NRCME (DOT) TESTBANK LATEST VERSION EXAM WITH ACTUAL
QUESTION AND CORRECT DETAILED ANSWERS WITH
RATIONALES 2024.
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
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
D. Certify driver for 2 years - Answer- B
3. FMCSA regulates interstate commercial operation including the:
A. Driver
B. Vehicle
C. Motor Carrier
D. All of above - Answer- D
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
What minimum PaO2 level is necessary if the driver has an ABG due to a chronic respiratory disorder?
a. 70 mm Hg
b. 55 mm Hg
c. 60 mm Hg
d. 65 mm Hg
65 mmhg
A driver first perceives a whispered voice at 5 feet in his right ear and 4 feet in his left ear. All other
aspects of his physical examination are unremarkable. The examiner should:
a. Disqualify the driver because he "failed" the whispered voice
test.
b. Certify the driver for 2 years. c. Certify the driver for 1 year. d. Require an audiometric test to
determine the extent of hearing loss in his leftear.
certify for 2 years
A driver reports for an examination 6 weeks after suffering a mild heart attack and presents a note
from his cardiologist stating that he is able to return to work immediately without restriction.
Included within the note, the cardiologist provides recent testing information showing that the driver
had an ETT that showed he was able to reach 12 METS during the test. His echocardiogram showed an
ejection fraction of 65%. The examination of the driver is unremarkable. The examiner should:
a. Disqualify the driver.
b. Qualify the driver for 1 year. c. Qualify the driver for 2 years. d. Consult with the cardiologist to
determine if the driver suffers from angina.
disqualify the driver
The driver has not completed the required 2-month waiting period, but all other requirements for
medical clearance and required testing have been met. The driver would be certified for 1 year at the
completion of the waiting period
A driver provides an audiometric test documenting the following:
1. 500 Hz: 35 Right ear; 40 Left ear
2. 1000 HZ: 40 Right ear; 45 Left ear
3. 2000 HZ: 40 Right ear; 45 Left ear
4. 4000 Hz: 50 Right ear; 50 Left ear
The medical examiner should:
a. Disqualify the driver because he does not meet minimum hearing requirements
to drive.
,b. Certify the driver for 2years. c. Certify the driver for 1 year. d. Require the driver to obtain a hearing
exemption
certify the 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
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
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
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
, 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
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
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
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
QUESTION AND CORRECT DETAILED ANSWERS WITH
RATIONALES 2024.
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
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
D. Certify driver for 2 years - Answer- B
3. FMCSA regulates interstate commercial operation including the:
A. Driver
B. Vehicle
C. Motor Carrier
D. All of above - Answer- D
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
What minimum PaO2 level is necessary if the driver has an ABG due to a chronic respiratory disorder?
a. 70 mm Hg
b. 55 mm Hg
c. 60 mm Hg
d. 65 mm Hg
65 mmhg
A driver first perceives a whispered voice at 5 feet in his right ear and 4 feet in his left ear. All other
aspects of his physical examination are unremarkable. The examiner should:
a. Disqualify the driver because he "failed" the whispered voice
test.
b. Certify the driver for 2 years. c. Certify the driver for 1 year. d. Require an audiometric test to
determine the extent of hearing loss in his leftear.
certify for 2 years
A driver reports for an examination 6 weeks after suffering a mild heart attack and presents a note
from his cardiologist stating that he is able to return to work immediately without restriction.
Included within the note, the cardiologist provides recent testing information showing that the driver
had an ETT that showed he was able to reach 12 METS during the test. His echocardiogram showed an
ejection fraction of 65%. The examination of the driver is unremarkable. The examiner should:
a. Disqualify the driver.
b. Qualify the driver for 1 year. c. Qualify the driver for 2 years. d. Consult with the cardiologist to
determine if the driver suffers from angina.
disqualify the driver
The driver has not completed the required 2-month waiting period, but all other requirements for
medical clearance and required testing have been met. The driver would be certified for 1 year at the
completion of the waiting period
A driver provides an audiometric test documenting the following:
1. 500 Hz: 35 Right ear; 40 Left ear
2. 1000 HZ: 40 Right ear; 45 Left ear
3. 2000 HZ: 40 Right ear; 45 Left ear
4. 4000 Hz: 50 Right ear; 50 Left ear
The medical examiner should:
a. Disqualify the driver because he does not meet minimum hearing requirements
to drive.
,b. Certify the driver for 2years. c. Certify the driver for 1 year. d. Require the driver to obtain a hearing
exemption
certify the 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
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
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
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
, 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
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
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
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
