NRCME exam Questions and Answers 2023 (100%
pass)
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? - correct 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? - correct 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: - correct 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: - correct 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
determination in this case is: - correct answer Do not certify until the condition
has been corrected surgically.
,NRCME exam Questions and Answers 2023 (100%
pass)
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? - correct answer disqualify the driver
A driver with an Abnormal Aortic Aneurysm (AAA) can be certified: - correct
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? - correct 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,
, NRCME exam Questions and Answers 2023 (100%
pass)
palpitations, nor any cardiac history. You would: - correct answer Disqualify and
refer to his PMD or cardiologist for further evaluation.
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? - correct 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: - correct 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? - correct
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
pass)
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? - correct 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? - correct 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: - correct 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: - correct 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
determination in this case is: - correct answer Do not certify until the condition
has been corrected surgically.
,NRCME exam Questions and Answers 2023 (100%
pass)
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? - correct answer disqualify the driver
A driver with an Abnormal Aortic Aneurysm (AAA) can be certified: - correct
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? - correct 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,
, NRCME exam Questions and Answers 2023 (100%
pass)
palpitations, nor any cardiac history. You would: - correct answer Disqualify and
refer to his PMD or cardiologist for further evaluation.
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? - correct 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: - correct 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? - correct
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
