NRCME DOT Certification 2027 Practice Test QUESTIONS &
ANSWERS - A+ GRADED 100% VERIFIED - Full Study Pack
Question 1.
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 2.
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). 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 3.
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 4.
Guidance recommends not to certify with ear problem diagnoses of:
Correct Answer: a) Uncontrolled vertigo.
b) Ménière's disease.
,c) Nonfunctioning labyrinth.
d) Nonfunctioning fistula.
Question 5.
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.
• 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. Certify only when accompanied
by hearing aid. -✓✓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 6.
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 7.
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. Audiogram left 30/500 Hz, 40/1000 Hz, 60/2000
Hz; right 25/500 Hz, 35/1000 Hz, 80/2000 Hz. Audiogram left 35/500 Hz, 50/1000 Hz,
40/3000 Hz; right 35/500 Hz, 35/1000 Hz, 60/3000 Hz.
,Correct Answer: Whisper test 5 feet right ear with hearing aid, 3 feet left ear
without hearing aid.
Explanation: Whisper test results require 5 feet in at least one ear for passing, with or
without a hearing aid. Audiometric testing results require an average of 40 dB loss in the
better ear for results averaged across 500, 1000, and 2000 Hz. Although testing may be
performed at 3000 Hz, results obtained are not used to determine whether the driver
meets hearing requirements.
Question 8.
A driver has loss of hearing in the better ear of 25 dB loss at 500 Hz, 40 dB loss at 1000
Hz, and 60 dB loss at 2000 Hz. With respect to the hearing requirement for medical
certification, the driver __________.
May be certified for one year. May be certified for two years. May not be certified. May
be certified if examined by an otolaryngologist who is familiar with the CMV driving
duties who certifies the driver as medically qualified to drive a CMV.
Correct Answer: May not be certified.
Explanation: An average hearing loss of 41.7 decibels averaged across 500, 1000, and
2000 Hz in the better ear is disqualifying. The driver should be referred to obtain a
hearing aid and may be certified if the driver passes while wearing a hearing aid. A
specialist cannot determine certification, and a specialist cannot override medical
qualification standards such as the minimum hearing requirement.
Question 9.
Which of the following is acceptable for a driver who wears a hearing aid?
Testing of the driver's hearing is waived if the driver presents a letter from a qualified
specialist. Testing of the driver's hearing may be performed by the medical examiner
using audiometric testing equipment. Testing of the driver's hearing may be performed
by an audiologist or otolaryngologist using specialized audiometric testing equipment.
Testing of the driver's hearing may be performed at 1,000 Hz only.
Correct Answer: Testing of the driver's hearing is waived if the driver presents
a letter from a qualified specialist. Testing the hearing of a driver who wears a
hearing aid may be accomplished in three ways: 1) whisper test, 2)
audiometric testing by an otolaryngologist using specialized audiometric
testing equipment, or 3) audiometric testing by an audiologist using
specialized audiometric testing equipment. Audiometric testing is required to
be conducted at 500 Hz, 1000 Hz, and 2000 Hz.
Question 10.
Passing Requirements for Vision Tests
Correct Answer: Corrective lenses, eye glasses and/or contact lenses may be
used.
Distance binocular acuity of at least 20/40 (Snellen) in each eye with or
, without corrective lenses. Field of vision of at least 70º in the horizontal
meridian in each eye. Monocular vision - vision meeting requirements in only
one eye - is disqualifying by regulation. The ability to recognize the colors of
traffic signals and devices showing standard red, green, and amber. Contact
lenses that correct vision in one eye for distance and the other eye for near
are not acceptable. Results must be converted to Snellen values if another
test is used. Measured in each eye individually and both eyes. Drivers who
wear corrective lenses should be advised to carry spare glasses. In general,
any vision condition, such as lazy eye, glaucoma, cataract, and others, is not
disqualifying as long as the driver meets minimum vision testing parameters.
Question 11.
FMCSA is
Correct Answer: Federal Motor Carrier Safety Administration. Is overseen by
the DOT. The FMCSA creates standards for driver examinations. Regulates
Interstate commercial operations, including the driver. Many states use
federal FMCSA standards to govern intrastate commercial operations,
including the driver, but the FMCSA does not directly regulate any intrastate
functions. a division of the US Department of Transportation (DOT).
• Conditions which are usually disqualifying, but for which qualification can be
considered on a case-by-case basis include __________.
Autonomic neuropathy. Methadone use. Monocular vision. Carpal tunnel
syndrome. -✓✓Correct Answer: Autonomic neuropathy.
Explanation: Methadone use and monocular vision are always disqualifying. Carpal
tunnel syndrome is not usually disqualifying.
Question 12.
A driver experienced a pneumothorax four weeks ago. The medical examiner tests the
driver's respiratory function and the forced vital capacity (FVC) is 58% of predicted.
What should the certification decision be?
Do not certify pending additional testing. Certify for three months, pending driver follow
up with personal physician and/or specialist. Certify one year. Certify two years.
Correct Answer: Correct Answer: Do not certify pending additional testing.
Explanation: The driver may not be certified until FVC is > 60% predicted or additional
testing reveals acceptable respiratory parameters - e.g., pulse oximetry with O2 > 92%.
Question 13.
Stage 1 Hypertension Two certification options:
Correct Answer: One Year: recommend to certify for one year if it is the first
examination at which the driver has blood pressure equivalent to Stage 1
hypertension, and the driver has no history of hypertension and does not use
medication for blood pressure control.
ANSWERS - A+ GRADED 100% VERIFIED - Full Study Pack
Question 1.
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 2.
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). 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 3.
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 4.
Guidance recommends not to certify with ear problem diagnoses of:
Correct Answer: a) Uncontrolled vertigo.
b) Ménière's disease.
,c) Nonfunctioning labyrinth.
d) Nonfunctioning fistula.
Question 5.
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.
• 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. Certify only when accompanied
by hearing aid. -✓✓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 6.
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 7.
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. Audiogram left 30/500 Hz, 40/1000 Hz, 60/2000
Hz; right 25/500 Hz, 35/1000 Hz, 80/2000 Hz. Audiogram left 35/500 Hz, 50/1000 Hz,
40/3000 Hz; right 35/500 Hz, 35/1000 Hz, 60/3000 Hz.
,Correct Answer: Whisper test 5 feet right ear with hearing aid, 3 feet left ear
without hearing aid.
Explanation: Whisper test results require 5 feet in at least one ear for passing, with or
without a hearing aid. Audiometric testing results require an average of 40 dB loss in the
better ear for results averaged across 500, 1000, and 2000 Hz. Although testing may be
performed at 3000 Hz, results obtained are not used to determine whether the driver
meets hearing requirements.
Question 8.
A driver has loss of hearing in the better ear of 25 dB loss at 500 Hz, 40 dB loss at 1000
Hz, and 60 dB loss at 2000 Hz. With respect to the hearing requirement for medical
certification, the driver __________.
May be certified for one year. May be certified for two years. May not be certified. May
be certified if examined by an otolaryngologist who is familiar with the CMV driving
duties who certifies the driver as medically qualified to drive a CMV.
Correct Answer: May not be certified.
Explanation: An average hearing loss of 41.7 decibels averaged across 500, 1000, and
2000 Hz in the better ear is disqualifying. The driver should be referred to obtain a
hearing aid and may be certified if the driver passes while wearing a hearing aid. A
specialist cannot determine certification, and a specialist cannot override medical
qualification standards such as the minimum hearing requirement.
Question 9.
Which of the following is acceptable for a driver who wears a hearing aid?
Testing of the driver's hearing is waived if the driver presents a letter from a qualified
specialist. Testing of the driver's hearing may be performed by the medical examiner
using audiometric testing equipment. Testing of the driver's hearing may be performed
by an audiologist or otolaryngologist using specialized audiometric testing equipment.
Testing of the driver's hearing may be performed at 1,000 Hz only.
Correct Answer: Testing of the driver's hearing is waived if the driver presents
a letter from a qualified specialist. Testing the hearing of a driver who wears a
hearing aid may be accomplished in three ways: 1) whisper test, 2)
audiometric testing by an otolaryngologist using specialized audiometric
testing equipment, or 3) audiometric testing by an audiologist using
specialized audiometric testing equipment. Audiometric testing is required to
be conducted at 500 Hz, 1000 Hz, and 2000 Hz.
Question 10.
Passing Requirements for Vision Tests
Correct Answer: Corrective lenses, eye glasses and/or contact lenses may be
used.
Distance binocular acuity of at least 20/40 (Snellen) in each eye with or
, without corrective lenses. Field of vision of at least 70º in the horizontal
meridian in each eye. Monocular vision - vision meeting requirements in only
one eye - is disqualifying by regulation. The ability to recognize the colors of
traffic signals and devices showing standard red, green, and amber. Contact
lenses that correct vision in one eye for distance and the other eye for near
are not acceptable. Results must be converted to Snellen values if another
test is used. Measured in each eye individually and both eyes. Drivers who
wear corrective lenses should be advised to carry spare glasses. In general,
any vision condition, such as lazy eye, glaucoma, cataract, and others, is not
disqualifying as long as the driver meets minimum vision testing parameters.
Question 11.
FMCSA is
Correct Answer: Federal Motor Carrier Safety Administration. Is overseen by
the DOT. The FMCSA creates standards for driver examinations. Regulates
Interstate commercial operations, including the driver. Many states use
federal FMCSA standards to govern intrastate commercial operations,
including the driver, but the FMCSA does not directly regulate any intrastate
functions. a division of the US Department of Transportation (DOT).
• Conditions which are usually disqualifying, but for which qualification can be
considered on a case-by-case basis include __________.
Autonomic neuropathy. Methadone use. Monocular vision. Carpal tunnel
syndrome. -✓✓Correct Answer: Autonomic neuropathy.
Explanation: Methadone use and monocular vision are always disqualifying. Carpal
tunnel syndrome is not usually disqualifying.
Question 12.
A driver experienced a pneumothorax four weeks ago. The medical examiner tests the
driver's respiratory function and the forced vital capacity (FVC) is 58% of predicted.
What should the certification decision be?
Do not certify pending additional testing. Certify for three months, pending driver follow
up with personal physician and/or specialist. Certify one year. Certify two years.
Correct Answer: Correct Answer: Do not certify pending additional testing.
Explanation: The driver may not be certified until FVC is > 60% predicted or additional
testing reveals acceptable respiratory parameters - e.g., pulse oximetry with O2 > 92%.
Question 13.
Stage 1 Hypertension Two certification options:
Correct Answer: One Year: recommend to certify for one year if it is the first
examination at which the driver has blood pressure equivalent to Stage 1
hypertension, and the driver has no history of hypertension and does not use
medication for blood pressure control.
