Practice Test GeeksNRCME - National Registry of Certified Medical Examiners Practice Test

NRCME Study Guide 2026

Everything you need to pass the NRCME exam in one place: the exam format, every topic to study, real practice questions with explanations, flashcards, and full-length practice tests. Free, no sign-up needed.

📋 NRCME Exam Format at a Glance

120
Questions
120 min
Time Limit
71%
Passing Score
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📚 NRCME Topics to Study (114)

Medical Conditions and Guidelines · 11 cardsMedical Standards and Regulations · 11 cardsCardiovascular Qualification Standards · 7 cardsCardiovascular Qualification Standards · 7 cardsCardiovascular Qualification Standards · 7 cardsCardiovascular Qualification Standards · 7 cardsCertification Periods and Documentation · 7 cardsCertification Periods and Documentation · 7 cardsCertification Periods and Documentation · 7 cardsCertification Periods and Documentation · 7 cardsDiabetes Mellitus Standards · 7 cardsDiabetes Mellitus Standards · 7 cardsDiabetes Mellitus Standards · 7 cardsDiabetes Mellitus Standards · 7 cardsDrug Abuse and Alcoholism · 7 cardsDrug Abuse and Alcoholism · 7 cardsDrug Abuse and Alcoholism · 7 cardsDrug Abuse and Alcoholism · 7 cardsEndocrine and Metabolic Conditions · 7 cardsEndocrine and Metabolic Conditions · 7 cardsHypertension Guidelines · 7 cardsHypertension Guidelines · 7 cardsHypertension Guidelines · 7 cardsHypertension Guidelines · 7 cardsMedical Conditions and Guidelines · 7 cardsMedical Conditions and Guidelines · 7 cardsMedical Conditions and Guidelines · 7 cardsMedical Conditions and Guidelines · 7 cardsMedical Standards and Regulations · 7 cardsMedical Standards and Regulations · 7 cards
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✍️ Sample NRCME Questions & Answers

1. Which statement best describes the purpose of the urinalysis in the FMCSA commercial driver medical examination?
✓ It screens for medical conditions that may affect driving safety

The DOT urinalysis is a medical screening tool to detect conditions such as diabetes and renal disease that could impair driving safety, not a regulated drug test.

2. A truck driver has a history of cervical spine fusion at C5-C6. Which examination finding would be most concerning for certification?
✓ Cervical rotation limited to 15 degrees bilaterally with inability to check blind spots

Severely restricted cervical rotation prevents adequate blind-spot checking, directly impairing safe driving ability.

3. Which tool is most appropriate to quantitatively assess grip strength during a NRCME musculoskeletal examination?
✓ Jamar dynamometer

The Jamar dynamometer is the standard validated tool for measuring grip strength in clinical and occupational health settings.

4. Which federal form is used by the medical examiner to document the results of the physical examination including vision and hearing findings for CMV drivers?
✓ MCSA-5875

The MCSA-5875 is the Federal Motor Carrier Safety Administration Medical Examination Report form used to document all examination findings.

5. Under FMCSA guidelines, a driver using an oral hypoglycemic agent (e.g., metformin) with no insulin use and an A1c of 6.8% should be:
✓ Certified under standard medical criteria if no hypoglycemia risk or other disqualifying conditions

Oral hypoglycemic agents not causing hypoglycemia do not trigger the insulin exemption requirement, and well-controlled diabetes on such therapy is certifiable.

6. Which of the following blood pressure readings allows for a 2-year medical certification, assuming the driver has no other disqualifying conditions and is not on any antihypertensive medication?
✓ 136/84 mmHg

To qualify for a 2-year medical certificate, a driver must have a blood pressure reading of less than 140/90 mmHg and not be on medication for hypertension. A reading of 136/84 mmHg meets these criteria. The other readings are either at or above the 140/90 mmHg threshold.

🎯 Free NRCME Practice Tests

Medical Standards and Regulations · 11 questionsMedical Conditions and Guidelines · 11 questionsCardiovascular Qualification Standards · 7 questionsCertification Periods and Documentation · 7 questionsUrinalysis and Renal Disorders · 7 questionsUrinalysis and Renal Disorders · 7 questionsCertification Periods and Documentation · 7 questionsCertification Periods and Documentation · 7 questionsCertification Periods and Documentation · 7 questionsCardiovascular Qualification Standards · 7 questions

📖 NRCME Guides & Articles

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NRCME Study Guide 2026 — Exam Format, Topics & Practice Questions