NRCME EXAM 2023-2024 ACTUAL EXAM 300 QUESTIONS AND CORRECT DETAILED ANSWERS
vision requirements - (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? - (answer) 1 year
The driver with a vision exemption must present what 2 things before receiving the medical examiner's
certificate. - (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? - (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? - (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. - (answer) 1 year
hearing requirements - (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? - (answer) 3 months
Name 4 otic conditions that are automatic disqualification - (answer) Meniere's, uncontrolled vertigo,
labyrinthine fistula, nonfunctioning labyrinth
Apnea-hypopnea index of [blank] or more episodes per hour is diagnostic of OSA - (answer) 30
3 requirements for a passing ETT - (answer) 1. increased SBP of at least 20 without angina
2. workload capacity >6 METs
,NRCME EXAM 2023-2024 ACTUAL EXAM 300 QUESTIONS AND CORRECT DETAILED ANSWERS
3. no significant ST depression
Examiners must retain records for how many years? - (answer) 3
Regulation that describes the physical qualifications of drivers. - (answer) 49 CFR 391.41
Regulation that describes the responsibilities of the medical examiner. - (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. - (answer) 49 CFR 391.47
Regulation that describes teh Skill Performance Evaluation (SPE) Certification Program. - (answer) 49
CFR 391.49
Regulation that describes limited exemptions for intra-city zone drivers. - (answer) 49 CFR 391.62
Regulation that describes grandfathering for certain drivers who participated in vision and diabetes
waiver study programs. - (answer) 49 CFR 391.64
Regulation that includes regulations for medical review officers and substance abuse professionals,
including drug and alcohol testing procedures. - (answer) 49 CFR 40
Define Stage I Hypertension - (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? - (answer) 1
year
What is the maximum certification period for untreated known or inadequately controlled stage I
hypertension? - (answer) 3 months
, NRCME EXAM 2023-2024 ACTUAL EXAM 300 QUESTIONS AND CORRECT DETAILED ANSWERS
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 - (answer) None, driver is disqualified
Define Stage II hypertension. - (answer) BP greater than or equal to 160/100 and less than 180/110
What is the maximum certification period for Stage II hypertension with blood pressure >140/90? -
(answer) 3 months
What is the maximum certification period for Stage II hypertension with blood pressure </140/90? -
(answer) 1 year
Define Stage III hypertension. - (answer) BP >/180/110
What is the maximum certification period for Stage III hypertension with blood pressure >140/90? -
(answer) 1 time certificate for 3 months
What is the maximum certification period for Stage III hypertension with blood pressure </140/90 -
(answer) 6 months
What is the maximum certification period for Stage III hypertension with blood pressure >/180/110? -
(answer) None, driver is disqualified.
What is the waiting period and maximum certification period for surgical correction of secondary
hypertension? - (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? - (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? - (answer) None, driver is disqualified.
vision requirements - (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? - (answer) 1 year
The driver with a vision exemption must present what 2 things before receiving the medical examiner's
certificate. - (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? - (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? - (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. - (answer) 1 year
hearing requirements - (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? - (answer) 3 months
Name 4 otic conditions that are automatic disqualification - (answer) Meniere's, uncontrolled vertigo,
labyrinthine fistula, nonfunctioning labyrinth
Apnea-hypopnea index of [blank] or more episodes per hour is diagnostic of OSA - (answer) 30
3 requirements for a passing ETT - (answer) 1. increased SBP of at least 20 without angina
2. workload capacity >6 METs
,NRCME EXAM 2023-2024 ACTUAL EXAM 300 QUESTIONS AND CORRECT DETAILED ANSWERS
3. no significant ST depression
Examiners must retain records for how many years? - (answer) 3
Regulation that describes the physical qualifications of drivers. - (answer) 49 CFR 391.41
Regulation that describes the responsibilities of the medical examiner. - (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. - (answer) 49 CFR 391.47
Regulation that describes teh Skill Performance Evaluation (SPE) Certification Program. - (answer) 49
CFR 391.49
Regulation that describes limited exemptions for intra-city zone drivers. - (answer) 49 CFR 391.62
Regulation that describes grandfathering for certain drivers who participated in vision and diabetes
waiver study programs. - (answer) 49 CFR 391.64
Regulation that includes regulations for medical review officers and substance abuse professionals,
including drug and alcohol testing procedures. - (answer) 49 CFR 40
Define Stage I Hypertension - (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? - (answer) 1
year
What is the maximum certification period for untreated known or inadequately controlled stage I
hypertension? - (answer) 3 months
, NRCME EXAM 2023-2024 ACTUAL EXAM 300 QUESTIONS AND CORRECT DETAILED ANSWERS
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 - (answer) None, driver is disqualified
Define Stage II hypertension. - (answer) BP greater than or equal to 160/100 and less than 180/110
What is the maximum certification period for Stage II hypertension with blood pressure >140/90? -
(answer) 3 months
What is the maximum certification period for Stage II hypertension with blood pressure </140/90? -
(answer) 1 year
Define Stage III hypertension. - (answer) BP >/180/110
What is the maximum certification period for Stage III hypertension with blood pressure >140/90? -
(answer) 1 time certificate for 3 months
What is the maximum certification period for Stage III hypertension with blood pressure </140/90 -
(answer) 6 months
What is the maximum certification period for Stage III hypertension with blood pressure >/180/110? -
(answer) None, driver is disqualified.
What is the waiting period and maximum certification period for surgical correction of secondary
hypertension? - (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? - (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? - (answer) None, driver is disqualified.
