NRCME LATEST EXAM ACTUAL QUESTIONS AND ANSWERS
RATED A+
✔✔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
✔✔The maximum duration of a federally-granted waiver or exemption is
_______________
,A) Three months
B) Six months
C) One year
D) Two years - ✔✔D) Waiver durations may vary, although they cannot exceed two
years
✔✔The medical examiner's role in the exemption process is _______________
A) Issuing the exemption
B) Advising the FMCSA on the severity of the driver's impairment
C) Providing the driver contact information for the Federal Vision Exemption Program
D) Performing vision testing - ✔✔C) The medical examiner's role in securing a vision
exemption is to help the driver get in contact with the Federal Vision Exemption
Program
✔✔Under what conditions may a driver diagnosed with lazy eye be certified?
A) Under any conditions — lazy eye is not considered a visual impairment for CMV
operators
B) Only if the driver has a visual acuity of 20/70 or better, or a federal exemption
C) Only if the driver has a visual acuity of 20/40 or better, or a federal exemption
D) Only by federal exemptoin - ✔✔C) Drivers with lazy eye must meet federal vision
standards for certification (20/40 visual acuity in both eyes) or seek a federal exemption
✔✔Medical examiners may grant vision exemptions for drivers that do not meet vision
qualification standards
A) True
B) False - ✔✔B) Only the FMCSA may grant exemptions of any type
✔✔Under what circumstances is an ophthalmologist and only an ophthalmologist
qualified to perform an examination?
A) Under no conditions — optometrist and medical examiners are always qualified to
perform vision testing
B) Only when the driver is diagnosed with aphakia
C) Only when specialized testing is required to resolve an inconclusive examination
D) Under no conditions — ophthalmologists are not qualified to examine CMV drivers -
✔✔C) The assistance of an ophthalmologist is only required if specialized testing is
necessary
✔✔Which of the following is considered grounds for additional testing?
A) Blurry vision
B) Presence of floaters
C) Distance vision uncorrected 20/35 in each eye
D) Field of vision testing of 70 degrees in each eye - ✔✔A) The presence of floaters is
not in and of itself an indication for additional testing. Distance vision of 20/40 or better
is considered acceptable, and field of vision of 70 degrees in each eye meets vision
testing requirements.
,✔✔A driver with monocular vision who has been granted a federal vision exemption or
who is qualified by operation of 49CFR391.64 must have a physical examination every
________________________?
A) Six months
B) Year
C) Two years
D) Within six onths of the date of renewal of the vision exemption - ✔✔B) Although a
federal vision exemption is usually granted for two years, the driver must be examined
annually.
✔✔To pass the interstate CMV driver vision exam, a visual acuity of
___________________ corrected or I corrected is required.
A) 20/20 in each eye individually and both eye combined
B) 20/40 in each eye individually and both eyes combined
C) 20/20 in at least one eye
D) 20/40 in at least one eye - ✔✔B) Monocular vision is disqualifying. Drivers must be
able to see at least 20/40 in each eye and both eyes combined.
✔✔What eye conditions must the medical examiner ask the driver about?
A) Cataracts, color deficiencies, retinitis pigmentosa, aphasia, glaucoma
B) Lazy eye, cataracts, aphasia, floaters, retinopathy
C) Glaucoma, macular degeneration, retinitis pigmentosa, color deficiencies
D) Retinopathy, cataracts, aphasia, glaucoma, macular degeneration - ✔✔D) These
"ask about" eye conditions require referral to an eye specialist if the driver indicates a
history of these conditions
✔✔FMCSA vision testing standards require field of vision of at least _______ in the
horizontal meridian of _____________ eye (s).
A) 50, one
B) 70, both
C) 85, one
D) 85, both - ✔✔B) Field of vision should be performed on both eyes, and adequate
field of vision of at least 70 degrees in each eye must be demonstrated
✔✔Certification of vision testing results may be performed by any of the following
except:
A) An ophthalmologist
B) The medical examiner
C) Automated vision testing equipment
D) An optometrist - ✔✔C) The FMCSA allows the medical examiner, an
ophthalmologist, or an optometrist to perform and certify vision testing results.
✔✔The driver requiring vision correction may be certified for up to
A) Six months
, B) One year
C) Two years
D) Five years - ✔✔C) Drivers requiring vision correction may be certified for up to two
years.
✔✔A driver may use telescopic lenses that redirect peripheral vision to compensate for
loss of central vision as corrective lenses for meeting CMV qualification requirements
A) True
B) False - ✔✔B) Use of such lenses is prohibited
✔✔Required vision testing does not include:
A) Distance visual acuity
B) Near visual acuity
C) Peripheral horizontal visual fields
D) Color - ✔✔B) Near vision testing is not required.
✔✔Conditions which are usually disqualifying, but which qualification can be considered
ona case-by-case basis include:
1) Autonomic neuropathy
2) Congenital myopathy
3) Neuromuscular disorders
4) Carpal tunnel syndrome
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) Carpal tunnel syndrome is not usually disqualifying
✔✔Only ___________________ can grant drivers a Skill Performance Evaluation
(SPE) certificate
A) The FMCSA
B) The Department of Transportation
C) A certified medical examiner
D) A physiatrist or orthopedic specialist - ✔✔A) Only the FMCSA can grant
waivers/exemptions and SPE certificates
✔✔The maximum certification period for Skill Performance Evaluation (SPE) certificate
is ____________
A) six months
B) one year
C) two years
D) determined on a case-by-case basis - ✔✔C) A SPE certificate is granted for a
maximum of two years
RATED A+
✔✔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
✔✔The maximum duration of a federally-granted waiver or exemption is
_______________
,A) Three months
B) Six months
C) One year
D) Two years - ✔✔D) Waiver durations may vary, although they cannot exceed two
years
✔✔The medical examiner's role in the exemption process is _______________
A) Issuing the exemption
B) Advising the FMCSA on the severity of the driver's impairment
C) Providing the driver contact information for the Federal Vision Exemption Program
D) Performing vision testing - ✔✔C) The medical examiner's role in securing a vision
exemption is to help the driver get in contact with the Federal Vision Exemption
Program
✔✔Under what conditions may a driver diagnosed with lazy eye be certified?
A) Under any conditions — lazy eye is not considered a visual impairment for CMV
operators
B) Only if the driver has a visual acuity of 20/70 or better, or a federal exemption
C) Only if the driver has a visual acuity of 20/40 or better, or a federal exemption
D) Only by federal exemptoin - ✔✔C) Drivers with lazy eye must meet federal vision
standards for certification (20/40 visual acuity in both eyes) or seek a federal exemption
✔✔Medical examiners may grant vision exemptions for drivers that do not meet vision
qualification standards
A) True
B) False - ✔✔B) Only the FMCSA may grant exemptions of any type
✔✔Under what circumstances is an ophthalmologist and only an ophthalmologist
qualified to perform an examination?
A) Under no conditions — optometrist and medical examiners are always qualified to
perform vision testing
B) Only when the driver is diagnosed with aphakia
C) Only when specialized testing is required to resolve an inconclusive examination
D) Under no conditions — ophthalmologists are not qualified to examine CMV drivers -
✔✔C) The assistance of an ophthalmologist is only required if specialized testing is
necessary
✔✔Which of the following is considered grounds for additional testing?
A) Blurry vision
B) Presence of floaters
C) Distance vision uncorrected 20/35 in each eye
D) Field of vision testing of 70 degrees in each eye - ✔✔A) The presence of floaters is
not in and of itself an indication for additional testing. Distance vision of 20/40 or better
is considered acceptable, and field of vision of 70 degrees in each eye meets vision
testing requirements.
,✔✔A driver with monocular vision who has been granted a federal vision exemption or
who is qualified by operation of 49CFR391.64 must have a physical examination every
________________________?
A) Six months
B) Year
C) Two years
D) Within six onths of the date of renewal of the vision exemption - ✔✔B) Although a
federal vision exemption is usually granted for two years, the driver must be examined
annually.
✔✔To pass the interstate CMV driver vision exam, a visual acuity of
___________________ corrected or I corrected is required.
A) 20/20 in each eye individually and both eye combined
B) 20/40 in each eye individually and both eyes combined
C) 20/20 in at least one eye
D) 20/40 in at least one eye - ✔✔B) Monocular vision is disqualifying. Drivers must be
able to see at least 20/40 in each eye and both eyes combined.
✔✔What eye conditions must the medical examiner ask the driver about?
A) Cataracts, color deficiencies, retinitis pigmentosa, aphasia, glaucoma
B) Lazy eye, cataracts, aphasia, floaters, retinopathy
C) Glaucoma, macular degeneration, retinitis pigmentosa, color deficiencies
D) Retinopathy, cataracts, aphasia, glaucoma, macular degeneration - ✔✔D) These
"ask about" eye conditions require referral to an eye specialist if the driver indicates a
history of these conditions
✔✔FMCSA vision testing standards require field of vision of at least _______ in the
horizontal meridian of _____________ eye (s).
A) 50, one
B) 70, both
C) 85, one
D) 85, both - ✔✔B) Field of vision should be performed on both eyes, and adequate
field of vision of at least 70 degrees in each eye must be demonstrated
✔✔Certification of vision testing results may be performed by any of the following
except:
A) An ophthalmologist
B) The medical examiner
C) Automated vision testing equipment
D) An optometrist - ✔✔C) The FMCSA allows the medical examiner, an
ophthalmologist, or an optometrist to perform and certify vision testing results.
✔✔The driver requiring vision correction may be certified for up to
A) Six months
, B) One year
C) Two years
D) Five years - ✔✔C) Drivers requiring vision correction may be certified for up to two
years.
✔✔A driver may use telescopic lenses that redirect peripheral vision to compensate for
loss of central vision as corrective lenses for meeting CMV qualification requirements
A) True
B) False - ✔✔B) Use of such lenses is prohibited
✔✔Required vision testing does not include:
A) Distance visual acuity
B) Near visual acuity
C) Peripheral horizontal visual fields
D) Color - ✔✔B) Near vision testing is not required.
✔✔Conditions which are usually disqualifying, but which qualification can be considered
ona case-by-case basis include:
1) Autonomic neuropathy
2) Congenital myopathy
3) Neuromuscular disorders
4) Carpal tunnel syndrome
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) Carpal tunnel syndrome is not usually disqualifying
✔✔Only ___________________ can grant drivers a Skill Performance Evaluation
(SPE) certificate
A) The FMCSA
B) The Department of Transportation
C) A certified medical examiner
D) A physiatrist or orthopedic specialist - ✔✔A) Only the FMCSA can grant
waivers/exemptions and SPE certificates
✔✔The maximum certification period for Skill Performance Evaluation (SPE) certificate
is ____________
A) six months
B) one year
C) two years
D) determined on a case-by-case basis - ✔✔C) A SPE certificate is granted for a
maximum of two years
