NRCME 2024 Exam Questions with Correct Answers
What physical abilities must drivers have? - Answer-grip strength, upper body strength and balance and flexibility
A driver returns to work after a two week absence due to a respiratory illness. He presents a note from his physician that he was una...
NRCME 2024 Exam Questions with
Correct Answers
What physical abilities must drivers have? - Answer-grip strength, upper body strength
and balance and flexibility
A driver returns to work after a two week absence due to a respiratory illness. He
presents a note from his physician that he was unable to work as a truck driver because
of the illness and is now cleared for returning to work. His medical certificate expires in
3 months. The driver: - Answer-should undergo a new examination
A driver is found to have diminished central acuity during Snellen chart acuity testing.
This is suggestive of: - Answer-macular degeneration
As the medical examiner you notice a patient's urinalysis is positive for 3+ protein. You
should: - Answer-Determine if additional evaluation is required and request or
recommend primary care provider follow-up.
What are the regulatory non-discretionary standards? - Answer-E-HIV
Epilepsy, Hearing, Insulin, Vison
A 47 year-old driver with a Fixed Deficit of an Extremity should have a physical exam -
Answer-Biannually or more frequently if indicated.
Can you provide a copy of the Medical Examination Certificate to the driver and a copy
to the employer? - Answer-YES
A 50 year-old male smoker had a percutaneous coronary intervention procedure 2
weeks ago after an abnormal stress test. He is asymptomatic, stage 2 HTN controlled
on ramapril and labetolol. What is the certification period? - Answer-Certify 6 months.
Advise to have ETT before 6 month follow up. If he remains stable with a normal ETT,
certify for one year.
CAn a driver with a hearing aid use it to pass hearing test? - Answer-Yes he can use
hearing aid to undergo the forced whisper test. Also he should carry a spare power
source for his hearing aids while driving
A driver is unable to pick out the numbers in an Ishihara color blindness test. However,
he is able to distinguish red, green, and amber stoplights. Can he be certified? -
Answer-He may be fully qualified for 2 years.
, What is the waiting period for ablation for Afib? - Answer-1 month
Allergic Rhinitis involving inflammation of the nasal portion of the upper respiratory tract
rarely renders a driver incapable of operating a commercial vehicle. A driver may be
certified with allergic rhinitis and on what kinds of meds? - Answer-nasal steroid sprays
and non-sedating antihistamines
A driver with a recent diagnosis of congestive heart failure and known ventricular
arrhythmias may be certified for driving if his left ventricular ejection fraction is at least: -
Answer-50%
Which is true of FMCSA Driver Exemption Programs? - Answer-An exemption is valid
for 2 years, with an annual medical examination.
A 43 year-old generally healthy female bus driver indicates she is allergic to aspirin.
Upon further questioning, she relates that she had febrile seizures at age 2, and her
mother was told not to give her aspirin afterwards. She never had recurrence of the
seizures nor any other neurological sequelae. Her examination is normal. You
determine: - Answer-Certify for 2 years.
A 43 year-old male driver has an otherwise normal exam except for amputation of the
ring and little fingers of the left hand. The driver: - Answer-Can be cleared for two years
if his grip strength is normal.
A 22 year-old male contracted meningococcal meningitis from his college roommate,
discharged from the hospital 3 months ago. He brings no records with him. He is on no
medications, is otherwise healthy, and his physical examination is entirely normal. The
correct determination would be: - Answer-Obtain hospital records. If there was no
seizure activity, he must undergo a one year waiting period before he can be qualified, if
there was seizure activity, he must undergo a 5 year waiting period seizure free and off
anticonvulsant medication before he can be qualified.
You disqualified a driver due to Stage 3 hypertension. He is back today and his BP is
less than 140/90. What do you do? - Answer-Certify for 6 months only
You certified a driver with history of stage 3 hypertension for 6 months and now he is
back for recertification. What do you do? - Answer-fill out a new form, check
recertification and do a full physical exam
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
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