Page 1 of 353
NRCME -DOT EXAM QUESTION BANK WITH
COMPLETE 500 QUESTIONS AND CORRECT
VERIFIED ANSWERS WITH RATIONALES LATEST
UPDATE JUST RELEASED
Question: 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 - ANSWER✔✔Obtain medical
clearance for the condition and the
medication
1
SUCCESS!
,Page 2 of 353
Question: 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. - ANSWER✔✔Disqualify the
driver
Question: 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. - ANSWER✔✔Stage 1 HTN
2
SUCCESS!
,Page 3 of 353
Question: 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. - ANSWER✔✔Certify only after obtaining written clearance for the depression and
the medication from the treating provider.
Question: 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.
3
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, Page 4 of 353
c. 45 days.
d. 60 days. - ANSWER✔✔45 days
Question: 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. - ANSWER✔✔65mmhg
Question: 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.
4
SUCCESS!
NRCME -DOT EXAM QUESTION BANK WITH
COMPLETE 500 QUESTIONS AND CORRECT
VERIFIED ANSWERS WITH RATIONALES LATEST
UPDATE JUST RELEASED
Question: 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 - ANSWER✔✔Obtain medical
clearance for the condition and the
medication
1
SUCCESS!
,Page 2 of 353
Question: 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. - ANSWER✔✔Disqualify the
driver
Question: 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. - ANSWER✔✔Stage 1 HTN
2
SUCCESS!
,Page 3 of 353
Question: 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. - ANSWER✔✔Certify only after obtaining written clearance for the depression and
the medication from the treating provider.
Question: 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.
3
SUCCESS!
, Page 4 of 353
c. 45 days.
d. 60 days. - ANSWER✔✔45 days
Question: 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. - ANSWER✔✔65mmhg
Question: 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.
4
SUCCESS!
