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NRCME EXAM ACTUAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (100% VERIFIED ANSWERS)

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NRCME EXAM ACTUAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (100% VERIFIED ANSWERS) A driver is taking Celexa for the treatment of what he calls a "mild depression". He reports he has not considered or attempted suicide. The examiner should do what? - Answer️️ -Temporar...

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  • September 18, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • 2024/2025
  • 2024/2025
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NRCME EXAM 2024-2025 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (100%
VERIFIED ANSWERS)

A driver is taking Celexa for the treatment of what he calls a "mild depression". He

reports he has not considered or attempted suicide. The examiner should do what? -

Answer✔️✔️-Temporarily disqualify the driver until he obtains written clearance for the

depression and the medication from the treating provider.


Can hearing aids be worn during the forced whisper test? - Answer✔️✔️-NO

A driver with a history of diabetes, who is taking Metformin, provides a note from his
primary care provider that lists his A1c level as 10.


His exam is essentially normal including laboratory analysis, except he is very

overweight. The medical examiner should: - Answer✔️✔️-

A driver with a history of diabetes, who is taking Metformin, provides a note from his

primary care provider that lists his A1c level as 10. His exam is essentially normal

including laboratory analysis, except he is very overweight. The medical examiner

should: - Answer✔️✔️-certify for 1 year

A driver has had his second spontaneous pneumothorax on the same side 3 months

ago. There has been no surgical intervention. The FVC is 68%. The correct

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OWNER: EMILLYCHARLOTTE
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FIRST PUBLISHED: SEPTEMBER 2024

determination in this case is: - Answer✔️✔️-Do not certify until the condition has been

corrected surgically.

The driver reports a suicide attempt 6 months earlier, following the break-up of his

marriage. He noted seeing a psychiatrist and he takes Citalopram daily and he reports

he feels fine now and is moving on with his life. He provides a release from his doctor

that he may return to work without restrictions. The medical examiner should? -

Answer✔️✔️-disqualify the driver

A driver with an Abnormal Aortic Aneurysm (AAA) can be certified: - Answer✔️✔️-For 1

year if between 4 and 5 cm, asymptomatic, with a recommendation from a

cardiovascular specialist who understands the functions and demands of commercial

driving.

If a driver responds yes to the history section of the exam form, what details must he

include? - Answer✔️✔️-1. date of onset

2. diagnosis

3. PCP contact info

4. any limitations

5. medications including prescription, OTC and herbal supplements

Upon examination of a 46 year-old male smoker, you detect an irregularly irregular

heart rhythm. The rate is 140 bpm. This is unknown to the driver and he denies any

symptoms of lightheadedness, shortness of breath, dizziness, palpitations, nor any

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