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DOT Comprehensive Review for NRCME Exam NEWEST 2026 ACTUAL EXAM TEST- COMPLETE
REAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) ALREADY GRADED
A+ (MOST RECENT!!)
Corrective lenses that are prohibited by the FMCSA, including: - CORRECT
ANSWER lenses that correct distance vision in one eye and near vision in
the other.
telescopic lenses
QUESTION :Medical guidelines for the driver with diabetes mellitus include: -
CORRECT ANSWER Annual medical examination.
Annual ophthalmologist or optometrist eye evaluation.
Disqualification for a diagnosis of unstable proliferative retinopathy.
QUESTION :Monocular Vision - CORRECT ANSWER Monocular vision
is disqualifying.
However, the driver who has monocular vision that with the better eye meets
all vision qualification requirements may be considered for a Federal Vision
Exemption if the Medical Examiner finds the driver otherwise medically fit for
duty.
Monocular vision is defined as vision that is at least 20/40 for distance in one
eye with or without correction and vision that is less than 20/40 for distance in
one eye with or without correction.
The driver must meet other vision requirements in each eye, including visual
fields (horizontal field of vision).
2026 2027 GRADED A+
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Federal Vision Exemption: the driver with monocular vision who is applying for
or has a federal exemption or is qualified by operation of 49 CFR 391.64 must
have an annual physical examination.
Drivers with vision loss who meet standards may be certified for up to two
years.
QUESTION :A driver who wears contact lenses which correct farsightedness in
one eye and nearsightedness in the other, but has no other visual impairments
can be certified under what additional conditions?
Only if the driver wears prescription glasses which provide the same correction
as the contact lenses.
FMCSA guidance indicates that a driver should not be certified under these
circumstances.
Only by federal exemption.
The driver is always certifiable under these conditions. - CORRECT
ANSWER FMCSA guidance indicates that a driver should not be certified
under these circumstances.
Explanation: FMCSA guidance indicates that contact lenses that correct one eye
for distance and one eye for near vision are not acceptable.
QUESTION :Guidance recommends not to certify with ear problem diagnoses
of: - CORRECT ANSWER a) Uncontrolled vertigo.
b) Ménière's disease.
2026 2027 GRADED A+
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c) Nonfunctioning labyrinth.
d) Nonfunctioning fistula.
QUESTION :The medical examiner's role in the exemption process includes
_________.
Issuing the exemption.
Issuing the prescription for the driver's contact lenses and/or glasses.
Providing the driver with contact information for the Federal Vision Exemption
Program.
Assuring that the driver has peripheral vision of at least 110 degrees in each
eye. - CORRECT ANSWER Providing the driver with contact
information for the Federal Vision Exemption Program.
Explanation: The medical examiner's role in the exemption process is limited to
performing the driver examination and providing the driver with contact
information for the FMCSA related to the exemption process.
QUESTION :An audiometric test produces the following results: Left ear: 500 Hz,
35dB Loss; 1,000 Hz, 35 dB loss; 2,000 Hz 45 dB loss. Right ear: 500 Hz, 40 dB
loss; 1,000 Hz, 45 dB loss; 2,000 40 dB loss. What is the certification?
Certify for one year.
Certify for two years.
Do not certify.
2026 2027 GRADED A+
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Certify only when accompanied by hearing aid. - CORRECT ANSWER
Certify for two years.
Explanation: Drivers with an average hearing loss of < 40 decibels averaged
across 500, 1000, and 2000 Hz in the better ear may be certified for two years.
QUESTION :What eye conditions must the medical examiner ask the driver
about?
Cataracts, color deficiencies, retinitis pigmentosa, aphakia, glaucoma.
Lazy eye, cataracts, aphakia, floaters, retinopathy.
Glaucoma, macular degeneration, retinitis pigmentosa, color deficiencies.
Retinopathy, cataracts, aphakia, glaucoma, macular degeneration. -
CORRECT ANSWER Retinopathy, cataracts, aphakia, glaucoma,
macular degeneration.
Explanation: These are the "ask about" vision conditions. The medical examiner
may ask the driver about any eye conditions, but should ask the driver about
these specified conditions.
QUESTION :Which of the following drivers' tests meet hearing certification
standards?
Whisper test 4 feet right ear, 3 feet left ear.
Whisper test 5 feet right ear with hearing aid, 3 feet left ear without hearing
aid.
2026 2027 GRADED A+
DOT Comprehensive Review for NRCME Exam NEWEST 2026 ACTUAL EXAM TEST- COMPLETE
REAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) ALREADY GRADED
A+ (MOST RECENT!!)
Corrective lenses that are prohibited by the FMCSA, including: - CORRECT
ANSWER lenses that correct distance vision in one eye and near vision in
the other.
telescopic lenses
QUESTION :Medical guidelines for the driver with diabetes mellitus include: -
CORRECT ANSWER Annual medical examination.
Annual ophthalmologist or optometrist eye evaluation.
Disqualification for a diagnosis of unstable proliferative retinopathy.
QUESTION :Monocular Vision - CORRECT ANSWER Monocular vision
is disqualifying.
However, the driver who has monocular vision that with the better eye meets
all vision qualification requirements may be considered for a Federal Vision
Exemption if the Medical Examiner finds the driver otherwise medically fit for
duty.
Monocular vision is defined as vision that is at least 20/40 for distance in one
eye with or without correction and vision that is less than 20/40 for distance in
one eye with or without correction.
The driver must meet other vision requirements in each eye, including visual
fields (horizontal field of vision).
2026 2027 GRADED A+
,2|Page
Federal Vision Exemption: the driver with monocular vision who is applying for
or has a federal exemption or is qualified by operation of 49 CFR 391.64 must
have an annual physical examination.
Drivers with vision loss who meet standards may be certified for up to two
years.
QUESTION :A driver who wears contact lenses which correct farsightedness in
one eye and nearsightedness in the other, but has no other visual impairments
can be certified under what additional conditions?
Only if the driver wears prescription glasses which provide the same correction
as the contact lenses.
FMCSA guidance indicates that a driver should not be certified under these
circumstances.
Only by federal exemption.
The driver is always certifiable under these conditions. - CORRECT
ANSWER FMCSA guidance indicates that a driver should not be certified
under these circumstances.
Explanation: FMCSA guidance indicates that contact lenses that correct one eye
for distance and one eye for near vision are not acceptable.
QUESTION :Guidance recommends not to certify with ear problem diagnoses
of: - CORRECT ANSWER a) Uncontrolled vertigo.
b) Ménière's disease.
2026 2027 GRADED A+
,3|Page
c) Nonfunctioning labyrinth.
d) Nonfunctioning fistula.
QUESTION :The medical examiner's role in the exemption process includes
_________.
Issuing the exemption.
Issuing the prescription for the driver's contact lenses and/or glasses.
Providing the driver with contact information for the Federal Vision Exemption
Program.
Assuring that the driver has peripheral vision of at least 110 degrees in each
eye. - CORRECT ANSWER Providing the driver with contact
information for the Federal Vision Exemption Program.
Explanation: The medical examiner's role in the exemption process is limited to
performing the driver examination and providing the driver with contact
information for the FMCSA related to the exemption process.
QUESTION :An audiometric test produces the following results: Left ear: 500 Hz,
35dB Loss; 1,000 Hz, 35 dB loss; 2,000 Hz 45 dB loss. Right ear: 500 Hz, 40 dB
loss; 1,000 Hz, 45 dB loss; 2,000 40 dB loss. What is the certification?
Certify for one year.
Certify for two years.
Do not certify.
2026 2027 GRADED A+
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Certify only when accompanied by hearing aid. - CORRECT ANSWER
Certify for two years.
Explanation: Drivers with an average hearing loss of < 40 decibels averaged
across 500, 1000, and 2000 Hz in the better ear may be certified for two years.
QUESTION :What eye conditions must the medical examiner ask the driver
about?
Cataracts, color deficiencies, retinitis pigmentosa, aphakia, glaucoma.
Lazy eye, cataracts, aphakia, floaters, retinopathy.
Glaucoma, macular degeneration, retinitis pigmentosa, color deficiencies.
Retinopathy, cataracts, aphakia, glaucoma, macular degeneration. -
CORRECT ANSWER Retinopathy, cataracts, aphakia, glaucoma,
macular degeneration.
Explanation: These are the "ask about" vision conditions. The medical examiner
may ask the driver about any eye conditions, but should ask the driver about
these specified conditions.
QUESTION :Which of the following drivers' tests meet hearing certification
standards?
Whisper test 4 feet right ear, 3 feet left ear.
Whisper test 5 feet right ear with hearing aid, 3 feet left ear without hearing
aid.
2026 2027 GRADED A+
