NRCME DOT Practice
Comprehensive Resource To Help You Ace 2026-2027 Exams
Includes Frequently Tested Questions With ELABORATED
100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
Instant Download Pdf
1. Normal external rotation of the shoulder is generally considered to be:
a. 90 - 120 degrees
b. 140 degrees
c. 45 - 60 degrees
d. 75 degrees - Correct Answer: A.
Some versions of the NRCME exam ask questions about normal shoulder
ranges of motion. You should be familiar with the normal ROM.
2. Which of the following is true of The Romberg sign:
a. It is a test of proprioception.
b. A positive test is an inability to maintain an erect posture over 60
seconds with eyes closed.
c. BOTH of the above are correct.
d. NEITHER of the above are correct - Correct Answer: C.
This is an example of questions asked on the NRCME exam regarding
general fund of knowledge. The NRCME exam often asks about the
Romberg test.
3. Which of the following stages of hypertension calls for a medical certificate
that expires in one year?
a. Stage 1
, b. Stage 2
c. Stage 3
d. Stage 4 - Correct Answer: A.
Medical certificates for drivers with Stage 1 hypertension expire after a year.
A first exam for Stage 2 hypertension results in a one-time, three-month
medical certificate. Stage 3 corresponds to a medical certificate, good for 6
months from date of examination if the reading is less than or equal to
140/90 mm Hg. Lastly, Stage 4 hypertension doesn't exist
4. Which of the following is true of psychological disorders in drivers?
a. Drivers with a mood disorder may, during a manic episode, exhibit
grandiosity, impulsiveness, irritability, and aggressiveness
b. Drivers with a mood disorder will exhibit quicker reaction times
during a depressive episode
c. Drivers with an active psychotic disorder will exhibit completely
predictable behavior, accompanied with poor judgment
d. Drivers with personality disorders may exhibit flexibility and adaptive
behaviors with a decreased crash rate - Correct Answer: A.
Drivers with an active psychotic disorder will exhibit unpredictable behavior,
accompanied with poor judgment. Drivers with a mood disorder will exhibit
slower reaction times during a depressive episode and grandiosity,
impulsiveness, irritability, and aggressiveness during a manic episode.
Lastly, drivers with personality disorders may exhibit inflexibility and
maladaptive behaviors, along with an increased rash rate.
5. A driver without a history of hypertension is found to have a blood pressure
of 145/80 mm Hg during the exam. What is the next best step?
a. Qualify the driver for 1 year.
b. Obtain a second blood pressure reading later during the examination
c. Qualify the driver for a 1 time 3-month certificate.
, d. Put the driver in Determination Pending to allow time for a
hypertension evaluation by the PCP - Correct Answer: B.
If the initial blood pressure reading of a driver is equal to or above 140/90
mm Hg, a second reading should be taken later during the exam.
6. When deciding if a commercial driver should be medically certified, what is
the fundamental question a medical examiner should examine regarding
cardiovascular health?
a. Has the driver ever had a cardiovascular disease?
b. Does his or her family have a history of cardiovascular disease?
c. Does the driver have a cardiovascular disease that increases the risk
of sudden death or incapacitation?
d. What is the likelihood that he or she will contract a cardiovascular
disease? - Correct Answer: C.
When looking at the cardiovascular health of a driver, the fundamental
question is whether the driver has a cardiovascular disease that increases
the risk of sudden death or incapacitation, creating a danger to the safety
and health of the driver, as well as the public sharing the road. While
history and family history of such diseases are important, they are not the
fundamental questions necessary about which to ask.
7. If a medical examiner uses the number 1 during the physical examination,
the medical examiner is indicating which of the following parts of the body
system?
a. Ears
b. General Appearance
c. Abdomen
d. Heart - Correct Answer: B.
, 1 refers to General Appearance, 4 refers to Ears, 6 refers to Heart, and 8
refers to Abdomen.
8. When conducting a vision examination, a driver must have at least what
distant visual acuity in each eye with or without correction?
a. 20/10
b. 20/20
c. 20/40
d. 20/60 - Correct Answer: C.
The driver must have at least 20/40 distant visual acuity in each eye with or
without correction. 20/20 and 20/10 are higher standards than necessary.
9. Which of the following is NOT true regarding the physical examination?
a. The individual parts of the body system are categorized numerically
b. For each body system, mark "Yes" on the Report Form if
abnormalities are detected, or "No" if the body system is normal
c. There is a maximum height requirement
d. The medical examiner must document all abnormal findings on the
Report Form, even
if they are not disqualifying - Correct Answer: C.
There is not in fact a maximum (or minimum) height (or weight)
requirement for drivers. For each body system, mark "Yes" on the Report
Form if abnormalities are detected or "No" if the body system is normal.
The medical examiner must document all abnormal findings on the Report
Form, even if they are not disqualifying. Lastly, the individual parts of the
body system are categorized numerically.
Comprehensive Resource To Help You Ace 2026-2027 Exams
Includes Frequently Tested Questions With ELABORATED
100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
Instant Download Pdf
1. Normal external rotation of the shoulder is generally considered to be:
a. 90 - 120 degrees
b. 140 degrees
c. 45 - 60 degrees
d. 75 degrees - Correct Answer: A.
Some versions of the NRCME exam ask questions about normal shoulder
ranges of motion. You should be familiar with the normal ROM.
2. Which of the following is true of The Romberg sign:
a. It is a test of proprioception.
b. A positive test is an inability to maintain an erect posture over 60
seconds with eyes closed.
c. BOTH of the above are correct.
d. NEITHER of the above are correct - Correct Answer: C.
This is an example of questions asked on the NRCME exam regarding
general fund of knowledge. The NRCME exam often asks about the
Romberg test.
3. Which of the following stages of hypertension calls for a medical certificate
that expires in one year?
a. Stage 1
, b. Stage 2
c. Stage 3
d. Stage 4 - Correct Answer: A.
Medical certificates for drivers with Stage 1 hypertension expire after a year.
A first exam for Stage 2 hypertension results in a one-time, three-month
medical certificate. Stage 3 corresponds to a medical certificate, good for 6
months from date of examination if the reading is less than or equal to
140/90 mm Hg. Lastly, Stage 4 hypertension doesn't exist
4. Which of the following is true of psychological disorders in drivers?
a. Drivers with a mood disorder may, during a manic episode, exhibit
grandiosity, impulsiveness, irritability, and aggressiveness
b. Drivers with a mood disorder will exhibit quicker reaction times
during a depressive episode
c. Drivers with an active psychotic disorder will exhibit completely
predictable behavior, accompanied with poor judgment
d. Drivers with personality disorders may exhibit flexibility and adaptive
behaviors with a decreased crash rate - Correct Answer: A.
Drivers with an active psychotic disorder will exhibit unpredictable behavior,
accompanied with poor judgment. Drivers with a mood disorder will exhibit
slower reaction times during a depressive episode and grandiosity,
impulsiveness, irritability, and aggressiveness during a manic episode.
Lastly, drivers with personality disorders may exhibit inflexibility and
maladaptive behaviors, along with an increased rash rate.
5. A driver without a history of hypertension is found to have a blood pressure
of 145/80 mm Hg during the exam. What is the next best step?
a. Qualify the driver for 1 year.
b. Obtain a second blood pressure reading later during the examination
c. Qualify the driver for a 1 time 3-month certificate.
, d. Put the driver in Determination Pending to allow time for a
hypertension evaluation by the PCP - Correct Answer: B.
If the initial blood pressure reading of a driver is equal to or above 140/90
mm Hg, a second reading should be taken later during the exam.
6. When deciding if a commercial driver should be medically certified, what is
the fundamental question a medical examiner should examine regarding
cardiovascular health?
a. Has the driver ever had a cardiovascular disease?
b. Does his or her family have a history of cardiovascular disease?
c. Does the driver have a cardiovascular disease that increases the risk
of sudden death or incapacitation?
d. What is the likelihood that he or she will contract a cardiovascular
disease? - Correct Answer: C.
When looking at the cardiovascular health of a driver, the fundamental
question is whether the driver has a cardiovascular disease that increases
the risk of sudden death or incapacitation, creating a danger to the safety
and health of the driver, as well as the public sharing the road. While
history and family history of such diseases are important, they are not the
fundamental questions necessary about which to ask.
7. If a medical examiner uses the number 1 during the physical examination,
the medical examiner is indicating which of the following parts of the body
system?
a. Ears
b. General Appearance
c. Abdomen
d. Heart - Correct Answer: B.
, 1 refers to General Appearance, 4 refers to Ears, 6 refers to Heart, and 8
refers to Abdomen.
8. When conducting a vision examination, a driver must have at least what
distant visual acuity in each eye with or without correction?
a. 20/10
b. 20/20
c. 20/40
d. 20/60 - Correct Answer: C.
The driver must have at least 20/40 distant visual acuity in each eye with or
without correction. 20/20 and 20/10 are higher standards than necessary.
9. Which of the following is NOT true regarding the physical examination?
a. The individual parts of the body system are categorized numerically
b. For each body system, mark "Yes" on the Report Form if
abnormalities are detected, or "No" if the body system is normal
c. There is a maximum height requirement
d. The medical examiner must document all abnormal findings on the
Report Form, even
if they are not disqualifying - Correct Answer: C.
There is not in fact a maximum (or minimum) height (or weight)
requirement for drivers. For each body system, mark "Yes" on the Report
Form if abnormalities are detected or "No" if the body system is normal.
The medical examiner must document all abnormal findings on the Report
Form, even if they are not disqualifying. Lastly, the individual parts of the
body system are categorized numerically.
