NRCME (DOT)Test Bank Questions 2023
Questions & 100% Correct Solutions-
Latest 2023-2024 Exam
NRCME (DOT)Test Bank Questions 2023
Questions & 100% Correct Solutions-
Latest 2023-2024 Exam
1. An unrestricted Commercial Motor Vehicle Driver Medical Certificate
must be renewed:
A. Annually
B. Every Two Years
C. Every Four Years
D. Whenever the State Issued Driver's License is renewed - ANSWER>>B.
Every two years
2 years is the max for a healthy person
2. A driver presents with history of an isolated TIA 6 months ago. He has a
return to work letter from his primary care provider (PCP) and neurologist.
He is taking and tolerating well hydrochlorothiazide and simvastatin. All
other aspects of the exam and history were normal. What should the
medical examiner do next?
A. Certify driver for 1 year
B. Disqualify driver for now
C. Certify driver for 3 months
D. Certify driver for 2 years - ANSWER>>B. Disqualify the driver for now
NRCME (DOT)Test Bank Questions 2023
Questions & 100% Correct Solutions-
Latest 2023-2024 Exam
, NRCME (DOT)Test Bank Questions 2023
Questions & 100% Correct Solutions-
Latest 2023-2024 Exam
The waiting period is 1 year for Transient ischemic attack, stroke, or
intracerebral or subarachnoid hemorrhages with no risk for seizures.
3. FMCSA regulates interstate commercial operation including the:
A. Driver
B. Vehicle
C. Motor Carrier
D. All of above - ANSWER>>D. All of the above
Self-explanatory
4. During the CMV exam, a driver perceived a whispered voice at 5 feet in
his left year and 4 feet in his right year. Exam was otherwise normal. What
do you do as the medical examiner?
A. Required audiometric test to determine the extent of hearing loss in left
ear
B. Certify driver for 2 years
C. Certify driver for 1 year
D. Disqualify driver - ANSWER>>B. Certify the driver for 2 years.
Passing the forced whisper test at 5 ft in at least 1 ear is good enough.
5. Which of the following is an assessment of L4 nerve root pathology?
A. Plantar flexion
B. Patellar reflex
NRCME (DOT)Test Bank Questions 2023
Questions & 100% Correct Solutions-
Latest 2023-2024 Exam
, NRCME (DOT)Test Bank Questions 2023
Questions & 100% Correct Solutions-
Latest 2023-2024 Exam
C. Hip extension
D. Babinski reflex - ANSWER>>B. Patellar Reflex ("Knee-Jerk Reflex")
Patellar Reflex = L3-L4 (Primarily the L4)
Plantar Flexion = S1-S2 (Tibial nerve)
Hip Extension = L4-L5 (via the gluteal nerve)
Babinski Reflex (Plantar Flexion) = upper motor neuron lesion
6. A driver presents for medical exam and reports being a smoker and
having frequent shortness of breath. What do you do next?
A. Order an ECG
B. Refer to a pulmonologist
C. Order a spirometer test
D. Provide 1 year certification - ANSWER>>C. Order a spirometry test
Obvious difficulty breathing in a resting position is an indicator for additional
pulmonary function tests. If the forced expiratory volume in the first second
of expiration (FEV1) is less than 65% of that predicted, arterial blood gas
measurements should be evaluated.
NOTE: Smokers have a high incidence of COPD, yet individuals may have
a significant reduction in lung function without symptoms. Spirometry
should be performed in all smokers over the age of 35 years.
NRCME (DOT)Test Bank Questions 2023
Questions & 100% Correct Solutions-
Latest 2023-2024 Exam
, NRCME (DOT)Test Bank Questions 2023
Questions & 100% Correct Solutions-
Latest 2023-2024 Exam
You should obtain forced expiratory volume in the first second of expiration
(FEV1), forced vital capacity (FVC), and FEV1/FVC ratio when any of the
following indicators are present:
• History of any specific lung disease.
• Symptoms of shortness of breath, cough, chest tightness, or wheezing.
• Cigarette smoking in drivers 35 years of age or older.
No further testing is necessary if the lung function is normal and no other
abnormality is suspected. Abnormal lung function should be further
evaluated.
7. According to regulation, which of the following must be evaluated as part
of the eye exam?
A. Pupil reaction
B. Iris symmetry
C. Conjunctiva injection
D. Tonometry pressure - ANSWER>>A. Pupil reaction
Pupil reaction is neurological.
Iris symmetry is cosmetic
Conjunctiva injection is usually for infections
Tonometry pressure is for intraocular pressure, usually measured by
optometrists/ophthalmologists.
8. Continued certification of NRCE Medical Examiners requires all EXCEPT
which of the following?
NRCME (DOT)Test Bank Questions 2023
Questions & 100% Correct Solutions-
Latest 2023-2024 Exam
Questions & 100% Correct Solutions-
Latest 2023-2024 Exam
NRCME (DOT)Test Bank Questions 2023
Questions & 100% Correct Solutions-
Latest 2023-2024 Exam
1. An unrestricted Commercial Motor Vehicle Driver Medical Certificate
must be renewed:
A. Annually
B. Every Two Years
C. Every Four Years
D. Whenever the State Issued Driver's License is renewed - ANSWER>>B.
Every two years
2 years is the max for a healthy person
2. A driver presents with history of an isolated TIA 6 months ago. He has a
return to work letter from his primary care provider (PCP) and neurologist.
He is taking and tolerating well hydrochlorothiazide and simvastatin. All
other aspects of the exam and history were normal. What should the
medical examiner do next?
A. Certify driver for 1 year
B. Disqualify driver for now
C. Certify driver for 3 months
D. Certify driver for 2 years - ANSWER>>B. Disqualify the driver for now
NRCME (DOT)Test Bank Questions 2023
Questions & 100% Correct Solutions-
Latest 2023-2024 Exam
, NRCME (DOT)Test Bank Questions 2023
Questions & 100% Correct Solutions-
Latest 2023-2024 Exam
The waiting period is 1 year for Transient ischemic attack, stroke, or
intracerebral or subarachnoid hemorrhages with no risk for seizures.
3. FMCSA regulates interstate commercial operation including the:
A. Driver
B. Vehicle
C. Motor Carrier
D. All of above - ANSWER>>D. All of the above
Self-explanatory
4. During the CMV exam, a driver perceived a whispered voice at 5 feet in
his left year and 4 feet in his right year. Exam was otherwise normal. What
do you do as the medical examiner?
A. Required audiometric test to determine the extent of hearing loss in left
ear
B. Certify driver for 2 years
C. Certify driver for 1 year
D. Disqualify driver - ANSWER>>B. Certify the driver for 2 years.
Passing the forced whisper test at 5 ft in at least 1 ear is good enough.
5. Which of the following is an assessment of L4 nerve root pathology?
A. Plantar flexion
B. Patellar reflex
NRCME (DOT)Test Bank Questions 2023
Questions & 100% Correct Solutions-
Latest 2023-2024 Exam
, NRCME (DOT)Test Bank Questions 2023
Questions & 100% Correct Solutions-
Latest 2023-2024 Exam
C. Hip extension
D. Babinski reflex - ANSWER>>B. Patellar Reflex ("Knee-Jerk Reflex")
Patellar Reflex = L3-L4 (Primarily the L4)
Plantar Flexion = S1-S2 (Tibial nerve)
Hip Extension = L4-L5 (via the gluteal nerve)
Babinski Reflex (Plantar Flexion) = upper motor neuron lesion
6. A driver presents for medical exam and reports being a smoker and
having frequent shortness of breath. What do you do next?
A. Order an ECG
B. Refer to a pulmonologist
C. Order a spirometer test
D. Provide 1 year certification - ANSWER>>C. Order a spirometry test
Obvious difficulty breathing in a resting position is an indicator for additional
pulmonary function tests. If the forced expiratory volume in the first second
of expiration (FEV1) is less than 65% of that predicted, arterial blood gas
measurements should be evaluated.
NOTE: Smokers have a high incidence of COPD, yet individuals may have
a significant reduction in lung function without symptoms. Spirometry
should be performed in all smokers over the age of 35 years.
NRCME (DOT)Test Bank Questions 2023
Questions & 100% Correct Solutions-
Latest 2023-2024 Exam
, NRCME (DOT)Test Bank Questions 2023
Questions & 100% Correct Solutions-
Latest 2023-2024 Exam
You should obtain forced expiratory volume in the first second of expiration
(FEV1), forced vital capacity (FVC), and FEV1/FVC ratio when any of the
following indicators are present:
• History of any specific lung disease.
• Symptoms of shortness of breath, cough, chest tightness, or wheezing.
• Cigarette smoking in drivers 35 years of age or older.
No further testing is necessary if the lung function is normal and no other
abnormality is suspected. Abnormal lung function should be further
evaluated.
7. According to regulation, which of the following must be evaluated as part
of the eye exam?
A. Pupil reaction
B. Iris symmetry
C. Conjunctiva injection
D. Tonometry pressure - ANSWER>>A. Pupil reaction
Pupil reaction is neurological.
Iris symmetry is cosmetic
Conjunctiva injection is usually for infections
Tonometry pressure is for intraocular pressure, usually measured by
optometrists/ophthalmologists.
8. Continued certification of NRCE Medical Examiners requires all EXCEPT
which of the following?
NRCME (DOT)Test Bank Questions 2023
Questions & 100% Correct Solutions-
Latest 2023-2024 Exam
