2025 NRCME STUDY SHEET COMPLETE
200 QUESTIONS | REAL EXAM TAKEN
2023.2024|ANSWERED
When applying for a vision exemption, the driver should include a copy of the Medical
Examination Report form and the medical examiner's certification with what marked?
The "accompanied by" exemption checkbox and write "vision" to identify the type of
exemption.
If the driver is qualified by operation of 49 CFR 391.64 due to participation in the vision
study program, what must the driver present to qualify for certification?
Letter identifying the driver as a participant and copy of the specialist eye examination.
How long can a driver who is qualified by operation of 49 CFR 391.64 be certified.
1 year
hearing requirements
Whisper at not less than 5 feet in 1 ear, or average hearing loss no greater than 40 dB
at 500Hz, 1000Hz, 2000 Hz in 1 ear.
What is the waiting period for vertigo caused by benign positional vertigo or
acute/chronic peripheral vestibulopathy?
3 months
Name 4 otic conditions that are automatic disqualification
,Meniere's, uncontrolled vertigo, labyrinthine fistula, nonfunctioning labyrinth
Apnea-hypopnea index of [blank] or more episodes per hour is diagnostic of OSA
30
3 requirements for a passing ETT
1. increased SBP of at least 20 without angina
2. workload capacity >6 METs
3. no significant ST depression
Examiners must retain records for how many years?
3
Regulation that describes the physical qualifications of drivers.
49 CFR 391.41
Regulation that describes the responsibilities of the medical examiner.
49 CFR 391.43
Regulation that describes the process for conflict resolution when there is a
disagreement between the primary care provider for the driver and the medical
examiner for the motor carrier concerning driving qualifications.
49 CFR 391.47
Regulation that describes the Skill Performance Evaluation (SPE) Certification
Program.
49 CFR 391.49
,Regulation that describes limited exemptions for intra-city zone drivers.
49 CFR 391.62
What is the maximum certification period for stage I hypertension if this is the 1st
examination at which the driver has BP equivalent to stage I hypertension and has no
history of hypertension?
1 year
What is the maximum certification period for untreated known or inadequately
controlled stage I hypertension?
3 months
What is the maximum certification period for blood pressure >140/90 and the following:
follow-up 3 months certificate or history of stage III hypertension
None, driver is disqualified
Define Stage II hypertension.
BP is ≥ 160 to <180 SYSTOLIC, and is ≥100 to < 110 Diastolic
What is the maximum certification period for Stage II hypertension with blood pressure
>140/90?
3 months
What is the maximum certification period for Stage II hypertension with blood pressure
</140/90?
1 year
, Define Stage III hypertension.
BP >180 Systolic and > 110 Diastolic
What is the maximum certification period for Stage III hypertension with blood
pressure >140/90?
1 time certificate for 3 months in accordance with stage 1 or 2 HTN guidelines, as
determined by a case by case basis.
What is the maximum certification period for a driver with a history of Stage III
hypertension but t exam his BP is at or less 140/90 and treatment is well tolerated?
6 months
What is the maximum certification period for Stage III hypertension with blood
pressure >180/110?
None, driver is disqualified.
What is the waiting period and maximum certification period for surgical correction of
secondary hypertension?
3 months and 1 year post surgical correction
What is the waiting period and maximum certification period for driver on
anticoagulants for cardiovascular cause?
1 month stabilized and 1 year with monthly INRs
What is the waiting period and maximum certification period for driver on
anticoagulants for neurlogical condition?
None, driver is disqualified.
200 QUESTIONS | REAL EXAM TAKEN
2023.2024|ANSWERED
When applying for a vision exemption, the driver should include a copy of the Medical
Examination Report form and the medical examiner's certification with what marked?
The "accompanied by" exemption checkbox and write "vision" to identify the type of
exemption.
If the driver is qualified by operation of 49 CFR 391.64 due to participation in the vision
study program, what must the driver present to qualify for certification?
Letter identifying the driver as a participant and copy of the specialist eye examination.
How long can a driver who is qualified by operation of 49 CFR 391.64 be certified.
1 year
hearing requirements
Whisper at not less than 5 feet in 1 ear, or average hearing loss no greater than 40 dB
at 500Hz, 1000Hz, 2000 Hz in 1 ear.
What is the waiting period for vertigo caused by benign positional vertigo or
acute/chronic peripheral vestibulopathy?
3 months
Name 4 otic conditions that are automatic disqualification
,Meniere's, uncontrolled vertigo, labyrinthine fistula, nonfunctioning labyrinth
Apnea-hypopnea index of [blank] or more episodes per hour is diagnostic of OSA
30
3 requirements for a passing ETT
1. increased SBP of at least 20 without angina
2. workload capacity >6 METs
3. no significant ST depression
Examiners must retain records for how many years?
3
Regulation that describes the physical qualifications of drivers.
49 CFR 391.41
Regulation that describes the responsibilities of the medical examiner.
49 CFR 391.43
Regulation that describes the process for conflict resolution when there is a
disagreement between the primary care provider for the driver and the medical
examiner for the motor carrier concerning driving qualifications.
49 CFR 391.47
Regulation that describes the Skill Performance Evaluation (SPE) Certification
Program.
49 CFR 391.49
,Regulation that describes limited exemptions for intra-city zone drivers.
49 CFR 391.62
What is the maximum certification period for stage I hypertension if this is the 1st
examination at which the driver has BP equivalent to stage I hypertension and has no
history of hypertension?
1 year
What is the maximum certification period for untreated known or inadequately
controlled stage I hypertension?
3 months
What is the maximum certification period for blood pressure >140/90 and the following:
follow-up 3 months certificate or history of stage III hypertension
None, driver is disqualified
Define Stage II hypertension.
BP is ≥ 160 to <180 SYSTOLIC, and is ≥100 to < 110 Diastolic
What is the maximum certification period for Stage II hypertension with blood pressure
>140/90?
3 months
What is the maximum certification period for Stage II hypertension with blood pressure
</140/90?
1 year
, Define Stage III hypertension.
BP >180 Systolic and > 110 Diastolic
What is the maximum certification period for Stage III hypertension with blood
pressure >140/90?
1 time certificate for 3 months in accordance with stage 1 or 2 HTN guidelines, as
determined by a case by case basis.
What is the maximum certification period for a driver with a history of Stage III
hypertension but t exam his BP is at or less 140/90 and treatment is well tolerated?
6 months
What is the maximum certification period for Stage III hypertension with blood
pressure >180/110?
None, driver is disqualified.
What is the waiting period and maximum certification period for surgical correction of
secondary hypertension?
3 months and 1 year post surgical correction
What is the waiting period and maximum certification period for driver on
anticoagulants for cardiovascular cause?
1 month stabilized and 1 year with monthly INRs
What is the waiting period and maximum certification period for driver on
anticoagulants for neurlogical condition?
None, driver is disqualified.
