NRCME TEST BANK 345 QUESTIONS
AND CORRECT ANSWERS WITH
RATIONALES 100% VERIFIED BY
EXPERTS ALREADY GRADED A+
LATEST COMPLETE VERSION 2026
"An individual diagnosed with Stage 2 (BP is 160/100-179/109) should be treated and given
certificate for how long? - CORRECT ANSWER=> 3 months"
"An individual diagnosed with Stage 3 hypertension (BP equal to or greater than 180/110)
should - CORRECT ANSWER=> not be certified until his or her BP is reduced to 140/90 or less, and
may be recertified every 6 months"
"What are the four required tests for DOT exam? - CORRECT ANSWER=> Vision
Hearing
Blood pressure/pulse
Urinalysis"
"What should you tell a driver with contact lenses and/or glasses? - CORRECT ANSWER=> that he
or she should carry extra contacts/pairs of glasses while driving."
"What should you tell a driver who wears a hearing aide? - CORRECT ANSWER=> that he/she
should possess a spare power source for the device while driving."
"What are some reasons to disqualify a driver? - CORRECT ANSWER=> Who is currently using
methadone.
Who has a current clinical diagnosis of alcoholism or who uses a controlled substance including
a narcotic, an amphetamine, or another habit-forming drug without a prescription from the
treating physician.
Who has a diagnosis of a regulatory disqualifying condition such as epilepsy, monocular vision,
or hearing loss.
Page | 1
,When evidence shows a condition exists that will likely interfere with the safe operation"
"What are the only conditions that a driver is medically qualified "only when" - CORRECT
ANSWER=> Wearing corrective lenses
Wearing a hearing aid.
Accompanied by a ______ waiver/exemption. (E.g. federal vision).
Driving within an exempt intracity zone (49 CFR 391.62).
Accompanied by a Skill Performance Evaluation (SPE) certificate. (SPE certificates are issued by
the FMCSA for fixed extremity deficits if the driver demonstrates the ability to meet FMCSA safe
driving requirements).
Qualified by operation of 49 CFR 391.64 (grandfathering for a limited number of drivers who
participated in diabetes and vision waiver study programs)."
"When a Determination Pending status was previously chosen, and the driver returns with the
required information that establishes that the driver meets certification requirements what is
the certification date? - CORRECT ANSWER=> the date that the driver provided the required
information is used as the date from which certification is determined."
"Can someone be certified if they are taking a schedule 1 drug? - CORRECT ANSWER=> no"
"Should you certify someone of a controlled medication? - CORRECT ANSWER=> prescribing
doctor can write that the driver is safe to be a commercial driver while taking the medication"
"is anti-seizure medication used for the prevention of seizures disqualifying? - CORRECT
ANSWER=> yes"
"is methadone dysqualifying? - CORRECT ANSWER=> yes"
"Should a driver be certified while using chantix? - CORRECT ANSWER=> no"
"is marijuana use disqualifying? - CORRECT ANSWER=> yes
schedule I drug"
"Is the use of insulin dysqualifying? - CORRECT ANSWER=> yes unless they have a wavier"
"Is the use of anticoagulant medications neurological conditions disqualifying? - CORRECT
ANSWER=> yes due to the risk of hemorrhage causing a cerebrovascular accident."
Page | 2
,"Which of the following is true?
Regulations are advisory and are not mandatory.
Driver qualification standards are found in 49 CFR 391.43.
Medical guidelines are regulatory and must always be followed by the medical examiner.
Medical guidelines are based on expert review and intended to assist the medical examiner in
determining driver certification. - CORRECT ANSWER=> Medical guidelines are based on expert
review and intended to assist the medical examiner in determining driver certification."
"What is the medical examiner certificate expiration date? Examination 11/16/2011;
disqualified due to diagnosis of benign positional vertigo last episode 10/11/2011; return to
medical examiner's office for complete new certification examination on 1/2/2012. Note
asymptomatic since 10/11/2011 - driver qualified for two years. - CORRECT ANSWER=> Expiration
date 1/2/2014."
"Additional tests above and beyond what are necessitated by the examination process should
be performed only when ____________. - CORRECT ANSWER=> The examination was unable to
determine if the driver passed one or more requirements."
"The FMCSA directly regulates __________. - CORRECT ANSWER=> Interstate commercial
operations, including the driver."
"Driver Examination 2/17/2012, blood pressure 144/102. Driver given three month certification
to 5/17/12. The driver returns on 3/16/12 and is noted with blood pressure of 124/82. The next
step for the medical examiner will be to: - CORRECT ANSWER=> Perform a complete examination
and certify the driver for one year if the driver passes the examination."
"What is the sx free waiting period for BPPV? - CORRECT ANSWER=> two months"
"What are the "Ask about" vision conditions? - CORRECT ANSWER=> aphakia, retinopathy,
cataracts, glaucoma, and macular degeneration."
"What type of corrective lenses are prohibited by the FMCSA? - CORRECT ANSWER=> lenses that
correct distance vision in one eye and near vision in the other
telescopic lenses"
"What is the min vision requirements using snellen chart? - CORRECT ANSWER=> 20/40"
"What is the minimum peripheral vision needed? - CORRECT ANSWER=> 70 degrees"
Page | 3
, "is monocular vision disqualifying? - CORRECT ANSWER=> yes"
"Additional testing should be obtained when the CMV driver has the following visual symptoms
- CORRECT ANSWER=> Blurred vision.
Floaters.
Restriction in visual field.
Vision testing results that do not meet standards."
"Can someone with monoocular vision apply for an exemption waiver? - CORRECT ANSWER=> yes
as long as they meet all other vision and physical requirements"
"Drivers who must wear a hearing aid may be certified for - CORRECT ANSWER=> 2 years"
"What are the minimum hearing requirements? - CORRECT ANSWER=> be better ear greater than
40 decibels at 500 Hz, 1,000 Hz, and 2,000 Hz, with or without a hearing aid."
"How do you do a hearing eval on someone who uses hearing aides? - CORRECT ANSWER=>
whispered word or audiologist or otolaryngologist with specialized equipment for testing."
"What is the minimum symptom free waiting period for drivers with dizziness or vertigo? -
CORRECT ANSWER=> 2 months"
"What otic conditions should you not certify? - CORRECT ANSWER=> a) Uncontrolled vertigo.
b) Ménière's disease.
c) Nonfunctioning labyrinth.
d) Nonfunctioning fistula.`"
"The medical examiner's role in the exemption process includes _________.
Issuing the exemption.
Issuing the prescription for the driver's contact lenses and/or glasses.
Providing the driver with contact information for the Federal Vision Exemption Program.
Assuring that the driver has peripheral vision of at least 110 degrees in each eye. - CORRECT
ANSWER=> Providing the driver with contact information for the Federal Vision Exemption
Program."
"What eye conditions must the medical examiner ask the driver about? - CORRECT ANSWER=>
Retinopathy, cataracts, aphakia, glaucoma, macular degeneration"
Page | 4
AND CORRECT ANSWERS WITH
RATIONALES 100% VERIFIED BY
EXPERTS ALREADY GRADED A+
LATEST COMPLETE VERSION 2026
"An individual diagnosed with Stage 2 (BP is 160/100-179/109) should be treated and given
certificate for how long? - CORRECT ANSWER=> 3 months"
"An individual diagnosed with Stage 3 hypertension (BP equal to or greater than 180/110)
should - CORRECT ANSWER=> not be certified until his or her BP is reduced to 140/90 or less, and
may be recertified every 6 months"
"What are the four required tests for DOT exam? - CORRECT ANSWER=> Vision
Hearing
Blood pressure/pulse
Urinalysis"
"What should you tell a driver with contact lenses and/or glasses? - CORRECT ANSWER=> that he
or she should carry extra contacts/pairs of glasses while driving."
"What should you tell a driver who wears a hearing aide? - CORRECT ANSWER=> that he/she
should possess a spare power source for the device while driving."
"What are some reasons to disqualify a driver? - CORRECT ANSWER=> Who is currently using
methadone.
Who has a current clinical diagnosis of alcoholism or who uses a controlled substance including
a narcotic, an amphetamine, or another habit-forming drug without a prescription from the
treating physician.
Who has a diagnosis of a regulatory disqualifying condition such as epilepsy, monocular vision,
or hearing loss.
Page | 1
,When evidence shows a condition exists that will likely interfere with the safe operation"
"What are the only conditions that a driver is medically qualified "only when" - CORRECT
ANSWER=> Wearing corrective lenses
Wearing a hearing aid.
Accompanied by a ______ waiver/exemption. (E.g. federal vision).
Driving within an exempt intracity zone (49 CFR 391.62).
Accompanied by a Skill Performance Evaluation (SPE) certificate. (SPE certificates are issued by
the FMCSA for fixed extremity deficits if the driver demonstrates the ability to meet FMCSA safe
driving requirements).
Qualified by operation of 49 CFR 391.64 (grandfathering for a limited number of drivers who
participated in diabetes and vision waiver study programs)."
"When a Determination Pending status was previously chosen, and the driver returns with the
required information that establishes that the driver meets certification requirements what is
the certification date? - CORRECT ANSWER=> the date that the driver provided the required
information is used as the date from which certification is determined."
"Can someone be certified if they are taking a schedule 1 drug? - CORRECT ANSWER=> no"
"Should you certify someone of a controlled medication? - CORRECT ANSWER=> prescribing
doctor can write that the driver is safe to be a commercial driver while taking the medication"
"is anti-seizure medication used for the prevention of seizures disqualifying? - CORRECT
ANSWER=> yes"
"is methadone dysqualifying? - CORRECT ANSWER=> yes"
"Should a driver be certified while using chantix? - CORRECT ANSWER=> no"
"is marijuana use disqualifying? - CORRECT ANSWER=> yes
schedule I drug"
"Is the use of insulin dysqualifying? - CORRECT ANSWER=> yes unless they have a wavier"
"Is the use of anticoagulant medications neurological conditions disqualifying? - CORRECT
ANSWER=> yes due to the risk of hemorrhage causing a cerebrovascular accident."
Page | 2
,"Which of the following is true?
Regulations are advisory and are not mandatory.
Driver qualification standards are found in 49 CFR 391.43.
Medical guidelines are regulatory and must always be followed by the medical examiner.
Medical guidelines are based on expert review and intended to assist the medical examiner in
determining driver certification. - CORRECT ANSWER=> Medical guidelines are based on expert
review and intended to assist the medical examiner in determining driver certification."
"What is the medical examiner certificate expiration date? Examination 11/16/2011;
disqualified due to diagnosis of benign positional vertigo last episode 10/11/2011; return to
medical examiner's office for complete new certification examination on 1/2/2012. Note
asymptomatic since 10/11/2011 - driver qualified for two years. - CORRECT ANSWER=> Expiration
date 1/2/2014."
"Additional tests above and beyond what are necessitated by the examination process should
be performed only when ____________. - CORRECT ANSWER=> The examination was unable to
determine if the driver passed one or more requirements."
"The FMCSA directly regulates __________. - CORRECT ANSWER=> Interstate commercial
operations, including the driver."
"Driver Examination 2/17/2012, blood pressure 144/102. Driver given three month certification
to 5/17/12. The driver returns on 3/16/12 and is noted with blood pressure of 124/82. The next
step for the medical examiner will be to: - CORRECT ANSWER=> Perform a complete examination
and certify the driver for one year if the driver passes the examination."
"What is the sx free waiting period for BPPV? - CORRECT ANSWER=> two months"
"What are the "Ask about" vision conditions? - CORRECT ANSWER=> aphakia, retinopathy,
cataracts, glaucoma, and macular degeneration."
"What type of corrective lenses are prohibited by the FMCSA? - CORRECT ANSWER=> lenses that
correct distance vision in one eye and near vision in the other
telescopic lenses"
"What is the min vision requirements using snellen chart? - CORRECT ANSWER=> 20/40"
"What is the minimum peripheral vision needed? - CORRECT ANSWER=> 70 degrees"
Page | 3
, "is monocular vision disqualifying? - CORRECT ANSWER=> yes"
"Additional testing should be obtained when the CMV driver has the following visual symptoms
- CORRECT ANSWER=> Blurred vision.
Floaters.
Restriction in visual field.
Vision testing results that do not meet standards."
"Can someone with monoocular vision apply for an exemption waiver? - CORRECT ANSWER=> yes
as long as they meet all other vision and physical requirements"
"Drivers who must wear a hearing aid may be certified for - CORRECT ANSWER=> 2 years"
"What are the minimum hearing requirements? - CORRECT ANSWER=> be better ear greater than
40 decibels at 500 Hz, 1,000 Hz, and 2,000 Hz, with or without a hearing aid."
"How do you do a hearing eval on someone who uses hearing aides? - CORRECT ANSWER=>
whispered word or audiologist or otolaryngologist with specialized equipment for testing."
"What is the minimum symptom free waiting period for drivers with dizziness or vertigo? -
CORRECT ANSWER=> 2 months"
"What otic conditions should you not certify? - CORRECT ANSWER=> a) Uncontrolled vertigo.
b) Ménière's disease.
c) Nonfunctioning labyrinth.
d) Nonfunctioning fistula.`"
"The medical examiner's role in the exemption process includes _________.
Issuing the exemption.
Issuing the prescription for the driver's contact lenses and/or glasses.
Providing the driver with contact information for the Federal Vision Exemption Program.
Assuring that the driver has peripheral vision of at least 110 degrees in each eye. - CORRECT
ANSWER=> Providing the driver with contact information for the Federal Vision Exemption
Program."
"What eye conditions must the medical examiner ask the driver about? - CORRECT ANSWER=>
Retinopathy, cataracts, aphakia, glaucoma, macular degeneration"
Page | 4
