NRCME DOT Examiner Test Practice
Questions and Answers 2023
According to FMCSA regulations, which of the following must the medical examiner evaluate when
examining a driver's eyes?
A. Pupil reactivity
B. Iris symmetry
C. Conjunctival injection
D. Corneal thickness - correct answer Correct Response:
A. Pupil reactivity
Incorrect Responses:
B. Iris symmetry
This is incorrect because determining iris symmetry is not required by FMCSA.
C. Conjunctival injection
This is incorrect because most causes of conjunctival injection would not be disqualifying. Causes that
are suspicious for a disqualifying condition need additional evaluation. While this abnormal finding
should be explained, with determination of possible effects on safe driving before making a certification
decision, it is not a condition that is specified in FMCSA regulations.
D. Corneal thickness
This is incorrect because it is not measured in an office examination except by an eye specialist.
According to FMCSA regulations, medical qualification for two years can be given to a driver who has... ?
A. An SPE certificate for a left below the knee amputation (BKA).
B. Hypertension.
C. A recent diagnosis of Lewy body dementia.
D. Documented medical marijuana use for pain control. - correct answer Correct Response:
A. An SPE certificate for a left below the knee amputation.This is the correct response because in order
to obtain the SPE certificate, the driver had to demonstrate the ability to perform all tasks for the
commercial driver job description.
Incorrect Responses:
, NRCME DOT Examiner Test Practice
Questions and Answers 2023
B. Hypertension.
This is not the correct response because drivers with hypertension are only given a medical certificate
that is good for one year.
C. A recent diagnosis of Lewy body dementia.
This is not the correct response because this is a progressive, degenerative condition with no known
treatment. The effects of Lewy body dementia impact the ability to operate a CMV safely.
D. Documented medical marijuana use for pain control.
This is not the correct response because marijuana remains a drug listed in Schedule I of the Controlled
Substances Act. It remains unacceptable for any safety-sensitive employee subject to drug testing under
the drug testing regulations of DOT to use marijuana. Also, FMCSA medical guidelines state that "driving
impairment due to marijuana use is well substantiated."
During his visit to the medical examiner, a driver complains of severe pain in his finger for the last two
weeks after it was punctured. The examination reveals an infected, swollen finger. After the medical
examiner inquiries, the driver states that the pain is made worse when he grips the steering wheel.
Which of the following should the medical examiner do next?
A. Obtain a hand X-ray.
B. Assess capillary refill in the hand.
C. Obtain a culture and sensitivity.
D. Assess the driver's grip strength. - correct answer Correct Response:
D. Assess the driver's grip strength.This is the correct response because the condition does not present a
safety risk unless it interferes with the ability of the driver to hold and control the steering wheel.
Incorrect Responses:
A. Obtain a hand X-ray.
This is not the correct response because this is a diagnostic test that a healthcare provider or specialist
would perform or order. Your role as a medical examiner is to determine if the condition interferes with
the ability of the driver to safely operate a CMV.
B. Assess capillary refill in the hand.
This is not the correct response because given the information in the question it is not the primary
consideration for determining if the driver can safely operate a CMV.
Questions and Answers 2023
According to FMCSA regulations, which of the following must the medical examiner evaluate when
examining a driver's eyes?
A. Pupil reactivity
B. Iris symmetry
C. Conjunctival injection
D. Corneal thickness - correct answer Correct Response:
A. Pupil reactivity
Incorrect Responses:
B. Iris symmetry
This is incorrect because determining iris symmetry is not required by FMCSA.
C. Conjunctival injection
This is incorrect because most causes of conjunctival injection would not be disqualifying. Causes that
are suspicious for a disqualifying condition need additional evaluation. While this abnormal finding
should be explained, with determination of possible effects on safe driving before making a certification
decision, it is not a condition that is specified in FMCSA regulations.
D. Corneal thickness
This is incorrect because it is not measured in an office examination except by an eye specialist.
According to FMCSA regulations, medical qualification for two years can be given to a driver who has... ?
A. An SPE certificate for a left below the knee amputation (BKA).
B. Hypertension.
C. A recent diagnosis of Lewy body dementia.
D. Documented medical marijuana use for pain control. - correct answer Correct Response:
A. An SPE certificate for a left below the knee amputation.This is the correct response because in order
to obtain the SPE certificate, the driver had to demonstrate the ability to perform all tasks for the
commercial driver job description.
Incorrect Responses:
, NRCME DOT Examiner Test Practice
Questions and Answers 2023
B. Hypertension.
This is not the correct response because drivers with hypertension are only given a medical certificate
that is good for one year.
C. A recent diagnosis of Lewy body dementia.
This is not the correct response because this is a progressive, degenerative condition with no known
treatment. The effects of Lewy body dementia impact the ability to operate a CMV safely.
D. Documented medical marijuana use for pain control.
This is not the correct response because marijuana remains a drug listed in Schedule I of the Controlled
Substances Act. It remains unacceptable for any safety-sensitive employee subject to drug testing under
the drug testing regulations of DOT to use marijuana. Also, FMCSA medical guidelines state that "driving
impairment due to marijuana use is well substantiated."
During his visit to the medical examiner, a driver complains of severe pain in his finger for the last two
weeks after it was punctured. The examination reveals an infected, swollen finger. After the medical
examiner inquiries, the driver states that the pain is made worse when he grips the steering wheel.
Which of the following should the medical examiner do next?
A. Obtain a hand X-ray.
B. Assess capillary refill in the hand.
C. Obtain a culture and sensitivity.
D. Assess the driver's grip strength. - correct answer Correct Response:
D. Assess the driver's grip strength.This is the correct response because the condition does not present a
safety risk unless it interferes with the ability of the driver to hold and control the steering wheel.
Incorrect Responses:
A. Obtain a hand X-ray.
This is not the correct response because this is a diagnostic test that a healthcare provider or specialist
would perform or order. Your role as a medical examiner is to determine if the condition interferes with
the ability of the driver to safely operate a CMV.
B. Assess capillary refill in the hand.
This is not the correct response because given the information in the question it is not the primary
consideration for determining if the driver can safely operate a CMV.
