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NRCME EXAM; 243 QUESTIONS WITH 100% VERIFIED ANSWERS
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NRCME EXAM; 243 QUESTIONS WITH100% VERIFIED ANSWERS 2024-2025
What is the minimal PaO2 level required if the driver has an ABG owing to a
chronic respiratory disorder?
a.70mmHg
b.55mmHg
c.60mmHg
d.65mmHg - The correct answer is "D". To qualify, the driver must have an arterial
blood gas (PaO2) level greater than 65.
A driver notices a murmured voice at 5 feet in his right ear and 4 feet in his left ear.
All other aspects of his physical assessment were ordinary. Examiners should:
a.Disqualify the driver permanently because he "failed" the whispering voice test.
b.Certify the driver for two years.
c.Certify the driver for a year.
d.Audiometric testing is required to evaluate the level of hearing loss in his left ear.
The correct answer is "B". The motorist is permitted to drive without restriction as
long as he can hear a murmured voice at 5 feet in one ear.
A driver comes in for a checkup 6 weeks after having a small heart attack and
delivers a note from his cardiologist stating that he can return to work immediately
without limitation. The cardiologist included recent testing information in the note,
indicating that the driver had an ETT and was able to reach 12 METS during the
test. His echocardiography revealed an ejection fraction of 65%. The assessment of
the driver is unremarkable. Examiners should:
a. Temporarily disqualify the driver.
,b. Qualify the driver for one year.
c. Qualify the driver for two years.
d. Consult a cardiologist to see if the motorist suffers from angina. - ANSWER The
correct answer is "A". The driver did not complete the minimum 2-month waiting
period, but all other medical clearance and testing requirements were met. After
completing the waiting time, the driver would be qualified for one year. The
certification will be effective from the date of the initial examination.
A driver conducts an audiometric exam and documents the following:
1. 500 Hz: 2. 1000 HZ: 3. 2000 HZ: 4. 4000 Hz:
35 Right ear; 40 Left ear; 45 Left ear; 45 Right ear; 50 Right ear; 50 Left ear.
5.
Medical examiners should:
a. Disqualify the driver because he does not fulfill the minimal hearing criteria for
driving.
b. Certify the driver for two years.
c. Certify the driver for one year.
d. Require that the driver get a hearing exemption. The correct answer is "B". The
examiner would average the results at 500, 1000, and 2000 Hz. The average for the
right ear is 38.33, whereas for the left ear it is 43.33. A driver must have an average
hearing loss of 40 or less in the better ear. This need not be met in both ears.
During a commercial driving examination, the examiner observes that the driver's
peripheral vision is 70 degrees to the left and 80 degrees to the right. Examiners
should:
,a. Qualify the driver for two years.
b. Require the driver to get a vision exemption because of the driver's limitations.
Left peripheral field.
c. Disqualify the driver.
d. Have the motorist consult with an ophthalmologist to see if their peripheral
vision meets basic standards. - ANSWER The correct answer is "A". A driver's
peripheral vision must be at least 70 degrees bilaterally.
During the test, the medical examiner sees that the driver is detached, does not
make eye contact, and has no emotional ANSWER. The examiner's best ANSWER
would be:
a. Give the driver a "CAGE" questionnaire to evaluate whether he suffers from
alcoholism.
b.
c. To assess if the driver's ability to operate a CMV has been affected, issue a
one-time, three-month certificate.
d. Require a skill performance review to determine whether the driver has any
restrictions when driving. The correct answer is "B". The driver displays a "flat
affect," which is common in schizophrenia and severe depression. Before
certification, the driver should be evaluated by a mental health professional to
determine a diagnosis.
A driver admits to using marijuana to cure his glaucoma, which is legal in the state
where he lives. He produces medical evidence for his glaucoma, indicating that he
is capable of driving a truck. He started taking marijuana around three months ago.
His current medical card has no limitations and is valid for two years. His
certification examination was within normal ranges. Medical examiners should:
, a. Disqualify the driver.
b. Collect urine drugs and provide a release from the testing provider.
c. Certify the driver for one year.
d. Certify the driver for two years. - ANSWER The correct answer is "A".
Marijuana use while driving a commercial motor vehicle is illegal under federal
law, which supersedes state law in this respect.
The driver's blood pressure is 136/92 mm Hg. Here it is:
a. Within typical limits, the driver's certification would be unaffected.
b. Stage 1 hypertension.
c. Stage 2 hypertension.
d. Stage 3 hypertension. The correct answer is "B". This is Stage 1 Hypertension,
defined as 140-159/90-99.
A driver is taking Celexa to treat what he describes as "mild depression." He says
he has neither thought or tried suicide. What should the examiner do?
a. Temporarily disqualify the driver until he obtains written approval for the
depression and medication from the treating provider.
b. Certify the driver for one year.
c. Certify the driver for two years.
d. Disqualify the driver until he no longer needs medicine to cure his depression. -
ANSWER The correct answer is "A". Medical clearance is essential for all mental
health issues. Celexa, an SSRI or 2nd Generation antidepressant, is suitable.
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