Page 1 of 226
DOT: COMPREHENSIVE REVIEW FOR
NRCME ACTUAL EXAM QUESTIONS
AND
CORRECT ANSWERS
Screening pulse oximetry and/or arterial blood gas (ABG) analysis are
indicated when: - ✔✔✔ Correct Answer > Airway obstruction is present
and pulmonary function test results are FEV1 less than 65% predicted.
FEV1/FVC ratio less than 65%.
Restrictive impairment is present and FVC is less than 60%.
Pulse oximetry results of less than 92% are an indication for ABG
testing.
disqualifying diabetic comorbidities - ✔✔✔ Correct Answer > Peripheral
neuropathy is a disqualifying condition due to effects on the driver's use
of hands and feet for vehicle control. The Medical Examiner should
require that a driver with peripheral neuropathy see a neurologist and
,Page 2 of 226
only consider certifying the driver if the neurologist with knowledge of
the driver's job requirements indicates that the driver is safe to drive.
Autonomic neuropathy is usually disqualifying due to effects on heart
rate and blood pressure control. Drivers with autonomic neuropathy
should not be certified if the driver has resting tachycardia or orthostatic
blood pressure caused by autonomic neuropathy.
Diabetic retinopathy is usually disqualifying due to effects on vision and
the risk of sudden visual loss from retinal hemorrhage. The Medical
Examiner should require that a driver with diabetic retinopathy see an
ophthalmologist and only consider certifying the driver if the
ophthalmologist with knowledge of the driver's job requirements
indicates that the driver is safe to drive, and if the driver's vision meets
minimum standards. Drivers with significant non-proliferative
retinopathy or with proliferative retinopathy should be disqualified.
There are four required tests: - ✔✔✔ Correct Answer > Vision -
Hearing -
Blood pressure/pulse -
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Urinalysis - record the test results of the required dipstick urinalysis
(UA) in the Laboratory and Other Medical Test Findings section of the
Medical Examination Report form.
The certification determination for a driver who presents with a
confirmed BP of 182/86 is __________.
Qualify 3 months.
Disqualify until BP is < 180/110.
Disqualify until BP is < 160/100.
Disqualify until BP is < 140/90. - ✔✔✔ Correct Answer > Disqualify until BP
is < 140/90.
Explanation: Drivers with Stage 3 hypertension are disqualified until
blood pressure is stabilized at < 140/90.
waiting period following a transient ischemic attack (TIA) - ✔✔✔ Correct
Answer > one year
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Which of the following is not a disqualifying condition?
Peritoneal dialysis.
Hemodialysis.
Hernia.
Peripheral neuropathy. - ✔✔✔ Correct Answer > Correct Answer: Hernia.
Explanation: Any type of dialysis is disqualifying. Peripheral
neuropathy is usually disqualifying. Although a hernia may be
disqualifying, often a driver can be certified if the symptoms and/or
examination findings are mild or if the hernia has been surgically
repaired and the condition has stabilized (there is no specified waiting
period following hernia treatment, including surgery).
With Major depression, Recommend not to certify if the driver has: -
✔✔✔ Correct Answer > Active psychosis.
Prominent symptoms, including: Substantially compromised judgment.
DOT: COMPREHENSIVE REVIEW FOR
NRCME ACTUAL EXAM QUESTIONS
AND
CORRECT ANSWERS
Screening pulse oximetry and/or arterial blood gas (ABG) analysis are
indicated when: - ✔✔✔ Correct Answer > Airway obstruction is present
and pulmonary function test results are FEV1 less than 65% predicted.
FEV1/FVC ratio less than 65%.
Restrictive impairment is present and FVC is less than 60%.
Pulse oximetry results of less than 92% are an indication for ABG
testing.
disqualifying diabetic comorbidities - ✔✔✔ Correct Answer > Peripheral
neuropathy is a disqualifying condition due to effects on the driver's use
of hands and feet for vehicle control. The Medical Examiner should
require that a driver with peripheral neuropathy see a neurologist and
,Page 2 of 226
only consider certifying the driver if the neurologist with knowledge of
the driver's job requirements indicates that the driver is safe to drive.
Autonomic neuropathy is usually disqualifying due to effects on heart
rate and blood pressure control. Drivers with autonomic neuropathy
should not be certified if the driver has resting tachycardia or orthostatic
blood pressure caused by autonomic neuropathy.
Diabetic retinopathy is usually disqualifying due to effects on vision and
the risk of sudden visual loss from retinal hemorrhage. The Medical
Examiner should require that a driver with diabetic retinopathy see an
ophthalmologist and only consider certifying the driver if the
ophthalmologist with knowledge of the driver's job requirements
indicates that the driver is safe to drive, and if the driver's vision meets
minimum standards. Drivers with significant non-proliferative
retinopathy or with proliferative retinopathy should be disqualified.
There are four required tests: - ✔✔✔ Correct Answer > Vision -
Hearing -
Blood pressure/pulse -
,Page 3 of 226
Urinalysis - record the test results of the required dipstick urinalysis
(UA) in the Laboratory and Other Medical Test Findings section of the
Medical Examination Report form.
The certification determination for a driver who presents with a
confirmed BP of 182/86 is __________.
Qualify 3 months.
Disqualify until BP is < 180/110.
Disqualify until BP is < 160/100.
Disqualify until BP is < 140/90. - ✔✔✔ Correct Answer > Disqualify until BP
is < 140/90.
Explanation: Drivers with Stage 3 hypertension are disqualified until
blood pressure is stabilized at < 140/90.
waiting period following a transient ischemic attack (TIA) - ✔✔✔ Correct
Answer > one year
, Page 4 of 226
Which of the following is not a disqualifying condition?
Peritoneal dialysis.
Hemodialysis.
Hernia.
Peripheral neuropathy. - ✔✔✔ Correct Answer > Correct Answer: Hernia.
Explanation: Any type of dialysis is disqualifying. Peripheral
neuropathy is usually disqualifying. Although a hernia may be
disqualifying, often a driver can be certified if the symptoms and/or
examination findings are mild or if the hernia has been surgically
repaired and the condition has stabilized (there is no specified waiting
period following hernia treatment, including surgery).
With Major depression, Recommend not to certify if the driver has: -
✔✔✔ Correct Answer > Active psychosis.
Prominent symptoms, including: Substantially compromised judgment.
