1
NRCME DOT TEST BANK EXAM AND 2024-
2025 LATEST ACTUAL PRACTICE EXAM
WITH 200 QUESTIONS AND VERIFIED
CORRECT ANSWERS (RATIONALES
PROVIDED)/SCORE A+
The Medical Examiner should be familiar with DOT drug and alcohol testing
requirements as outlined in:
A) 49 CFR Part 40
B) 40 CFR Part 38
C) 49 CFR Part 66
D) 49 CFR Part 12 - ANSWER A) DOT drug and alcohol testing regulations are
described in 49 CFR Part 40
A driver with a history of bacterial meningitis with early seizures or a single
unprovoked seizure requires a waiting period of _____________ seizure free and
off anticonvulsant medications.
A) One year
B) Two years
C) Five years
D) Ten years - ANSWER C) The waiting period for a history of bacterial
meningitis with early seizures or single unprovoked seizure is five years
The driver on anticoagulant treatment for a neurological condition can be
certified for a maximum of ______________________
A) Six months
B) One year
C) Two years
D) Do not certify - ANSWER D) The driver on anticoagulant therapy for a
cardiovascular condition may be certified for up to one year. The driver on
, 2
anticoagulant therapy for a neurological condition should not be certified due
to a risk of cerebrovascular hemorrhage.
Transient ischemic attacks (TIA's) are automatically disqualifying for ________
months; after the minimum waiting period the certification depends on the
interval history, general health, neurological examination, and compliance
with the treatment program.
A) 3
B) 6
C) 9
D) 12 - ANSWER D) The minimum waiting period for TIA's is 12 months or
one year
A driver with peripheral neuropathy:
A) may be certified for one year
B) may be certified for two years
C) should not be certified
D) may be certified for 3 months pending specialist evaluation - ANSWER
Peripheral neuropathy is a disqualifying condition.
Episodic neurological conditions that are usually disqualifying include:
1) Epilepsy
2) Multiple sclerosis
3) Narcolepsy
4) Headaches
A) 1, 2, and 3 only
B) 1 and 3 only
C) 2 and 4 only
D) all of the above - ANSWER B) Epilepsy and narcolepsy are usually
disqualifying. Multiple sclerosis may be disqualifying but is not usually so.
Headaches are occasionally, but not usually, disqualifying — disqualification
would occur if there were symptoms or medication effects that interfere with
safe driving.
Levodopa/carbidopa may cause the driver to be disqualified because it is used
for the treatment of what neurological condition?
A) Parkinson's Disease
B) Peripheral neuropathy
, 3
C) Isaac's Disease or Stiff Man Syndrome
D) Epilepsy - ANSWER A) Although all of the conditions listed are
disqualifying, levodopa/carbidopa is used to treat Parkinson's Disease
Which of the following is not considered important in determining that a
driver who has suffered from TIA's may be certified?
A) Clearance from a neurologist who understands the functions and demands
of commercial driving
B) Completed the appropriate waiting period
C) Normal electroencephalogram
D) On no oral anticoagulant therapy due to risks associated with excess
bleeding - ANSWER A normal encephalopathy is not a condition for
certification. The waiting period for TIAs is one year. Drivers may be certified
on anticoagulant therapy for a cardiovascular condition but may not be
certified if the driver has a cerebrovascular disorder.
Which of the following is true with regard to TIA's?
A) A driver on anticoagulant therapy for a cardiovascular disorder may not be
certified if the driver has a history of TIA's
B) The rate of recurrence for TIA's is highest in the first six months, declining
after six months to less than 5% per year
C) TIA's are not considered warning signs for a cerebrovascular accident
(CVA).
D) The maximum certification interval for a driver with a history of TIA's is six
months. - ANSWER The rate of recurrence for TIA's is highest in the first year,
declining after one year to less than 5% per year. TIA's are considered
warning signs for a CVA. The max certification interval for a driver with a
history of TIA's is one year.
Driver examination 6/18/2011. Drivers disqualified due to benign positional
vertigo, last symptoms 5/15/2011. Driver advised to return after a
_____________ symptom free interval for a maximum _____________ certification
interval.
A) 1 month, 1 year
B) 2 months, 1 year
C) 2 months, 2 years
, 4
D) 3 months, 1 year - ANSWER C) The waiting period for benign positional
vertigo, as well as dizziness and acute or chronic vestibulopathy, is 2 months
symptom free with a maximum certification interval of 2 years.
Driver examination 3/14/2012. Driver describes dizziness with last
symptoms 2/18/12. The driver was advised to return after a 2-month
symptom free interval. The driver returned on 7/12/12 with medical records
documenting last dizziness symptoms on 5/4/2012, and the driver confirms
he has been symptom free since that date. The medical examiner determines
that the driver should be certified for a two year certification interval. What is
the expiration date of that certificate?
A) 2/18/2014
B) 3/14/2014
C) 5/4/2014
D) 7/12/2014 - ANSWER B) The certification interval should be determined
from the date of the last full driver examination. Unless the examiner
performed another full driver examination on 7/12/2012, the appropriate
expiration date for a two-year certification is 3/14/2014. If the examiner had
performed a full examination on 7/12/2012, then the certification date would
have been 7/12/2014.
Common medications used to treat vertigo include:
A) Sedative hyponotics
B) Beta blockers
C) Narcotics
D) Phenothiazines - ANSWER D) Sedative hypnotics, beta blockers, and
narcotics are not commonly used to treat vertigo. Medications commonly used
to treat vertigo include antihistamines, benzodiazepines, and phenothiazines.
FMCSA guidance includes:
A) A driver may be cleared after a single unprovoked seizure after a two-year
seizure free interval off anticonvulsant medication
B) A driver with a history of childhood febrile seizures may be cleared
C) A driver may be cleared with a diagnosis of epilepsy (2 or more
unprovoked seizures) after a 5-year seizure free period off anticonvulsant
medication
D) the minimum waiting period after a TIA is six months - ANSWER B) The
seizure free interval off anticonvulsant medication is five years for a driver
NRCME DOT TEST BANK EXAM AND 2024-
2025 LATEST ACTUAL PRACTICE EXAM
WITH 200 QUESTIONS AND VERIFIED
CORRECT ANSWERS (RATIONALES
PROVIDED)/SCORE A+
The Medical Examiner should be familiar with DOT drug and alcohol testing
requirements as outlined in:
A) 49 CFR Part 40
B) 40 CFR Part 38
C) 49 CFR Part 66
D) 49 CFR Part 12 - ANSWER A) DOT drug and alcohol testing regulations are
described in 49 CFR Part 40
A driver with a history of bacterial meningitis with early seizures or a single
unprovoked seizure requires a waiting period of _____________ seizure free and
off anticonvulsant medications.
A) One year
B) Two years
C) Five years
D) Ten years - ANSWER C) The waiting period for a history of bacterial
meningitis with early seizures or single unprovoked seizure is five years
The driver on anticoagulant treatment for a neurological condition can be
certified for a maximum of ______________________
A) Six months
B) One year
C) Two years
D) Do not certify - ANSWER D) The driver on anticoagulant therapy for a
cardiovascular condition may be certified for up to one year. The driver on
, 2
anticoagulant therapy for a neurological condition should not be certified due
to a risk of cerebrovascular hemorrhage.
Transient ischemic attacks (TIA's) are automatically disqualifying for ________
months; after the minimum waiting period the certification depends on the
interval history, general health, neurological examination, and compliance
with the treatment program.
A) 3
B) 6
C) 9
D) 12 - ANSWER D) The minimum waiting period for TIA's is 12 months or
one year
A driver with peripheral neuropathy:
A) may be certified for one year
B) may be certified for two years
C) should not be certified
D) may be certified for 3 months pending specialist evaluation - ANSWER
Peripheral neuropathy is a disqualifying condition.
Episodic neurological conditions that are usually disqualifying include:
1) Epilepsy
2) Multiple sclerosis
3) Narcolepsy
4) Headaches
A) 1, 2, and 3 only
B) 1 and 3 only
C) 2 and 4 only
D) all of the above - ANSWER B) Epilepsy and narcolepsy are usually
disqualifying. Multiple sclerosis may be disqualifying but is not usually so.
Headaches are occasionally, but not usually, disqualifying — disqualification
would occur if there were symptoms or medication effects that interfere with
safe driving.
Levodopa/carbidopa may cause the driver to be disqualified because it is used
for the treatment of what neurological condition?
A) Parkinson's Disease
B) Peripheral neuropathy
, 3
C) Isaac's Disease or Stiff Man Syndrome
D) Epilepsy - ANSWER A) Although all of the conditions listed are
disqualifying, levodopa/carbidopa is used to treat Parkinson's Disease
Which of the following is not considered important in determining that a
driver who has suffered from TIA's may be certified?
A) Clearance from a neurologist who understands the functions and demands
of commercial driving
B) Completed the appropriate waiting period
C) Normal electroencephalogram
D) On no oral anticoagulant therapy due to risks associated with excess
bleeding - ANSWER A normal encephalopathy is not a condition for
certification. The waiting period for TIAs is one year. Drivers may be certified
on anticoagulant therapy for a cardiovascular condition but may not be
certified if the driver has a cerebrovascular disorder.
Which of the following is true with regard to TIA's?
A) A driver on anticoagulant therapy for a cardiovascular disorder may not be
certified if the driver has a history of TIA's
B) The rate of recurrence for TIA's is highest in the first six months, declining
after six months to less than 5% per year
C) TIA's are not considered warning signs for a cerebrovascular accident
(CVA).
D) The maximum certification interval for a driver with a history of TIA's is six
months. - ANSWER The rate of recurrence for TIA's is highest in the first year,
declining after one year to less than 5% per year. TIA's are considered
warning signs for a CVA. The max certification interval for a driver with a
history of TIA's is one year.
Driver examination 6/18/2011. Drivers disqualified due to benign positional
vertigo, last symptoms 5/15/2011. Driver advised to return after a
_____________ symptom free interval for a maximum _____________ certification
interval.
A) 1 month, 1 year
B) 2 months, 1 year
C) 2 months, 2 years
, 4
D) 3 months, 1 year - ANSWER C) The waiting period for benign positional
vertigo, as well as dizziness and acute or chronic vestibulopathy, is 2 months
symptom free with a maximum certification interval of 2 years.
Driver examination 3/14/2012. Driver describes dizziness with last
symptoms 2/18/12. The driver was advised to return after a 2-month
symptom free interval. The driver returned on 7/12/12 with medical records
documenting last dizziness symptoms on 5/4/2012, and the driver confirms
he has been symptom free since that date. The medical examiner determines
that the driver should be certified for a two year certification interval. What is
the expiration date of that certificate?
A) 2/18/2014
B) 3/14/2014
C) 5/4/2014
D) 7/12/2014 - ANSWER B) The certification interval should be determined
from the date of the last full driver examination. Unless the examiner
performed another full driver examination on 7/12/2012, the appropriate
expiration date for a two-year certification is 3/14/2014. If the examiner had
performed a full examination on 7/12/2012, then the certification date would
have been 7/12/2014.
Common medications used to treat vertigo include:
A) Sedative hyponotics
B) Beta blockers
C) Narcotics
D) Phenothiazines - ANSWER D) Sedative hypnotics, beta blockers, and
narcotics are not commonly used to treat vertigo. Medications commonly used
to treat vertigo include antihistamines, benzodiazepines, and phenothiazines.
FMCSA guidance includes:
A) A driver may be cleared after a single unprovoked seizure after a two-year
seizure free interval off anticonvulsant medication
B) A driver with a history of childhood febrile seizures may be cleared
C) A driver may be cleared with a diagnosis of epilepsy (2 or more
unprovoked seizures) after a 5-year seizure free period off anticonvulsant
medication
D) the minimum waiting period after a TIA is six months - ANSWER B) The
seizure free interval off anticonvulsant medication is five years for a driver
