1. An unrestricted Commercial Motor Vehicle Driver Medical Certificate must be renewed:
A. Annually
B. Every Two Years
C. Every Four Years
D. Whenever the State Issued Driver's License is renewed - ANSWER => B. Every Two Years
2. A driver presents with history of an isolated TIA 6 months ago. He has a return to work letter from his
primary care
provider (PCP) and neurologist. He is taking and tolerating well hydrochlorothiazide and simvastatin. All
other aspects of
the exam and history were normal. What should the medical examiner do next?
A. Certify driver for 1 year
B. Disqualify driver for now
C. Certify driver for 3 months
Certify driver for 2 years - ANSWER => B. Disqualify driver for now
3. FMCSA regulates interstate commercial operation including the:
A. Driver
B. Vehicle
C. Motor Carrier
D. All of above - ANSWER => D. All of above
,4. During the CMV exam a driver perceived a whispered voice at 5 feet in his left year and 4 feet in his
right year. Exam
was otherwise normal. What do you do as the medical examiner?
A. Required audiometric test to determine the extent of hearing loss in left ear
B. Certify driver for 2 years
C. Certify driver for 1 year
D. Disqualify driver - ANSWER => B. Certify driver for 2 years
5. Which of the following is an assessment of L4 nerve root pathology?
A. Plantar flexion
B. Patellar reflex
C. Hip extension
D. Babinski reflex - ANSWER => B. Patellar reflex
6. A driver presents for medical exam and reports being a smoker and having frequent shortness of
breath. What do
you do next?
A. Order an ECG
B. Refer to a pulmonologist
C. Order a spirometer test
D. Provide 1 year certification - ANSWER => C. Order a spirometer test
7. According to regulation, which of the following must be evaluated as part of the eye exam?
A. Pupil reaction
B. Iris symmetry
C. Conjunctiva injection
D. Tonometry pressure - ANSWER => A. Pupil reaction
8. Continued certification of NRCE Medical Examiners requires all EXCEPT which of the following?
,A. Periodic training at least every five years
B. Completion of recertification test every five years
C. Completion of certification test every 10 years
D. Electronic transmission to FMCSA CMV Medical Examination Results at least monthly - ANSWER =>
B. Completion of recertification test every five year
9. A driver presents for recertification. The only condition he lists is GERD, for which he takes OTC
omeprazole. He
says that when he is driving and eating fast foods, he is more likely to have heartburn than when off‐
duty. You should:
A. Request recent UGI results
B. Correlate history with abdominal exam
C. Certify for one year with restricted diet
D. Discuss alternative employment - ANSWER => B. Correlate history with abdominal exa
10. Which of the following findings is disqualifying?
A. Oxygen saturation 90%
B. LVEF 40%
C. FEV 68% predicted
D. All of the above - ANSWER => A. Oxygen saturation 90%
11. The driver presents for recertification and submits an ultrasound report indicating an abdominal
aortic aneurysm
from two months ago, shortly before he had surgical correction. He has surgical clearance and says he is
doing well, has
no symptoms. You should:
A. Certify for 1 year
B. Certify for 2 years
C. Inform the driver of the 3 month waiting period before he can be certified
D. Inform the driver of the 6 month waiting period before he can be certified - ANSWER => C.Inform
the driver of the 3 month waiting period before he can be certified
, 12. The driver takes diphenhydramine twice a day to treat nasal congestion. What must you document
in order to
certify?
A. Take the lowest dose effective on days when driving
B. Cannot drive within 12 hours of taking diphenhydramine
C. Cannot drive within 6 hours of taking diphenhydramine
D. Diphenhydramine is disqualifying - ANSWER => B.Cannot drive within 12 hours of taking
diphenhydramin
13. The driver has a history of carpal tunnel repair of her right hand 2 months ago. Her grip strengths are
symmetrical
and strong. What is necessary in order to qualify this driver?
A. Must first complete a 3‐month post‐op waiting period
B. Document her findings for 1‐year certification
C. Document her findings for 2‐year certification
D. Request that an SPE be obtained before certification - ANSWER => C.Document her findings for 2‐
year certification
14. Which of the following abdominal complaints is most likely to be incapacitating?
A. IBS
B. GERD
C. Urinary tract infection
D. Nephrolithiasis - ANSWER => D.Nephrolithiasis
15. The waiting period for benign positional vertigo is:
A. 1 month
B. 2 months
C. 3 months
D. 6 months - ANSWER => B.2 month
A. Annually
B. Every Two Years
C. Every Four Years
D. Whenever the State Issued Driver's License is renewed - ANSWER => B. Every Two Years
2. A driver presents with history of an isolated TIA 6 months ago. He has a return to work letter from his
primary care
provider (PCP) and neurologist. He is taking and tolerating well hydrochlorothiazide and simvastatin. All
other aspects of
the exam and history were normal. What should the medical examiner do next?
A. Certify driver for 1 year
B. Disqualify driver for now
C. Certify driver for 3 months
Certify driver for 2 years - ANSWER => B. Disqualify driver for now
3. FMCSA regulates interstate commercial operation including the:
A. Driver
B. Vehicle
C. Motor Carrier
D. All of above - ANSWER => D. All of above
,4. During the CMV exam a driver perceived a whispered voice at 5 feet in his left year and 4 feet in his
right year. Exam
was otherwise normal. What do you do as the medical examiner?
A. Required audiometric test to determine the extent of hearing loss in left ear
B. Certify driver for 2 years
C. Certify driver for 1 year
D. Disqualify driver - ANSWER => B. Certify driver for 2 years
5. Which of the following is an assessment of L4 nerve root pathology?
A. Plantar flexion
B. Patellar reflex
C. Hip extension
D. Babinski reflex - ANSWER => B. Patellar reflex
6. A driver presents for medical exam and reports being a smoker and having frequent shortness of
breath. What do
you do next?
A. Order an ECG
B. Refer to a pulmonologist
C. Order a spirometer test
D. Provide 1 year certification - ANSWER => C. Order a spirometer test
7. According to regulation, which of the following must be evaluated as part of the eye exam?
A. Pupil reaction
B. Iris symmetry
C. Conjunctiva injection
D. Tonometry pressure - ANSWER => A. Pupil reaction
8. Continued certification of NRCE Medical Examiners requires all EXCEPT which of the following?
,A. Periodic training at least every five years
B. Completion of recertification test every five years
C. Completion of certification test every 10 years
D. Electronic transmission to FMCSA CMV Medical Examination Results at least monthly - ANSWER =>
B. Completion of recertification test every five year
9. A driver presents for recertification. The only condition he lists is GERD, for which he takes OTC
omeprazole. He
says that when he is driving and eating fast foods, he is more likely to have heartburn than when off‐
duty. You should:
A. Request recent UGI results
B. Correlate history with abdominal exam
C. Certify for one year with restricted diet
D. Discuss alternative employment - ANSWER => B. Correlate history with abdominal exa
10. Which of the following findings is disqualifying?
A. Oxygen saturation 90%
B. LVEF 40%
C. FEV 68% predicted
D. All of the above - ANSWER => A. Oxygen saturation 90%
11. The driver presents for recertification and submits an ultrasound report indicating an abdominal
aortic aneurysm
from two months ago, shortly before he had surgical correction. He has surgical clearance and says he is
doing well, has
no symptoms. You should:
A. Certify for 1 year
B. Certify for 2 years
C. Inform the driver of the 3 month waiting period before he can be certified
D. Inform the driver of the 6 month waiting period before he can be certified - ANSWER => C.Inform
the driver of the 3 month waiting period before he can be certified
, 12. The driver takes diphenhydramine twice a day to treat nasal congestion. What must you document
in order to
certify?
A. Take the lowest dose effective on days when driving
B. Cannot drive within 12 hours of taking diphenhydramine
C. Cannot drive within 6 hours of taking diphenhydramine
D. Diphenhydramine is disqualifying - ANSWER => B.Cannot drive within 12 hours of taking
diphenhydramin
13. The driver has a history of carpal tunnel repair of her right hand 2 months ago. Her grip strengths are
symmetrical
and strong. What is necessary in order to qualify this driver?
A. Must first complete a 3‐month post‐op waiting period
B. Document her findings for 1‐year certification
C. Document her findings for 2‐year certification
D. Request that an SPE be obtained before certification - ANSWER => C.Document her findings for 2‐
year certification
14. Which of the following abdominal complaints is most likely to be incapacitating?
A. IBS
B. GERD
C. Urinary tract infection
D. Nephrolithiasis - ANSWER => D.Nephrolithiasis
15. The waiting period for benign positional vertigo is:
A. 1 month
B. 2 months
C. 3 months
D. 6 months - ANSWER => B.2 month
