NADME 1 EXAM|COMPLETE
STUDY GUIDE WITH DETALIED
QUESTIONS WITH VERIFIED
ANSWERS|NEWEST 2025.
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:
A. Should be allowed to return to work based on his physician's note.
B. Should undergo a new commercial driver examination.
C. May only be qualified for one year.
D. Can return to work at the discretion of the motor carrier. - correct
answer✔️✔️B
Four of the 13 Federal Motor Carrier Regulations or Standards are non-
discretionary, with objective criteria not requiring decision making by the
examiner. Which are the 4 standards?
A Vision, Hearing, Diabetes Mellitus and Epilepsy
B Vision, Hearing, Epilepsy and Hypertension
C Vision, Diabetes Mellitus, Hypertension and Epilepsy
D Hearing, Diabetes Mellitus, Hypertension and Epilepsy - correct answer✔️✔️A
Which is true of FMCSA Driver Exemption Programs?
A There are exemption programs for vision, diabetes and hearing.
B The medical examiner decides whether to grant an exemption.
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C An exemption is valid for 2 years, with an annual medical examination.
D An exemption is valid for 1 year with an annual medical examination. - correct
answer✔️✔️C
A 43 y/o male driver has an otherwise normal exam except for amputation of the
ring and little fingers of the left hand. The driver:
A Needs to undergo a one time SPE examination.
B Can be cleared for one year if his grip strength is normal.
C Can be cleared for two years if his grip strength is normal.
D Needs to undergo an annual SPE examination. - correct answer✔️✔C
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A driver is returning to work from an alcohol rehab program. Who should
evaluate the driver and make recommendations on education, treatment, follow
up testing, and aftercare?
A The Motor carrier
B The driver's private physician
C Substance abuse professional
D The medical examiner - correct answer✔️✔️C
Which of the following is true concerning the Medical Examination Report form?
A You are required to provide a copy of the report to the employer.
B FMCSA prohibits release of the medical examination report from to the
employer.
C You should obtain a release from the driver if the employer wishes to obtain a
copy of the examination report.
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D It is not necessary to obtain a release from the driver in order to provide the
examination report to the employer since this is a federally regulated
examination. - correct answer✔️✔️C
Which of the following is true regarding the Medical Examination Certificate?
A The medical examiner completes the certificate and provides copy to the driver
and a copy to the employer.
B A release form is required to provide the certificate to the employer.
C Only the driver needs a copy of the certificate if the employer has a copy of the
medical examination report form.
D The employer must keep both the medical examination report form and the
certificate on file. - correct answer✔️✔️A
Which of the following is false concerning medical standards vs. advisory
criteria/guidelines?
A Standards, or Federal Motor Carrier Safety Regulations (FMCSRs) are legal
requirements and must be followed.
B Guidelines are based on medical expert panel reviews and are considered best
practices.
C When the guidelines are not followed you should provide an explanation in the
comments section of the examination form.
D There are 4 standards and 9 guidelines for commercial driver medical
qualification. - correct answer✔️✔️D
Which of the following is false concerning Epilepsy:
A current clinical diagnosis of epilepsy is disqualifying.
B If a driver is seizure free on anticonvulsive medication, he/she may be qualified.
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C Additional advisory criteria addresses single unprovoked seizures.
D Epilepsy is a chronic disease which may lead to loss of control of a commercial
vehicle. - correct answer✔️✔️B
A driver comes in for recertification. He has been diagnosed with a cataract in his
left eye and will be having surgery in a few months. He has a new eyeglass
prescription and his vision is found to be: L - cannot read the chart uncorrected,
20/70 corrected. R - 20/40. You would:
A Issue a temporary 3 month certificate and re-examine after surgery.
B Disqualify the driver.
C Qualify the driver for 2 years since he has one eye meeting regulations.
D Qualify the driver for 1 year since he wears glasses. - correct answer✔️✔️B
Regulations affecting commercial drivers include:
A Medical Fitness for duty certification, respiratory protection standard, hours of
service
B Routine electrocardiogram testing, medical fitness for duty certification and
drug screening
C Medical fitness for duty certification, drug screening, alcohol screening
D Medical fitness for duty, drug screening, hours of service, routine audiometry
testing. - correct answer✔️✔C ️
Motor carriers are responsible for ensuring their commercial drivers:
A Are at least 19 years old, speak and read English well enough to converse with
the general public and have a valid medical examiner's certificate
B Are at least 21 years old, speak and read English well enough to converse with
the general public and have a valid medical examiner's certificate
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