2026 NRCME TEST BANK EXAM 2 PAPER QUESTIONS
AND ANSWERS SURE A+
✔✔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 - ✔✔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 - ✔✔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 the driver demonstrate cervical range of
motion sufficient to look in either side mirror of an oversized CMV - ✔✔B) Nerve
conduction study testing is not a clinical evaluation of musculoskeletal function
✔✔According to regulation, what medical examiner documentation is required when a
driver applies for a SPE certificate?
1) The Medication Examination Report
2) Certification from a board certified or eligible physiatrist or orthopedic surgeon that
the driver is otherwise qualified to drive
3) The Medical Examiner's certificate, indicating that medical certification must be
accompanied by a SPE certificate
4) Results of the functional capacity evaluation (FCE)
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) A functional capacity evaluation (FCE) is not a requirement
for SPE certificate application
✔✔Which of the following conditions are disqualifying?
1) Acute or chronic vestibulopathy after a one-month symptom free interval.
2) Nonfunctioning labyrinths after a three-month free interval.
3) Labyrinthe fistula after a six month symptom free interval.
4) Meniere's disease After a one-year symptom free interval.
A) 1, 2 and 3 only
B) 1 and 3 only
C) 2 and 4 only
D) 4 only
E) all of the above - ✔✔E) Nonfunctioning labyrinths labyrinthine fistula, and Ménière's
disease are all disqualifying and there is no symptom free interval that allows
certification. The waiting period for acute and chronic vestibulopathy is two months
symptom free.
, ✔✔Which of the following drivers meets hearing certification standards?
A) Whisper test 4 feet right ear, 3 feet left ear.
B) Whisper test 5 feet right ear with hearing aid, 3 feet left ear without hearing aid
C) Audiogram left 30/500 Hz, 40/1000 Hz, 60/2000 Hz; right 25/500 Hz, 35/1000 Hz,
80/2000 Hz
D) Audiogram left 25/500 Hz, 50/1000 Hz, 40/3000 Hz; right 25/500 Hz, 35/1000 Hz,
60/3000 Hz - ✔✔Whisper test results require 5 feet in at least one ear for passing, with
or without a hearing aid. Audiometric testing results require an average of 40 dB loss in
the better ear for results averaged from 500, 1000, and 2000 Hz. Although testing may
be performed at 3000 Hz, results obtained are not used to determine whether the driver
meets hearing requirements.
✔✔Which of the following is true with respect to hearing testing?
A) Audometric testing should be done using International Organization for
Standardizaation (ISO) standard
B) Drivers requiring a hearing aid to meet hearing requirements may wear a hearing aid
only in the ear that was tested and passéd with the hearing aid
C) Drivers requiring a hearing aid must be tested using specialized audio metric testing
equipment if audio metric testing is required
D) Drivers requiring a hearing aid to meet standards should be certified for no more
than one year - ✔✔Audiometric testing should be done using American National
Standards Institute (ANSI) Z24.5-1951 standard. ISO results should be converted to the
ANSI standard. To convert ISO results to ANSI, subtract 14 dB at 500, 10 dBat 1000,
and 8.5 dB for 2000. Hearing requirements are for the better ear; a driver may use a
hearing aid in only one ear to meet standards. drivers wearing a hearing aid may first be
tested with a whisper test; if the driver passes the whisper test, the driver must be
referred to an audiologist or otolaryngologist with specialized equipment for performing
audio metric testing with use of a hearing aid. Drivers sho require a hearing aid to meet
standards may be certified for up to two years.
✔✔An audio metric test results in the following results:
L ear: 500 Hz, 35 dB loss
1000 Hz, 35 dB loss
2000 Hz, 45 dB loss
R ear: 500 Hz 40 dB loss
1000 Hz 45 dB loss
2000 Hz, 40 dB loss
What is the certification determination?
A) Certify for one year
B) Certify for two years
C) Do not certify
D) Certify only when accompanied by a hearing aid. - ✔✔B) Drivers with an average
hearing loss of <= 40 decibels averaged across 500, 1000, and 2000 Hz in the better
ear may be certified for two years.
AND ANSWERS SURE A+
✔✔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 - ✔✔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 - ✔✔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 the driver demonstrate cervical range of
motion sufficient to look in either side mirror of an oversized CMV - ✔✔B) Nerve
conduction study testing is not a clinical evaluation of musculoskeletal function
✔✔According to regulation, what medical examiner documentation is required when a
driver applies for a SPE certificate?
1) The Medication Examination Report
2) Certification from a board certified or eligible physiatrist or orthopedic surgeon that
the driver is otherwise qualified to drive
3) The Medical Examiner's certificate, indicating that medical certification must be
accompanied by a SPE certificate
4) Results of the functional capacity evaluation (FCE)
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) A functional capacity evaluation (FCE) is not a requirement
for SPE certificate application
✔✔Which of the following conditions are disqualifying?
1) Acute or chronic vestibulopathy after a one-month symptom free interval.
2) Nonfunctioning labyrinths after a three-month free interval.
3) Labyrinthe fistula after a six month symptom free interval.
4) Meniere's disease After a one-year symptom free interval.
A) 1, 2 and 3 only
B) 1 and 3 only
C) 2 and 4 only
D) 4 only
E) all of the above - ✔✔E) Nonfunctioning labyrinths labyrinthine fistula, and Ménière's
disease are all disqualifying and there is no symptom free interval that allows
certification. The waiting period for acute and chronic vestibulopathy is two months
symptom free.
, ✔✔Which of the following drivers meets hearing certification standards?
A) Whisper test 4 feet right ear, 3 feet left ear.
B) Whisper test 5 feet right ear with hearing aid, 3 feet left ear without hearing aid
C) Audiogram left 30/500 Hz, 40/1000 Hz, 60/2000 Hz; right 25/500 Hz, 35/1000 Hz,
80/2000 Hz
D) Audiogram left 25/500 Hz, 50/1000 Hz, 40/3000 Hz; right 25/500 Hz, 35/1000 Hz,
60/3000 Hz - ✔✔Whisper test results require 5 feet in at least one ear for passing, with
or without a hearing aid. Audiometric testing results require an average of 40 dB loss in
the better ear for results averaged from 500, 1000, and 2000 Hz. Although testing may
be performed at 3000 Hz, results obtained are not used to determine whether the driver
meets hearing requirements.
✔✔Which of the following is true with respect to hearing testing?
A) Audometric testing should be done using International Organization for
Standardizaation (ISO) standard
B) Drivers requiring a hearing aid to meet hearing requirements may wear a hearing aid
only in the ear that was tested and passéd with the hearing aid
C) Drivers requiring a hearing aid must be tested using specialized audio metric testing
equipment if audio metric testing is required
D) Drivers requiring a hearing aid to meet standards should be certified for no more
than one year - ✔✔Audiometric testing should be done using American National
Standards Institute (ANSI) Z24.5-1951 standard. ISO results should be converted to the
ANSI standard. To convert ISO results to ANSI, subtract 14 dB at 500, 10 dBat 1000,
and 8.5 dB for 2000. Hearing requirements are for the better ear; a driver may use a
hearing aid in only one ear to meet standards. drivers wearing a hearing aid may first be
tested with a whisper test; if the driver passes the whisper test, the driver must be
referred to an audiologist or otolaryngologist with specialized equipment for performing
audio metric testing with use of a hearing aid. Drivers sho require a hearing aid to meet
standards may be certified for up to two years.
✔✔An audio metric test results in the following results:
L ear: 500 Hz, 35 dB loss
1000 Hz, 35 dB loss
2000 Hz, 45 dB loss
R ear: 500 Hz 40 dB loss
1000 Hz 45 dB loss
2000 Hz, 40 dB loss
What is the certification determination?
A) Certify for one year
B) Certify for two years
C) Do not certify
D) Certify only when accompanied by a hearing aid. - ✔✔B) Drivers with an average
hearing loss of <= 40 decibels averaged across 500, 1000, and 2000 Hz in the better
ear may be certified for two years.
