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NRCME DOT Exam Package Deal 2 Versions
with Actual Questions Actual Exam 2026/2027 –
Complete Exam-Style Questions with Detailed
Rationales | Pass Guaranteed – A+ Graded
[VERSION 1: NRCME (DOT) Exam – Medical Examiner Certification — Questions 1-75]
Q1: According to FMCSA regulations, how often must a certified Medical Examiner (ME)
recertify to maintain their NRCME certification?
A. Every 2 years
B. Every 5 years
C. Every 10 years
D. Every 3 years
Correct Answer: B
Rationale: FMCSA regulations require Medical Examiners to recertify every 5 years to ensure
they stay current with medical standards and guidelines. To recertify, the ME must complete 8
hours of Continuing Education (CE) covering specified topics and pass the recertification
examination. Options A, C, and D do not reflect the FMCSA timeline.
Q2: Which form is the "Medical Examination Report" that the Medical Examiner must complete
and submit electronically to FMCSA?
A. Form MCSA-5876
B. Form MCSA-5875
C. Form MCSA-5870
D. Form DOT-40
Correct Answer: B
Rationale: The MCSA-5875 is the Medical Examination Report that contains the driver's health
history and the physical examination findings. The MCSA-5876 is the Medical Examiner's
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Certificate which is given to the driver. The ME must transmit the results of the MCSA-5875
electronically.
Q3: A driver presents for a DOT physical. What is the minimum visual acuity requirement for
each eye, with or without correction?
A. 20/50
B. 20/40
C. 20/20
D. 20/200
Correct Answer: B
Rationale: The FMCSA physical qualification standards (49 CFR 391.41) require a driver to
have distant visual acuity of at least 20/40 in each eye, with or without corrective lenses. The
driver must also have a field of vision of at least 70 degrees in the horizontal meridian in each
eye. Options A, C, and D do not meet the regulatory standard.
Q4: During the hearing portion of the examination, a Medical Examiner performs a forced
whisper test. At what distance must the driver be able to hear a forced whisper?
A. 3 feet
B. 10 feet
C. 5 feet
D. 20 feet
Correct Answer: C
Rationale: The FMCSA standard for hearing is the ability to perceive a forced whisper in the
better ear at not less than 5 feet, with or without the use of a hearing aid. Alternatively, an
audiometric test showing an average hearing loss in the better ear of less than or equal to 40 dB
also qualifies.
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Q5: A 55-year-old male driver is diagnosed with insulin-treated diabetes mellitus (ITDM). Can
the Medical Examiner certify him?
A. Yes, for 2 years if he carries his insulin
B. No, ITDM is an automatic disqualification
C. Yes, only if he has a Federal Diabetes Exemption from FMCSA
D. Yes, for 1 year if his A1C is <8.0%
Correct Answer: C
Rationale: Under federal regulations, a driver with insulin-treated diabetes mellitus (ITDM) is
physically disqualified unless they have obtained a Federal Diabetes Exemption from the
FMCSA. Without this specific exemption, the ME cannot issue a Medical Examiner's Certificate.
Option B is incorrect because exemption is possible. Option D is the standard for non-insulin
treated diabetes, not ITDM.
Q6: A driver has a blood pressure reading of 150/92 mmHg. According to FMCSA guidelines,
what is the maximum certification period the Medical Examiner can issue?
A. 2-year certificate
B. 1-year certificate
C. 3-month temporary certificate
D. Disqualified
Correct Answer: B
Rationale: A blood pressure reading of 140-159 systolic and/or 90-99 diastolic is classified as
Stage 1 hypertension (per recent FMCSA guidance). This qualifies the driver for a 1-year
certification, with a recommendation to monitor BP annually. A 2-year certificate requires BP
<140/90. A 3-month certificate (Option C) is for Stage 2 hypertension (160-179/100-109).
Q7: A driver reports a history of a myocardial infarction (heart attack) 8 months ago but is
currently asymptomatic and cleared by a cardiologist. Can the driver be certified?
A. Yes, for 2 years
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B. No, disqualifying because it was less than 1 year ago
C. Yes, for 1 year
D. Yes, for 3 months
Correct Answer: B
Rationale: FMCSA regulations typically require a waiting period of at least 1 year following a
myocardial infarction (MI) to ensure the driver is stable and free of disqualifying symptoms or
complications. Since this driver's MI was only 8 months ago, they do not currently meet the
physical qualification standard for certification.
Q8: Which of the following medications is considered a Schedule I controlled substance and is
disqualifying for CMV operation, even if prescribed by a physician?
A. Morphine
B. Marijuana (Cannabis)
C. Oxycodone
D. Diazepam
Correct Answer: B
Rationale: Marijuana is classified as a Schedule I controlled substance under the Controlled
Substances Act. According to DOT regulations, the use of any Schedule I drug is disqualifying,
regardless of state laws regarding medical marijuana. Options A and C are Schedule II
(prohibited for chronic pain use, but Schedule I is the category listed for Marijuana). Option D is
Schedule IV.
Q9: A driver uses a CPAP machine for sleep apnea. To qualify for certification, what compliance
standard must typically be met?
A. Using CPAP for at least 2 hours per night
B. Using CPAP for at least 4 hours per night on 70% of nights
C. Using CPAP every night for 8 hours
D. No compliance requirement is needed if they are not sleepy
NRCME DOT Exam Package Deal 2 Versions
with Actual Questions Actual Exam 2026/2027 –
Complete Exam-Style Questions with Detailed
Rationales | Pass Guaranteed – A+ Graded
[VERSION 1: NRCME (DOT) Exam – Medical Examiner Certification — Questions 1-75]
Q1: According to FMCSA regulations, how often must a certified Medical Examiner (ME)
recertify to maintain their NRCME certification?
A. Every 2 years
B. Every 5 years
C. Every 10 years
D. Every 3 years
Correct Answer: B
Rationale: FMCSA regulations require Medical Examiners to recertify every 5 years to ensure
they stay current with medical standards and guidelines. To recertify, the ME must complete 8
hours of Continuing Education (CE) covering specified topics and pass the recertification
examination. Options A, C, and D do not reflect the FMCSA timeline.
Q2: Which form is the "Medical Examination Report" that the Medical Examiner must complete
and submit electronically to FMCSA?
A. Form MCSA-5876
B. Form MCSA-5875
C. Form MCSA-5870
D. Form DOT-40
Correct Answer: B
Rationale: The MCSA-5875 is the Medical Examination Report that contains the driver's health
history and the physical examination findings. The MCSA-5876 is the Medical Examiner's
,2
Certificate which is given to the driver. The ME must transmit the results of the MCSA-5875
electronically.
Q3: A driver presents for a DOT physical. What is the minimum visual acuity requirement for
each eye, with or without correction?
A. 20/50
B. 20/40
C. 20/20
D. 20/200
Correct Answer: B
Rationale: The FMCSA physical qualification standards (49 CFR 391.41) require a driver to
have distant visual acuity of at least 20/40 in each eye, with or without corrective lenses. The
driver must also have a field of vision of at least 70 degrees in the horizontal meridian in each
eye. Options A, C, and D do not meet the regulatory standard.
Q4: During the hearing portion of the examination, a Medical Examiner performs a forced
whisper test. At what distance must the driver be able to hear a forced whisper?
A. 3 feet
B. 10 feet
C. 5 feet
D. 20 feet
Correct Answer: C
Rationale: The FMCSA standard for hearing is the ability to perceive a forced whisper in the
better ear at not less than 5 feet, with or without the use of a hearing aid. Alternatively, an
audiometric test showing an average hearing loss in the better ear of less than or equal to 40 dB
also qualifies.
,3
Q5: A 55-year-old male driver is diagnosed with insulin-treated diabetes mellitus (ITDM). Can
the Medical Examiner certify him?
A. Yes, for 2 years if he carries his insulin
B. No, ITDM is an automatic disqualification
C. Yes, only if he has a Federal Diabetes Exemption from FMCSA
D. Yes, for 1 year if his A1C is <8.0%
Correct Answer: C
Rationale: Under federal regulations, a driver with insulin-treated diabetes mellitus (ITDM) is
physically disqualified unless they have obtained a Federal Diabetes Exemption from the
FMCSA. Without this specific exemption, the ME cannot issue a Medical Examiner's Certificate.
Option B is incorrect because exemption is possible. Option D is the standard for non-insulin
treated diabetes, not ITDM.
Q6: A driver has a blood pressure reading of 150/92 mmHg. According to FMCSA guidelines,
what is the maximum certification period the Medical Examiner can issue?
A. 2-year certificate
B. 1-year certificate
C. 3-month temporary certificate
D. Disqualified
Correct Answer: B
Rationale: A blood pressure reading of 140-159 systolic and/or 90-99 diastolic is classified as
Stage 1 hypertension (per recent FMCSA guidance). This qualifies the driver for a 1-year
certification, with a recommendation to monitor BP annually. A 2-year certificate requires BP
<140/90. A 3-month certificate (Option C) is for Stage 2 hypertension (160-179/100-109).
Q7: A driver reports a history of a myocardial infarction (heart attack) 8 months ago but is
currently asymptomatic and cleared by a cardiologist. Can the driver be certified?
A. Yes, for 2 years
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B. No, disqualifying because it was less than 1 year ago
C. Yes, for 1 year
D. Yes, for 3 months
Correct Answer: B
Rationale: FMCSA regulations typically require a waiting period of at least 1 year following a
myocardial infarction (MI) to ensure the driver is stable and free of disqualifying symptoms or
complications. Since this driver's MI was only 8 months ago, they do not currently meet the
physical qualification standard for certification.
Q8: Which of the following medications is considered a Schedule I controlled substance and is
disqualifying for CMV operation, even if prescribed by a physician?
A. Morphine
B. Marijuana (Cannabis)
C. Oxycodone
D. Diazepam
Correct Answer: B
Rationale: Marijuana is classified as a Schedule I controlled substance under the Controlled
Substances Act. According to DOT regulations, the use of any Schedule I drug is disqualifying,
regardless of state laws regarding medical marijuana. Options A and C are Schedule II
(prohibited for chronic pain use, but Schedule I is the category listed for Marijuana). Option D is
Schedule IV.
Q9: A driver uses a CPAP machine for sleep apnea. To qualify for certification, what compliance
standard must typically be met?
A. Using CPAP for at least 2 hours per night
B. Using CPAP for at least 4 hours per night on 70% of nights
C. Using CPAP every night for 8 hours
D. No compliance requirement is needed if they are not sleepy
