NRCME DOT Practice Test EXAM fully
solved & updated 2025-2026(latest
version verified for accuracy)
(Questions + Answers) Solved 100%
Correct!!
Ak20-year-
oldkpersonkapproacheskyoukandkaskskyouktokperformkakmedicalkexaminationkforkhimkaskhekiskplanningktoka
pplykforkankinterstatekCMV kdriverkjobkadvertisedkbykaklocal ktransportationkcompany.kAccordingktokthekFMC
SAkstandards,kakpersonkunderk21kisknotkeligible ktokworkkaskankinterstatekCMV kdriver;khowever,kyoukcankstill
kperformkthe kexaminationkbecause:
a.kThe kpersonkiskonlykapplyingkforkthe kjobkandknotkyetkemployed.
b.kThere'sknokindicationkthatkhekintendsktokworkkaskankinterstatekCMV kdriver.
c.kItkisknotkyourkresponsibilityktokensure kthatkthekpersonkmeetskthe kagekrequirements.
d.kFromkhiskphysicalkappearance khe kseemskquitekhealthy.k-kC.
Itkisknotkyourkresponsibilityktokensure kthatkthekpersonkmeetskthe kagekrequirements.kPerkthe kFMCSA,kitkiskth
e kresponsibilitykofkthekmotorkcarrierktokensurekthatktheirkinterstatekCMV kdriverskmeetkthekagekrequiremen
ts.kAskakcertifiedkmedicalkexaminer,kyoukcankperformkthekdriverkphysicalkexaminationkforkanykpersonkwhokr
equestskit.
Ak21-year-
oldkdriverkhaskaklongkhistorykofkADHDkdatingkbackktokmiddlekschool.kHe khaskbeenkonkthe ksamekdosekofkhiskp
sycho-
stimulantkforkatkleastk10kyearskandknowkpresentskforkhiskfirstkphysical kqualificationkexam.kWhichkofkthekfoll
owingkiskmostkaccurate?
a.kCNSkpsycho-stimulantskare kveryklikelyktokcompromiseksafekdrivingkandkthereforekthiskdriverkshouldknotk
be kqualified.k
b.kAsklongkaskthiskdriverkdoesknotktakekthekmedicationkwithink8khourskofkdrivingkakcommercialkmotork
vehicle,khe kisksafektokdrive.k
c.kItkiskverykunlikelykthatkthiskdriver'skmedicationkwillkadverselykaffectkhiskdriving.k
,d.kWhetherkthiskdriverkcanktake khiskmedicationkforkAdderallkwhilekoperatingkakcommercial kmotorkvehicle k
dependskonkthe kexactkdose.k-kC.
Ak28-year-
oldkdriverkpresentskforkakDOTkexam.kHe kisknotedktokbekquitekobese kwithkakweightkofk325klbs.kOtherwise,khis
kexamkiskcompletely knormal kandktherekare knoklimitations knotedkwhenkaskedktokbend, kambulate, kandkperfo
rmkrange kofkmotionkdemonstrations.kThe kexaminerkshould:
a.kCertifykforkupktoktwokyears.k
b.kCertifykfork6kmonths,kwithkakdirective kthatkhekmustklose k30klbs.k
c.kDisqualifykthekdriverkforkexceedingkthekmaximumkallowablekFMCSAkweight.k
d.kNONEkofkthekabove.k-kA.
The kFMCSAkhasknokweightkrestrictions.kThekjobkofkankexaminerkisktokassesskifkthekdriverkcankperformkall ktas
kskof kakCMV kdriver
Ak35-year-oldkright-
handedkfemalekdriverkreportskforkakrecertification.kShekreportskinkherkhistorykthatkshekhaskrecentlykbeenkdi
agnosedkwithkCarpal kTunnel kSyndromekinkherkleftkwrist.kAdditionally,kshekreportskusingkakbrace katknight,kta
kingkNSAIDSkaskneeded,kandkseeingkherkPCPkandkakphysical ktherapistkforktreatment.kShekhasknokcurrentkres
trictionskfromkwork.kHerkgripkstrengthkinkherkrightkandkleftkhandkisk5/5.kThe krestkofkherkexaminationkiskunre
markable.kThe kbestknextkstepkis:
a.kDisqualifykthekdriverkandkrequire kherktokapplykforkankSPE.k
b.kCertifykthekdriverkbutkrequirekmorekfrequentkmonitoring.k
c.kDisqualifykthekdriverkpendingkankorthopedickevaluation.k
d.kOrderkakNervekConductionkTestktokdeterminekseverity.k-kB.
AnkSPEkisknotkavailablekforkthiskdriverkbecause kCTSkisknotkak"FixedkDeficit".kIfkthe kdriverkcankmeetkthekfuncti
onskof kakCMV kdriverkinvolvingkhandkstrength,ks/he kshouldkbe kcertifiedktokdrivekbutkmaykbekrequiredktokhav
e kmore kfrequentkmonitoringkofkthiskpotentiallykprogressive kdisease.
Ak37-year-
male kCMV kdriverkpresentskforkexamination.kHe kprovideskakmedical kreportkconfirmingkakstrongkright-
handkgrasp.kDoeskthiskpersonkrequirekakSkill kPerformance kEvaluationk(SPE) kCertificate kbykFMCSAktokcompl
ete kthe kqualifyingkprocedure kunderkCFRk391.41,kandkwhy?
,a.kNo,kasklongkasktherekiskakmedicalkreportkconfirmingknokinterference kwithkhandkgraspkpowerkakSPEkcertific
ate kisknotkrequiredkforkimpairmentk/klosskofkakfinger.
b.kYes,kakmedical kreportkconfirmingkstrongkright-handkgraspkdoesknotkexemptkfromkakSPEkcertificate.
c.kYes,kankimpairedkorkmissingkfingerkrequireskakSPEkcertificate kregardlesskofkwhetherkitkaffectskhandkgraspk
powerkorknot.
d.kNo,kthiskpersonkiskmedicallyknotkqualifiedktokbe kakCMV kdriver.k-kA.
Thiskiskthe kcorrectkanswerkbecausekaccordingktokCFRk391.41,kpersonskwithkankimpairmentkof kakhandkorkfing
erkthatkdoesknotkinterfere kwithkprehensionkandkgraspingkpowerkmaykbekqualified.kInkthiskcase,kthekpresenc
e kofkakmedicalkreportkconfirmingkthe kprehensionkpowerkiskvalidkevidencekforkthe kmedicalkexaminerkandkdo
esknotkpromptkforkakSPEkcertificate.
Ak40-year-
oldkdriverkpresentskforkcertificationkthreekmonthskafterkundergoingksurgerykforkcarpalktunnelksyndrome.kT
he kexaminerkshouldknext:
a.kOrderkankEMG.k
b.kAssesskgripkstrength.k
c.kObtainkassurance kthatkthe kdriverkhaskcompletedkthekprescribedkphysicalktherapy.k-kB.
Assessingkgripkstrengthkisktheknextklogical kstepktokassesskifkthekdriverkcanksafelykoperatekakcommercialkmot
orkvehicle.
Ak40-year-
oldkdriverkwaskinkthekEmergencykDepartmentktwokmonthskagokforkchestkpain.kHekstateskthatkhekwasktoldkal
l ktestskwereknormalkandkhekwaskdischargedkhome.kHekhasknotkfollowedkupkwithkhiskPCPksince.kHe knowkpres
entskforkcertification.kThe kexaminerkshould:
a.kOrderkankECG.k
b.kAssesskforkcardiackrisks.k
c.kReferktokakcardiologist.k
d.kOrderkankETT.k-kB.
The kmostklikelykscenariokiskthatkthekchestkpainkwaskassessedktokbeknoncardiackaskall ktestskwereksaidktokbekn
ormal kandkthe kdriverkwasknotkhospitalized.kWhile kthe kexaminerkmaykdecide ktokrequestkakspecialistkreferralk
orkmore ktesting,kthekbestknextkstepkisktokassesskthekdriver'skcardiackrisksktokassesskforkanykconcernkthatkthek
chestkpainkwaskofkakcardiackorigin.
, Ak43-year-oldkmale kdriverkreportskforkakre-
certificationkexamination.kHiskpreviouskcertificationkwaskgoodkfork2kyears.kHiskhistorykiskbenign.kFurtherkqu
estioningkrevealskankappendectomyk8kyearskago,kandknokcurrentkmedications.kHiskexaminationkiskaskfollow
s:kVisual kAcuity:k20/30kleft;k20/20kright;k20/20kbothkAblektokdistinguishksignalkred,kamber,kgreenkLateral kH
orizontal kVision:k80kdegreeskleft,k80kdegreeskright.kWhisperktest:k5kft.kright;k4kft.kleftkBPk148/88;kpulse:k86k
UA:kSpecifickGravity:k1.010;kProtein:ktrace;kBlood:kNegative;kSugar:kNegative.kThekrestkof kthe kexaminationki
skunremarkable.kThekexaminerskbestkdecisionkwouldkbekto:
a.kDisqualifykthekdriver.k
b.kCertifykthekdriverkwithkak1-timek3-monthkcertificate.k
c.kCertifykthe kdriverkfork1kyear.k
d.kCertifykthekdriverkfork2kyears.k-kC.
The kdriverksufferskfromkStagek1khypertension.kThere kisknokpreviouskhistorykofkhypertension, kthekdriverkma
ykbe kcertifiedkfork1kyear.
Ak44-year-
oldkmale kpresentskforkexamination.kHe khaskundergonekaksurgerykforkrepairkofkak5.0kcmkabdominalkaorticka
neurysmk1kyearkago.kHekprovideskakclearancekreportkbykakcardiovascularkspecialistkindicatingkhe kiskasympt
omatic.kIskthiskpersonkqualified?kIfkyes,kforkhowklong?
a.kYes,kfork6kmonths.
b.kNo.
c.kYes,kforkone kyear.
d.kYes,kforktwokyears.k-kC.
PerkFMCSA'skguidelines,kpersonskwhokhavekundergone krepairkofkankabdominal kaortickaneurysmkmaykbekce
rtifiedkannuallykifkmore kthankthreekmonthskhave kpassedksinceksurgery,ktheykare kasymptomatic,kandkare kcle
aredkbykakcardiovascularkspecialist.
Ak56-year-
oldkmale kdriverkapplyingkforkaknewkcertificatekadmittedkthatkhe ksufferedkakmyocardialkinfarctionk3kmonthsk
before.kHe kprovideskyoukwithkakclearancekcertificatekbykakcardiologist.kHekalsokinformskyoukthatkhekisknotkf
eelingkanykchestkpainkpost-MI.kIskthiskinformationksufficientktokdeterminekhiskhealthkhistory?
solved & updated 2025-2026(latest
version verified for accuracy)
(Questions + Answers) Solved 100%
Correct!!
Ak20-year-
oldkpersonkapproacheskyoukandkaskskyouktokperformkakmedicalkexaminationkforkhimkaskhekiskplanningktoka
pplykforkankinterstatekCMV kdriverkjobkadvertisedkbykaklocal ktransportationkcompany.kAccordingktokthekFMC
SAkstandards,kakpersonkunderk21kisknotkeligible ktokworkkaskankinterstatekCMV kdriver;khowever,kyoukcankstill
kperformkthe kexaminationkbecause:
a.kThe kpersonkiskonlykapplyingkforkthe kjobkandknotkyetkemployed.
b.kThere'sknokindicationkthatkhekintendsktokworkkaskankinterstatekCMV kdriver.
c.kItkisknotkyourkresponsibilityktokensure kthatkthekpersonkmeetskthe kagekrequirements.
d.kFromkhiskphysicalkappearance khe kseemskquitekhealthy.k-kC.
Itkisknotkyourkresponsibilityktokensure kthatkthekpersonkmeetskthe kagekrequirements.kPerkthe kFMCSA,kitkiskth
e kresponsibilitykofkthekmotorkcarrierktokensurekthatktheirkinterstatekCMV kdriverskmeetkthekagekrequiremen
ts.kAskakcertifiedkmedicalkexaminer,kyoukcankperformkthekdriverkphysicalkexaminationkforkanykpersonkwhokr
equestskit.
Ak21-year-
oldkdriverkhaskaklongkhistorykofkADHDkdatingkbackktokmiddlekschool.kHe khaskbeenkonkthe ksamekdosekofkhiskp
sycho-
stimulantkforkatkleastk10kyearskandknowkpresentskforkhiskfirstkphysical kqualificationkexam.kWhichkofkthekfoll
owingkiskmostkaccurate?
a.kCNSkpsycho-stimulantskare kveryklikelyktokcompromiseksafekdrivingkandkthereforekthiskdriverkshouldknotk
be kqualified.k
b.kAsklongkaskthiskdriverkdoesknotktakekthekmedicationkwithink8khourskofkdrivingkakcommercialkmotork
vehicle,khe kisksafektokdrive.k
c.kItkiskverykunlikelykthatkthiskdriver'skmedicationkwillkadverselykaffectkhiskdriving.k
,d.kWhetherkthiskdriverkcanktake khiskmedicationkforkAdderallkwhilekoperatingkakcommercial kmotorkvehicle k
dependskonkthe kexactkdose.k-kC.
Ak28-year-
oldkdriverkpresentskforkakDOTkexam.kHe kisknotedktokbekquitekobese kwithkakweightkofk325klbs.kOtherwise,khis
kexamkiskcompletely knormal kandktherekare knoklimitations knotedkwhenkaskedktokbend, kambulate, kandkperfo
rmkrange kofkmotionkdemonstrations.kThe kexaminerkshould:
a.kCertifykforkupktoktwokyears.k
b.kCertifykfork6kmonths,kwithkakdirective kthatkhekmustklose k30klbs.k
c.kDisqualifykthekdriverkforkexceedingkthekmaximumkallowablekFMCSAkweight.k
d.kNONEkofkthekabove.k-kA.
The kFMCSAkhasknokweightkrestrictions.kThekjobkofkankexaminerkisktokassesskifkthekdriverkcankperformkall ktas
kskof kakCMV kdriver
Ak35-year-oldkright-
handedkfemalekdriverkreportskforkakrecertification.kShekreportskinkherkhistorykthatkshekhaskrecentlykbeenkdi
agnosedkwithkCarpal kTunnel kSyndromekinkherkleftkwrist.kAdditionally,kshekreportskusingkakbrace katknight,kta
kingkNSAIDSkaskneeded,kandkseeingkherkPCPkandkakphysical ktherapistkforktreatment.kShekhasknokcurrentkres
trictionskfromkwork.kHerkgripkstrengthkinkherkrightkandkleftkhandkisk5/5.kThe krestkofkherkexaminationkiskunre
markable.kThe kbestknextkstepkis:
a.kDisqualifykthekdriverkandkrequire kherktokapplykforkankSPE.k
b.kCertifykthekdriverkbutkrequirekmorekfrequentkmonitoring.k
c.kDisqualifykthekdriverkpendingkankorthopedickevaluation.k
d.kOrderkakNervekConductionkTestktokdeterminekseverity.k-kB.
AnkSPEkisknotkavailablekforkthiskdriverkbecause kCTSkisknotkak"FixedkDeficit".kIfkthe kdriverkcankmeetkthekfuncti
onskof kakCMV kdriverkinvolvingkhandkstrength,ks/he kshouldkbe kcertifiedktokdrivekbutkmaykbekrequiredktokhav
e kmore kfrequentkmonitoringkofkthiskpotentiallykprogressive kdisease.
Ak37-year-
male kCMV kdriverkpresentskforkexamination.kHe kprovideskakmedical kreportkconfirmingkakstrongkright-
handkgrasp.kDoeskthiskpersonkrequirekakSkill kPerformance kEvaluationk(SPE) kCertificate kbykFMCSAktokcompl
ete kthe kqualifyingkprocedure kunderkCFRk391.41,kandkwhy?
,a.kNo,kasklongkasktherekiskakmedicalkreportkconfirmingknokinterference kwithkhandkgraspkpowerkakSPEkcertific
ate kisknotkrequiredkforkimpairmentk/klosskofkakfinger.
b.kYes,kakmedical kreportkconfirmingkstrongkright-handkgraspkdoesknotkexemptkfromkakSPEkcertificate.
c.kYes,kankimpairedkorkmissingkfingerkrequireskakSPEkcertificate kregardlesskofkwhetherkitkaffectskhandkgraspk
powerkorknot.
d.kNo,kthiskpersonkiskmedicallyknotkqualifiedktokbe kakCMV kdriver.k-kA.
Thiskiskthe kcorrectkanswerkbecausekaccordingktokCFRk391.41,kpersonskwithkankimpairmentkof kakhandkorkfing
erkthatkdoesknotkinterfere kwithkprehensionkandkgraspingkpowerkmaykbekqualified.kInkthiskcase,kthekpresenc
e kofkakmedicalkreportkconfirmingkthe kprehensionkpowerkiskvalidkevidencekforkthe kmedicalkexaminerkandkdo
esknotkpromptkforkakSPEkcertificate.
Ak40-year-
oldkdriverkpresentskforkcertificationkthreekmonthskafterkundergoingksurgerykforkcarpalktunnelksyndrome.kT
he kexaminerkshouldknext:
a.kOrderkankEMG.k
b.kAssesskgripkstrength.k
c.kObtainkassurance kthatkthe kdriverkhaskcompletedkthekprescribedkphysicalktherapy.k-kB.
Assessingkgripkstrengthkisktheknextklogical kstepktokassesskifkthekdriverkcanksafelykoperatekakcommercialkmot
orkvehicle.
Ak40-year-
oldkdriverkwaskinkthekEmergencykDepartmentktwokmonthskagokforkchestkpain.kHekstateskthatkhekwasktoldkal
l ktestskwereknormalkandkhekwaskdischargedkhome.kHekhasknotkfollowedkupkwithkhiskPCPksince.kHe knowkpres
entskforkcertification.kThe kexaminerkshould:
a.kOrderkankECG.k
b.kAssesskforkcardiackrisks.k
c.kReferktokakcardiologist.k
d.kOrderkankETT.k-kB.
The kmostklikelykscenariokiskthatkthekchestkpainkwaskassessedktokbeknoncardiackaskall ktestskwereksaidktokbekn
ormal kandkthe kdriverkwasknotkhospitalized.kWhile kthe kexaminerkmaykdecide ktokrequestkakspecialistkreferralk
orkmore ktesting,kthekbestknextkstepkisktokassesskthekdriver'skcardiackrisksktokassesskforkanykconcernkthatkthek
chestkpainkwaskofkakcardiackorigin.
, Ak43-year-oldkmale kdriverkreportskforkakre-
certificationkexamination.kHiskpreviouskcertificationkwaskgoodkfork2kyears.kHiskhistorykiskbenign.kFurtherkqu
estioningkrevealskankappendectomyk8kyearskago,kandknokcurrentkmedications.kHiskexaminationkiskaskfollow
s:kVisual kAcuity:k20/30kleft;k20/20kright;k20/20kbothkAblektokdistinguishksignalkred,kamber,kgreenkLateral kH
orizontal kVision:k80kdegreeskleft,k80kdegreeskright.kWhisperktest:k5kft.kright;k4kft.kleftkBPk148/88;kpulse:k86k
UA:kSpecifickGravity:k1.010;kProtein:ktrace;kBlood:kNegative;kSugar:kNegative.kThekrestkof kthe kexaminationki
skunremarkable.kThekexaminerskbestkdecisionkwouldkbekto:
a.kDisqualifykthekdriver.k
b.kCertifykthekdriverkwithkak1-timek3-monthkcertificate.k
c.kCertifykthe kdriverkfork1kyear.k
d.kCertifykthekdriverkfork2kyears.k-kC.
The kdriverksufferskfromkStagek1khypertension.kThere kisknokpreviouskhistorykofkhypertension, kthekdriverkma
ykbe kcertifiedkfork1kyear.
Ak44-year-
oldkmale kpresentskforkexamination.kHe khaskundergonekaksurgerykforkrepairkofkak5.0kcmkabdominalkaorticka
neurysmk1kyearkago.kHekprovideskakclearancekreportkbykakcardiovascularkspecialistkindicatingkhe kiskasympt
omatic.kIskthiskpersonkqualified?kIfkyes,kforkhowklong?
a.kYes,kfork6kmonths.
b.kNo.
c.kYes,kforkone kyear.
d.kYes,kforktwokyears.k-kC.
PerkFMCSA'skguidelines,kpersonskwhokhavekundergone krepairkofkankabdominal kaortickaneurysmkmaykbekce
rtifiedkannuallykifkmore kthankthreekmonthskhave kpassedksinceksurgery,ktheykare kasymptomatic,kandkare kcle
aredkbykakcardiovascularkspecialist.
Ak56-year-
oldkmale kdriverkapplyingkforkaknewkcertificatekadmittedkthatkhe ksufferedkakmyocardialkinfarctionk3kmonthsk
before.kHe kprovideskyoukwithkakclearancekcertificatekbykakcardiologist.kHekalsokinformskyoukthatkhekisknotkf
eelingkanykchestkpainkpost-MI.kIskthiskinformationksufficientktokdeterminekhiskhealthkhistory?
