NRCME UPDATED EXAMS TEST PAPER QUESTIONS AND
ANSWERS RATED A+
✔✔Which of the following is true with respect to hearing testing?
A) Audometric testing should be done using International Organization for
Standardizaation (ISO) standard
B) Drivers requiring a hearing aid to meet hearing requirements may wear a hearing aid
only in the ear that was tested and passéd with the hearing aid
C) Drivers requiring a hearing aid must be tested using specialized audio metric testing
equipment if audio metric testing is required
D) Drivers requiring a hearing aid to meet standards should be certified for no more
than one year - ✔✔Audiometric testing should be done using American National
Standards Institute (ANSI) Z24.5-1951 standard. ISO results should be converted to the
ANSI standard. To convert ISO results to ANSI, subtract 14 dB at 500, 10 dBat 1000,
and 8.5 dB for 2000. Hearing requirements are for the better ear; a driver may use a
hearing aid in only one ear to meet standards. drivers wearing a hearing aid may first be
tested with a whisper test; if the driver passes the whisper test, the driver must be
referred to an audiologist or otolaryngologist with specialized equipment for performing
audio metric testing with use of a hearing aid. Drivers sho require a hearing aid to meet
standards may be certified for up to two years.
✔✔An audio metric test results in the following results:
L ear: 500 Hz, 35 dB loss
1000 Hz, 35 dB loss
2000 Hz, 45 dB loss
R ear: 500 Hz 40 dB loss
1000 Hz 45 dB loss
2000 Hz, 40 dB loss
What is the certification determination?
A) Certify for one year
B) Certify for two years
C) Do not certify
D) Certify only when accompanied by a hearing aid. - ✔✔B) Drivers with an average
hearing loss of <= 40 decibels averaged across 500, 1000, and 2000 Hz in the better
ear may be certified for two years.
✔✔Which of the following conditions is not disqualifying?
A) Meniere's Disease
B) Cochlear Implant
C) Labyrinthine Fistula
D) Nonfunctioning Labyrinth - ✔✔Cochlear implants are not disqualifying
,✔✔When audiometric testing is used, audio metric testing is not required to be
performed at which of the following Hz levels?
A) 500
B) 1000
C) 2000
D) 3000 - ✔✔Audiometric testing, when used, must be performed at 500, 1000, and
2000 Hz
✔✔Which of the following is true?
1) If a driver wears a hearing aid, the whisper hearing test can be administered
2) According to FMCSA requirements the driver must pass the hearing requirements
with both ears using either forced whisper or audiometric testing
A) 1 only
B) 2 only
C) both 1 and 2
D) neither 1 nor 2 - ✔✔A) a driver with a hearing aid may be tested using the whisper
test. Hearing requirements must be met in at least one ear for either forced whisper or
audiometric tesitng, not both ears
✔✔A driver with Meniere's Disease may be certified
A) True
B) False - ✔✔B) Meniere's Disease is a disqualifying condition
✔✔If a driver has whisper test results of : |Rt. Ear: 4 feet| Lt. Ear 4 Feet| s/he meets
hearing standards for CMV driver certification.
A) True
B) False - ✔✔B) Whisper test minimums are at least 5 feet in at least one ear.
✔✔Hearing must be tested using audio metric testing equipment.
A) True
B) False - ✔✔Of a driver passes a whisper test in at least a one ear, audiometric testing
is not required.
✔✔Which of the following is true?
1) Acute and chronic peripheral vestibulopathy do not require a symptom free waiting
period.
2) Benign positional vertigo requires a symptom free waiting period.
3) Uncontrolled vertigo requires a symptom free waiting period.
4) Meniere's Disease is disqualifying.
A) 1, 2 and 3 only
B) 1 and 3 only
C) 2 and 4 only
D) 4 only
, E) all of the above - ✔✔C) The minimum waiting period is two month symptom free for
both acute and chronic vestibulopathy and for benign positional vertigo. Uncontrolled
vertigo is disqualifying.
✔✔Drivers must be able to meet minimum hearing requirements in both ears in order to
be medically certified.
A) True
B) False - ✔✔B) Adequate hearing in only one ear is required.
✔✔A driver who requires a hearing aid to meet certification requirements must be
examined annually.
A) True
B) False - ✔✔B) A driver who needs a hearing aid to meet requirements may be
certified for up to two years.
✔✔If audiometric testing is performed, testing should include which of the following
frequencies?
A) 1000, 2000, 3000 Hz
B) 500, 2000, 4000 Hz
C) 500, 1000, 3000 Hz
D) 500, 1000, 2000 Hz - ✔✔D) Although additional testing frequencies may be used,
minimum FMCSA audio metric testing requirements include testing at 500, 1000, and
2000 Hz. The driver may be certified if the driver does not have more than 40 dB of
hearing loss averaged across the three frequencies in the better ear.
✔✔An audio metric test yields the following results:
Left ear: 500 Hz, 35 dB loss
1000 Hz, 35 dB loss
2000 Hz, 55 dB loss
Right ear: 500 Hz, 40 dB loss
1000 Hz, 45 dB loss
2000 Hz, 40 dB loss
What is the certification determination?
A) Certify only when accompanied by a hearing aid.
B) Do not certify
C) Certify for two years
D) Certify for one year - ✔✔B) The passing requirements for audio metric testing are an
average loss in the better ear of not more than 40 dB for when averaged across 500,
1000, 2000 Hz
✔✔Which of the following is true?
A) Stage 1 hypertension is associated with immediate safety risks.
B) Stage 2 hypertension is associated with immediate safety risks.
ANSWERS RATED A+
✔✔Which of the following is true with respect to hearing testing?
A) Audometric testing should be done using International Organization for
Standardizaation (ISO) standard
B) Drivers requiring a hearing aid to meet hearing requirements may wear a hearing aid
only in the ear that was tested and passéd with the hearing aid
C) Drivers requiring a hearing aid must be tested using specialized audio metric testing
equipment if audio metric testing is required
D) Drivers requiring a hearing aid to meet standards should be certified for no more
than one year - ✔✔Audiometric testing should be done using American National
Standards Institute (ANSI) Z24.5-1951 standard. ISO results should be converted to the
ANSI standard. To convert ISO results to ANSI, subtract 14 dB at 500, 10 dBat 1000,
and 8.5 dB for 2000. Hearing requirements are for the better ear; a driver may use a
hearing aid in only one ear to meet standards. drivers wearing a hearing aid may first be
tested with a whisper test; if the driver passes the whisper test, the driver must be
referred to an audiologist or otolaryngologist with specialized equipment for performing
audio metric testing with use of a hearing aid. Drivers sho require a hearing aid to meet
standards may be certified for up to two years.
✔✔An audio metric test results in the following results:
L ear: 500 Hz, 35 dB loss
1000 Hz, 35 dB loss
2000 Hz, 45 dB loss
R ear: 500 Hz 40 dB loss
1000 Hz 45 dB loss
2000 Hz, 40 dB loss
What is the certification determination?
A) Certify for one year
B) Certify for two years
C) Do not certify
D) Certify only when accompanied by a hearing aid. - ✔✔B) Drivers with an average
hearing loss of <= 40 decibels averaged across 500, 1000, and 2000 Hz in the better
ear may be certified for two years.
✔✔Which of the following conditions is not disqualifying?
A) Meniere's Disease
B) Cochlear Implant
C) Labyrinthine Fistula
D) Nonfunctioning Labyrinth - ✔✔Cochlear implants are not disqualifying
,✔✔When audiometric testing is used, audio metric testing is not required to be
performed at which of the following Hz levels?
A) 500
B) 1000
C) 2000
D) 3000 - ✔✔Audiometric testing, when used, must be performed at 500, 1000, and
2000 Hz
✔✔Which of the following is true?
1) If a driver wears a hearing aid, the whisper hearing test can be administered
2) According to FMCSA requirements the driver must pass the hearing requirements
with both ears using either forced whisper or audiometric testing
A) 1 only
B) 2 only
C) both 1 and 2
D) neither 1 nor 2 - ✔✔A) a driver with a hearing aid may be tested using the whisper
test. Hearing requirements must be met in at least one ear for either forced whisper or
audiometric tesitng, not both ears
✔✔A driver with Meniere's Disease may be certified
A) True
B) False - ✔✔B) Meniere's Disease is a disqualifying condition
✔✔If a driver has whisper test results of : |Rt. Ear: 4 feet| Lt. Ear 4 Feet| s/he meets
hearing standards for CMV driver certification.
A) True
B) False - ✔✔B) Whisper test minimums are at least 5 feet in at least one ear.
✔✔Hearing must be tested using audio metric testing equipment.
A) True
B) False - ✔✔Of a driver passes a whisper test in at least a one ear, audiometric testing
is not required.
✔✔Which of the following is true?
1) Acute and chronic peripheral vestibulopathy do not require a symptom free waiting
period.
2) Benign positional vertigo requires a symptom free waiting period.
3) Uncontrolled vertigo requires a symptom free waiting period.
4) Meniere's Disease is disqualifying.
A) 1, 2 and 3 only
B) 1 and 3 only
C) 2 and 4 only
D) 4 only
, E) all of the above - ✔✔C) The minimum waiting period is two month symptom free for
both acute and chronic vestibulopathy and for benign positional vertigo. Uncontrolled
vertigo is disqualifying.
✔✔Drivers must be able to meet minimum hearing requirements in both ears in order to
be medically certified.
A) True
B) False - ✔✔B) Adequate hearing in only one ear is required.
✔✔A driver who requires a hearing aid to meet certification requirements must be
examined annually.
A) True
B) False - ✔✔B) A driver who needs a hearing aid to meet requirements may be
certified for up to two years.
✔✔If audiometric testing is performed, testing should include which of the following
frequencies?
A) 1000, 2000, 3000 Hz
B) 500, 2000, 4000 Hz
C) 500, 1000, 3000 Hz
D) 500, 1000, 2000 Hz - ✔✔D) Although additional testing frequencies may be used,
minimum FMCSA audio metric testing requirements include testing at 500, 1000, and
2000 Hz. The driver may be certified if the driver does not have more than 40 dB of
hearing loss averaged across the three frequencies in the better ear.
✔✔An audio metric test yields the following results:
Left ear: 500 Hz, 35 dB loss
1000 Hz, 35 dB loss
2000 Hz, 55 dB loss
Right ear: 500 Hz, 40 dB loss
1000 Hz, 45 dB loss
2000 Hz, 40 dB loss
What is the certification determination?
A) Certify only when accompanied by a hearing aid.
B) Do not certify
C) Certify for two years
D) Certify for one year - ✔✔B) The passing requirements for audio metric testing are an
average loss in the better ear of not more than 40 dB for when averaged across 500,
1000, 2000 Hz
✔✔Which of the following is true?
A) Stage 1 hypertension is associated with immediate safety risks.
B) Stage 2 hypertension is associated with immediate safety risks.
