NRCME - DOT Physical
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!!
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1. A blood pressure of 166/92 mmHg would be:
a. Normal
b. Stage 1 hypertension
c. Stage 2 hypertension
d. Stage 3 hypertension
2. Lasegue's sign tests for:
a. Lumbosacral radicular irritation
b. Early peritonitis
c. Benign vertigo, as opposed to a central etiology
d. Amblyopia
3. The driver uses hearing aids during the whisper test. He is able to hear 5
feet on the right and 4 feet on the left. The examiner should:
a. Send driver for audiometric test
b. Disqualify
c. Certify driver for 1 year
d. Certify driver for 2 years
4. Minimum acceptable spirometry values recommended to certify a driver
are:
a. FEV1 70%, FVC 65%, FEV1/FVC ratio 65%
b. FEV1 65%, FVC 60%, FEV1/FVC ratio 65%
, c. FEV1 65%, FVC 65%, FEV1/FVC ratio 65%
d. FEV1 60%, FVC 60%, FEV1/FVC ratio 60%
5. A driver taking nitroglycerin for angina reports increasing frequency of
episodes requiring more medication. The best course of action is to:
a. Counsel the driver to increase his dose of medicine
b. Certify driver for 1 year
c. Provide a one-time, 3-month certificate to monitor his condition
d. Disqualify the driver and refer him to his cardiologist for further
evaluation
6. The longest the medical examiner would certify a driver with a history of
Stage 3 hypertension is:
a. 3 months
b. 6 months
c. 12 months
d. 24 months
7. A driver is taking Wellbutrin for smoking cessation and has documentation
of no side effects. The examiner would:
a. Certify the driver for 2 years
b. Certify the driver for 1 year
c. Disqualify the driver because the medication is not allowed
d. Counsel the driver to only take the medication at night
8. A driver admits to taking Benadryl for seasonal allergies. The examiner
should:
a. Counsel the driver to not take the medication for 12 hours prior to
driving
b. Obtain medical clearance from the driver's PCP that he/she can drive
c. Disqualify the driver until he/she is no longer taking Benadryl
d. Provide a one-time, 3-month certificate to determine the medication's
effect on the driver
, 9. A driver has a history of a moderate traumatic brain injury 3 years ago,
has fully recovered, has had no seizures, and has neurologist clearance.
The examiner should:
a. Disqualify the driver
b. Require the driver to take a Folstein's Mini-Mental State Exam
c. Certify the driver for 1 year
d. Certify the driver for 2 years
10.For a driver with amblyopia, the medical examiner would be most
interested in evaluating:
a. Extraocular muscles
b. Intraocular pressure
c. Fundoscopic examination
d. Slit lamp exam
11.A driver takes Synthroid for hypothyroidism, has been stable for 6 months,
and has a normal examination. The examiner's best course of action is to:
a. Request medical clearance for the medication prior to certification
b. Certify the driver for 1 year
c. Certify the driver for 2 years
d. Counsel the driver that he needs to apply for an endocrine exemption
12.Which statement is correct regarding Form MCSA-5870 for a driver with
insulin-treated diabetes mellitus?
a. Only an endocrinologist can complete the form
b. The medical provider who manages the driver's diabetes and
prescribes insulin for the driver's diabetes completes the form
c. The driver's primary care provider of record must complete the form
d. Any provider who has evaluated the driver within the last 12 months may
complete the form
A driver should not be certified when an ABG reveals a PaO₂ of less than 65 at
altitudes below:
, a. 2,000 feet
b. 3,000 feet
c. 5,000 feet
d. 7,000 feet
If an individual does not meet the hearing requirements with the use of a
hearing aid and requires a Federal hearing exemption, the examiner should
mark on the Medical Evaluation Report Form:
a. "Does not meet standards"
b. "Wearing hearing aid"
c. "Accompanied by a hearing exemption"
d. All of the above
A driver presents for certification 6 weeks after suffering a myocardial
infarction. She presents a note from her cardiologist clearing her to drive a CMV
without restrictions. Her post-MI echocardiogram shows an EF of 50%. Her EKG
shows no ischemia. Her ETT exceeds FMCSA standards. The medical examiner
should:
a. Certify the driver for 3 months
b. Certify the driver for 1 year
c. Certify the driver for 2 years
d. Disqualify the driver
Normal cervical rotation is generally considered to be:
a. 50–60 degrees
b. 70–80 degrees
c. 80–90 degrees
d. 120 degrees
According to FMCSA regulations, which of the following must the medical
examiner evaluate when examining a driver's eyes?
a. Pupil reactivity
b. Iris symmetry
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. A blood pressure of 166/92 mmHg would be:
a. Normal
b. Stage 1 hypertension
c. Stage 2 hypertension
d. Stage 3 hypertension
2. Lasegue's sign tests for:
a. Lumbosacral radicular irritation
b. Early peritonitis
c. Benign vertigo, as opposed to a central etiology
d. Amblyopia
3. The driver uses hearing aids during the whisper test. He is able to hear 5
feet on the right and 4 feet on the left. The examiner should:
a. Send driver for audiometric test
b. Disqualify
c. Certify driver for 1 year
d. Certify driver for 2 years
4. Minimum acceptable spirometry values recommended to certify a driver
are:
a. FEV1 70%, FVC 65%, FEV1/FVC ratio 65%
b. FEV1 65%, FVC 60%, FEV1/FVC ratio 65%
, c. FEV1 65%, FVC 65%, FEV1/FVC ratio 65%
d. FEV1 60%, FVC 60%, FEV1/FVC ratio 60%
5. A driver taking nitroglycerin for angina reports increasing frequency of
episodes requiring more medication. The best course of action is to:
a. Counsel the driver to increase his dose of medicine
b. Certify driver for 1 year
c. Provide a one-time, 3-month certificate to monitor his condition
d. Disqualify the driver and refer him to his cardiologist for further
evaluation
6. The longest the medical examiner would certify a driver with a history of
Stage 3 hypertension is:
a. 3 months
b. 6 months
c. 12 months
d. 24 months
7. A driver is taking Wellbutrin for smoking cessation and has documentation
of no side effects. The examiner would:
a. Certify the driver for 2 years
b. Certify the driver for 1 year
c. Disqualify the driver because the medication is not allowed
d. Counsel the driver to only take the medication at night
8. A driver admits to taking Benadryl for seasonal allergies. The examiner
should:
a. Counsel the driver to not take the medication for 12 hours prior to
driving
b. Obtain medical clearance from the driver's PCP that he/she can drive
c. Disqualify the driver until he/she is no longer taking Benadryl
d. Provide a one-time, 3-month certificate to determine the medication's
effect on the driver
, 9. A driver has a history of a moderate traumatic brain injury 3 years ago,
has fully recovered, has had no seizures, and has neurologist clearance.
The examiner should:
a. Disqualify the driver
b. Require the driver to take a Folstein's Mini-Mental State Exam
c. Certify the driver for 1 year
d. Certify the driver for 2 years
10.For a driver with amblyopia, the medical examiner would be most
interested in evaluating:
a. Extraocular muscles
b. Intraocular pressure
c. Fundoscopic examination
d. Slit lamp exam
11.A driver takes Synthroid for hypothyroidism, has been stable for 6 months,
and has a normal examination. The examiner's best course of action is to:
a. Request medical clearance for the medication prior to certification
b. Certify the driver for 1 year
c. Certify the driver for 2 years
d. Counsel the driver that he needs to apply for an endocrine exemption
12.Which statement is correct regarding Form MCSA-5870 for a driver with
insulin-treated diabetes mellitus?
a. Only an endocrinologist can complete the form
b. The medical provider who manages the driver's diabetes and
prescribes insulin for the driver's diabetes completes the form
c. The driver's primary care provider of record must complete the form
d. Any provider who has evaluated the driver within the last 12 months may
complete the form
A driver should not be certified when an ABG reveals a PaO₂ of less than 65 at
altitudes below:
, a. 2,000 feet
b. 3,000 feet
c. 5,000 feet
d. 7,000 feet
If an individual does not meet the hearing requirements with the use of a
hearing aid and requires a Federal hearing exemption, the examiner should
mark on the Medical Evaluation Report Form:
a. "Does not meet standards"
b. "Wearing hearing aid"
c. "Accompanied by a hearing exemption"
d. All of the above
A driver presents for certification 6 weeks after suffering a myocardial
infarction. She presents a note from her cardiologist clearing her to drive a CMV
without restrictions. Her post-MI echocardiogram shows an EF of 50%. Her EKG
shows no ischemia. Her ETT exceeds FMCSA standards. The medical examiner
should:
a. Certify the driver for 3 months
b. Certify the driver for 1 year
c. Certify the driver for 2 years
d. Disqualify the driver
Normal cervical rotation is generally considered to be:
a. 50–60 degrees
b. 70–80 degrees
c. 80–90 degrees
d. 120 degrees
According to FMCSA regulations, which of the following must the medical
examiner evaluate when examining a driver's eyes?
a. Pupil reactivity
b. Iris symmetry
