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NRCME Practice Test Questions with Correct Answers
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NRCME Practice Test Questions with Correct Answers A driver's exam is unremarkable except for a recent history of panic attacks. These are under control with Xanax. She reports no side effects. What certification is appropriate? a. 2 years. b. Xanax required annual recertification. 1 year....

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  • August 25, 2024
  • 34
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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NRCME Practice Test Questions
with Correct Answers

A driver's exam is unremarkable except for a recent history of panic attacks. These are
under control with Xanax. She reports no side effects. What certification is appropriate?
a. 2 years.
b. Xanax required annual recertification. 1 year.
c. Xanax is potentially dangerous. 6 months is appropriate.
d. Xanax is generally considered to increase crash risk. Use your clinical judgment, but
use of benzodiazepines is typically disqualifying. Additional consultation with treating
physician may be needed. - Answer-d. Xanax is generally considered to increase crash
risk. Use your clinical judgment, but use of benzodiazepines is typically disqualifying.
Additional consultation with treating physician may be needed.

What is the minimum gross vehicle weight that will require a DOT medical exam for the
driver?
a. 16,501 pounds.
b. 10,001 pounds.
c. 26,001 pounds.
d. 22,501 pounds. - Answer-b. 10,001 pounds.

Drugs with no known medical use and a high potential for abuse fall into what category?
a. Class C.
b. Schedule I.
c. Class F.
d. Schedule V. - Answer-b. Schedule I.

Marijuana is what listed as which of the following?
a. Schedule 1 drug.
b. Schedule 2 drug.
c. Schedule V drug
d. It used to be considered a Schedule 1 drug. It is no longer a listed drug. - Answer-a.
Schedule 1 drug.

A driver is 35 years of age. He has a diagnosis of Ankylosing Spondylitis since he was
19. He has fusion throughout his spine, excluding the upper cervical spine. Neck
rotation is limited to 15 degrees bilaterally. His neck is permanently flexed 25 degrees
forward and he can only extend it 10 degrees. Agility is greatly diminished and he
cannot climb well. He now presents for recertification, but notes he primarily does an
administrative desk job. Based on this, what is the proper course ofaction?
a. Disqualify.
b. Certify for 1 year.

,c. Order a Skill Performance Evaluation.
d. Certify for 6 months. - Answer-a. Disqualify.

Correct answer is "A". This driver is unable to safely fulfill the duties of a commercial
motor vehicle driver, such as using the side mirrors. Remember, certification is for all
duties of a driver. There are not work restrictions offered.

Transient Ischemic Attacks are a major concern. They can be one of the earliest signs
of cerebrovascular disease. Symptoms usually only last 10-20 minutes. All of the
following are symptoms that may present in the history as a result of a TIA, EXCEPT:

a. Sudden temporary tingling, numbness, or weakness.
b. Confusion.
c. Sudden visual changes.
d. Sciatica - Answer-d. Sciatica

A driver with a history of a TIA should be removed from the road for what minimum
waiting period?
a. 2 months.
b. 6 months.
c. 1 year.
d. 2 years. - Answer-c. 1 year.

Epilepsy is a major concern due to risk of seizure or loss of consciousness. How many
unprovoked seizures are required for a diagnosis of epilepsy?
a. One.
b. Two.
c. There is no single definition; diagnosis is made on a case-by-case basis. - Answer-b.
Two.

After a diagnosis of Meniere's disease, what is the recommendation for certification of a
driver?
a. Certification if no reported dizziness or vertigo.
b. Certification after a 1 year waiting period if hearing standards are met and there are
no symptoms of vertigo.
c. Certification after a 2-month waiting period free of symptoms of vertigo.
d. Meniere's disease is progressive and considered completely disabling.Disqualify -
Answer-d. Meniere's disease is progressive and considered completely
disabling.Disqualify

Which of these is intrastate (as opposed to interstate) commerce?
a. A UPS driver delivers packages from far and wide within a single city.
b. A semi driver drives a long-haul route from Florida to Texas.
c. A commercial driver makes a run from New Orleans, LA to Monroe, LA, but passes
through Mississippi on the route.

,d. ALL of the above are examples of interstate commerce, not intrastate. - Answer-
Correct answer is "D". The U.S. Department of Transportation regulates interstate
commerce, which is defined as trade, traffic or transportation involving the crossing of a
state or national boundary. The vehicle and its contents must cross or there must be the
intent to cross a boundary: (1) Between a place in a state and a place outside that state
(including a place outside of the United States); (2) Between two places in a state,
through another state, or a place outside of the United States; (3) Between two places
in the state as part of trade, traffic or transportation originating or terminating outside the
state or the United States. In the case of answer A, the contents are traveling across
state lines.


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 - Answer-d. 65mmHg

Correct answer is "D". To be qualified, the driver should meet a minimum arterial blood
gas (PaO2) greater than 65.

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-b. Certify the driver for 2 years.

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-
a. Temporarily disqualify the driver.

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: 35 Right ear; 40 Left ear
2. 1000 HZ: 40 Right ear; 45 Leftear
3. 2000 HZ: 40 Right ear; 45 Leftear
4. 4000 Hz: 50 Right ear; 50 Left ear

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-b. Certify the driver for
2years.

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-a. Qualify the driver for 2 years.

Correct answer is "A". A driver must exhibit a minimum peripheral vision of 70 degrees
bilaterally.

6. 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:

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