Good guess work.Since no one else has answered thus far, I'll venture a guess, fwiw. I would think you cannot recycle the TRV exam. I am reinforced in that view by the non-acceptance of upfront medicals, and re-using the TRV exam would be a form of upfront medical.
Also, from what I have seen, medical exams for TRV are not usually required. I take it we are talking about your wife here. I suspect that any exam for TRV may be less detailed. My wife did hers in the Philippines back in March, after receiving email from the IRCC telling her it was time to have the exam. We paid about P13,500 (about CAD335) for the exam. If your wife got one for TRV before, was the cost in that range?
The IRCC protocol for PR medical exams is to wait until the IRCC instructs you to go and get it done. I have not heard of any exception to following that path where one has had a medical exam for a TRV. Another issue is, I suppose, when was the TRV exam done? Unless very recent, that, in itself, would likely be a bar to re-use.
Anyway, as I say, all of this is mere conjecture and guesswork on my part and maybe another member will come along with something more authoritative.
Firstly - We cannot use "Cost of IME" from Philippines Vs. some other country, to check if the exams are the same. Cuz a test in Canada will cost different than a test in India or Middle East. Different prices, different salaries, different expenses. Can't be the same!
However, i have already inquired - and the IME cost, at the same test center, for TRV and PR applications is the same.
But i hope if someone who has actually gone through the hoops, been there done that.....would share their 2cents, that would be really helpful. Since the message is burried let me copy it again here:
Hence wondering, if anyone in this thread used a Medical Exam report from a different Visa application --->
for Spousal PR application? ........ And was it accepted...rejected?
Is it an entirely different exam for female Spousal PR applicants Vs. female TRV applicants?
https://www.canadavisa.com/canada-immigration-discussion-board/threads/spousal-sponsorship.46995/post-10493345