NRCME CERTIFICATION EVALUATION 2026
FULL QUESTIONS WITH SOLUTIONS
◉ A driver first perceives a whispered voice at 5 feet in his right ear
and 4 feet in his left ear. All other aspects of his physical examination
are unremarkable. The examiner should:
a.Permanently disqualify the driver because he "failed" the
whispered voice test.
b.Certify the driver for 2 years.
c.Certify the driver for 1 year.
d.Require an audiometric test to determine the extent of hearing loss
in his left ear.. Answer: Correct answer is "B". The driver is qualified
to drive without restriction as long as he is able to perceive a
whispered voice at 5 feet in 1 ear.
◉ A driver reports for an examination 6 weeks after suffering a mild
heart attack and presents a note from his cardiologist stating that he
is able to return to work immediately without restriction. Included
within the note, the cardiologist provides recent testing information
showing that the driver had an ETT that showed he was able to
reach 12 METS during the test. His echocardiogram showed an
ejection fraction of 65%. The examination of the driver is
unremarkable. The examiner should:
a. Temporarily disqualify the driver.
,b. Qualify the driver for 1 year.
c. Qualify the driver for 2 years.
d. Consult with the cardiologist to determine if the driver suffers
from angina.. Answer: Correct answer is "A". The driver has not
completed the required 2-monthwaiting period, but all other
requirements for medical clearance and required testing have been
met. The driver would be certified for 1 year at the completion of the
waiting period. The date of the certification would be from the date
of the original examination.
◉ A driver provides an audiometric test documenting the following:
1. 500 Hz: 2. 1000 HZ: 3. 2000 HZ: 4. 4000 Hz:
35 Right ear; 40 Left ear 40 Right ear; 45 Left ear 40 Right ear; 45
Left ear 50 Right ear; 50 Left ear
5.
The medical examiner should:
a. Disqualify the driver because he does not meet minimum hearing
requirementsto drive.
b. Certify the driver for 2years.
c. Certify the driver for 1 year.
d. Require the driver to obtain a hearing exemption.. Answer:
Correct answer is "B". The examiner would average the results from
500 Hz, 1000 Hz and 2000 Hz. This average is 38.33 in the Right and
43.33 in the Left ear. A driver must have an average hearing loss of
,less than or equal to 40 in the better ear. This does not have to be
met in both ears.
◉ During the examination of a commercial driver, the examiner
notices that the driver's peripheral vision is 70 degrees to the left
and 80 degrees to the right. The examiner should:
a. Qualify the driver for 2 years.
b. Require the driver to obtain a vision exemption because of the
limitation in the driver's
left peripheral field.
c. Disqualify the driver.
d. Have the driver consult with an Ophthalmologist to determine if
the driver's peripheral vision meets minimum standards.. Answer:
Correct answer is "A". A driver must exhibit a minimum peripheral
vision of 70 degrees bilaterally.
◉ During examination, the medical examiner notices that the driver
is distant, lacks eye contact and shows absolutely no emotional
response during the exam. The examiner's best response should be:
a. Provide the driver with a "CAGE" questionnaire to determine if he
suffers from
alcoholism.
b.
c. Certify the driver with a 1-time, 3-month certificate to determine
if there is any effect on the driver's ability to drive a CMV.
, d. Require a skill performance evaluation to ascertain if the driver
has any limitations with driving.. Answer: Correct answer is "B". The
driver exhibits what may be considered a "flat affect" which is seen
in schizophrenia and in severe depression. The driver should be
evaluated by a mental health expert to make a diagnosis prior to
certification.
◉ A driver admits to the use of marijuana for the treatment of his
glaucoma, which is legal in the State in which he lives. He provides
medical documentation for the glaucoma indicating he is able to
drive a truck. He began using the marijuana about three months ago.
His current medical card has no limitations listed and is for 2 years.
His certification examination is within normal limits. The medical
examiner should:
a. Disqualify the driver.
b. Perform a urine drug collection and provide the release from the
testing provider.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years.. Answer: Correct answer is "A". Use
of marijuana is prohibited by Federal law while driving a CMV and
trumps State law in this matter.
◉ A driver has a blood pressure of 136/92 mm Hg. This is:
a. Within normal limits and would not affect the driver's
certification.
b. Stage 1 Hypertension.
FULL QUESTIONS WITH SOLUTIONS
◉ A driver first perceives a whispered voice at 5 feet in his right ear
and 4 feet in his left ear. All other aspects of his physical examination
are unremarkable. The examiner should:
a.Permanently disqualify the driver because he "failed" the
whispered voice test.
b.Certify the driver for 2 years.
c.Certify the driver for 1 year.
d.Require an audiometric test to determine the extent of hearing loss
in his left ear.. Answer: Correct answer is "B". The driver is qualified
to drive without restriction as long as he is able to perceive a
whispered voice at 5 feet in 1 ear.
◉ A driver reports for an examination 6 weeks after suffering a mild
heart attack and presents a note from his cardiologist stating that he
is able to return to work immediately without restriction. Included
within the note, the cardiologist provides recent testing information
showing that the driver had an ETT that showed he was able to
reach 12 METS during the test. His echocardiogram showed an
ejection fraction of 65%. The examination of the driver is
unremarkable. The examiner should:
a. Temporarily disqualify the driver.
,b. Qualify the driver for 1 year.
c. Qualify the driver for 2 years.
d. Consult with the cardiologist to determine if the driver suffers
from angina.. Answer: Correct answer is "A". The driver has not
completed the required 2-monthwaiting period, but all other
requirements for medical clearance and required testing have been
met. The driver would be certified for 1 year at the completion of the
waiting period. The date of the certification would be from the date
of the original examination.
◉ A driver provides an audiometric test documenting the following:
1. 500 Hz: 2. 1000 HZ: 3. 2000 HZ: 4. 4000 Hz:
35 Right ear; 40 Left ear 40 Right ear; 45 Left ear 40 Right ear; 45
Left ear 50 Right ear; 50 Left ear
5.
The medical examiner should:
a. Disqualify the driver because he does not meet minimum hearing
requirementsto drive.
b. Certify the driver for 2years.
c. Certify the driver for 1 year.
d. Require the driver to obtain a hearing exemption.. Answer:
Correct answer is "B". The examiner would average the results from
500 Hz, 1000 Hz and 2000 Hz. This average is 38.33 in the Right and
43.33 in the Left ear. A driver must have an average hearing loss of
,less than or equal to 40 in the better ear. This does not have to be
met in both ears.
◉ During the examination of a commercial driver, the examiner
notices that the driver's peripheral vision is 70 degrees to the left
and 80 degrees to the right. The examiner should:
a. Qualify the driver for 2 years.
b. Require the driver to obtain a vision exemption because of the
limitation in the driver's
left peripheral field.
c. Disqualify the driver.
d. Have the driver consult with an Ophthalmologist to determine if
the driver's peripheral vision meets minimum standards.. Answer:
Correct answer is "A". A driver must exhibit a minimum peripheral
vision of 70 degrees bilaterally.
◉ During examination, the medical examiner notices that the driver
is distant, lacks eye contact and shows absolutely no emotional
response during the exam. The examiner's best response should be:
a. Provide the driver with a "CAGE" questionnaire to determine if he
suffers from
alcoholism.
b.
c. Certify the driver with a 1-time, 3-month certificate to determine
if there is any effect on the driver's ability to drive a CMV.
, d. Require a skill performance evaluation to ascertain if the driver
has any limitations with driving.. Answer: Correct answer is "B". The
driver exhibits what may be considered a "flat affect" which is seen
in schizophrenia and in severe depression. The driver should be
evaluated by a mental health expert to make a diagnosis prior to
certification.
◉ A driver admits to the use of marijuana for the treatment of his
glaucoma, which is legal in the State in which he lives. He provides
medical documentation for the glaucoma indicating he is able to
drive a truck. He began using the marijuana about three months ago.
His current medical card has no limitations listed and is for 2 years.
His certification examination is within normal limits. The medical
examiner should:
a. Disqualify the driver.
b. Perform a urine drug collection and provide the release from the
testing provider.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years.. Answer: Correct answer is "A". Use
of marijuana is prohibited by Federal law while driving a CMV and
trumps State law in this matter.
◉ A driver has a blood pressure of 136/92 mm Hg. This is:
a. Within normal limits and would not affect the driver's
certification.
b. Stage 1 Hypertension.
