NRCME DOT Practice Test EXAM
Questions and Answers Graded A+
What minimum PaO2 level is recommended 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-D.
To be qualified, the driver should meet a minimum arterial blood gas (PaO2)
greater than 65.
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.
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,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 left ear.
- Correct answer-B.
The driver is qualified to drive without restriction as long as he is able to perceive
a whispered voice at 5 feet in 1 ear.
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.
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,d. Consult with the cardiologist to determine if the driver suffers from angina. -
Correct answer-A.
The driver has not completed the recommended 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.
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, d. Require the driver to obtain a hearing exemption - Correct answer-B.
The examiner would average the results from 500 Hz, 1000 Hz and 2000 Hz. This
average is 38.33 in the Right and 43.33 in the Left ear. A driver must have an
average hearing loss of less than or equal to 40 in the better ear. This does not have
to be met in both ears.
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-A.
A driver must exhibit a minimum peripheral vision of 70 degrees bilaterally.
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Questions and Answers Graded A+
What minimum PaO2 level is recommended 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-D.
To be qualified, the driver should meet a minimum arterial blood gas (PaO2)
greater than 65.
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.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,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 left ear.
- Correct answer-B.
The driver is qualified to drive without restriction as long as he is able to perceive
a whispered voice at 5 feet in 1 ear.
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.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,d. Consult with the cardiologist to determine if the driver suffers from angina. -
Correct answer-A.
The driver has not completed the recommended 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.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, d. Require the driver to obtain a hearing exemption - Correct answer-B.
The examiner would average the results from 500 Hz, 1000 Hz and 2000 Hz. This
average is 38.33 in the Right and 43.33 in the Left ear. A driver must have an
average hearing loss of less than or equal to 40 in the better ear. This does not have
to be met in both ears.
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-A.
A driver must exhibit a minimum peripheral vision of 70 degrees bilaterally.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
