NRCME DOT Sample [ACTUAL EXAM] LATEST VERSION
[QUESTIONS AND ANSWERS] DETAILED AND VERIFIED FOR
GUARANTEED PASS- LATEST UPDATE 2025 GRADED A
(BRAND NEW!!)
6 wk s/p mild MI. Cardiologist cleared him for work immediately without restriction. ETT:
12 METS. Echo: EF 65%. The examiner should: - CORRECT ANSWER ✔✔✔✔✔
Disqualify the driver
Audiometric test:
500 Hz: 35 R; 40 L
1000 Hz 40 R; 45 L
2000 Hz: 40 R; 45 L
4000 Hz: 50 R; 50 L
The examiner should: - CORRECT ANSWER ✔✔✔✔✔ Certify the driver for 2 years
Peripheral vision 70° L, 80° R. The examiner should: - CORRECT ANSWER ✔✔✔✔✔
Qualify the driver for 2 years
The driver is distant, lacks eye contact and shows absolutely no emotional response
during the exam. The examiner's best response should be: - CORRECT ANSWER
✔✔✔✔✔ Disqualify the driver and refer him to a mental health professional prior to
consideration for certification.
The driver has legal medical documentation for marijuana to treat glaucoma, started 3
months ago. Current medical card has no limitations and is for 2 years. Exam is WNL.
The examiner should: - CORRECT ANSWER ✔✔✔✔✔ Disqualify the driver.
BP 136/92 mmHg is - CORRECT ANSWER ✔✔✔✔✔ Stage 1 Hypertension
A driver is taking Celexa for the treatment of what he calls a "mild depression". He
reports he has not considered or attempted suicide. The examiner should: - CORRECT
ANSWER ✔✔✔✔✔ Certify only after obtaining written clearance for the depression
and the medication from the treating provider.
ITDM (insulin-treated DM), the examiner can only accept Form MCSA-5870 if it has
been properly completed within the last: - CORRECT ANSWER ✔✔✔✔✔ 45 days
,Topamax for the treatment of migraine headaches, with good management and don't
seem to interfere with driving. The examiner should: - CORRECT ANSWER ✔✔✔✔✔
Obtain medical clearance for the condition and the medication
Longstanding history of ADHD and is taking methylphenidate. Diagnosis verified,
clearance obtained from treating psychiatrist. As the certified examiner, you should: -
CORRECT ANSWER ✔✔✔✔✔ Shoulder certify the examiner for a maximum of 12
months
BP 168/112. The driver should be: - CORRECT ANSWER ✔✔✔✔✔ Disqualified
For how long should the driver be certified if he is taking Micardis HCT for hypertension,
and has a BP of 148/96? - CORRECT ANSWER ✔✔✔✔✔ 3 month (1-time)
Babinski reflex found. The examiner should: - CORRECT ANSWER ✔✔✔✔✔ Not
certify the driver until s/he has a neurological evaluation.
The following are required for all DOT exams EXCPET:
a) Vision
b) Hearing
c) BP
d) Ophthalmoscopic exam - CORRECT ANSWER ✔✔✔✔✔ d) Ophthalmoscopic
exam
Treated for epilepsy 14 years ago, stopped taking anti-epileptic medication on his own
11 years ago. Has not seen a Neurologist since, and reports no seizures since. The
examiner should: - CORRECT ANSWER ✔✔✔✔✔ Disqualify the driver
The driver reports for a re-certification exam 8 wk after having triple CABG, with a note
from surgeon stating he is able to return to driving without restriction, and ETT normal,
with Echo EF 75%. The examiner should: - CORRECT ANSWER ✔✔✔✔✔ Disqualify
the driver until he has completed the recommended waiting period
Maximum hours drive in 7 consecutive days? - CORRECT ANSWER ✔✔✔✔✔ 60
hours
BP 166/92 Stage? - CORRECT ANSWER ✔✔✔✔✔ Stage 2 Hypertension
Lasegue's sign tests for: - CORRECT ANSWER ✔✔✔✔✔ Lumbosacral radicular
irritation
Uses hearing aids during whisper test. Able to hear 5 ft R, 4 ft L. - CORRECT ANSWER
✔✔✔✔✔ Certify the driver for 2 years
, Minimum acceptable PFT values: - CORRECT ANSWER ✔✔✔✔✔ FEV1: 65
FVC: 60
FEV1/FVC: 65
Taking Nitroglycerin for angina for a few years. Has needed more recently d/t episodes
becoming more frequent. Your best course of action is to: - CORRECT ANSWER
✔✔✔✔✔ Disqualify the driver because the angina is not stable.
The longest the examiner would certify a driver with a history of Stage 3 Hypertension
is: - CORRECT ANSWER ✔✔✔✔✔ 6 months
Taking Wellbutrin for smoking cessation, has PCP note confirms this and states no side
effects. The examiner should: - CORRECT ANSWER ✔✔✔✔✔ Certify the driver for 2
years
Takes Benadryl for seasonal allergies. The examiner should: - CORRECT ANSWER
✔✔✔✔✔ Counsel the driver to not take the medication for 12 hours prior to driving
Moderate TBI that occurred 3 yr ago s/p MVA. He reports he has fully recovered and
provides a note from his Neurologist stating that he suffered no seizures, and that he is
able to return to driving. No medications. The examination should: - CORRECT
ANSWER ✔✔✔✔✔ Certify the driver for 1 year
Reports a suicide attempt 10 months ago. Sees a psychiatrist and takes Citalopram
daily. Reports feeling fine now. Has doctor's note to clear returning to driving without
restrictions. The medical examiner should: - CORRECT ANSWER ✔✔✔✔✔ Disqualify
the driver
Synthroid treats hypoTH, taking for 6 months and feels fine now. The examiner's best
course of action is to: - CORRECT ANSWER ✔✔✔✔✔ certify for 2 years
Who is the appropriate person to complete and sign Form MCSA-5870 for ITDM? -
CORRECT ANSWER ✔✔✔✔✔ The medical provider who manages the driver's
diabetes and prescribes insulin for the driver's diabetes
A driver should not be certified when an ABG reveals a PaO2 of < 65 at altitudes below:
- CORRECT ANSWER ✔✔✔✔✔ 5000 ft
If hearing requirement not met with hearing aid and requires a Federal hearing
exemption, the examiner should mark on the (MERF) Medical Evaluation Report Form: -
CORRECT ANSWER ✔✔✔✔✔ "Accompanied by a hearing exemption"
6 wk s/p MI. Has Cardiologist note clearing them without restrictions. Echo EF 50%.
EKG - no ischemia. ETT exceeds standards. The medical examiner should: -
CORRECT ANSWER ✔✔✔✔✔ Disqualify the driver
[QUESTIONS AND ANSWERS] DETAILED AND VERIFIED FOR
GUARANTEED PASS- LATEST UPDATE 2025 GRADED A
(BRAND NEW!!)
6 wk s/p mild MI. Cardiologist cleared him for work immediately without restriction. ETT:
12 METS. Echo: EF 65%. The examiner should: - CORRECT ANSWER ✔✔✔✔✔
Disqualify the driver
Audiometric test:
500 Hz: 35 R; 40 L
1000 Hz 40 R; 45 L
2000 Hz: 40 R; 45 L
4000 Hz: 50 R; 50 L
The examiner should: - CORRECT ANSWER ✔✔✔✔✔ Certify the driver for 2 years
Peripheral vision 70° L, 80° R. The examiner should: - CORRECT ANSWER ✔✔✔✔✔
Qualify the driver for 2 years
The driver is distant, lacks eye contact and shows absolutely no emotional response
during the exam. The examiner's best response should be: - CORRECT ANSWER
✔✔✔✔✔ Disqualify the driver and refer him to a mental health professional prior to
consideration for certification.
The driver has legal medical documentation for marijuana to treat glaucoma, started 3
months ago. Current medical card has no limitations and is for 2 years. Exam is WNL.
The examiner should: - CORRECT ANSWER ✔✔✔✔✔ Disqualify the driver.
BP 136/92 mmHg is - CORRECT ANSWER ✔✔✔✔✔ Stage 1 Hypertension
A driver is taking Celexa for the treatment of what he calls a "mild depression". He
reports he has not considered or attempted suicide. The examiner should: - CORRECT
ANSWER ✔✔✔✔✔ Certify only after obtaining written clearance for the depression
and the medication from the treating provider.
ITDM (insulin-treated DM), the examiner can only accept Form MCSA-5870 if it has
been properly completed within the last: - CORRECT ANSWER ✔✔✔✔✔ 45 days
,Topamax for the treatment of migraine headaches, with good management and don't
seem to interfere with driving. The examiner should: - CORRECT ANSWER ✔✔✔✔✔
Obtain medical clearance for the condition and the medication
Longstanding history of ADHD and is taking methylphenidate. Diagnosis verified,
clearance obtained from treating psychiatrist. As the certified examiner, you should: -
CORRECT ANSWER ✔✔✔✔✔ Shoulder certify the examiner for a maximum of 12
months
BP 168/112. The driver should be: - CORRECT ANSWER ✔✔✔✔✔ Disqualified
For how long should the driver be certified if he is taking Micardis HCT for hypertension,
and has a BP of 148/96? - CORRECT ANSWER ✔✔✔✔✔ 3 month (1-time)
Babinski reflex found. The examiner should: - CORRECT ANSWER ✔✔✔✔✔ Not
certify the driver until s/he has a neurological evaluation.
The following are required for all DOT exams EXCPET:
a) Vision
b) Hearing
c) BP
d) Ophthalmoscopic exam - CORRECT ANSWER ✔✔✔✔✔ d) Ophthalmoscopic
exam
Treated for epilepsy 14 years ago, stopped taking anti-epileptic medication on his own
11 years ago. Has not seen a Neurologist since, and reports no seizures since. The
examiner should: - CORRECT ANSWER ✔✔✔✔✔ Disqualify the driver
The driver reports for a re-certification exam 8 wk after having triple CABG, with a note
from surgeon stating he is able to return to driving without restriction, and ETT normal,
with Echo EF 75%. The examiner should: - CORRECT ANSWER ✔✔✔✔✔ Disqualify
the driver until he has completed the recommended waiting period
Maximum hours drive in 7 consecutive days? - CORRECT ANSWER ✔✔✔✔✔ 60
hours
BP 166/92 Stage? - CORRECT ANSWER ✔✔✔✔✔ Stage 2 Hypertension
Lasegue's sign tests for: - CORRECT ANSWER ✔✔✔✔✔ Lumbosacral radicular
irritation
Uses hearing aids during whisper test. Able to hear 5 ft R, 4 ft L. - CORRECT ANSWER
✔✔✔✔✔ Certify the driver for 2 years
, Minimum acceptable PFT values: - CORRECT ANSWER ✔✔✔✔✔ FEV1: 65
FVC: 60
FEV1/FVC: 65
Taking Nitroglycerin for angina for a few years. Has needed more recently d/t episodes
becoming more frequent. Your best course of action is to: - CORRECT ANSWER
✔✔✔✔✔ Disqualify the driver because the angina is not stable.
The longest the examiner would certify a driver with a history of Stage 3 Hypertension
is: - CORRECT ANSWER ✔✔✔✔✔ 6 months
Taking Wellbutrin for smoking cessation, has PCP note confirms this and states no side
effects. The examiner should: - CORRECT ANSWER ✔✔✔✔✔ Certify the driver for 2
years
Takes Benadryl for seasonal allergies. The examiner should: - CORRECT ANSWER
✔✔✔✔✔ Counsel the driver to not take the medication for 12 hours prior to driving
Moderate TBI that occurred 3 yr ago s/p MVA. He reports he has fully recovered and
provides a note from his Neurologist stating that he suffered no seizures, and that he is
able to return to driving. No medications. The examination should: - CORRECT
ANSWER ✔✔✔✔✔ Certify the driver for 1 year
Reports a suicide attempt 10 months ago. Sees a psychiatrist and takes Citalopram
daily. Reports feeling fine now. Has doctor's note to clear returning to driving without
restrictions. The medical examiner should: - CORRECT ANSWER ✔✔✔✔✔ Disqualify
the driver
Synthroid treats hypoTH, taking for 6 months and feels fine now. The examiner's best
course of action is to: - CORRECT ANSWER ✔✔✔✔✔ certify for 2 years
Who is the appropriate person to complete and sign Form MCSA-5870 for ITDM? -
CORRECT ANSWER ✔✔✔✔✔ The medical provider who manages the driver's
diabetes and prescribes insulin for the driver's diabetes
A driver should not be certified when an ABG reveals a PaO2 of < 65 at altitudes below:
- CORRECT ANSWER ✔✔✔✔✔ 5000 ft
If hearing requirement not met with hearing aid and requires a Federal hearing
exemption, the examiner should mark on the (MERF) Medical Evaluation Report Form: -
CORRECT ANSWER ✔✔✔✔✔ "Accompanied by a hearing exemption"
6 wk s/p MI. Has Cardiologist note clearing them without restrictions. Echo EF 50%.
EKG - no ischemia. ETT exceeds standards. The medical examiner should: -
CORRECT ANSWER ✔✔✔✔✔ Disqualify the driver
