2025 NRCME (DOT) Exam| Comprehensive
Review with Verified Answers | 100% Correct.
A driver has loss of hearing in the better ear of 25 dB loss at 500
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
Hz, 40 dB loss at 1000 Hz, and 60 dB loss at 2000 Hz. With respect
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
to the hearing requirement for medical certification, the driver
i,- i,- i,- i,- i,- i,- i,- i,- i,-
__________.
May be certified for one year.
i,- i,- i,- i,- i,-
May be certified for two years.
i,- i,- i,- i,- i,-
May not be certified.i,- i,- i,-
May be certified if examined by an otolaryngologist who is
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
familiar with the CMV driving duties who certifies the driver as
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
medically qualified to drive a CMV. May not be certified.
i,- i,- i,- i,- i,- i,-i,- i,- i,- i,- i,-
Explanation: An average hearing loss of 41.7 decibels averaged i,- i,- i,- i,- i,- i,- i,- i,- i,-
across 500, 1000, and 2000 Hz in the better ear is disqualifying.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
The driver should be referred to obtain a hearing aid and may be
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
certified if the driver passes while wearing a hearing aid. A
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
specialist cannot determine certification, and a specialist cannot
i,- i,- i,- i,- i,- i,- i,- i,-
override medical qualification standards such as the minimum
i,- i,- i,- i,- i,- i,- i,- i,-
hearing requirement. i,-
,Which of the following is acceptable for a driver who wears a
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
hearing aid? i,-
Testing of the driver's hearing is waived if the driver presents a
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
letter from a qualified specialist.
i,- i,- i,- i,-
Testing of the driver's hearing may be performed by the medical
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
examiner using audiometric testing equipment.
i,- i,- i,- i,-
Testing of the driver's hearing may be performed by an
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
audiologist or otolaryngologist using specialized audiometric
i,- i,- i,- i,- i,- i,-
testing equipment.
i,-
Testing of the driver's hearing may be performed at 1,000 Hz
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
only. Testing of the driver's hearing is waived if the driver
i,-i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
presents a letter from a qualified specialist.
i,- i,- i,- i,- i,- i,-
Testing the hearing of a driver who wears a hearing aid may be
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
accomplished in three ways: 1) whisper test, 2) audiometric i,- i,- i,- i,- i,- i,- i,- i,- i,-
testing by an otolaryngologist using specialized audiometric
i,- i,- i,- i,- i,- i,- i,-
testing equipment, or 3) audiometric testing by an audiologist
i,- i,- i,- i,- i,- i,- i,- i,- i,-
using specialized audiometric testing equipment. Audiometric
i,- i,- i,- i,- i,- i,-
testing is required to be conducted at 500 Hz, 1000 Hz, and 2000
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
Hz.
Passing Requirements for Vision Tests
i,- Corrective lenses, eye i,- i,- i,- i,-i,- i,- i,- i,- i,-
glasses and/or contact lenses may be used.
i,- i,- i,- i,- i,- i,-
,Distance binocular acuity of at least 20/40 (Snellen) in each eye
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
with or without corrective lenses. Field of vision of at least 70º in
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
the horizontal meridian in each eye. Monocular vision - vision
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
meeting requirements in only one eye - is disqualifying by
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
regulation.
The ability to recognize the colors of traffic signals and devices
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
showing standard red, green, and amber. i,- i,- i,- i,- i,-
Contact lenses that correct vision in one eye for distance and the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
other eye for near are not acceptable.
i,- i,- i,- i,- i,- i,-
Results must be converted to Snellen values if another test is used.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
Measured in each eye individually and both eyes. i,- i,- i,- i,- i,- i,- i,-
Drivers who wear corrective lenses should be advised to carry
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
spare glasses. i,-
In general, any vision condition, such as lazy eye, glaucoma,
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
cataract, and others, is not disqualifying as long as the driver
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
meets minimum vision testing parameters.
i,- i,- i,- i,-
FMCSA is Federal Motor Carrier Safety Administration. Is
i,- i,-i,- i,- i,- i,- i,- i,- i,- i,-
overseen by the DOT. The FMCSA creates standards for driver
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
examinations. Regulates Interstate commercial operations, i,- i,- i,- i,- i,-
including the driver. i,- i,-
Many states use federal FMCSA standards to govern intrastate
i,- i,- i,- i,- i,- i,- i,- i,- i,-
commercial operations, including the driver, but the FMCSA does i,- i,- i,- i,- i,- i,- i,- i,- i,-
not directly regulate any intrastate functions.
i,- i,- i,- i,- i,-
, a division of the US Department of Transportation (DOT).
i,- i,- i,- i,- i,- i,- i,- i,-
Conditions which are usually disqualifying, but for which
i,- i,- i,- i,- i,- i,- i,- i,-
qualification can be considered on a case-by-case basis include
i,- i,- i,- i,- i,- i,- i,- i,- i,-
__________.
Autonomic neuropathy. i,-
Methadone use. i,-
Monocular vision. i,-
Carpal tunnel syndrome.
i,- i,- i,-i,- i,- Correct Answer: Autonomic i,- i,- i,-
neuropathy.
Explanation: Methadone use and monocular vision are always
i,- i,- i,- i,- i,- i,- i,- i,-
disqualifying. Carpal tunnel syndrome is not usually disqualifying.
i,- i,- i,- i,- i,- i,- i,-
A driver experienced a pneumothorax four weeks ago. The
i,- i,- i,- i,- i,- i,- i,- i,- i,-
medical examiner tests the driver's respiratory function and the
i,- i,- i,- i,- i,- i,- i,- i,- i,-
forced vital capacity (FVC) is 58% of predicted. What should the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
certification decision be? i,- i,-
Do not certify pending additional testing.
i,- i,- i,- i,- i,-
Certify for three months, pending driver follow up with personal
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
physician and/or specialist.i,- i,-
Review with Verified Answers | 100% Correct.
A driver has loss of hearing in the better ear of 25 dB loss at 500
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
Hz, 40 dB loss at 1000 Hz, and 60 dB loss at 2000 Hz. With respect
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
to the hearing requirement for medical certification, the driver
i,- i,- i,- i,- i,- i,- i,- i,- i,-
__________.
May be certified for one year.
i,- i,- i,- i,- i,-
May be certified for two years.
i,- i,- i,- i,- i,-
May not be certified.i,- i,- i,-
May be certified if examined by an otolaryngologist who is
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
familiar with the CMV driving duties who certifies the driver as
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
medically qualified to drive a CMV. May not be certified.
i,- i,- i,- i,- i,- i,-i,- i,- i,- i,- i,-
Explanation: An average hearing loss of 41.7 decibels averaged i,- i,- i,- i,- i,- i,- i,- i,- i,-
across 500, 1000, and 2000 Hz in the better ear is disqualifying.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
The driver should be referred to obtain a hearing aid and may be
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
certified if the driver passes while wearing a hearing aid. A
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
specialist cannot determine certification, and a specialist cannot
i,- i,- i,- i,- i,- i,- i,- i,-
override medical qualification standards such as the minimum
i,- i,- i,- i,- i,- i,- i,- i,-
hearing requirement. i,-
,Which of the following is acceptable for a driver who wears a
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
hearing aid? i,-
Testing of the driver's hearing is waived if the driver presents a
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
letter from a qualified specialist.
i,- i,- i,- i,-
Testing of the driver's hearing may be performed by the medical
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
examiner using audiometric testing equipment.
i,- i,- i,- i,-
Testing of the driver's hearing may be performed by an
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
audiologist or otolaryngologist using specialized audiometric
i,- i,- i,- i,- i,- i,-
testing equipment.
i,-
Testing of the driver's hearing may be performed at 1,000 Hz
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
only. Testing of the driver's hearing is waived if the driver
i,-i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
presents a letter from a qualified specialist.
i,- i,- i,- i,- i,- i,-
Testing the hearing of a driver who wears a hearing aid may be
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
accomplished in three ways: 1) whisper test, 2) audiometric i,- i,- i,- i,- i,- i,- i,- i,- i,-
testing by an otolaryngologist using specialized audiometric
i,- i,- i,- i,- i,- i,- i,-
testing equipment, or 3) audiometric testing by an audiologist
i,- i,- i,- i,- i,- i,- i,- i,- i,-
using specialized audiometric testing equipment. Audiometric
i,- i,- i,- i,- i,- i,-
testing is required to be conducted at 500 Hz, 1000 Hz, and 2000
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
Hz.
Passing Requirements for Vision Tests
i,- Corrective lenses, eye i,- i,- i,- i,-i,- i,- i,- i,- i,-
glasses and/or contact lenses may be used.
i,- i,- i,- i,- i,- i,-
,Distance binocular acuity of at least 20/40 (Snellen) in each eye
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
with or without corrective lenses. Field of vision of at least 70º in
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
the horizontal meridian in each eye. Monocular vision - vision
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
meeting requirements in only one eye - is disqualifying by
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
regulation.
The ability to recognize the colors of traffic signals and devices
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
showing standard red, green, and amber. i,- i,- i,- i,- i,-
Contact lenses that correct vision in one eye for distance and the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
other eye for near are not acceptable.
i,- i,- i,- i,- i,- i,-
Results must be converted to Snellen values if another test is used.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
Measured in each eye individually and both eyes. i,- i,- i,- i,- i,- i,- i,-
Drivers who wear corrective lenses should be advised to carry
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
spare glasses. i,-
In general, any vision condition, such as lazy eye, glaucoma,
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
cataract, and others, is not disqualifying as long as the driver
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
meets minimum vision testing parameters.
i,- i,- i,- i,-
FMCSA is Federal Motor Carrier Safety Administration. Is
i,- i,-i,- i,- i,- i,- i,- i,- i,- i,-
overseen by the DOT. The FMCSA creates standards for driver
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
examinations. Regulates Interstate commercial operations, i,- i,- i,- i,- i,-
including the driver. i,- i,-
Many states use federal FMCSA standards to govern intrastate
i,- i,- i,- i,- i,- i,- i,- i,- i,-
commercial operations, including the driver, but the FMCSA does i,- i,- i,- i,- i,- i,- i,- i,- i,-
not directly regulate any intrastate functions.
i,- i,- i,- i,- i,-
, a division of the US Department of Transportation (DOT).
i,- i,- i,- i,- i,- i,- i,- i,-
Conditions which are usually disqualifying, but for which
i,- i,- i,- i,- i,- i,- i,- i,-
qualification can be considered on a case-by-case basis include
i,- i,- i,- i,- i,- i,- i,- i,- i,-
__________.
Autonomic neuropathy. i,-
Methadone use. i,-
Monocular vision. i,-
Carpal tunnel syndrome.
i,- i,- i,-i,- i,- Correct Answer: Autonomic i,- i,- i,-
neuropathy.
Explanation: Methadone use and monocular vision are always
i,- i,- i,- i,- i,- i,- i,- i,-
disqualifying. Carpal tunnel syndrome is not usually disqualifying.
i,- i,- i,- i,- i,- i,- i,-
A driver experienced a pneumothorax four weeks ago. The
i,- i,- i,- i,- i,- i,- i,- i,- i,-
medical examiner tests the driver's respiratory function and the
i,- i,- i,- i,- i,- i,- i,- i,- i,-
forced vital capacity (FVC) is 58% of predicted. What should the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
certification decision be? i,- i,-
Do not certify pending additional testing.
i,- i,- i,- i,- i,-
Certify for three months, pending driver follow up with personal
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
physician and/or specialist.i,- i,-
