NRCME TEST QUESTIONS / 240+
COMPLETE Exam Questions With 100%
Correct Answer
What minimum PaO2 level is necessary if the driver has an ABG due to a chronic
respiratory disorder?
a.70mmHg
b.55mmHg
c.60mmHg
d.65mmHg
Ans:>> Correct answer is "D". To be qualified, the driver should meet a minimum
arterial blood gas (PaO2) greater than 65.
Quiz 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.
Ans:>> 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.
Quiz 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.
Ans:>> 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.
Quiz 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.
Ans:>> 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.
Quiz 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.
, Ans:>> Correct answer is "A". A driver must exhibit a minimum peripheral vision of
70 degrees bilaterally.
Quiz 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.
Ans:>> 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.
Quiz 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.
COMPLETE Exam Questions With 100%
Correct Answer
What minimum PaO2 level is necessary if the driver has an ABG due to a chronic
respiratory disorder?
a.70mmHg
b.55mmHg
c.60mmHg
d.65mmHg
Ans:>> Correct answer is "D". To be qualified, the driver should meet a minimum
arterial blood gas (PaO2) greater than 65.
Quiz 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.
Ans:>> 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.
Quiz 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.
Ans:>> 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.
Quiz 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.
Ans:>> 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.
Quiz 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.
, Ans:>> Correct answer is "A". A driver must exhibit a minimum peripheral vision of
70 degrees bilaterally.
Quiz 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.
Ans:>> 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.
Quiz 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.
