NRCME EXAM 129 FINAL SCRIPT 2026
COMPLETE SOLUTION SET
◉ 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. Answer: 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. Answer: 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. Answer: 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. Answer: 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. Answer: C) A SPE certificate
is granted for a maximum of two years
,◉ A driver presents for clearance to return to driving a CMV four
weeks after arthroscopic carpal tunnel repair to his left hand. The
certification decision should be:
A) The driver must complete a two-month waiting period for carpal
tunnel surgery
B) The driver may be certified if he completes a functional capacity
evaluation
C) The driver may be certified for a maximum of one year, as long as
he meets all the other qualification standards
D) The driver may be certified for a maximum of two years, as long s
he meets all the other qualification standards. Answer: D) Ther is no
waiting period following carpal tunnel surgery. The driver may be
certified for up to two years if the medical examiner considers the
driver to have recovered sufficiently from surgery
◉ A Skilled Performance Evaluation (SPE) certificate pursuant to 49
CFR 391.49 is granted under the following conditions except:
A) the driver has a fixed deficit of an extremity
B) the driver meets all the other standards
C) The driver has a medical evaluation summary completed by a
board qualified or certified physicatrist or orthopedic surgeon
D) The driver has completed a driving evaluation per FMCSA
standards. Answer: D) A driving evaluation is not required for
issuance of an SPE certificate
, ◉ A Skill Performance Evaluatioin (SPE) certificate:
A) Is valid for one year from the date of issuance
B) May be renewed 60 days prior to expiration
C) Is required when the severity of a fixed deficit of an extremity
includes the loss or impairment of a hand, arm, foot or leg
D) Is issued by the medical examiner. Answer: C) A SPE certificate is
valid for 2 years, may be renewed 30 days prior to expiration, and is
required for a fixed deficit of an extremity includes of loss or
impairment of a hand, arm, foot or leg. A SPE certificate is issued by
the FMCSA, not the medical examiner. The medical examiner
determines that the driver is otherwise medically qualified and
meets the criteria for a SPE.
◉ Examples of adapting clinical evaluation of the musculoskeletal
system to ensure applicability when assessing CMV driver fitness for
duty could include all of the following except:
A) Using resistive force or a dynamometer to have the driver
demonstrate grip strength
B) Nerve conduction study testing
C) Have the driver simulate the range of motion and coordination of
hands and legs required for steering and changing gears when
operating a CMV and/or have the driver demonstrate shoulder joint
mobility, arm and leg muscle strength. Required to enter and exit the
cab, and other driver-related duties.
D) Have driver perform activities that demonstrate the ability to
maneuver and maintain balance while under the trailer and having
COMPLETE SOLUTION SET
◉ 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. Answer: 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. Answer: 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. Answer: 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. Answer: 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. Answer: C) A SPE certificate
is granted for a maximum of two years
,◉ A driver presents for clearance to return to driving a CMV four
weeks after arthroscopic carpal tunnel repair to his left hand. The
certification decision should be:
A) The driver must complete a two-month waiting period for carpal
tunnel surgery
B) The driver may be certified if he completes a functional capacity
evaluation
C) The driver may be certified for a maximum of one year, as long as
he meets all the other qualification standards
D) The driver may be certified for a maximum of two years, as long s
he meets all the other qualification standards. Answer: D) Ther is no
waiting period following carpal tunnel surgery. The driver may be
certified for up to two years if the medical examiner considers the
driver to have recovered sufficiently from surgery
◉ A Skilled Performance Evaluation (SPE) certificate pursuant to 49
CFR 391.49 is granted under the following conditions except:
A) the driver has a fixed deficit of an extremity
B) the driver meets all the other standards
C) The driver has a medical evaluation summary completed by a
board qualified or certified physicatrist or orthopedic surgeon
D) The driver has completed a driving evaluation per FMCSA
standards. Answer: D) A driving evaluation is not required for
issuance of an SPE certificate
, ◉ A Skill Performance Evaluatioin (SPE) certificate:
A) Is valid for one year from the date of issuance
B) May be renewed 60 days prior to expiration
C) Is required when the severity of a fixed deficit of an extremity
includes the loss or impairment of a hand, arm, foot or leg
D) Is issued by the medical examiner. Answer: C) A SPE certificate is
valid for 2 years, may be renewed 30 days prior to expiration, and is
required for a fixed deficit of an extremity includes of loss or
impairment of a hand, arm, foot or leg. A SPE certificate is issued by
the FMCSA, not the medical examiner. The medical examiner
determines that the driver is otherwise medically qualified and
meets the criteria for a SPE.
◉ Examples of adapting clinical evaluation of the musculoskeletal
system to ensure applicability when assessing CMV driver fitness for
duty could include all of the following except:
A) Using resistive force or a dynamometer to have the driver
demonstrate grip strength
B) Nerve conduction study testing
C) Have the driver simulate the range of motion and coordination of
hands and legs required for steering and changing gears when
operating a CMV and/or have the driver demonstrate shoulder joint
mobility, arm and leg muscle strength. Required to enter and exit the
cab, and other driver-related duties.
D) Have driver perform activities that demonstrate the ability to
maneuver and maintain balance while under the trailer and having
