NRCME Grade A++ exam questions &
verified answers 2025/2026
A driver is taking Celexa for the treatment of what he calls a "mild depression". He
reports he has not considered or attempted suicide. The examiner should do what? -
Answer Temporarily disqualify the driver until he obtains written clearance for the
depression and the medication from the treating provider.
Can hearing aids be worn during the forced whisper test? - Answer NO
A driver with a history of diabetes, who is taking Metformin, provides a note from his
primary care provider that lists his A1c level as 10. His exam is essentially normal
including laboratory analysis, except he is very overweight. The medical examiner
should: - Answer
A driver has had his second spontaneous pneumothorax on the same side 3 months
ago. There has been no surgical intervention. The FVC is 68%. The correct
determination in this case is: - Answer Do not certify until the condition has been
corrected surgically.
A driver with a history of diabetes, who is taking Metformin, provides a note from his
primary care provider that lists his A1c level as 10. His exam is essentially normal
including laboratory analysis, except he is very overweight. The medical examiner
should: - Answer certify for 1 year
The driver reports a suicide attempt 6 months earlier, following the break-up of his
marriage. He noted seeing a psychiatrist and he takes Citalopram daily and he
reports he feels fine now and is moving on with his life. He provides a release from
his doctor that he may return to work without restrictions. The medical examiner
should? - Answer disqualify the driver
A driver with an Abnormal Aortic Aneurysm (AAA) can be certified: - Answer For 1
year if between 4 and 5 cm, asymptomatic, with a recommendation from a
cardiovascular specialist who understands the functions and demands of commercial
driving.
If a driver responds yes to the history section of the exam form, what details must he
include? - Answer 1. date of onset
2. diagnosis
3. PCP contact info
4. any limitations
5. medications including prescription, OTC and herbal supplements
Upon examination of a 46 year-old male smoker, you detect an irregularly irregular
heart rhythm. The rate is 140 bpm. This is unknown to the driver and he denies any
symptoms of lightheadedness, shortness of breath, dizziness, palpitations, nor any
cardiac history. You would: - Answer Disqualify and refer to his PMD or cardiologist
for further evaluation