NCRME EXAM, NCRME PRACTICE TEST,

NCRME EXAM , NCRME PRACTICE TEST,

TEST BANK QUESTIONS, CERTIFIED

MEDICAL EXAMINER PRE P, NCRME

ANSWERS, MEDICAL EXAM LATEST,

NCRME STUDY MATERIAL

Question : What minimum PaO2 level is necessary if the

driver has an ABG due to a chronic respiratory disorder?

• 70 mm Hg
• 55 mm Hg
• 60 mm Hg
• 65 mmHg

Correct Answer: D. To be qualified, the driver should meet

a minimum arterial blood gas (PaO2) greater than 65.

Question : 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

examinershould:

• Permanently disqualify the driver because he "failed" the

whispered voice test.

• Certify the driver for 2 years.
• Certify the driver for 1 year.
• Require an audiometric test to determine the extent of

hearing loss in his leftear.

Correct Answer: B. The driver is qualified to drive without

restriction as long as he is able to perceive a whispered voice at 5 feet in 1 ear.

Question : 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:

• Temporarily disqualify the driver.
• Qualify the driver for 1 year.
• Qualify the driver for 2 years.
• Consult with the cardiologist to determine if the driver

suffers from angina

Correct Answer: A. The driver has not completed the

required 2-monthwaiting 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. The date of the certification would be from the date of the original examination.

Question : 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 Leftear

3. 2000 HZ: 40 Right ear; 45 Leftear

4. 4000 Hz: 50 Right ear; 50 Left ear

The medical examinershould:

• Disqualify the driver because he does not meet minimum

hearing requirementsto drive.

• Certify the driver for 2years.
• Certify the driver for 1 year.
• Require the driver to obtain a hearing exemption

Correct Answer: B. The examiner would average the results

from 500 Hz, 1000 Hz and 2000 Hz. This average is 38.33 in the Right and 43.33 in the Left ear. A driver must have an average hearing loss of less than or equal to 40 in the better ear. This does not have to be met in both ears.

Question : During the examination of a commercial driver,

the examiner notices that the driver's peripheral vision is 70 degrees to the left and 80 degrees to the right. The examiner

should:

• Qualify the driver for 2years.
• Require the driver to obtain a vision exemption because of

the limitation in the driver's left peripheral field.

• Disqualify the driver.

• Have the driver consult with an Ophthalmologist to

determine if the driver's peripheral vision meets minimum standards.

Correct Answer: A. A driver must exhibit a minimum

peripheral vision of 70 degrees bilaterally.

Question : During examination, the medical examiner notices

that the driver is distant, lacks eye contact and shows absolutely no emotional response during the exam. The

examiner's best response should be:

• Provide the driver with a "CAGE" questionnaire to

determine if he suffers from alcoholism.

• Disqualify the driver and refer him to a mental health

professional prior to consideration for certification.

• Certify the driver with a 1-time, 3-month certificate to

determine if there is any effect on the driver's ability to drive a CMV.

• Require a skill performance evaluation to ascertain if the

driver has any limitations with driving.

Correct Answer: B. The driver exhibits what may be

considered a "flat affect" which is seen in schizophrenia and in severe depression. The driver should be evaluated by a mental health expert to make a diagnosis prior to certification.