NRCME DOT Exam Questions ACTUAL
QUESTIONS AND CORRECT ANSWERS
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 ANSWERS 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 ANSWERS 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
ANSWERS 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 ANSWERS 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 ANSWERS
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 ANSWERS 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
ANSWERS 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 ANSWERS 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 ANSWERS 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 ANSWERS 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.
QUESTIONS AND CORRECT ANSWERS
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 ANSWERS 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 ANSWERS 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
ANSWERS 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 ANSWERS 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 ANSWERS
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 ANSWERS 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
ANSWERS 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 ANSWERS 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 ANSWERS 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 ANSWERS 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.
