Click on the ‘Start Test’ button below to start your free online NRCME practice test.
Read each question carefully before selecting an answer. Select an answer by clicking the radial button next to the answer you think is correct.
While taking the test, you can highlight questions for review by clicking the ‘Review Question’ button. You can view a summary of questions highlighted for review and navigate to them using the question number menu.
After answering the last question. Submit your answers by clicking the ‘Submit Answers’ button to get your results.
You have already completed the quiz before. Hence you can not start it again.
Quiz is loading.
You must sign in or sign up to start the quiz.
You have to finish following quiz, to start this quiz:
0 of 18 questions answered correctly
Time has elapsed
You have reached 0 of 0 points, ( 0 )
Review your results, time, score, and category performance in the reports above. Click the “View Answers and Explanations” button below to view all of the questions you answered.
FMCSA has two medical driver exemption programs: Federal Vision Exemption Program (established in 1998) and Diabetes Exemption Program (established in September of 2003). The medical examiner determines whether the driver would be otherwise qualified if accompanied by the Federal vision or diabetes exemption. As a result of the exemptions, the driver must an annual medical examination for maintenance and renewal of the exemption.
FMCSA has two medical driver exemption programs: Federal Vision Exemption Program (established in 1998) and Diabetes Exemption Program (established in September of 2003). The medical examiner determines whether the driver would be otherwise qualified if accompanied by the Federal vision or diabetes exemption. As a result of the exemptions, the driver must an annual medical examination for maintenance and renewal of the exemption.
Question 2 of 18Which of the following is a medical examiner required to inquire about from a driver with diabetes mellitus?
While all of the questions are recommended to ask, the only question that is necessary is to see if the driver has glycosuria (dip stick urinalysis). It is recommended, though, to ask about carrying rescue glucose while driving, using incretin mimetic, and routinely monitoring his or her blood glucose level.
While all of the questions are recommended to ask, the only question that is necessary is to see if the driver has glycosuria (dip stick urinalysis). It is recommended, though, to ask about carrying rescue glucose while driving, using incretin mimetic, and routinely monitoring his or her blood glucose level.
Question 3 of 18When conducting a vision examination, a driver must have at least what distant visual acuity in each eye with or without correction?
The driver must have at least 20/40 distant visual acuity in each eye with or without correction. 20/20 and 20/10 are higher standards than necessary. Lastly, 20/60 is not a high enough acuity standard.
The driver must have at least 20/40 distant visual acuity in each eye with or without correction. 20/20 and 20/10 are higher standards than necessary. Lastly, 20/60 is not a high enough acuity standard.
Question 4 of 18Which of the following colors is not necessary to be able to distinguish and recognize in traffic signals and devices?
Due to specifically the colors of a stoplight and most road signs, it is necessary for a driver to be able to recognize the colors amber, red, and green. Blue is not a necessary color to recognize in traffic signals and devices.
Due to specifically the colors of a stoplight and most road signs, it is necessary for a driver to be able to recognize the colors amber, red, and green. Blue is not a necessary color to recognize in traffic signals and devices.
Question 5 of 18Which of the following stages of hypertension calls for a medical certificate that expires in a year?
Medical certificates for drivers with Stage 1 hypertension expire after a year. Stage 2 hypertension results in a one-time, three-month medical certificate. Stage 3 corresponds to a medical certificate, good for 6 months from date of examination if the reading is less than or equal to 140/90. Lastly, Stage 4 hypertension doesn’t exist.
Medical certificates for drivers with Stage 1 hypertension expire after a year. Stage 2 hypertension results in a one-time, three-month medical certificate. Stage 3 corresponds to a medical certificate, good for 6 months from date of examination if the reading is less than or equal to 140/90. Lastly, Stage 4 hypertension doesn’t exist.
Question 6 of 18A medical examiner observes that a driver has a blood pressure of 160/100 and the driver had no prior knowledge of high blood pressure. Which of the following is the appropriate subsequent action for the medical examiner?
When a medical examiner observes that a driver has a blood pressure reading of 160/100 (or any reading above 139/89), it is vital that the examiner take a second measurement later in the examination. But, since the driver had no prior knowledge of such blood pressure, it is important for the examiner to refer him or her to a primary care provider. It is not the job of the medical examiner to diagnose or treat the underlying disease. Thus, it is important for the driver to see someone who can diagnose and treat such a disease before proceeding in the certification process.
When a medical examiner observes that a driver has a blood pressure reading of 160/100 (or any reading above 139/89), it is vital that the examiner take a second measurement later in the examination. But, since the driver had no prior knowledge of such blood pressure, it is important for the examiner to refer him or her to a primary care provider. It is not the job of the medical examiner to diagnose or treat the underlying disease. Thus, it is important for the driver to see someone who can diagnose and treat such a disease before proceeding in the certification process.
Question 7 of 18When deciding if a commercial driver should be medically certified, what is the fundamental question a medical examiner should examine in regards to cardiovascular health?
When looking at the cardiovascular health of a driver, the fundamental question is whether the driver has a cardiovascular disease that increases the risk of sudden death or incapacitation, creating a danger to the safety and health of the driver, as well as the public sharing the road. While history and family history of such diseases are important, they are not the fundamental questions necessary about which to ask.
When looking at the cardiovascular health of a driver, the fundamental question is whether the driver has a cardiovascular disease that increases the risk of sudden death or incapacitation, creating a danger to the safety and health of the driver, as well as the public sharing the road. While history and family history of such diseases are important, they are not the fundamental questions necessary about which to ask.
Question 8 of 18Which of the following is not a concern that predisposes commercial drivers to an increased risk of cardiovascular disease?
Obesity and a sedentary lifestyle increase the risk of cardiovascular diseases. Driving stressors can lead to increased neurosympathetic and adrenocortical catecholamine and cortisol release. Also, exposed environmental stressors that are detrimental to the cardiovascular system. However, the long hours and rotating work schedules do not predispose a driver for increased risks of cardiovascular disease.
Obesity and a sedentary lifestyle increase the risk of cardiovascular diseases. Driving stressors can lead to increased neurosympathetic and adrenocortical catecholamine and cortisol release. Also, exposed environmental stressors that are detrimental to the cardiovascular system. However, the long hours and rotating work schedules do not predispose a driver for increased risks of cardiovascular disease.
Question 9 of 18An implantable cardioverter-defibrillator is An electronic device that treats cardiac arrest, ventricular fibrillation, and ventricular tachycardia through the delivery of rapid pacing stimuli or shock therapy. A pacemaker is an implantable device designed to treat bradycardia. Also, supraventricular tachycardia is a type of arrhythmia that is usually not considered a risk for sudden death. Lastly, ventricular arrhythmia is a type of arrhythmia categorized as ventricular fibrillation and ventricular tachycardia and is responsible for the majority of instances of cardiac sudden death.
An implantable cardioverter-defibrillator is An electronic device that treats cardiac arrest, ventricular fibrillation, and ventricular tachycardia through the delivery of rapid pacing stimuli or shock therapy. A pacemaker is an implantable device designed to treat bradycardia. Also, supraventricular tachycardia is a type of arrhythmia that is usually not considered a risk for sudden death. Lastly, ventricular arrhythmia is a type of arrhythmia categorized as ventricular fibrillation and ventricular tachycardia and is responsible for the majority of instances of cardiac sudden death.
Question 10 of 18ICDs do treat arrhythmias, but they do not prevent them. So, the driver remains at risk for syncope. The management of the underlying disease is in fact not effective enough for the driver to meet cardiovascular qualification requirement. Lastly, combination ICD/pacemaker devices are also ineffective in preventing incapacitation cardiac and arrhythmia events.
ICDs do treat arrhythmias, but they do not prevent them. So, the driver remains at risk for syncope. The management of the underlying disease is in fact not effective enough for the driver to meet cardiovascular qualification requirement. Lastly, combination ICD/pacemaker devices are also ineffective in preventing incapacitation cardiac and arrhythmia events.
Question 11 of 18All but which of the following are respiratory conditions that interfere with oxygen exchange and could result in gradual or sudden incapacitation?
Asthma, carcinoma, and chronic bronchitis are all respiratory conditions that interfere with oxygen exchange and could result in gradual or sudden incapacitation. Mitral regurgitation is actually a heart condition, not a respiratory condition.
Asthma, carcinoma, and chronic bronchitis are all respiratory conditions that interfere with oxygen exchange and could result in gradual or sudden incapacitation. Mitral regurgitation is actually a heart condition, not a respiratory condition.
Question 12 of 18While it is recommended to ask, it is not required that the medical examiner ask about the driver’s smoking habits. The other questions are necessary questions to ask during a medical examination.
While it is recommended to ask, it is not required that the medical examiner ask about the driver’s smoking habits. The other questions are necessary questions to ask during a medical examination.
Question 13 of 18There is not in fact a maximum (or minimum) height (or weight) requirement for drivers. For each body system, mark “Yes” on the Report Form if abnormalities are detected or “No” if the body system is normal. The medical examiner must document all abnormal findings on the Report Form, even if they are not disqualifying. Lastly, the individual parts of the body system are categorized numerically.
There is not in fact a maximum (or minimum) height (or weight) requirement for drivers. For each body system, mark “Yes” on the Report Form if abnormalities are detected or “No” if the body system is normal. The medical examiner must document all abnormal findings on the Report Form, even if they are not disqualifying. Lastly, the individual parts of the body system are categorized numerically.
Question 14 of 18If a medical examiner uses the number 1 during the physical examination, the medical examiner is indicating which of the following parts of the body system?
1 refers to General Appearance, 3 refers to Ears, 5 refers to Heart, and 7 refers to Abdomen and viscera.
1 refers to General Appearance, 3 refers to Ears, 5 refers to Heart, and 7 refers to Abdomen and viscera.
Question 15 of 18The symptoms of headaches, vertigo, and dizziness are typically inconsequential, but they still constitute a problem for a driver. Headache and chronic “nagging” pain may be present to such a degree that certification for driving is inadvisable. Also, medication used to treat headaches may further interfere with safe driving. Lastly, disorders with incapacitating symptoms, even if periodic or in the early stages of disease, warrant the decision to not certify the driver.
The symptoms of headaches, vertigo, and dizziness are typically inconsequential, but they still constitute a problem for a driver. Headache and chronic “nagging” pain may be present to such a degree that certification for driving is inadvisable. Also, medication used to treat headaches may further interfere with safe driving. Lastly, disorders with incapacitating symptoms, even if periodic or in the early stages of disease, warrant the decision to not certify the driver.
Question 16 of 18Types of vertigo and dizziness with incapacitating symptoms can interfere with all but which of the following?
Types of vertigo and dizziness with incapacitating symptoms interfere with cognitive abilities, judgment, attention, concentration, and sensory or motor functions. However, it does not necessarily interfere with staying awake.
Types of vertigo and dizziness with incapacitating symptoms interfere with cognitive abilities, judgment, attention, concentration, and sensory or motor functions. However, it does not necessarily interfere with staying awake.
Question 17 of 18Drivers with an active psychotic disorder will exhibit unpredictable behavior, accompanied with poor judgment. Drivers with a mood disorder will exhibit slower reaction times during a depressive episode and gradiosity, impulsiveness, irritability, and aggressiveness during a manic episode. Lastly, drivers with personality disorders may exhibit inflexibility and maladaptive behaviors, along with an increased rash rate.
Drivers with an active psychotic disorder will exhibit unpredictable behavior, accompanied with poor judgment. Drivers with a mood disorder will exhibit slower reaction times during a depressive episode and gradiosity, impulsiveness, irritability, and aggressiveness during a manic episode. Lastly, drivers with personality disorders may exhibit inflexibility and maladaptive behaviors, along with an increased rash rate.
Question 18 of 18Guidelines recommend a case-by-case assessment of drivers treated with antidepressant medication. With long-term use of antidepressants, most drivers tend to develop a tolerance to the sedative effects. First generation antidepressants, which include tricyclics such as amitriptyline and imipramine, have consistently been shown to interfere with safe driving. Lastly, second generation antidepressants, including fluoxetine and venlafaxine, have fewer side effects and are generally safe.
Guidelines recommend a case-by-case assessment of drivers treated with antidepressant medication. With long-term use of antidepressants, most drivers tend to develop a tolerance to the sedative effects. First generation antidepressants, which include tricyclics such as amitriptyline and imipramine, have consistently been shown to interfere with safe driving. Lastly, second generation antidepressants, including fluoxetine and venlafaxine, have fewer side effects and are generally safe.
New FMCSA NRCME regulations are now in effect. Get ready for your NRCME exam with our NRCME Practice Test Program and join the thousands of other Medical Examiners that improved their pass rates and have become certified DOT Medical Examiners after using our practice test system. Improve your score with our proven online practice test system and our database of 900+ questions.
Our content experts have written NRCME practice questions to mimic the content and test format you will see when you sit for the real NRCME exam. Prepare for the real NRCME Exam by practicing with a full-length NRCME practice test or target weak knowledge areas with our focus questions, feedback, reporting, and explanations.
With our online NRCME Practice Test Program, you will have a comprehensive practice program that lets you study at your own pace with access to our online tools 24/7. You can take an unlimited number of Federal Motor Carrier Safety Regulations (FMCSA) National Registry of Certified Medical Examiners (NRCME) practice exams and never see the same test twice.
Take a free NRCME practice quiz and sample our proven method of NRCME prep for entry into the FMCSA NRCME. Join the thousands of other Medical Examiners that improved their chances of passing the FMCSA NRCME on the first try with NRCME PREP. Support us through Facebook, Twitter, or Google+ and join now.
Unlimited Practice
Take an unlimited number of FMCSA NRCME medical examiner practice tests and focus quizzes and never see the same test twice. Our state of the art quiz platform generates a brand new exam from our database of questions written by expert medical professionals and instructors.
Results & Explanations
Review test questions and answers with explanations and rationales. Review your full length test results with diagnostics to identify which categories you should focus on.
Access On All Devices
Get 24/7 access to our medical certification full length practice tests and focus quizzes from any mobile device. With our NRCME Practice Test Program, you will have a comprehensive practice program that lets you study at your own pace with access to our online tools anytime and anywhere.
100% Pass Guarantee
We are committed to your success. We stand behind our comprehensive study program with our 100% pass guarantee. If you do not pass your exam after fully preparing yourself with our practice test program, we will refund your original purchase. Learn more about our 100% pass guarantee.
Testimonials
Your product is wonderful! I passed my certification exam without a problem and in fact was told I had one of the highest test scores they had seen.
I purchased your NRCME test preparation and successfully passed the exam. Thank you!
I am ecstatic to report that I passed the test on the first try. I am glad that I found your website. I would highly recommend anyone to use your site.
I feel more confident about taking the test. You have given me the right tools to prepare with!
– Maude A.
