NCRME EXAM, NCRME PRACTICE TEST, 1

NCRME EXAM , NCRME PRACTICE TEST,

TEST BANK QUESTIONS, CERTIFIED

MEDICAL EXAMINER PRE P, NCRME

ANSWERS, MEDICAL EXAM, NCRME

STUDY MATERIAL

Question : The driver presents with a SPE Certificate. The

Medical Examiner's next step should be:

• Notify the FMCSA.
• Proceed with the examination.
• Perform functional testing.
• Refer the driver to orthopedics.

Correct Answer: b. Proceed with the examination.

Question : A 21-year-old driver presents with a history of

ADHD for 10 years, taking stable dosing of Adderall. He describes no side effects. Which of the following is true?

• A significant percentage of individuals with adult ADHD

show a moderate to marked degree of improvement on central nervous system stimulant medication.

• ADHD is a disqualifying condition.
• Adderall is a Schedule 1 drug.
• Medical Examiners should test for serum drug levels of

Adderall.

Correct Answer: a. A significant percentage of individuals

with adult ADHD show a moderate to marked

Question : Which of the following is the most important

examination finding that requires additional evaluation?

• Acrochordon.
• Hyperopia.
• Palpable calf cords.
• Verruca vulgaris.

Correct Answer: c. Palpable calf cords.

Question : The driver reports taking Digoxin. What findings

would raise the most significant concerns regarding certification?

• Arrhythmias.
• Anorexia.
• Nausea and vomiting.
• Diarrhea.

Correct Answer: a. Arrhythmias.

Question : The driver is taking theophylline. Which of the

following is not true?

• Serum levels may be checked.
• The primary indication for theophylline is in the treatment

of neurological conditions.

• Cardiac toxicity is a significant risk of theophylline use.

• Theophylline can be administered orally or intravenously

(IV).

Correct Answer: b. The primary indication for theophylline

is in the treatment of neurological conditions.

Question : The driver is taking Celexa and melatonin. The

Medical Examiner should:

• Advise the driver to only take these medications more than

12 hours before driving.

• Advise the driver to stop melatonin as it can cause

drowsiness.

• Recommend an alternative to Celexa.
• Advise the driver to discuss benzodiazepines as an

alternative treatment. with the driver's prescribing provider

Correct Answer: a. Advise the driver to only take these

medications more than 12 hours before driving.

Question : The driver tells the Medical Examiner he has

recently been prescribed contact lenses. He notes that after 3-

• hours of use the contacts cause irritation and he has to take

them out. The driver passes the vision test only with contacts and does not have eyeglasses. The

Medical Examiner should:

• Advise the driver to carry a spare pair of contact lenses.
• Certify the driver wearing corrective lenses.

• Refer the driver for evaluation under the Alternative

Vision Qualification standard.

• Certify the driver without qualifications.

Correct Answer: b. Certify the driver wearing corrective

lenses.

Question : The driver does not indicate any medical

conditions on health history. During the exam the Medical Examiner notes the presence of a hearing aid in one ear. The driver says that he doesn't need the hearing aid to drive and doesn't think it should be required. The next step for the

Medical Examiner is:

• Test the driver's hearing without the hearing aid.
• Examine the driver's ears.
• Refer the driver for hearing assessment by a specialist with

specialized audiometric testing capabilities for testing drivers while wearing a hearing aid.

• Certify the driver with the qualification "wearing hearing

aid".

Correct Answer: a. Test the driver's hearing without the

hearing aid.

Question : A driver has an indication for obtaining a cardiac

stress test. If the driver is not taking a beta blocker, what is