with a diabetes exemption should check glucose levels when? correct answer
A) Driver's with diabetes exemption should check glucose values one hour before driving and once
every four hours while driving
Which of the following is true for diagnosis of a hernia? correct answer
D) The medical examiner can use his/her judgment as to whether a driver should be referred to a
surgeon or other specialist. There is no specified waiting period following hernia surgery - the
driver should not be certified until the medical examiner determines that treatment is safe and
,effective, and that the condition is stable. No evidence has linked hernias of any type to increased
CMV accident risk.
Which of the following is true of nephropathy? correct answer
B) Nephropathy is considered on a case-by-case basis. The medical examiner determines what
evaluation or monitoring is necessary for a driver with 3+ proteinuria and may disqualify the
driver. The certification is always made by the medical examiner and cannot be deferred to a
specialist.
Drivers with which of the following conditions should be disqualified? correct answer
C) Dialysis of any type is disqualifying
If a significant abnormal finding for urinalysis specific gravity, protein, or blood is found, the
medical examiner should:
C) The medical examiner must determine whether additional evaluation is needed and whether the
certification decision should be postponed or limited
A driver with a history of kidney disease with or without transplant:
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.
Which of the following is not a disqualifying condition? correct answer
Any type of dialysis is a disqualifying condition. Peripheral neuropathy is usually disqualifying.
Although a hernia may be disqualifying, often a driver can be certified if the symptoms and/or
examination findings are mild or if the hernia has been surgically repaired and the condition has
stabilized (there is no specified waiting period following hernia treatment, including surgery).
Urinalysis is required for the driver physical examination and the results must include
C) Specific gravity, protein, blood, and glucose should be checked at every driver examination
, Disqualifying conditions include:
D) Dialysis of any type of disqualifying
A driver who has Hepatitis C who is stable and whose condition does not represent a safety risk
may be certified
A) Hepatitis C is not disqualifying
A driver with a history of acute bleeding ulcer may be certified if:
D) Drivers with bleeding ulcers should not be certified until the underlying cause has been
identified and the recurrence risk is low
A driver with a successful kidney transplant can be certified
A) Kidney transplants are not disqualifying
Which of the following is true? correct answer
A) If a driver gives a history of recent marijuana use, the driver should be referred for substance
abuse professional evaluation regardless of drug test result. Drivers with a history of marijuana
use, or a drug test positive for marijuana, must undergo substance abuse professional assessment
and complete any recommended rehabilitation prior to returning to driving. Marijuana is a
Schedule I drug.
Which of the following is a requirement for a driver with a history of alcoholism to be certified?
correct answer
A) Treatment with naltrexone is not required for driver certification for a driver with a history of
alcoholism. A driver with a history of alcoholism must have completed counseling and/or
treatment and must not have a current alcohol-related disorder in order to be certified.
Which of the following is a disqualifying condition? correct answer
D) A current diagnosis of alcoholism is disqualifying. A breath alcohol result of 0.02% or higher
renders the driver unqualified to drive. An alcohol-related unstable physical condition is
disqualifying.
Answers Already Graded A 2025 Latest
According to the regulation, what medical examiner documentation is required when a driver
applies for a SPE certificate? correct answer
1) The Medication Examination Report
2) Certification from a board-certified or eligible physiatrist or orthopedic surgeon that the driver
is otherwise qualified to drive
3) The Medical Examiner's certificate, indicating that a SPE certificate must accompany medical
certification
4) Results of the functional capacity evaluation (FCE)
A) 1,2, and 3 only
B) 1 and 3 only
C) 2 and 4 only
D) 4 only
E) all of the above
A) A functional capacity evaluation (FCE) is not a requirement for SPE certificate application
Which of the following is true? correct answer
A) The greatest risk for medication use for drivers with diabetes in hypoglycemia, not
hyperglycemia. Peripheral neuropathy is disqualifying condition. Diabetes is a CHD equivalent
condition.
What is the recommended certification interval for a driver with diabetes mellituse who does not
use insulin? correct answer
C) Drivers with non-insulin dependent diabetes should be certified for a maximum of one year
A diabetes exemption may be issued by:
D) Only the FMCSA can grant exemptions
A driver with diabetes mellliktus who uses insulin is determined to be otherwise medically
,A) Exemption requirements must be noted on the Medical Examination Report status section and
the Medical Examiners Certificate
If glucose is detected on urinalysis in a driver with no history of diabetes, an appropriate next step
is:
C) The medical examiner should first determine blood glucose and then make an appropriate
certification determination and referral
Drivers with a history of _____________ severe hypoglycemic reactions in the past year or
_____________ severe hypoglycemic reactions in the past five years should not be certifed.
B) A driver should not be certified if the driver has had one hypoglycemic reaction in the past year
or two in the past five years.
Which of the following is not a criteria that the FMCSA uses to define a severe hypoglycemic
reaction? correct answer
B) FMCSA defines severe hypoglycemia as reactions that result in seizure, loss of consciousness,
need of assistance from another person, and a period of impaired congitive function that occurred
without warning
Which diabetes mellitus risk poses the greatest threat to public safety
C) Although hyperglycemia, peripheral neuropathy, and metabolic encephalopathy all pose
significant risks for safe driving, hypoglycemia poses the greatest risk. The risk is particularly
pronounced in drivers who use insulin. FMCSA defines a hypoglycemia episode as one that results
in seizure, loss of consciousness, need of assistance from another person, or a period of impaired
cognitive function that occurs without warning.
A driver with a diabetes exemption should check glucose levels when? correct answer
A) Driver's with diabetes exemption should check glucose values one hour before driving and once
every four hours while driving
Which of the following is true for diagnosis of a hernia? correct answer
D) The medical examiner can use his/her judgment as to whether a driver should be referred to a
surgeon or other specialist. There is no specified waiting period following hernia surgery - the
driver should not be certified until the medical examiner determines that treatment is safe and
,effective, and that the condition is stable. No evidence has linked hernias of any type to increased
CMV accident risk.
Which of the following is true of nephropathy? correct answer
B) Nephropathy is considered on a case-by-case basis. The medical examiner determines what
evaluation or monitoring is necessary for a driver with 3+ proteinuria and may disqualify the
driver. The certification is always made by the medical examiner and cannot be deferred to a
specialist.
Drivers with which of the following conditions should be disqualified? correct answer
C) Dialysis of any type is disqualifying
If a significant abnormal finding for urinalysis specific gravity, protein, or blood is found, the
medical examiner should:
C) The medical examiner must determine whether additional evaluation is needed and whether the
certification decision should be postponed or limited
A driver with a history of kidney disease with or without transplant:
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.
Which of the following is not a disqualifying condition? correct answer
Any type of dialysis is a disqualifying condition. Peripheral neuropathy is usually disqualifying.
Although a hernia may be disqualifying, often a driver can be certified if the symptoms and/or
examination findings are mild or if the hernia has been surgically repaired and the condition has
stabilized (there is no specified waiting period following hernia treatment, including surgery).
Urinalysis is required for the driver physical examination and the results must include
C) Specific gravity, protein, blood, and glucose should be checked at every driver examination
, Disqualifying conditions include:
D) Dialysis of any type of disqualifying
A driver who has Hepatitis C who is stable and whose condition does not represent a safety risk
may be certified
A) Hepatitis C is not disqualifying
A driver with a history of acute bleeding ulcer may be certified if:
D) Drivers with bleeding ulcers should not be certified until the underlying cause has been
identified and the recurrence risk is low
A driver with a successful kidney transplant can be certified
A) Kidney transplants are not disqualifying
Which of the following is true? correct answer
A) If a driver gives a history of recent marijuana use, the driver should be referred for substance
abuse professional evaluation regardless of drug test result. Drivers with a history of marijuana
use, or a drug test positive for marijuana, must undergo substance abuse professional assessment
and complete any recommended rehabilitation prior to returning to driving. Marijuana is a
Schedule I drug.
Which of the following is a requirement for a driver with a history of alcoholism to be certified?
correct answer
A) Treatment with naltrexone is not required for driver certification for a driver with a history of
alcoholism. A driver with a history of alcoholism must have completed counseling and/or
treatment and must not have a current alcohol-related disorder in order to be certified.
Which of the following is a disqualifying condition? correct answer
D) A current diagnosis of alcoholism is disqualifying. A breath alcohol result of 0.02% or higher
renders the driver unqualified to drive. An alcohol-related unstable physical condition is
disqualifying.
