NRCME NATIONAL REGISTRY OF
CERTIFIED MEDICAL EXAMINERS
LATEST 2026 STUDY TEST QUESTIONS
WITH VERIFIED CORRECT ANSWERS
100% GUARANTEED PASS | ASSURED
A+
Copyright@2026
,NRCME NATIONAL REGISTRY OF CERTIFIED MEDICAL
EXAMINERS LATEST 2026 STUDY TEST QUESTIONS WITH
VERIFIED CORRECT ANSWERS 100% GUARANTEED PASS |
ASSURED A+
A driver reports a history of previously being treated for alcoholism. He continues to attend AA
meetings, and reports being in remission for over 5 years. He does not take any medication to
control his alcoholism. His examination is free of any signs of alcoholism and is otherwise
unremarkable. The examiner provides a CAGE questionnaire and the driver scores a 0 out of 4.
The best certification decision would be to:
a. Certify the driver for 1 year.
b. Certify the driver for 2 years.
c. Temporarily disqualify the driver until that have been to a SAP.
d. Temporarily disqualify the driver until you receive clearance from their PCP. - Answer>>>
Correct answer is "B". Certify for a period of 2 years. Had there been signs of alcoholism, an
SAP evaluation would have been required. Voluntary attendance at self-help meetings is not
disqualifying.
A driver presents for a certification exam and notes that he chews tobacco. On examination, you
find several oral lesions. You should:
a. Disqualify the driver.
b. Place the driver in determination pending.
c. Certify the driver, recommending a referral to a dentist and noting this on the chart.
d. Certify the driver only if he agrees to stop chewing tobacco. - Answer>>> C. certify the
driver, recommending a referral to a dentist and noting this on the chart.
The presence of oral lesions does not compromise safe driving so you may certify the driver, but
you should ensure that the driver is referred to a dentist or oral surgeon to evaluate for the
possibility of oral cancer.
,When deciding if a commercial driver should be medically certified, what is the fundamental
question a medical examiner should examine regarding cardiovascular health?
a. Has the driver ever had a cardiovascular disease?
b. Does his or her family have a history of cardiovascular disease?
c. Does the driver have a cardiovascular disease that increases the risk of sudden death or
incapacitation?
d. What is the likelihood that he or she will contract a cardiovascular disease? - Answer>>>
Correct Answer "C". When looking at the cardiovascular health of a driver, the fundamental
question is whether the driver has a cardiovascular disease that increases the risk of sudden death
or incapacitation, creating a danger to the safety and health of the driver, as well as the public
sharing the road. While history and family history of such diseases are important, they are not the
fundamental questions necessary about which to ask.
A driver reports that he had a hunting accident wherein he suffered a left orbital fracture. He
presents a note at the time of the examination from an ophthalmologist stating "may drive". His
exam is unremarkable except for a limitation in peripheral vision in his left eye, which was
inconclusive. His distance vision was 20/20 right and 20/40 left. The medical examiner should?
a. Council the driver on the need for a vision exemption.
b. Disqualify the driver pending vision exam to determine if it meets peripheral vision
requirements.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years. - Answer>>> Correct answer is "B". The driver must have a
peripheral vision of 70 degrees bilaterally to certify to drive a CMV.
A 20-year-old person approaches you and asks you to perform a medical examination for him as
he is planning to apply for an interstate CMV driver job advertised by a local transportation
company. According to the FMCSA standards, a person under 21 is not eligible to work as an
interstate CMV driver; however, you can still perform the examination because:
a. The person is only applying for the job and not yet employed.
, b. There's no indication that he intends to work as an interstate CMV driver.
c. It is not your responsibility to ensure that the person meets the age requirements.
d. From his physical appearance he seems quite healthy. - Answer>>> Correct answer is "C" - It
is not your responsibility to ensure that the person meets the age requirements. Per the FMCSA,
it is the responsibility of the motor carrier to ensure that their interstate CMV drivers meet the
age requirements. As a certified medical examiner, you can perform the driver physical
examination for any person who requests it.
What minimum PaO2 level on an ABG performed for a chronic respiratory disorder is necessary
to certify a commercial driver?
a. 55 mm Hg.
b. 60 mm Hg.
c. 65 mm Hg.
d. 70 mm Hg. - Answer>>> Correct answer is "C". Blood oxygen saturation must be a minimum
of 65 mm Hg for the driver to certify.
A driver's blood pressure is found to be 164/90 mm Hg during his DOT exam in January. He is
given a 3-month certificate. He returns in March, having lost 10 pounds and starting an anti-
hypertensive medication. His blood pressure is now found to be 136/84 mm Hg. How should you
proceed?
a. Certify for 9 months from today's date.
b. Certify for 1 year from today's date.
c. Blood pressure remains too high. Disqualify.
d. Amend your exam for 3 months ago and certify for 1 year from today's date. - Answer>>> a.
Certify for 9 months from today's date.
A driver is taking Topamax for the treatment of migraine headaches. He reports good
management of his headaches and they never seem to interfere with his driving ability with the
medication. The medical examiner should?
CERTIFIED MEDICAL EXAMINERS
LATEST 2026 STUDY TEST QUESTIONS
WITH VERIFIED CORRECT ANSWERS
100% GUARANTEED PASS | ASSURED
A+
Copyright@2026
,NRCME NATIONAL REGISTRY OF CERTIFIED MEDICAL
EXAMINERS LATEST 2026 STUDY TEST QUESTIONS WITH
VERIFIED CORRECT ANSWERS 100% GUARANTEED PASS |
ASSURED A+
A driver reports a history of previously being treated for alcoholism. He continues to attend AA
meetings, and reports being in remission for over 5 years. He does not take any medication to
control his alcoholism. His examination is free of any signs of alcoholism and is otherwise
unremarkable. The examiner provides a CAGE questionnaire and the driver scores a 0 out of 4.
The best certification decision would be to:
a. Certify the driver for 1 year.
b. Certify the driver for 2 years.
c. Temporarily disqualify the driver until that have been to a SAP.
d. Temporarily disqualify the driver until you receive clearance from their PCP. - Answer>>>
Correct answer is "B". Certify for a period of 2 years. Had there been signs of alcoholism, an
SAP evaluation would have been required. Voluntary attendance at self-help meetings is not
disqualifying.
A driver presents for a certification exam and notes that he chews tobacco. On examination, you
find several oral lesions. You should:
a. Disqualify the driver.
b. Place the driver in determination pending.
c. Certify the driver, recommending a referral to a dentist and noting this on the chart.
d. Certify the driver only if he agrees to stop chewing tobacco. - Answer>>> C. certify the
driver, recommending a referral to a dentist and noting this on the chart.
The presence of oral lesions does not compromise safe driving so you may certify the driver, but
you should ensure that the driver is referred to a dentist or oral surgeon to evaluate for the
possibility of oral cancer.
,When deciding if a commercial driver should be medically certified, what is the fundamental
question a medical examiner should examine regarding cardiovascular health?
a. Has the driver ever had a cardiovascular disease?
b. Does his or her family have a history of cardiovascular disease?
c. Does the driver have a cardiovascular disease that increases the risk of sudden death or
incapacitation?
d. What is the likelihood that he or she will contract a cardiovascular disease? - Answer>>>
Correct Answer "C". When looking at the cardiovascular health of a driver, the fundamental
question is whether the driver has a cardiovascular disease that increases the risk of sudden death
or incapacitation, creating a danger to the safety and health of the driver, as well as the public
sharing the road. While history and family history of such diseases are important, they are not the
fundamental questions necessary about which to ask.
A driver reports that he had a hunting accident wherein he suffered a left orbital fracture. He
presents a note at the time of the examination from an ophthalmologist stating "may drive". His
exam is unremarkable except for a limitation in peripheral vision in his left eye, which was
inconclusive. His distance vision was 20/20 right and 20/40 left. The medical examiner should?
a. Council the driver on the need for a vision exemption.
b. Disqualify the driver pending vision exam to determine if it meets peripheral vision
requirements.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years. - Answer>>> Correct answer is "B". The driver must have a
peripheral vision of 70 degrees bilaterally to certify to drive a CMV.
A 20-year-old person approaches you and asks you to perform a medical examination for him as
he is planning to apply for an interstate CMV driver job advertised by a local transportation
company. According to the FMCSA standards, a person under 21 is not eligible to work as an
interstate CMV driver; however, you can still perform the examination because:
a. The person is only applying for the job and not yet employed.
, b. There's no indication that he intends to work as an interstate CMV driver.
c. It is not your responsibility to ensure that the person meets the age requirements.
d. From his physical appearance he seems quite healthy. - Answer>>> Correct answer is "C" - It
is not your responsibility to ensure that the person meets the age requirements. Per the FMCSA,
it is the responsibility of the motor carrier to ensure that their interstate CMV drivers meet the
age requirements. As a certified medical examiner, you can perform the driver physical
examination for any person who requests it.
What minimum PaO2 level on an ABG performed for a chronic respiratory disorder is necessary
to certify a commercial driver?
a. 55 mm Hg.
b. 60 mm Hg.
c. 65 mm Hg.
d. 70 mm Hg. - Answer>>> Correct answer is "C". Blood oxygen saturation must be a minimum
of 65 mm Hg for the driver to certify.
A driver's blood pressure is found to be 164/90 mm Hg during his DOT exam in January. He is
given a 3-month certificate. He returns in March, having lost 10 pounds and starting an anti-
hypertensive medication. His blood pressure is now found to be 136/84 mm Hg. How should you
proceed?
a. Certify for 9 months from today's date.
b. Certify for 1 year from today's date.
c. Blood pressure remains too high. Disqualify.
d. Amend your exam for 3 months ago and certify for 1 year from today's date. - Answer>>> a.
Certify for 9 months from today's date.
A driver is taking Topamax for the treatment of migraine headaches. He reports good
management of his headaches and they never seem to interfere with his driving ability with the
medication. The medical examiner should?
