NRCME Test Bank Questions and
answer 100% graded A+
A diabetes exemption may be issued by:
A) An endocrinologist
B) The Medical Examiner
C) The driver's personal physician
D) The FMCSA - CORRECT ANSWER D) Only the FMCSA can grant exemptions
A driver experienced a pneumothorax four weeks ago. The pneumothorax reduced the
driver's forced vital capacity (FVC) to 58% of predicted forced vital capacity. What
should the certification decision be?
A) Do no certify
B) Certify for 3 months, pending driver follow up with personal physician and/or
specialist
C) Certify for one year
D) Certify for 2 years - CORRECT ANSWER A) The driver may not be certified until
FVC is >60% of predicted
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 - CORRECT ANSWER B) Use of such lenses is prohibited
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 - CORRECT 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 driver presents for examination with a history of pneumothorax 6 weeks ago.
Available medical records indicate that this is the second spontaneous pneumothorax
on the same side. The driver's forced vital capacity (FVC) is 68% of predicted forced
vital capacity with no surgical intervention. What is the certification determination?
A). Do not certify
B) Certify for 3 months, pending driver follow up with personal physician and/or
specialist
,C) Certify for one year
D) Certify for 2 years - CORRECT ANSWER A) A driver with a history of two or more
spontaneous pneumothoraxes on the same side must undergo surgical treatment to
prevent recurrence prior to certification.
A driver previously diagnosed and treated for hypertension presents on April 4, 2014
with blood pressure of 150/84. The driver is given a three-month certification until July 4,
2014. At follow-up two months later, on June 4, 2014, a complete driver examination is
performed, and the driver's blood pressure is 124/74. The driver should be certified for
_______________________.
A) Three months until September 4, 2014
B) One year until April 4, 2015
C) One year until June 4, 2015
D) Two years until April 4, 2016 - CORRECT ANSWER Which of the following is true
with respect to drivers with psychological disorders?
A) With some exceptions (e.g. schizophrenia), exclusion from CMV driving is not based
solely on diagnosis.
B) Recommendations related to effects and/or side effects of medication use the degree
of impairment produced by a 0.08 percent blood alcohol concentration as a benchmark.
C) Medical examiners may not request medical records related to treatment of
psychological disorders due to HIPAA regulation.
D) Treatment with antipsychotic medications is disqualifying
A) The degree of of impairment produced by a 0.04 percent blood alcohol level is
considered the impairment benchmark by the FMCSA. HIPAA regulations do not
preclude a medical examiner from requesting records related to treatment of
psychological disorders. The medical examiner requesting such records should have
the driver sign a HIPAA-compliant consent form for the release of such records.
Treatment with antipsychotic medications is not in and of itself disqualifying, although
the underlying diagnosis for which such medications are used may be disqualifying.
A driver takes Benadryl 25 mg, 2 to 3 times per day, to treat nasal congestion. The
medical examiner should:
A) Advised the driver to use diphenhydramine nor more than twice daily
B) Advise the driver to consult with PCP to evaluate chronic congestion and obtain
treatment that does not interfere with safe driving
C) Prescribe a non-sedating inhaler
D) Contact DOT to advise of a safety concern - CORRECT ANSWER B) Drivers
should be advised to follow up with their treating physicians to obtain treatments that
are not sedating
A driver taking methadone for substance abuse treatment may be certified for three
months.
A) True
B) False - CORRECT ANSWER B) False, methadone is disqualifying
, A driver treated for hypertension presents on September 8, 2012 with a blood pressure
of 142/96. The driver is given a three-month certification until December 8, 2012. On
blood pressure check one month later, on October 14, 2012, the driver's blood pressure
is 144/72. The driver should be certified for __________________.
A) Do not certify
B) Three months to January 14, 2013
C) One year to September 8, 2018
D) The driver remains certified for the three month-interval until December 8, 2012 -
CORRECT ANSWER D) The three month certification reminds valid. The driver did not
qualify for a one-year certification, nor did the driver's blood pressure disqualify the
driver. If the driver fails to meet the requirement to lower blood pressure to >=140/90 by
December 8, 2012,, the driver will be disqualified until blood pressure is stabilized at
<=140/90
A driver who has Hepatitis C who is stable and whose condition does not represent a
safety risk may be certified
A) True
B) False - CORRECT ANSWER A) Hepatitis C is not disqualifying
A driver who requires a hearing aid to meet certification requirements must be
examined annually.
A) True
B) False - CORRECT ANSWER B) A driver who needs a hearing aid to meet
requirements may be certified for up to two years.
A driver with a diabetes exemption should check glucose levels when?
A) One hour before driving and at least once every four hours while driving
B) One hour before driving and at least every eight hours while driving
C) Once after four hours of driving
D) Once a day after driving period has ended - CORRECT ANSWER A) Driver's with
diabetes exemption should check glucose values one hour before driving and once
every four hours while driving
A driver with a history of acute bleeding ulcer may be certified if:
A) Pain has subsided
B) Driver tolerates food without nausea and vomiting
C) Bleeding has subsided
D) The underlying cause has been identified and recurrence risk is low following
treatment - CORRECT ANSWER D) Drivers with bleeding ulcers should not be
certified until the underlying cause has been identified and the recurrence risk is low
A driver with a history of acute seizure secondary to an acute structural insult requires
a waiting period of one-year seizure free and off anticonvulsant medications for:
A) Mild insult without early seizures
B) Moderate insult without early seizures
, C) Mild insult with early seizures
D) Stroke with risk for seizures - CORRECT ANSWER A) A history of seizure
secondary to acute structural insult requires a waiting period of one year for mild insult
without early seizure, stroke without risk for seizure, or intracerebral hemorrhage
without risk for seizure. Moderate insult without early seizures and mild insult with early
seizures requires a two-year waiting period, and stroke with risk for seizures requires a
five-year waiting period.
A driver with a history of bacterial meningitis with early seizures or a single unprovoked
seizure requires a waiting period of _____________ seizure free and off anticonvulsant
medications.
A) One year
B) Two years
C) Five years
D) Ten years - CORRECT ANSWER C) The waiting period for a history of bacterial
meningitis with early seizures or single unprovoked seizure is five years
A driver with a history of kidney disease with or without transplant:
A) Is medically disqualified
B) Must be assessed regarding the severity, stability, medications used, and medication
side effects/adverse reactions
C) Should not be assessed for functional ability to operate a CMV safely
D) Should have the medical certificaton determination made by a renal specialist -
CORRECT ANSWER B) ASsessment for kidney disease must be ade on a case-by-
case basis. Dialysis of any kind is disqualifying. The medical examiner may choose to
test the driver for functional ability to operate a CMV safely. The medical certification
decision must be made by the medical examiner.
A driver with a history of major depression should be evaluated at least every
_______________ by an appropriate mental health specialist who understands the
functions and demands of commercial motor vehicle driving.
A) Six months
B) One year
C) Two years
D) Such evaluation is not required - CORRECT ANSWER B) The maximum
certification interval for a driver with a history of major depression is one year.
Regulatory guidance is somewhat confusing: guidance recommends annual evaluation
by a mental health professional who understands the functions and demands of
commercial driving, but requires evaluation every two years by a specialist, such as
psychiatrist or psychologist who understands the functions and demands of comical
driving
A driver with a history of moderate traumatic brain injury with early seizures, stroke with
risk for seizures, or intracerebral or subarachnoid hemorrhage with risk for seizures
requires a waiting period of ___________ seizure free and off anticonvulsant
medications.
answer 100% graded A+
A diabetes exemption may be issued by:
A) An endocrinologist
B) The Medical Examiner
C) The driver's personal physician
D) The FMCSA - CORRECT ANSWER D) Only the FMCSA can grant exemptions
A driver experienced a pneumothorax four weeks ago. The pneumothorax reduced the
driver's forced vital capacity (FVC) to 58% of predicted forced vital capacity. What
should the certification decision be?
A) Do no certify
B) Certify for 3 months, pending driver follow up with personal physician and/or
specialist
C) Certify for one year
D) Certify for 2 years - CORRECT ANSWER A) The driver may not be certified until
FVC is >60% of predicted
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 - CORRECT ANSWER B) Use of such lenses is prohibited
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 - CORRECT 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 driver presents for examination with a history of pneumothorax 6 weeks ago.
Available medical records indicate that this is the second spontaneous pneumothorax
on the same side. The driver's forced vital capacity (FVC) is 68% of predicted forced
vital capacity with no surgical intervention. What is the certification determination?
A). Do not certify
B) Certify for 3 months, pending driver follow up with personal physician and/or
specialist
,C) Certify for one year
D) Certify for 2 years - CORRECT ANSWER A) A driver with a history of two or more
spontaneous pneumothoraxes on the same side must undergo surgical treatment to
prevent recurrence prior to certification.
A driver previously diagnosed and treated for hypertension presents on April 4, 2014
with blood pressure of 150/84. The driver is given a three-month certification until July 4,
2014. At follow-up two months later, on June 4, 2014, a complete driver examination is
performed, and the driver's blood pressure is 124/74. The driver should be certified for
_______________________.
A) Three months until September 4, 2014
B) One year until April 4, 2015
C) One year until June 4, 2015
D) Two years until April 4, 2016 - CORRECT ANSWER Which of the following is true
with respect to drivers with psychological disorders?
A) With some exceptions (e.g. schizophrenia), exclusion from CMV driving is not based
solely on diagnosis.
B) Recommendations related to effects and/or side effects of medication use the degree
of impairment produced by a 0.08 percent blood alcohol concentration as a benchmark.
C) Medical examiners may not request medical records related to treatment of
psychological disorders due to HIPAA regulation.
D) Treatment with antipsychotic medications is disqualifying
A) The degree of of impairment produced by a 0.04 percent blood alcohol level is
considered the impairment benchmark by the FMCSA. HIPAA regulations do not
preclude a medical examiner from requesting records related to treatment of
psychological disorders. The medical examiner requesting such records should have
the driver sign a HIPAA-compliant consent form for the release of such records.
Treatment with antipsychotic medications is not in and of itself disqualifying, although
the underlying diagnosis for which such medications are used may be disqualifying.
A driver takes Benadryl 25 mg, 2 to 3 times per day, to treat nasal congestion. The
medical examiner should:
A) Advised the driver to use diphenhydramine nor more than twice daily
B) Advise the driver to consult with PCP to evaluate chronic congestion and obtain
treatment that does not interfere with safe driving
C) Prescribe a non-sedating inhaler
D) Contact DOT to advise of a safety concern - CORRECT ANSWER B) Drivers
should be advised to follow up with their treating physicians to obtain treatments that
are not sedating
A driver taking methadone for substance abuse treatment may be certified for three
months.
A) True
B) False - CORRECT ANSWER B) False, methadone is disqualifying
, A driver treated for hypertension presents on September 8, 2012 with a blood pressure
of 142/96. The driver is given a three-month certification until December 8, 2012. On
blood pressure check one month later, on October 14, 2012, the driver's blood pressure
is 144/72. The driver should be certified for __________________.
A) Do not certify
B) Three months to January 14, 2013
C) One year to September 8, 2018
D) The driver remains certified for the three month-interval until December 8, 2012 -
CORRECT ANSWER D) The three month certification reminds valid. The driver did not
qualify for a one-year certification, nor did the driver's blood pressure disqualify the
driver. If the driver fails to meet the requirement to lower blood pressure to >=140/90 by
December 8, 2012,, the driver will be disqualified until blood pressure is stabilized at
<=140/90
A driver who has Hepatitis C who is stable and whose condition does not represent a
safety risk may be certified
A) True
B) False - CORRECT ANSWER A) Hepatitis C is not disqualifying
A driver who requires a hearing aid to meet certification requirements must be
examined annually.
A) True
B) False - CORRECT ANSWER B) A driver who needs a hearing aid to meet
requirements may be certified for up to two years.
A driver with a diabetes exemption should check glucose levels when?
A) One hour before driving and at least once every four hours while driving
B) One hour before driving and at least every eight hours while driving
C) Once after four hours of driving
D) Once a day after driving period has ended - CORRECT ANSWER A) Driver's with
diabetes exemption should check glucose values one hour before driving and once
every four hours while driving
A driver with a history of acute bleeding ulcer may be certified if:
A) Pain has subsided
B) Driver tolerates food without nausea and vomiting
C) Bleeding has subsided
D) The underlying cause has been identified and recurrence risk is low following
treatment - CORRECT ANSWER D) Drivers with bleeding ulcers should not be
certified until the underlying cause has been identified and the recurrence risk is low
A driver with a history of acute seizure secondary to an acute structural insult requires
a waiting period of one-year seizure free and off anticonvulsant medications for:
A) Mild insult without early seizures
B) Moderate insult without early seizures
, C) Mild insult with early seizures
D) Stroke with risk for seizures - CORRECT ANSWER A) A history of seizure
secondary to acute structural insult requires a waiting period of one year for mild insult
without early seizure, stroke without risk for seizure, or intracerebral hemorrhage
without risk for seizure. Moderate insult without early seizures and mild insult with early
seizures requires a two-year waiting period, and stroke with risk for seizures requires a
five-year waiting period.
A driver with a history of bacterial meningitis with early seizures or a single unprovoked
seizure requires a waiting period of _____________ seizure free and off anticonvulsant
medications.
A) One year
B) Two years
C) Five years
D) Ten years - CORRECT ANSWER C) The waiting period for a history of bacterial
meningitis with early seizures or single unprovoked seizure is five years
A driver with a history of kidney disease with or without transplant:
A) Is medically disqualified
B) Must be assessed regarding the severity, stability, medications used, and medication
side effects/adverse reactions
C) Should not be assessed for functional ability to operate a CMV safely
D) Should have the medical certificaton determination made by a renal specialist -
CORRECT ANSWER B) ASsessment for kidney disease must be ade on a case-by-
case basis. Dialysis of any kind is disqualifying. The medical examiner may choose to
test the driver for functional ability to operate a CMV safely. The medical certification
decision must be made by the medical examiner.
A driver with a history of major depression should be evaluated at least every
_______________ by an appropriate mental health specialist who understands the
functions and demands of commercial motor vehicle driving.
A) Six months
B) One year
C) Two years
D) Such evaluation is not required - CORRECT ANSWER B) The maximum
certification interval for a driver with a history of major depression is one year.
Regulatory guidance is somewhat confusing: guidance recommends annual evaluation
by a mental health professional who understands the functions and demands of
commercial driving, but requires evaluation every two years by a specialist, such as
psychiatrist or psychologist who understands the functions and demands of comical
driving
A driver with a history of moderate traumatic brain injury with early seizures, stroke with
risk for seizures, or intracerebral or subarachnoid hemorrhage with risk for seizures
requires a waiting period of ___________ seizure free and off anticonvulsant
medications.
