Sample NRCME Questions
Try a few NRCME test questions. This is a small sample of the 250 practice questions found in our training system.
1 / 5
The driver marks “yes” for a history of “Lung Disease” and lists that he uses an albuterol inhaler multiple times per week to control his asthma, with his symptoms being worse in the spring and fall. Upon further questioning, he denies ever being hospitalized for his asthma and that he sees his PCP annually for a physical. The rest of your history and exam is unremarkable. The examiner should?
The driver’s condition appears well controlled, they are under medical management for the condition, and there is no history of incapacitation relating to their asthma. There are no advisory criteria limiting certification time and the driver may be certified for 2 years.
2 / 5
Which of the following is a true statement relating to a driver who has a medical condition that you are unsure as to whether it is safe for that driver to operate a CMV?
If you are unsure as to whether or not a driver is safe to drive a CMV, you cannot allow the driver to operate a CMV until AFTER you have obtained clearance. Therefore, the driver must always be disqualified.
3 / 5
A driver comes in for a recertification exam and reports that he has recently been diagnosed with carpal tunnel syndrome and will begin PT shortly. Your exam shows a mild weakness in his grip strength on that side, but all other aspects of the exam are WNL. Your best next step would be to?
Based on the information provided, because the driver doesn’t suffer from a fixed deficit (CTS can get better or potentially worse so it is not fixed), applying for an SPE is not appropriate. Additionally, since there is no light duty allowed in driving a CMV, it would be inappropriate to allow the driver to drive until you have verified that information. Therefore, the only possible answer is to disqualify the driver and obtain medical clearance.
4 / 5
A driver reports for an exam and during your history you note that the driver is slow to respond to questions and that his signature is larger and not like what is on the driver’s license. Your next best step would be to:
A person within the early phases of cognitive decline may have trouble following a conversation, have difficulty making decisions, or following instructions as well as other symptoms including changes in signature.
5 / 5
A driver reports for a recertification exam with his last certification being for a period of 2 years. During the exam you note that the driver has the following active ROM for his left shoulder, and he reports that this has been like this for the past 5 years following shoulder surgery to repair a rotator cuff.
Forward Flexion: 100 degreesExtension: 45 degreesAbduction: 100 degreesAdduction: 50 degreesExternal Rotation: 90 degreesInternal Rotation: 70 degrees
The rest of your exam is essentially WNL. The medical examiner’s best assessment of the shoulder would be?
Your clues begin by noticing that this is a recertification examination and that the driver has been successfully driving without issue for at least the last 2 years. Because it was not mentioned, you would assume that the driver also does not currently possess a SPE. Additionally, an SPE is only required for a “fixed deficit” and with a shoulder surgery there exists the possibility that his condition at this point could either get better or potentially get worse. Therefore, an SPE is not appropriate. Therefore, since the driver has been driving without light duty recommendations you can certify the driver for a period of 2 years.
Your score is
The average score is 48%
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