NRCME exam 65 Questions With
Complete Verified Correct Answers by
Expert Tutor
2023/2024!!
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 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 determination in this case is: - Answer Do not certify until the
condition has been corrected surgically.
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
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 cardiac history. You would: -
Answer Disqualify and refer to his PMD or cardiologist for further
evaluation.
, NRCME exam 65 Questions With
Complete Verified Correct Answers by
Expert Tutor 2023/2024!!
Which of the following best describes the length of time to certify a driver
who has non-insulin diabetes mellitus treated with oral medication and no
other medical issues? - Answer While such drivers may be certified for 2
years, the FMCSA prefers that such drivers should have annual re-
certification examinations.
A driver was discharged from the hospital 10 weeks ago after an MI. He is
asymptomatic and has a note from the cardiologist that he had a
satisfactory in office ETT the week prior to your examination and that he
may drive. His pre-discharge ECHO shows an EF of 45%. His examination
is normal. Your determination: - Answer certify for 1 year because waiting
period is at least 2 months after MI, no sypmtoms, ETT pass, LVEF greater
than 40 and no ECG changes
What are the 3 things that ME and driver must do with the certificate? -
Answer 1. ME must retain copy for at least 3 years
2. ME must provide a copy to prospective or current employer upon request
3. driver must carry certificate while operating CMV
A 69 year-old male driver had a femoral-popliteal bypass 4 months ago
with resolution of chronic leg pain due to claudication. His surgeon clears
him for driving. He is on coumadin with INRs consistently in the
therapeutic range since discharge. The correct determination is: - Answer
Meets standards, qualified for one year.
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.
Complete Verified Correct Answers by
Expert Tutor
2023/2024!!
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 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 determination in this case is: - Answer Do not certify until the
condition has been corrected surgically.
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
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 cardiac history. You would: -
Answer Disqualify and refer to his PMD or cardiologist for further
evaluation.
, NRCME exam 65 Questions With
Complete Verified Correct Answers by
Expert Tutor 2023/2024!!
Which of the following best describes the length of time to certify a driver
who has non-insulin diabetes mellitus treated with oral medication and no
other medical issues? - Answer While such drivers may be certified for 2
years, the FMCSA prefers that such drivers should have annual re-
certification examinations.
A driver was discharged from the hospital 10 weeks ago after an MI. He is
asymptomatic and has a note from the cardiologist that he had a
satisfactory in office ETT the week prior to your examination and that he
may drive. His pre-discharge ECHO shows an EF of 45%. His examination
is normal. Your determination: - Answer certify for 1 year because waiting
period is at least 2 months after MI, no sypmtoms, ETT pass, LVEF greater
than 40 and no ECG changes
What are the 3 things that ME and driver must do with the certificate? -
Answer 1. ME must retain copy for at least 3 years
2. ME must provide a copy to prospective or current employer upon request
3. driver must carry certificate while operating CMV
A 69 year-old male driver had a femoral-popliteal bypass 4 months ago
with resolution of chronic leg pain due to claudication. His surgeon clears
him for driving. He is on coumadin with INRs consistently in the
therapeutic range since discharge. The correct determination is: - Answer
Meets standards, qualified for one year.
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.
