NRCME question bank
NRCME QUESTION BANK NEWEST 2025/2026 COMPLETE ALL
300 QUESTIONS AND CORRECT DETAILED ANSWERS |ALREADY
GRADED A+||ALREADY GRADED A+
Which of the following is not a requirement for the Medical Examiner if an
abnormal
condition is discovered during examination.
a. Document the nature of the abnormality.
b. Discuss the abnormality with the driver.
c. Refer the driver for evaluation and/or treatment of the abnormality if indicated.
d. Treat the abnormality.
d. Treat the abnormality.
Additional tests above and beyond what are required should be performed when
_______.
a. The Medical Examiner considers them necessary.
b. The examination was unable to determine if the driver passed a majority of the
requirements.
c. The driver requests that additional tests be run.
d. Requested by the driver's employer.
a. The Medical Examiner considers them necessary.
Which of the following is true of FMCSA exemption programs:
a. Include hearing and seizures/epilepsy.
b. Provide 5-year exemptions.
c. Require examinations every 6 months.
d. Are issued by the Medical Examiner.
a. Include hearing and seizures/epilepsy.
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, NRCME question bank
Required urinalysis tests required for driver physical examination include:
a. Specific gravity, blood, protein, and creatinine.
b. Specific gravity, blood, protein, and glucose.
c. Specific gravity, blood, glucose, and creatinine.
d. Specific gravity, protein, creatinine, and glucose.
b. Specific gravity, blood, protein, and glucose.
All of the following allow 2-year certification except:
a. Drivers who must wear corrective lenses.
b. Drivers who must wear a hearing aid.
c. Drivers with monocular vision qualified through the alternative vision
qualification
standard, 49 CFR 391.44.
d. Drivers with a Skill Performance Evaluation (SPE) certificate.
c. Drivers with monocular vision qualified through the alternative vision
qualification
standard, 49 CFR 391.44.
Medical Examiners should certify a driver with limitations on heavy lifting for
drivers with:
a. A diagnosis of lumbar disc herniation.
b. A diagnosis of surgically repaired rotator cuff injury.
c. A diagnosis of carpal tunnel syndrome.
d. Limitations on heavy lifting are not an allowed driver limitation.
d. Limitations on heavy lifting are not an allowed driver limitation.
Which of the following is true?
a. The Medical Examiner may choose not to follow regulations or medical
guidance but should document the rationale in the Medical Examination Report
when this occurs.
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, NRCME question bank
b. When an examiner disqualifies a driver, it is a good practice to verify any staff-
reported medical evidence that contributes to the decision.
c. The Medical Examiner defers certain certification decisions to an appropriate
specialist.
d. The Medical Examiner may extend medical certification to 5 years for drivers
with no significant health conditions.
b. When an examiner disqualifies a driver, it is a good practice to verify any staff-
reported medical evidence that contributes to the decision.
The FMCSA does not directly regulate:
a. Interstate commercial motor vehicle operations, including the driver.
b. Interstate commercial motor vehicle operation, including the vehicle and motor
carrier.
c. Interstate commercial motor vehicle operations, including the transport of
hazardous
materials.
d. Intrastate commercial motor vehicle operations, including the driver.
d. Intrastate commercial motor vehicle operations, including the driver.
Most commercial drivers do not experience:
a. Interruption of normal sleep, exercise, and eating patterns.
b. Access to healthy eating choices while on the road.
c. Limited access to social support networks resulting in fatigue, obesity, and/or
alienation of affection.
d. Environment that may have excessive vibration, noise, and extremes in
temperature, and/or adverse road or traffic conditions that can interfere with
driver ability to recognize a driving hazard, cause temporary or permanent
physical damage to sensory perception or affect driver behavior.
b. Access to healthy eating choices while on the road.
Which of the following requires annual certification?
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, NRCME question bank
a. Use of corrective lenses
b. Drivers who require a hearing exemption.
c. Drivers who require a Skill Performance Evaluation (SPE) Certificate
d. Drivers who require a seizures/epilepsy exemption for a diagnosis of epilepsy.
d. Drivers who require a seizures/epilepsy exemption for a diagnosis of epilepsy.
Tests not required as part of every driver certification and recertification
examination
include:
a. Vision and hearing.
b. Blood pressure/pulse.
c. Urinalysis.
d. Blood glucose.
d. Blood glucose.
The maximum period for which a driver with a neurological condition should be
certified is usually:
a. 2 years.
b. 3 months.
c. 6 months.
d. 1 year.
d. 1 year.
The risk of recurrent events following a TIA falls to less than 5% in what time
frame?
a. The first 24 hours.
b. The first year.
c. The first few weeks.
d. The first 12 hours.
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NRCME QUESTION BANK NEWEST 2025/2026 COMPLETE ALL
300 QUESTIONS AND CORRECT DETAILED ANSWERS |ALREADY
GRADED A+||ALREADY GRADED A+
Which of the following is not a requirement for the Medical Examiner if an
abnormal
condition is discovered during examination.
a. Document the nature of the abnormality.
b. Discuss the abnormality with the driver.
c. Refer the driver for evaluation and/or treatment of the abnormality if indicated.
d. Treat the abnormality.
d. Treat the abnormality.
Additional tests above and beyond what are required should be performed when
_______.
a. The Medical Examiner considers them necessary.
b. The examination was unable to determine if the driver passed a majority of the
requirements.
c. The driver requests that additional tests be run.
d. Requested by the driver's employer.
a. The Medical Examiner considers them necessary.
Which of the following is true of FMCSA exemption programs:
a. Include hearing and seizures/epilepsy.
b. Provide 5-year exemptions.
c. Require examinations every 6 months.
d. Are issued by the Medical Examiner.
a. Include hearing and seizures/epilepsy.
1|Page
, NRCME question bank
Required urinalysis tests required for driver physical examination include:
a. Specific gravity, blood, protein, and creatinine.
b. Specific gravity, blood, protein, and glucose.
c. Specific gravity, blood, glucose, and creatinine.
d. Specific gravity, protein, creatinine, and glucose.
b. Specific gravity, blood, protein, and glucose.
All of the following allow 2-year certification except:
a. Drivers who must wear corrective lenses.
b. Drivers who must wear a hearing aid.
c. Drivers with monocular vision qualified through the alternative vision
qualification
standard, 49 CFR 391.44.
d. Drivers with a Skill Performance Evaluation (SPE) certificate.
c. Drivers with monocular vision qualified through the alternative vision
qualification
standard, 49 CFR 391.44.
Medical Examiners should certify a driver with limitations on heavy lifting for
drivers with:
a. A diagnosis of lumbar disc herniation.
b. A diagnosis of surgically repaired rotator cuff injury.
c. A diagnosis of carpal tunnel syndrome.
d. Limitations on heavy lifting are not an allowed driver limitation.
d. Limitations on heavy lifting are not an allowed driver limitation.
Which of the following is true?
a. The Medical Examiner may choose not to follow regulations or medical
guidance but should document the rationale in the Medical Examination Report
when this occurs.
2|Page
, NRCME question bank
b. When an examiner disqualifies a driver, it is a good practice to verify any staff-
reported medical evidence that contributes to the decision.
c. The Medical Examiner defers certain certification decisions to an appropriate
specialist.
d. The Medical Examiner may extend medical certification to 5 years for drivers
with no significant health conditions.
b. When an examiner disqualifies a driver, it is a good practice to verify any staff-
reported medical evidence that contributes to the decision.
The FMCSA does not directly regulate:
a. Interstate commercial motor vehicle operations, including the driver.
b. Interstate commercial motor vehicle operation, including the vehicle and motor
carrier.
c. Interstate commercial motor vehicle operations, including the transport of
hazardous
materials.
d. Intrastate commercial motor vehicle operations, including the driver.
d. Intrastate commercial motor vehicle operations, including the driver.
Most commercial drivers do not experience:
a. Interruption of normal sleep, exercise, and eating patterns.
b. Access to healthy eating choices while on the road.
c. Limited access to social support networks resulting in fatigue, obesity, and/or
alienation of affection.
d. Environment that may have excessive vibration, noise, and extremes in
temperature, and/or adverse road or traffic conditions that can interfere with
driver ability to recognize a driving hazard, cause temporary or permanent
physical damage to sensory perception or affect driver behavior.
b. Access to healthy eating choices while on the road.
Which of the following requires annual certification?
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, NRCME question bank
a. Use of corrective lenses
b. Drivers who require a hearing exemption.
c. Drivers who require a Skill Performance Evaluation (SPE) Certificate
d. Drivers who require a seizures/epilepsy exemption for a diagnosis of epilepsy.
d. Drivers who require a seizures/epilepsy exemption for a diagnosis of epilepsy.
Tests not required as part of every driver certification and recertification
examination
include:
a. Vision and hearing.
b. Blood pressure/pulse.
c. Urinalysis.
d. Blood glucose.
d. Blood glucose.
The maximum period for which a driver with a neurological condition should be
certified is usually:
a. 2 years.
b. 3 months.
c. 6 months.
d. 1 year.
d. 1 year.
The risk of recurrent events following a TIA falls to less than 5% in what time
frame?
a. The first 24 hours.
b. The first year.
c. The first few weeks.
d. The first 12 hours.
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