NRCME EXAM PREP NEWEST TEST BANK 2

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NRCME EXAM PREP NEWEST 2025/2026 TEST BANK| 2

LATEST VERSION (VERSION A & B) WITH

COMPLETE 450 ACTUAL EXAM QUESTIONS AND

CORRECT DETAILED ANSWERS (VERIFIED

ANSWERS) ALREADY GRADED A+|| BRAND NEW!!

NRCME EXAM VERSION A

Urinalysis is required for the driver physical examination and the results must include

• Specific gravity, creatinine, bilirubin, and glucose
• Creatinine, bilirubin, blood, and protein
• Specific gravity, protein, blood, and glucose
• Specific gravity, bilirubin, blood, and protein - Correct Answer - C)

Specific gravity, protein, blood, and glucose should be checked at every driver examination

Disqualifying conditions include:

• Chronic constipation
• Obesity
• Cystitis
• Dialysis - Correct Answer - D) Dialysis of any type of disqualifying

A driver with a history of acute bleeding ulcer may be certified if:

• Pain has subsided 1 / 4

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• Driver tolerates food without nausea and vomiting
• Bleeding has subsided
• The underlying cause has been identified and recurrence risk is low

following treatment - Correct Answer - D) Drivers with bleeding ulcers should not be certified until the underlying cause has been identified and the recurrence risk is low

You are required to perform a urinalysis (dip stick) as a part of every driver certification and recertification medical examination. An abnormal result for which of the following mandates temporary disqualification?

• Protein.
• Blood.
• Glucose.
• NONE of the above. - Correct Answer - "D". Proteinuria, hematuria,

or glycosuria may be an indication for further testing to rule out any underlying medical problem. You should advise the driver of any abnormal findings and when indicated, encourage the driver to seek primary care provider evaluation, particularly if an abnormal urinalysis could indicate the presence of a medical condition that if left untreated could result in a serious illness that might affect driving.

Each of the following mandates disqualification in a driver with a

history of alcoholism EXCEPT:

• He voluntarily attends a 12-step program to maintain his recovery.
• He has not successfully completed counseling and/or treatment.
• He has a current diagnosis of alcoholism. 2 / 4

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• ALL of the above are disqualifying. - Correct Answer - "A". Ongoing

voluntary attendance at self-help groups (e.g., 12-step programs) for maintenance of recovery is not disqualifying.

A female driver presents for re-certification who is in her fourth day of menses with heavy bleeding. Her US shows a Specific gravity of 1.020; Protein is +1; Blood is +4; Glucose is negative. All other aspects of her

medical examination are within normal. The examiner should:

• Obtain medical clearance prior to certification.
• Disqualify the driver.
• Certify the driver for 1 year.
• Certify the driver for 2 years. - Correct Answer - "D". The

abnormality in the UA is the level of blood in the urine, which is likely a result of the driver's menstrual cycle. Without any other identified abnormality, the driver would be certified for 2 years.

At initial certification, a driver is found to have a blood pressure of 165/105 mm Hg. You give him a certification for three months. Upon

recheck, his blood pressure is 135/85. As medical examiner you:

• Give him a 6-month certification.
• Give him a one-year certification from date of initial exam.
• Give him a one-year certification from date of recheck.
• Repeat the 3-month certification. - Correct Answer - "B". This driver

has stage 2 hypertension on initial exam. He qualifies for certification has his blood pressure at recheck is below 140/90.

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pg. 4 A diagnosis of which of the following mandates disqualification from commercial motor vehicle driving?

• Schizophrenia.
• Hypertrophic cardiomyopathy.
• Parkinson's disease.
• All of the above. - Correct Answer - "D". Each condition listed entail

risks too great for commercial motor vehicle driving.

Which of the following accurately describes the FMCSA's requirement regarding grip strength for certifying commercial drivers?

• The FMCSA requires Dynamometer testing to measure grip strength.
• The FMCSA requires Sphygmomanometer used as a screening test for

grip by having the applicant repeatedly squeeze the inflated cuff while noting the maximum deflection on the gauge.

• The FMCSA accepts either Dynamometer testing or

Sphygmomanometer testing for certification.

• The Federal Motor Carrier Safety Administration does not require any

specific test for assessing grip power. - Correct Answer - "D". The Federal Motor Carrier Safety Administration does not require any specific test for assessing grip power. The driver must have sufficient grasp and prehension to control an oversize steering wheel, shift gears using a manual transmission, and maneuver a vehicle in crowded areas.

FMCSA guidance recommends drivers NOT be certified with the

following conditions EXCEPT:

• Uncontrolled vertigo.
• Meniere's disease.
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