NRCME TRAINING DOT QUESTION
BANK FULLY SOLVED AND UPDATED
LATEST VERSION VERIFIED FOR
ACCURACY ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS
GRADED A+
"Which of the following tests is not recommended as medical guidance for initial pulmonary
function testing?
A. Forced expiratory volume in 1 second (FEV1)
B. Peak flow spirometry, best effort
C. Forced vital capacity (FVC)
D. FEV1/FVC ratio - CORRECT ANSWER=> B"
"A 60 year old driver reveals a 6 month history of progressive worsening of dizziness and ringing
in the ears. It is
worse when he bends over. He denies hearing loss, no trauma or recent infections, and takes no
chronic medications,
but was told by another driver to try meclizine. He did try and it seemed to help. Which of the
following routine
screening tests may help you best decide on the severity of the symptoms during this CDL
medical examination?
A. Audiogram
B. Weber and Rinne Test
C. Romberg Test
D. Tilt Table Test - CORRECT ANSWER=> C"
1|Page
,"Current Federal Motor Carrier Safety Regulations identify a person who can be a medical
examiner by which two
following criteria:
A. Professional licensure and scope of practice that includes performing physical examinations
B. Current Board Certification and Listed on the FMCSA Registry
C. Completion of a Medical Examiner training program and an unrestricted professional
licensure
D. At least 5 years of experience in performing physical examinations and passing a Certification
Examination - CORRECT ANSWER=> A"
"The driver has a 20 pack year of smoking and recent diagnosis of COPD. His breath sounds are
slightly distant with a
prolonged expiratory phase. His FEV1 is 63% of predicted. You should obtain:
A. CXR
B. Peak flow measure
C. ABGs
D. No tests are warranted - CORRECT ANSWER=> C"
"32 yr. old new driver applicant is a military veteran with history of a Mild Traumatic Brain Injury
in war zone 5 years
ago while on Active Duty. He had no loss of consciousness -was only "dazed" by close blast - not
hospitalized. CT was
negative at combat emergency clinic. He was awarded a 10% VA disability later for this injury.
Never had a seizure, never
prescribed anti‐seizure medications. He is otherwise healthy. The ME's physical examination is
negative for neurological
impairment or deficit. According to medical guidelines, what is the appropriate ME decision?
A. Document above and clear driver issuing a 2 year unrestricted certificate
B. Certify driver for 3 months to allow time to obtain his medical records
C. Temporarily disqualify until driver provides copy of neurological evaluations or test results.
D. Do not certify - The past history of TBI and VA disability is automatically disqualifying -
CORRECT ANSWER=> A"
"The newly hired driver's Employer requests a copy of the "Long Form" for their personnel file.
Which statement
below is accurate regarding the release of the CMV driver Medical Form?
A. FMCSRs prohibits the ME from giving a copy of the CMV Medical Examination Report directly
to the employer
2|Page
,B. Employers who pay for the exam as part of the employee's conditions of employment are
entitled to a copy of the
CMV Medical Examination Report without a signed release by the driver
C. The CMV Medical Examination Report is treated the same as any other confidential medical
information and must
have a signed release by the driver.
D. The Driver is never permitted to have a copy of the CMV Medical Examination Report due to
the increase in
fraudulent documents being circulated. - CORRECT ANSWER=> C"
"Which of these statements about drinking alcohol is true.
A. Alcohol first affects judgment and self‐control, which are essential for safe driving.
B. Statistics show that drivers who have been drinking have a much greater chance of being in a
motor vehicle crash.
C. A commercial motor vehicle driver can lose his / her CDL for driving while under the influence
of alcohol.
D. All of the above are true - CORRECT ANSWER=> D"
"What level of risk is acceptable when qualifying CDL drivers?
A. 0%
B. 1%
C. 10%
D. 11% - CORRECT ANSWER=> B"
"Which of the following is TRUE concerning discretionary qualification standards?
A. It is the examiner's discretion whether to assess these standards
B. It is the CDL employer's discretion whether to accept the medical examiner's determination
C. It is up to the examiner's discretion and clinical judgment regarding the driver's qualifications
in these areas
D. All of the above are true - CORRECT ANSWER=> C"
"The driver marks history of high blood pressure, shortness of breath, lung disease, emphysema
and chronic
bronchitis. His medications include tiotropium bromide, salmeterol/fluticasone propionate
inhaler, and albuterol
inhaler. As he walks into the exam room, he is short of breath, but says he recently cut down to
½ PPD cigarettes after
3|Page
, smoking two PPD for 45 years and is improved. During his last PCP visit a year ago, he was
diagnosed with borderline
hypertension and COPD with cor pulmonale. He is tolerating his medications well and takes
them as prescribed, using
his albuterol no more than twice a day, depending on his level of activity. His PCP record shows
mild right ventricular
hypertrophy, mild pulmonary hypertension. He had a CXR 6 months ago which confirmed COPD.
His blood pressure
today is 138/88, with regular pulse at 88. He is slightly flushed. Chest exam reveals grade II/VI
murmur and S4. During
the - CORRECT ANSWER=> A"
"According to 49 CFR391.41(b)(8) regarding neurological conditions, which is considered
unequivocal grounds for
medical disqualification for the interstate CMV driver medical certification:
A. Migraine Headache
B. Active Seizure Disorder
C. Cervical Spinal Stenosis
D. Transient Ischemic Attack - CORRECT ANSWER=> B"
"The purpose of the commercial driver physical exam includes which of the following?
A. Determine "medical fitness for duty"
B. Detect the presence of any physical, mental, or organic conditions of such character and
extent as to affect the
ability of the driver to operate a CMV safely
C. Both of the above
D. Neither of the above - CORRECT ANSWER=> C"
"Driver(s) of which of the following vehicles DO NOT require a CDL certificate?
A. Vehicle weighs over 26,000 lb
B. Vehicle weighs less than 26,000 lb and designed to transport up to 12 passengers (including
driver) without compensation
C. Vehicle weighs less than 26,000 and transports hazardous material
D. Drivers of all of the above must be certified - CORRECT ANSWER=> B"
"The driver presents for recertification following a recent diagnosis with pulmonary TB. She
recently completed a
4‐month course of streptomycin. You should assess:
4|Page
BANK FULLY SOLVED AND UPDATED
LATEST VERSION VERIFIED FOR
ACCURACY ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS
GRADED A+
"Which of the following tests is not recommended as medical guidance for initial pulmonary
function testing?
A. Forced expiratory volume in 1 second (FEV1)
B. Peak flow spirometry, best effort
C. Forced vital capacity (FVC)
D. FEV1/FVC ratio - CORRECT ANSWER=> B"
"A 60 year old driver reveals a 6 month history of progressive worsening of dizziness and ringing
in the ears. It is
worse when he bends over. He denies hearing loss, no trauma or recent infections, and takes no
chronic medications,
but was told by another driver to try meclizine. He did try and it seemed to help. Which of the
following routine
screening tests may help you best decide on the severity of the symptoms during this CDL
medical examination?
A. Audiogram
B. Weber and Rinne Test
C. Romberg Test
D. Tilt Table Test - CORRECT ANSWER=> C"
1|Page
,"Current Federal Motor Carrier Safety Regulations identify a person who can be a medical
examiner by which two
following criteria:
A. Professional licensure and scope of practice that includes performing physical examinations
B. Current Board Certification and Listed on the FMCSA Registry
C. Completion of a Medical Examiner training program and an unrestricted professional
licensure
D. At least 5 years of experience in performing physical examinations and passing a Certification
Examination - CORRECT ANSWER=> A"
"The driver has a 20 pack year of smoking and recent diagnosis of COPD. His breath sounds are
slightly distant with a
prolonged expiratory phase. His FEV1 is 63% of predicted. You should obtain:
A. CXR
B. Peak flow measure
C. ABGs
D. No tests are warranted - CORRECT ANSWER=> C"
"32 yr. old new driver applicant is a military veteran with history of a Mild Traumatic Brain Injury
in war zone 5 years
ago while on Active Duty. He had no loss of consciousness -was only "dazed" by close blast - not
hospitalized. CT was
negative at combat emergency clinic. He was awarded a 10% VA disability later for this injury.
Never had a seizure, never
prescribed anti‐seizure medications. He is otherwise healthy. The ME's physical examination is
negative for neurological
impairment or deficit. According to medical guidelines, what is the appropriate ME decision?
A. Document above and clear driver issuing a 2 year unrestricted certificate
B. Certify driver for 3 months to allow time to obtain his medical records
C. Temporarily disqualify until driver provides copy of neurological evaluations or test results.
D. Do not certify - The past history of TBI and VA disability is automatically disqualifying -
CORRECT ANSWER=> A"
"The newly hired driver's Employer requests a copy of the "Long Form" for their personnel file.
Which statement
below is accurate regarding the release of the CMV driver Medical Form?
A. FMCSRs prohibits the ME from giving a copy of the CMV Medical Examination Report directly
to the employer
2|Page
,B. Employers who pay for the exam as part of the employee's conditions of employment are
entitled to a copy of the
CMV Medical Examination Report without a signed release by the driver
C. The CMV Medical Examination Report is treated the same as any other confidential medical
information and must
have a signed release by the driver.
D. The Driver is never permitted to have a copy of the CMV Medical Examination Report due to
the increase in
fraudulent documents being circulated. - CORRECT ANSWER=> C"
"Which of these statements about drinking alcohol is true.
A. Alcohol first affects judgment and self‐control, which are essential for safe driving.
B. Statistics show that drivers who have been drinking have a much greater chance of being in a
motor vehicle crash.
C. A commercial motor vehicle driver can lose his / her CDL for driving while under the influence
of alcohol.
D. All of the above are true - CORRECT ANSWER=> D"
"What level of risk is acceptable when qualifying CDL drivers?
A. 0%
B. 1%
C. 10%
D. 11% - CORRECT ANSWER=> B"
"Which of the following is TRUE concerning discretionary qualification standards?
A. It is the examiner's discretion whether to assess these standards
B. It is the CDL employer's discretion whether to accept the medical examiner's determination
C. It is up to the examiner's discretion and clinical judgment regarding the driver's qualifications
in these areas
D. All of the above are true - CORRECT ANSWER=> C"
"The driver marks history of high blood pressure, shortness of breath, lung disease, emphysema
and chronic
bronchitis. His medications include tiotropium bromide, salmeterol/fluticasone propionate
inhaler, and albuterol
inhaler. As he walks into the exam room, he is short of breath, but says he recently cut down to
½ PPD cigarettes after
3|Page
, smoking two PPD for 45 years and is improved. During his last PCP visit a year ago, he was
diagnosed with borderline
hypertension and COPD with cor pulmonale. He is tolerating his medications well and takes
them as prescribed, using
his albuterol no more than twice a day, depending on his level of activity. His PCP record shows
mild right ventricular
hypertrophy, mild pulmonary hypertension. He had a CXR 6 months ago which confirmed COPD.
His blood pressure
today is 138/88, with regular pulse at 88. He is slightly flushed. Chest exam reveals grade II/VI
murmur and S4. During
the - CORRECT ANSWER=> A"
"According to 49 CFR391.41(b)(8) regarding neurological conditions, which is considered
unequivocal grounds for
medical disqualification for the interstate CMV driver medical certification:
A. Migraine Headache
B. Active Seizure Disorder
C. Cervical Spinal Stenosis
D. Transient Ischemic Attack - CORRECT ANSWER=> B"
"The purpose of the commercial driver physical exam includes which of the following?
A. Determine "medical fitness for duty"
B. Detect the presence of any physical, mental, or organic conditions of such character and
extent as to affect the
ability of the driver to operate a CMV safely
C. Both of the above
D. Neither of the above - CORRECT ANSWER=> C"
"Driver(s) of which of the following vehicles DO NOT require a CDL certificate?
A. Vehicle weighs over 26,000 lb
B. Vehicle weighs less than 26,000 lb and designed to transport up to 12 passengers (including
driver) without compensation
C. Vehicle weighs less than 26,000 and transports hazardous material
D. Drivers of all of the above must be certified - CORRECT ANSWER=> B"
"The driver presents for recertification following a recent diagnosis with pulmonary TB. She
recently completed a
4‐month course of streptomycin. You should assess:
4|Page
