NRCME DOT TEST 2024-2026 ACTUAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS |ALREADY GRADED A+
What minimum PaO2 level is necessary if the driver has an ABG due to a chronic
respiratory disorder?
a. 70 mm Hg
b. 55 mm Hg
c. 60 mm Hg
d. 65 mm Hg - CORRECT ANSWER 65 mmhg
A driver first perceives a whispered voice at 5 feet in his right ear and 4 feet in his left
ear. All other aspects of his physical examination are unremarkable. The examiner
should:
a. Disqualify the driver because he "failed" the whispered voice
test.
b. Certify the driver for 2 years. c. Certify the driver for 1 year. d. Require an audiometric
test to determine the extent of hearing loss in his leftear. - CORRECT ANSWER
certify for 2 years
A driver reports for an examination 6 weeks after suffering a mild heart attack and
presents a note from his cardiologist stating that he is able to return to work immediately
without restriction. Included within the note, the cardiologist provides recent testing
information showing that the driver had an ETT that showed he was able to reach 12
METS during the test. His echocardiogram showed an ejection fraction of 65%. The
examination of the driver is unremarkable. The examiner should:
a. Disqualify the driver.
b. Qualify the driver for 1 year. c. Qualify the driver for 2 years. d. Consult with the
cardiologist to determine if the driver suffers from angina. - CORRECT ANSWER
disqualify the driver
The driver has not completed the required 2-month waiting period, but all other
requirements for medical clearance and required testing have been met. The driver
would be certified for 1 year at the completion of the waiting period
A driver provides an audiometric test documenting the following:
1. 500 Hz: 35 Right ear; 40 Left ear
2. 1000 HZ: 40 Right ear; 45 Left ear
3. 2000 HZ: 40 Right ear; 45 Left ear
4. 4000 Hz: 50 Right ear; 50 Left ear
The medical examiner should:
a. Disqualify the driver because he does not meet minimum hearing requirements
to drive.
,b. Certify the driver for 2years. c. Certify the driver for 1 year. d. Require the driver to
obtain a hearing exemption - CORRECT ANSWER certify the driver for 2 years
During the examination of a commercial driver, the examiner notices that the driver's
peripheral vision is 70 degrees to the left and 80 degrees to the right. The examiner
should:
a. Qualify the driver for 2years. b. Require the driver to obtain a vision exemption
because of the limitation in the driver's left peripheral field.
c. Disqualify the driver.
d. Have the driver consult with an Ophthalmologist to determine if the driver's peripheral
vision meets minimum standards. - CORRECT ANSWER Qualify the driver for two
years
During examination, the medical examiner notices that the driver is distant, lacks eye
contact and shows absolutely no emotional response during the exam. The examiner's
best response should be:
a. Provide the driver with a "CAGE" questionnaire to determine if he suffers from
alcoholism.
b. Disqualify the driver and refer him to a mental health professional prior to
consideration for certification. c. Certify the driver with a 1-time, 3-month certificate to
determine if there is any effect on the driver's ability to drive a CMV.
d. Require a skill performance evaluation to ascertain if the driver has any limitations
with driving - CORRECT ANSWER Disqualify the driver and refer him to a mental
health professional prior to consideration for certification.
A driver admits to the use of marijuana for the treatment of his glaucoma, which is legal
in the State in which he lives. He provides medical documentation for the glaucoma
indicating he is able to drive a truck. He began using the marijuana about three months
ago. His current medical card has no limitations listed and is for 2 years. His certification
examination is within normal limits. The medical examiner should:
a. Disqualify the driver.
b. Perform a urine drug collection and provide the release from the testing provider.
c. Certify the driver for 1 year. d. Certify the driver for 2 years. - CORRECT ANSWER
Disqualify the driver
A driver has a blood pressure of 136/92 mm Hg. This is:
a. Within normal limits and would not affect the driver's certification.
b. Stage 1Hypertension.
c. Stage 2Hypertension.
d. Stage 3Hypertension. - CORRECT ANSWER Stage 1 HTN
,A driver is taking Celexa for the treatment of what he calls a "mild depression." He
reports he has not considered or attempted suicide. The examiner should?
a. Certify only after obtaining written clearance for the depression and the medication
from the treating provider.
b. Certify the driver for a period of 1 year.
c. Certify the driver for a period of 2 years.
d. Disqualify the driver until he is no longer requiring medication for the treatment of
depression. - CORRECT ANSWER Certify only after obtaining written clearance for
the depression and the medication from the treating provider.
For a driver with insulin-treated diabetes mellitus, the medical examiner can only accept
Form MCSA-5870 if it has been properly completed within the last:
a. 25 days.
b. 30 days.
c. 45 days.
d. 60 days. - CORRECT ANSWER 45 days
What minimum PaO2 level on an ABG performed for a chronic respiratory disorder is
necessary to certify a commercial driver?
a. 55 mm Hg.
b. 60 mm Hg.
c. 65 mm Hg.
d. 70 mm Hg. - CORRECT ANSWER 65mmhg
A driver is taking Topamax for the treatment of migraine headaches. He reports good
management of his headaches and they never seem to interfere with his driving ability
with the medication. The medical examiner should?
a. Obtain medical clearance for the condition and the
medication.
b. Disqualify the driver because he is taking an anti-seizure medication.
c. Certify the driver for 1 year. d. Certify the driver for 2 years - CORRECT ANSWER
Obtain medical clearance for the condition and the
medication
A 26 year-old driver presents for a first-time certification. He has a long-standing history
of ADHD and is taking methylphenidate. You have verified his diagnosis and obtained
clearance from his treating psychiatrist. As the certified examiner, you:
a. Should disqualify the driver, explaining that use of such stimulants is cause for
disqualification.
b. May certify for a maximum of 6 months.
c. May certify for a maximum of 12 months.
, d. May certify for a maximum of 2 years - CORRECT ANSWER May certify for a
maximum of 12 months
A driver has a blood pressure of 168/112 mm Hg confirmed during the examination. The
driver should be:
a. Disqualified.
b. Certified for 6 months.
c. Certified for 1 year.
d. Certified for 2 years - CORRECT ANSWER Disqualified
The driver is disqualified until his blood pressure is less than 140/90 mm Hg at which
time he will have a maximum certification of 6 months.
For how long would a driver be certified if he is taking Micardis HCT for hypertension,
and has a confirmed blood pressure of 148/96 mm Hg at the time of the examination?
a. 3 months
b. 6 months
c. 1 year
d. 2 years - CORRECT ANSWER 3 months
6. During the examination, a driver is found to have a positive "Babinski" reflex. The
examiner should:
a. Certify the driver for 1 year. b. Certify the driver for 2 years. c. Council the driver to
obtain an SPE.
d. Do not certify the driver until s/he has a neurological consultation. - CORRECT
ANSWER Do not certify the driver until s/he has a neurological consultation
All of the following are required components of all DOT medical examinations EXCEPT?
a. Vision
b. Hearing
c. Blood Pressure
d. Ophthalmoscopic examination - CORRECT ANSWER Ophthalmoscopic
examination
A driver reports in his history that he was treated for epilepsy 14 years ago but stopped
taking antiepileptic medication on his own since his move to your area 11 years ago. He
has not seen a neurologist nor a health care provider in over 10 years and reports no
seizures during this period. The examiner should:
a. Request medical clearance, and if obtained the driver may be certified for 1 year.
b. Request medical clearance, and if obtained the driver may be certified for 2 years.
c. Refer the driver to the epilepsy/seizure exemption program.
d. Disqualify the driver - CORRECT ANSWER Disqualify the driver
A driver reports for a re-certification examination 8 weeks after having triple coronary
artery bypass surgery. He presents a note from his treating provider stating that he is
AND CORRECT DETAILED ANSWERS |ALREADY GRADED A+
What minimum PaO2 level is necessary if the driver has an ABG due to a chronic
respiratory disorder?
a. 70 mm Hg
b. 55 mm Hg
c. 60 mm Hg
d. 65 mm Hg - CORRECT ANSWER 65 mmhg
A driver first perceives a whispered voice at 5 feet in his right ear and 4 feet in his left
ear. All other aspects of his physical examination are unremarkable. The examiner
should:
a. Disqualify the driver because he "failed" the whispered voice
test.
b. Certify the driver for 2 years. c. Certify the driver for 1 year. d. Require an audiometric
test to determine the extent of hearing loss in his leftear. - CORRECT ANSWER
certify for 2 years
A driver reports for an examination 6 weeks after suffering a mild heart attack and
presents a note from his cardiologist stating that he is able to return to work immediately
without restriction. Included within the note, the cardiologist provides recent testing
information showing that the driver had an ETT that showed he was able to reach 12
METS during the test. His echocardiogram showed an ejection fraction of 65%. The
examination of the driver is unremarkable. The examiner should:
a. Disqualify the driver.
b. Qualify the driver for 1 year. c. Qualify the driver for 2 years. d. Consult with the
cardiologist to determine if the driver suffers from angina. - CORRECT ANSWER
disqualify the driver
The driver has not completed the required 2-month waiting period, but all other
requirements for medical clearance and required testing have been met. The driver
would be certified for 1 year at the completion of the waiting period
A driver provides an audiometric test documenting the following:
1. 500 Hz: 35 Right ear; 40 Left ear
2. 1000 HZ: 40 Right ear; 45 Left ear
3. 2000 HZ: 40 Right ear; 45 Left ear
4. 4000 Hz: 50 Right ear; 50 Left ear
The medical examiner should:
a. Disqualify the driver because he does not meet minimum hearing requirements
to drive.
,b. Certify the driver for 2years. c. Certify the driver for 1 year. d. Require the driver to
obtain a hearing exemption - CORRECT ANSWER certify the driver for 2 years
During the examination of a commercial driver, the examiner notices that the driver's
peripheral vision is 70 degrees to the left and 80 degrees to the right. The examiner
should:
a. Qualify the driver for 2years. b. Require the driver to obtain a vision exemption
because of the limitation in the driver's left peripheral field.
c. Disqualify the driver.
d. Have the driver consult with an Ophthalmologist to determine if the driver's peripheral
vision meets minimum standards. - CORRECT ANSWER Qualify the driver for two
years
During examination, the medical examiner notices that the driver is distant, lacks eye
contact and shows absolutely no emotional response during the exam. The examiner's
best response should be:
a. Provide the driver with a "CAGE" questionnaire to determine if he suffers from
alcoholism.
b. Disqualify the driver and refer him to a mental health professional prior to
consideration for certification. c. Certify the driver with a 1-time, 3-month certificate to
determine if there is any effect on the driver's ability to drive a CMV.
d. Require a skill performance evaluation to ascertain if the driver has any limitations
with driving - CORRECT ANSWER Disqualify the driver and refer him to a mental
health professional prior to consideration for certification.
A driver admits to the use of marijuana for the treatment of his glaucoma, which is legal
in the State in which he lives. He provides medical documentation for the glaucoma
indicating he is able to drive a truck. He began using the marijuana about three months
ago. His current medical card has no limitations listed and is for 2 years. His certification
examination is within normal limits. The medical examiner should:
a. Disqualify the driver.
b. Perform a urine drug collection and provide the release from the testing provider.
c. Certify the driver for 1 year. d. Certify the driver for 2 years. - CORRECT ANSWER
Disqualify the driver
A driver has a blood pressure of 136/92 mm Hg. This is:
a. Within normal limits and would not affect the driver's certification.
b. Stage 1Hypertension.
c. Stage 2Hypertension.
d. Stage 3Hypertension. - CORRECT ANSWER Stage 1 HTN
,A driver is taking Celexa for the treatment of what he calls a "mild depression." He
reports he has not considered or attempted suicide. The examiner should?
a. Certify only after obtaining written clearance for the depression and the medication
from the treating provider.
b. Certify the driver for a period of 1 year.
c. Certify the driver for a period of 2 years.
d. Disqualify the driver until he is no longer requiring medication for the treatment of
depression. - CORRECT ANSWER Certify only after obtaining written clearance for
the depression and the medication from the treating provider.
For a driver with insulin-treated diabetes mellitus, the medical examiner can only accept
Form MCSA-5870 if it has been properly completed within the last:
a. 25 days.
b. 30 days.
c. 45 days.
d. 60 days. - CORRECT ANSWER 45 days
What minimum PaO2 level on an ABG performed for a chronic respiratory disorder is
necessary to certify a commercial driver?
a. 55 mm Hg.
b. 60 mm Hg.
c. 65 mm Hg.
d. 70 mm Hg. - CORRECT ANSWER 65mmhg
A driver is taking Topamax for the treatment of migraine headaches. He reports good
management of his headaches and they never seem to interfere with his driving ability
with the medication. The medical examiner should?
a. Obtain medical clearance for the condition and the
medication.
b. Disqualify the driver because he is taking an anti-seizure medication.
c. Certify the driver for 1 year. d. Certify the driver for 2 years - CORRECT ANSWER
Obtain medical clearance for the condition and the
medication
A 26 year-old driver presents for a first-time certification. He has a long-standing history
of ADHD and is taking methylphenidate. You have verified his diagnosis and obtained
clearance from his treating psychiatrist. As the certified examiner, you:
a. Should disqualify the driver, explaining that use of such stimulants is cause for
disqualification.
b. May certify for a maximum of 6 months.
c. May certify for a maximum of 12 months.
, d. May certify for a maximum of 2 years - CORRECT ANSWER May certify for a
maximum of 12 months
A driver has a blood pressure of 168/112 mm Hg confirmed during the examination. The
driver should be:
a. Disqualified.
b. Certified for 6 months.
c. Certified for 1 year.
d. Certified for 2 years - CORRECT ANSWER Disqualified
The driver is disqualified until his blood pressure is less than 140/90 mm Hg at which
time he will have a maximum certification of 6 months.
For how long would a driver be certified if he is taking Micardis HCT for hypertension,
and has a confirmed blood pressure of 148/96 mm Hg at the time of the examination?
a. 3 months
b. 6 months
c. 1 year
d. 2 years - CORRECT ANSWER 3 months
6. During the examination, a driver is found to have a positive "Babinski" reflex. The
examiner should:
a. Certify the driver for 1 year. b. Certify the driver for 2 years. c. Council the driver to
obtain an SPE.
d. Do not certify the driver until s/he has a neurological consultation. - CORRECT
ANSWER Do not certify the driver until s/he has a neurological consultation
All of the following are required components of all DOT medical examinations EXCEPT?
a. Vision
b. Hearing
c. Blood Pressure
d. Ophthalmoscopic examination - CORRECT ANSWER Ophthalmoscopic
examination
A driver reports in his history that he was treated for epilepsy 14 years ago but stopped
taking antiepileptic medication on his own since his move to your area 11 years ago. He
has not seen a neurologist nor a health care provider in over 10 years and reports no
seizures during this period. The examiner should:
a. Request medical clearance, and if obtained the driver may be certified for 1 year.
b. Request medical clearance, and if obtained the driver may be certified for 2 years.
c. Refer the driver to the epilepsy/seizure exemption program.
d. Disqualify the driver - CORRECT ANSWER Disqualify the driver
A driver reports for a re-certification examination 8 weeks after having triple coronary
artery bypass surgery. He presents a note from his treating provider stating that he is
