NRCME Practice Test Sample Questions

Our NRCME practice tests were created by a member of the original DOT Training Development Team.

They mirror the official exam in format, difficulty, and content coverage.

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1) Which of the following medical conditions is most likely to result in a driver being unsafe to drive?

2) During an examination of a male driver, the examiner identifies an inguinal hernia that is non-reducible.ย  Upon questioning, the driver reports that he has had this for quite some time (it was originally diagnosed a few years ago during a CDL exam). However, he has noticed that it recently has become mildly painful with exertion but getting worse in the past week.ย  The examinerโ€™s best course of action would be to?

3) During a medical exam, the driver does not know English and fails to follow instructions from the medical examiner.ย  What is the next best step?

4) A driver has a blood pressure of 168/112 confirmed during the examination. What is the correct qualification determination for this driver?

5) A driver lives in a state where marijuana has been legalized. He admitted to recreational marijuana use two weeks ago.ย  He remarks that he does not regularly use marijuana.ย  What is the next best step?

6) A driverโ€™s medical history is significant for a gastric bypass 6 months ago which resulted in him losing 110lbs. There is no other significant medical history. All other exam findings are within normal limits. What is the best course of action for the ME?

7) Which of the following information is not found on the medical examiner report form (MCSA-5875)?

8) While testing the driver for visual acuity using a Snellen chart, the driver continues to tilt their head obliquely and swaying from left to right. Which of the following statements is most likely to be correct?

9) During the hearing exam, the driver was able to hear a whisper at 6 feet on the right and 3 feet on the left. When examining the ears, you notice scarring on the left tympanic membrane. Visualization of the throat demonstrates post-nasal drainage. All other exam findings are normal. What is the next step?

10) Which of the following professionals is responsible for evaluation and/or treatment of drivers for drug or alcohol abuse?

11) A driver admits to having an anaphylactic reaction to peanuts. They are otherwise healthy with no significant medical history and an unremarkable physical exam. What is the best way to proceed?

12) Which of the following is disqualifying?

13) A driver reports a slowly progressive, diminished distance visual acuity, glare from oncoming headlights at night, and decreased contrast.ย  The most likely cause is:

14) A driver is taking an amphetamine for treatment of ADHD.ย  Which of the following is true?

15) On examination a driverโ€™s blood pressure is measured at least twice. The lowest value recorded was 156/101.ย  This is:

16) Indicators to have pulmonary function testing performed on a driver include:

17) A driver reports having a pacemaker implanted 2 years ago.ย  The cardiologist implanted a pacemaker/cardioverter defibrillator model although there was no current risk for defibrillation.ย  The defibrillation portion of the device is deactivated. ย What is the driving status for this driver?

18) A driver who does not use hearing aids has the following results during their whisper test.

Left ear: 4 feet
Right ear: 2 feet

What is the next step?

19) A driver admits to taking his wifeโ€™s hydrocodone regularly. The next step would be?

20) A driver returns for re-certification after CABG.ย  Which of the following is not acceptable for certification?

21) A driver had an acute seizure 1 week ago due to an allergic reaction to a chemical he was transporting.ย  The risk for recurrence is low, the driver has recovered and has been counseled to avoid this chemical in the future, and no treatment or medication has been recommended. What is the next best step?

22) A driver has non-insulin treated diabetes mellitus and hypertension that are both well-controlled. What is the correct certification interval for this driver?

23) Hemoglobin A1c (HbA1c) greater than _______ is an indicator of poor blood glucose control and triggers additional evaluation or more frequent monitoring of the driver and a possible decrease in the certification interval.

24) Which of the follow drugs is not tested as part of the federal drug testing program?

25) The UA result for a driver shows 30mg/dl of protein in the urine. ย Otherwise, the exam is normal.ย  What is the next step?

26) A driver checked the box for having a positive drug test 3 months ago as part of his employerโ€™s random drug testing program. The driver is no longer working for that employer and his medical certificate is about to expire. The driver says that when he lost his job, he discontinued his drug use. What is the next step?

27) What is the minimal clothing requirement for the driver to wear while a medical examination is being performed?

28) When is a determination pending exam reported to FMCSA?

29) During the medical examination, the medical examiner notices the driver has a prosthetic eye.ย  What is the next best step?

30) A driver reports that he has been taking coumadin for the past two years to manage his atrial fibrillation. Which of the statements below is incorrect?

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