Page 1 of 99
NRCME TRAINING DOT QUESTION BANK
COMPLETE TEST BANK (2026)
COMPREHENSIVE QUESTIONS AND
VERIFIED DETAILED SOLUTIONS 100%
CORRECT
A driver has a blood pressure of 168/112 mm Hg confirmed during the
examination. The driver should be:
a. Disqualified.
b. Certified for 6 months.
c. Certified for 1 year.
d. Certified for 2 years.
A.
This is Stage 3 hypertension. The driver is disqualified until his blood pressure is less
than 140/90 mm Hg at which time he will have a maximum certification of 6 months.
For how long would a driver be certified if he is taking Micardis HCT for
hypertension, and has a confirmed blood pressure of 148/96 mm Hg at the time
of the examination?
a. 3 months
b. 6 months
c. 1 year
d. 2 years
A.
Because the driver has a history of hypertension (he is taking medication), and he
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had Stage 1 hypertension during his exam, he would be provided a 1- time, 3-month
certificate in order to lower his blood pressure to an acceptable level during that time.
During the examination, a driver is found to have a positive "Babinski" reflex.
The examiner should:
a. Certify the driver for 1 year.
b. Certify the driver for 2 years.
c. Council the driver to obtain an SPE.
d. Not certify the driver until s/he has a neurological consultation.
D.
A positive Babinski reflex is indicative of abnormalities in the motor control pathways
leading from the cerebral cortex and is widely used as a diagnostic aide in disorders
of the central nervous system. The examiner should obtain clearance from a
neurologist prior to reconsidering the driver for certification.
All of the following are required components of all DOT medical examinations
EXCEPT?
a. Vision
b. Hearing
c. Blood Pressure
d. Ophthalmoscopic examination
D.
There are four required components of every examination: vision, hearing, blood
pressure and urinalysis. Ophthalmoscopic examination is not required but may be
done if deemed necessary.
A driver reports in his history that he was treated for epilepsy 14 years ago but
stopped taking anti-epileptic medication on his own since his move to your
area 11 years ago. He has not seen a neurologist nor a health care provider in
over 10 years and reports no seizures during this period. The examiner
should:
a. Request medical clearance, and if obtained the driver may be certified for 1
year.
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b. Request medical clearance, and if obtained the driver may be certified for 2
years.
c. Refer the driver to the epilepsy/seizure exemption program.
d. Disqualify the driver.
D.
Even though the driver reports exceeding the 10-year waiting period, it was not
under medical supervision and the driver discontinued medication use and treatment
outside of medical oversight. Since the driver cannot obtain a documented medical
history this driver does not meet the non-discretionary epilepsy standard until it is
established that the driver is 10 years seizure-free while off anti-convulsant.
A driver reports for a re-certification examination 8 weeks after having triple
coronary artery bypass surgery.
He presents a note from his treating provider stating that he is able to return to
driving without restriction. Additionally, the note mentions that the driver's
results of his ETT were normal, and his echo showed a left ventricular ejection
fraction of 75%. The examiner should:
a. Disqualify the driver until he has completed the recommended waiting
period.
b. Disqualify the driver because his ejection fraction is too low.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years.
A.
Following CABG, there is a recommended 3-month waiting period. Since the driver is
only at 8 weeks post-op, he would have to wait 4 more weeks until he can certify.
Once he completes his waiting period, he would be certified for 1 year from the date
of the original examination.
A 40-year-old driver presents for certification three months after undergoing
surgery for carpal tunnel syndrome. The examiner should next:
a. Order an EMG.
b. Assess grip strength.
c. Obtain assurance that the driver has completed the prescribed physical
therapy.
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B.
Assessing grip strength is the next logical step to assess if the driver can safely
operate a commercial motor vehicle.
A blood pressure of 166/92 mm Hg would be?
a. Considered normal.
b. Stage 1 hypertension.
c. Stage 2 hypertension.
d. Stage 3 hypertension.
C.
The driver has Stage 2 hypertension (160 - 179/100 - 109).
Lasegue's sign tests for:
a. Lumbosacral radicular irritation.
b. Early peritonitis.
c. Benign vertigo, as opposed to a central etiology.
d. Amblyopia
A.
Lasegue's sign or straight leg raising test is a neurodynamic exam to assess nerve
root irritation in the lumbosacral area.
The driver uses hearing aids during the whisper test. He is able to hear at 5
feet on the right and 4 feet on the left.
a. Send the driver for an audiometric test.
b. Disqualify the driver.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years.
D.
The driver is able to use hearing aids during the whisper test (and this should be
marked on the form). A driver must only qualify in 1 ear to certify and there is no
limitation of certification time.
The minimum acceptable spirometry values required to certify a driver are:
NRCME TRAINING DOT QUESTION BANK
COMPLETE TEST BANK (2026)
COMPREHENSIVE QUESTIONS AND
VERIFIED DETAILED SOLUTIONS 100%
CORRECT
A driver has a blood pressure of 168/112 mm Hg confirmed during the
examination. The driver should be:
a. Disqualified.
b. Certified for 6 months.
c. Certified for 1 year.
d. Certified for 2 years.
A.
This is Stage 3 hypertension. The driver is disqualified until his blood pressure is less
than 140/90 mm Hg at which time he will have a maximum certification of 6 months.
For how long would a driver be certified if he is taking Micardis HCT for
hypertension, and has a confirmed blood pressure of 148/96 mm Hg at the time
of the examination?
a. 3 months
b. 6 months
c. 1 year
d. 2 years
A.
Because the driver has a history of hypertension (he is taking medication), and he
, Page 2 of 99
had Stage 1 hypertension during his exam, he would be provided a 1- time, 3-month
certificate in order to lower his blood pressure to an acceptable level during that time.
During the examination, a driver is found to have a positive "Babinski" reflex.
The examiner should:
a. Certify the driver for 1 year.
b. Certify the driver for 2 years.
c. Council the driver to obtain an SPE.
d. Not certify the driver until s/he has a neurological consultation.
D.
A positive Babinski reflex is indicative of abnormalities in the motor control pathways
leading from the cerebral cortex and is widely used as a diagnostic aide in disorders
of the central nervous system. The examiner should obtain clearance from a
neurologist prior to reconsidering the driver for certification.
All of the following are required components of all DOT medical examinations
EXCEPT?
a. Vision
b. Hearing
c. Blood Pressure
d. Ophthalmoscopic examination
D.
There are four required components of every examination: vision, hearing, blood
pressure and urinalysis. Ophthalmoscopic examination is not required but may be
done if deemed necessary.
A driver reports in his history that he was treated for epilepsy 14 years ago but
stopped taking anti-epileptic medication on his own since his move to your
area 11 years ago. He has not seen a neurologist nor a health care provider in
over 10 years and reports no seizures during this period. The examiner
should:
a. Request medical clearance, and if obtained the driver may be certified for 1
year.
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b. Request medical clearance, and if obtained the driver may be certified for 2
years.
c. Refer the driver to the epilepsy/seizure exemption program.
d. Disqualify the driver.
D.
Even though the driver reports exceeding the 10-year waiting period, it was not
under medical supervision and the driver discontinued medication use and treatment
outside of medical oversight. Since the driver cannot obtain a documented medical
history this driver does not meet the non-discretionary epilepsy standard until it is
established that the driver is 10 years seizure-free while off anti-convulsant.
A driver reports for a re-certification examination 8 weeks after having triple
coronary artery bypass surgery.
He presents a note from his treating provider stating that he is able to return to
driving without restriction. Additionally, the note mentions that the driver's
results of his ETT were normal, and his echo showed a left ventricular ejection
fraction of 75%. The examiner should:
a. Disqualify the driver until he has completed the recommended waiting
period.
b. Disqualify the driver because his ejection fraction is too low.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years.
A.
Following CABG, there is a recommended 3-month waiting period. Since the driver is
only at 8 weeks post-op, he would have to wait 4 more weeks until he can certify.
Once he completes his waiting period, he would be certified for 1 year from the date
of the original examination.
A 40-year-old driver presents for certification three months after undergoing
surgery for carpal tunnel syndrome. The examiner should next:
a. Order an EMG.
b. Assess grip strength.
c. Obtain assurance that the driver has completed the prescribed physical
therapy.
, Page 4 of 99
B.
Assessing grip strength is the next logical step to assess if the driver can safely
operate a commercial motor vehicle.
A blood pressure of 166/92 mm Hg would be?
a. Considered normal.
b. Stage 1 hypertension.
c. Stage 2 hypertension.
d. Stage 3 hypertension.
C.
The driver has Stage 2 hypertension (160 - 179/100 - 109).
Lasegue's sign tests for:
a. Lumbosacral radicular irritation.
b. Early peritonitis.
c. Benign vertigo, as opposed to a central etiology.
d. Amblyopia
A.
Lasegue's sign or straight leg raising test is a neurodynamic exam to assess nerve
root irritation in the lumbosacral area.
The driver uses hearing aids during the whisper test. He is able to hear at 5
feet on the right and 4 feet on the left.
a. Send the driver for an audiometric test.
b. Disqualify the driver.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years.
D.
The driver is able to use hearing aids during the whisper test (and this should be
marked on the form). A driver must only qualify in 1 ear to certify and there is no
limitation of certification time.
The minimum acceptable spirometry values required to certify a driver are:
