NRCME ACTUAL PRACTICE TEST QUESTIONS WITH ACCURATE SOLUTIONS
Which of the following is a requirement for drivers with a diabetes exemption?
A) Possess a rapidly absorbable form of glucose while driving
B) Self—monitor blood glucose one hour before driving and at least once every 2 hours
while driving
C) Plan to submit blood glucose monitoring logs every 6 months
D) Maintain a Hemoglobin A1C value less than 7
A. Drivers with diabetes should self monitor blood glucose before driving and every 4 hours
while driving. Blood glucose monitoring logs should be submitted annually. There is no
specific requirement for HgA1C level.
Recertification o the driver disqualifying for alcohol abuse requires the driver to
A) Have an evaluation y a substance abuse professional (SAP)
B) Have a referral by the driver's primary care physican stating the driver is attending a self-
help group
C) Have a complete physical examination
D) Have a drug test
A) A driver disqualified for alcohol abuse must be evaluated by a substance abuse
professional prior to return to duty and complete any rehabilitation program recommended
by the substance abuse professional. The driver also must undergo return to duty alcohol
testing.
The Medical Examiner should be familiar with DOT drug and alcohol testing requirements
as outlined in:
A) 49 CFR Part 40
B) 40 CFR Part 38
,C) 49 CFR Part 66
D) 49 CFR Part 12
A) DOT drug and alcohol testing regulations are described in 49 CFR Part 40
If the Substance Abuse Professional determines that current alcoholism exists, the driver is
not qualified to drive a commercial motor vehicle in interstate commerce
A) True
B) False
A) Drivers with a current diagnosis of alcoholis are disqualified
The impairment benchmark for FMCSA for alcohol is
A) 0.01
B) 0.03
C) 0.04
D) 0.08
C) FMCSA recommendations use the degree of imipairment produced by a 0.04 percent
food alcohol concentration as a benchmark for impairment
A driver with monocular vision who has been granted a federal vision exemption or who is
qualified by operation of 49 CFR 391.64 must have an annual physical examination.
A) True
B) False
A) Even though a vision exemption is provided for two years, the driver must undergo
annual examinatin
,Who of the following is not qualified to perform the vision testing portion of the interstate
CMV driver physical examination?
A) An optometrist
B) The medical examiner
C) A licensed vision testing technician
D) An ophthalmologist
C) Vision testing must be performed by the medical examiner, an optometrist, or
ophthalmology
Which of the following is true with regard to horizontal field of vision testing include:
A) Passing parameters are 75 degrees in left and right eye visual fields
B) Medial examiners may use a variety of methods in the clinical setting to measure field of
vision, including reasonably reliable and accurate tests
C) Telescopic lenses that redirect peripheral vision to compensate for loss of central vision
are acceptable corrective lenses for meeting commercial driving qualificatin requirements
D) Specialized ophthalmological equipment should not be used for precise measurement
to determine if vision meets the 70 degree requirement
B) Passing parapets for field of vision are 70 degrees in left and right visual fields.
Telescopic lenses that redirect peripheral vision to compensate for loss of central vision
are not acceptable. Specialized ophthalmological equipment may be used to measure
vision parameters.
Which of the following will always disqualify a driver from being certified without federal
exemption?
A) Abnormal reactivity to light
, B) 70 degrees horizontal field of vision in each eye
C) Monocular vision
D) Floaters
C) Without a federal exemption or grandfathered status, monocular vision will always
disqualify a driver from being certified.
For a driver to be certified without a waiver for color recognition, they must
________________
A) Correctly identify the true colors of signs and traffic lights
B) Sufficiently recognize traffic signals and devices showing the standard red, amber and
green traffic signal colors
C) Be able to identify the different signs and traffic lights through shape and positional
analysis
D) Pass an Ishahara color vision test
B) Drivers must be able to recognize red, yellow, and green traffic signal colors
A driver with monocular vision who has been grandfathered must provide proof of
grandfathered status at what time?
A) Within three oaths of certification
B) When the certification is issued
C) Before the certification process is complete
D) Never
C) Drivers with monocular vision who have grandfathered status must provide proof of
such status before the medical examiner may issue certification
Which of the following is a requirement for drivers with a diabetes exemption?
A) Possess a rapidly absorbable form of glucose while driving
B) Self—monitor blood glucose one hour before driving and at least once every 2 hours
while driving
C) Plan to submit blood glucose monitoring logs every 6 months
D) Maintain a Hemoglobin A1C value less than 7
A. Drivers with diabetes should self monitor blood glucose before driving and every 4 hours
while driving. Blood glucose monitoring logs should be submitted annually. There is no
specific requirement for HgA1C level.
Recertification o the driver disqualifying for alcohol abuse requires the driver to
A) Have an evaluation y a substance abuse professional (SAP)
B) Have a referral by the driver's primary care physican stating the driver is attending a self-
help group
C) Have a complete physical examination
D) Have a drug test
A) A driver disqualified for alcohol abuse must be evaluated by a substance abuse
professional prior to return to duty and complete any rehabilitation program recommended
by the substance abuse professional. The driver also must undergo return to duty alcohol
testing.
The Medical Examiner should be familiar with DOT drug and alcohol testing requirements
as outlined in:
A) 49 CFR Part 40
B) 40 CFR Part 38
,C) 49 CFR Part 66
D) 49 CFR Part 12
A) DOT drug and alcohol testing regulations are described in 49 CFR Part 40
If the Substance Abuse Professional determines that current alcoholism exists, the driver is
not qualified to drive a commercial motor vehicle in interstate commerce
A) True
B) False
A) Drivers with a current diagnosis of alcoholis are disqualified
The impairment benchmark for FMCSA for alcohol is
A) 0.01
B) 0.03
C) 0.04
D) 0.08
C) FMCSA recommendations use the degree of imipairment produced by a 0.04 percent
food alcohol concentration as a benchmark for impairment
A driver with monocular vision who has been granted a federal vision exemption or who is
qualified by operation of 49 CFR 391.64 must have an annual physical examination.
A) True
B) False
A) Even though a vision exemption is provided for two years, the driver must undergo
annual examinatin
,Who of the following is not qualified to perform the vision testing portion of the interstate
CMV driver physical examination?
A) An optometrist
B) The medical examiner
C) A licensed vision testing technician
D) An ophthalmologist
C) Vision testing must be performed by the medical examiner, an optometrist, or
ophthalmology
Which of the following is true with regard to horizontal field of vision testing include:
A) Passing parameters are 75 degrees in left and right eye visual fields
B) Medial examiners may use a variety of methods in the clinical setting to measure field of
vision, including reasonably reliable and accurate tests
C) Telescopic lenses that redirect peripheral vision to compensate for loss of central vision
are acceptable corrective lenses for meeting commercial driving qualificatin requirements
D) Specialized ophthalmological equipment should not be used for precise measurement
to determine if vision meets the 70 degree requirement
B) Passing parapets for field of vision are 70 degrees in left and right visual fields.
Telescopic lenses that redirect peripheral vision to compensate for loss of central vision
are not acceptable. Specialized ophthalmological equipment may be used to measure
vision parameters.
Which of the following will always disqualify a driver from being certified without federal
exemption?
A) Abnormal reactivity to light
, B) 70 degrees horizontal field of vision in each eye
C) Monocular vision
D) Floaters
C) Without a federal exemption or grandfathered status, monocular vision will always
disqualify a driver from being certified.
For a driver to be certified without a waiver for color recognition, they must
________________
A) Correctly identify the true colors of signs and traffic lights
B) Sufficiently recognize traffic signals and devices showing the standard red, amber and
green traffic signal colors
C) Be able to identify the different signs and traffic lights through shape and positional
analysis
D) Pass an Ishahara color vision test
B) Drivers must be able to recognize red, yellow, and green traffic signal colors
A driver with monocular vision who has been grandfathered must provide proof of
grandfathered status at what time?
A) Within three oaths of certification
B) When the certification is issued
C) Before the certification process is complete
D) Never
C) Drivers with monocular vision who have grandfathered status must provide proof of
such status before the medical examiner may issue certification
