Practice Test GeeksNRCME - National Registry of Certified Medical Examiners Practice Test
← All NRCME Flashcard Decks

Medical Conditions and Guidelines Flashcards

7 cards from real NRCME practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Medical Conditions and Guidelines flashcards as text

  1. A driver on metformin for type 2 diabetes has an HbA1c of 8.2% with no hypoglycemic episodes in the past year. What is the correct certification decision?

    Answer: Certify for 1 year; metformin does not cause hypoglycemia

    Metformin alone does not cause hypoglycemia, so a driver on metformin may be certified for 1 year without the insulin exemption program.

  2. Under FMCSA hearing standards, a driver must perceive a forced whispered voice at what minimum distance in the better ear?

    Answer: 5 feet with or without hearing aids

    FMCSA requires the ability to perceive a forced whispered voice in the better ear at not less than 5 feet, with or without a hearing aid.

  3. Which finding in a driver's cardiovascular history would allow certification after specialist evaluation under FMCSA guidelines?

    Answer: Myocardial infarction 6 months ago with full recovery and normal stress test

    A driver may be certified after MI recovery if a cardiologist confirms adequate functional capacity and no significant residual risk.

  4. A driver with obstructive sleep apnea is compliant with CPAP therapy (AHI < 5 on therapy) and denies daytime sleepiness. What is the appropriate certification period?

    Answer: 1 year with documentation of CPAP compliance

    CPAP-compliant drivers with OSA can be certified for 1 year with documentation of ongoing therapy effectiveness.

  5. Which musculoskeletal condition would most likely require a skills performance evaluation (SPE) certificate for continued CMV operation?

    Answer: Below-knee amputation with functional prosthesis

    Loss of a limb or limb dysfunction that affects control of the vehicle requires a Skills Performance Evaluation (SPE) certificate.

  6. A commercial driver taking a Schedule II controlled substance for chronic pain is applying for certification. What is the examiner's appropriate action?

    Answer: Disqualify; Schedule II substances are prohibited for CMV drivers

    FMCSA regulations prohibit CMV operation while using Schedule I or II controlled substances, regardless of prescription status.

  7. A driver presents with a history of TIA (transient ischemic attack) 4 months ago with complete resolution. What is the FMCSA standard for certification?

    Answer: Wait 1 year from the TIA before certifying with specialist clearance

    FMCSA advisory criteria recommend waiting at least 1 year after a TIA and obtaining neurological specialist clearance before certification.