NRCME Question bank review 2025/2026

NRCME Question bank review 2025/2026 Driver 6 weeks post-MI, has cardio cleared to return to work without restrictions. ETT 12 METs, echo EF 65%. Examiner should: - answer-temporarily disqualify driver until driver meets waiting period of 2 months driver is distant, lacks eye contact and shows absolutely no emotional response during the exam. The examiner's best response should be: - answer-disqualify and refer to SAP prior to consideration (flat affect seen in severe depression and schizophrenia) A driver has a blood pressure of 136/92 mm Hg. This is what stage of HTN? - answer-Stage I. BP 140- 159/*90-99* 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? - answer-Temporarily disqualify the driver until he obtains written clearance for the depression and the medication from the treating provider. Medical clearance is required for all mental health disorders A driver reports that he had a hunting accident wherein he suffered a left orbital fracture. He presents a note at the time of the examination from an ophthalmologist stating "may drive". His exam is unremarkable except for a limitation in peripheral vision in his left eye, which was inconclusive. His distance vision was 20/20 right and 20/40 left. The medical examiner should? - answer-Disqualify the driver pending vision exam to determine if meets peripheral vision requirements A driver is taking Topamax for the treatment of migraine headaches. He reports good management of his headaches and they never seem to interfere with his driving ability with the medication. The medical examiner should - answer-Obtain medical clearance for the condition and the medicationTopamax is a medication that is used for seizure control. The examiner should confirm with the prescribing provider that the driver does not take it to control seizures. Positive Babinski"reflex indicates what? What is examiner's next step? - answer-indicative of abnormalities in the motor control pathways leading from the cerebral cortex; obtain clearance from a neurologist prior to reconsidering the driver for certification Epilepsy 14 years ago but stopped taking antiepileptic medication on his own 11 years ago. Has not seen a neurologist nor a health care provider in over 10 years and reports no seizures during this period. The examiner should: - answer-Disqualify driver. Even though the driver reports exceeding the 10-year waiting period, it was not under medical supervision and the driver discontinued medication use and treatment outside of medical oversight.