NRCME DOT Examiner Test Practice
[ACTUAL EXAM] LATEST VERSION
[QUESTIONS AND ANSWERS]
DETAILED AND VERIFIED FOR
GUARANTEED PASS- LATEST
UPDATE 2025 GRADED A (BRAND
NEW!!)
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.
A new driver who had a myocardial infarction six months ago is certified after
completing an acceptable exercise tolerance test and is cleared by a cardiologist.
According to FMCSA guidelines, which of the following is recommended regarding
recertification and exercise tolerance test monitoring intervals?
Recertification / Exercise tolerance
A. Every year / Every year
B. Every two years / Every year
C. Every year / Every two years
D. Every two years / Every two years - CORRECT ANSWER ✔✔✔✔✔ Correct
Response:
C. Every year / Every two years
This is the correct response because according to FMCSA medical guidelines, when a
myocardial infarction is part of the medical history, there is a significant increased risk
for another myocardial infarction to occur within six months to a year; therefore, a
maximum of one-year certification is the guideline. Myocardial infarction guidelines also
, recommend exercise tolerance testing at least every two years to demonstrate
continued ability to safely operate a CMV.
A 46-year-old male driver presents for recertification. He has a history of chronic gastro
esophageal reflux disease (GERD). He takes esomeprazole (Nexium) and over-the-
counter cimetidine (Tagamet). He states that he feels fine, but has trouble finding foods
that do not trigger his GERD when he is on the road. Which of the following should the
medical examiner do first?
A. Disqualify the driver until he has a nutritional consultation.
B. Certify the driver and advise him to carry non-triggering foods in a cooler.
C. Contact the driver's physician and request an upper GI study.
D. Correlate the GI history findings with the abdominal examination. - CORRECT
ANSWER ✔✔✔✔✔ Correct Response:
D. Correlate the GI history findings with the abdominal examination.
This is the correct response because given the information in the question; a medical
examiner would need to examine the driver before having sufficient information about
the health of the driver to consider any of the other options.
A 25-year-old female driver denies a history of any medical problems. She is a non-
smoker who exercises regularly without symptoms. The medical examiner auscultates
bilateral wheezes during the examination. The driver's SpO2 is 90 percent in the
medical examiner's office. The rest of the examination is normal. The driver should be...
?
A. Temporarily disqualified pending results of a cardiac workup.
B. Qualified since she has no cardiac symptoms.
C. Temporarily disqualified until further evaluation.
D. Qualified because her O2 saturation exceeds the minimum. - CORRECT ANSWER
✔✔✔✔✔ Correct Response:
C. Temporarily disqualified until further evaluation.
This is the correct response because the driver has a non-diagnosed respiratory or
thoracic illness that might interfere with the ability to safely operate a CMV. The driver
should not be certified until the etiology is confirmed and treatment has been shown to
be effective, safe, and stable. Also, according to FMCSA medical guidelines, a SpO2 of
less than 92 percent warrants obtaining an arterial blood gas analysis.
Which of the following stages of hypertension calls for a medical certificate that expires
in a year?
A. Stage 1
B. Stage 3
C. Stage 2
D. Stage 4 - CORRECT ANSWER ✔✔✔✔✔ A. Stage 1
Medical certificates for drivers with Stage 1 hypertension expire after a year. Stage 2
hypertension results in a one-time, three-month medical certificate. Stage 3
[ACTUAL EXAM] LATEST VERSION
[QUESTIONS AND ANSWERS]
DETAILED AND VERIFIED FOR
GUARANTEED PASS- LATEST
UPDATE 2025 GRADED A (BRAND
NEW!!)
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.
A new driver who had a myocardial infarction six months ago is certified after
completing an acceptable exercise tolerance test and is cleared by a cardiologist.
According to FMCSA guidelines, which of the following is recommended regarding
recertification and exercise tolerance test monitoring intervals?
Recertification / Exercise tolerance
A. Every year / Every year
B. Every two years / Every year
C. Every year / Every two years
D. Every two years / Every two years - CORRECT ANSWER ✔✔✔✔✔ Correct
Response:
C. Every year / Every two years
This is the correct response because according to FMCSA medical guidelines, when a
myocardial infarction is part of the medical history, there is a significant increased risk
for another myocardial infarction to occur within six months to a year; therefore, a
maximum of one-year certification is the guideline. Myocardial infarction guidelines also
, recommend exercise tolerance testing at least every two years to demonstrate
continued ability to safely operate a CMV.
A 46-year-old male driver presents for recertification. He has a history of chronic gastro
esophageal reflux disease (GERD). He takes esomeprazole (Nexium) and over-the-
counter cimetidine (Tagamet). He states that he feels fine, but has trouble finding foods
that do not trigger his GERD when he is on the road. Which of the following should the
medical examiner do first?
A. Disqualify the driver until he has a nutritional consultation.
B. Certify the driver and advise him to carry non-triggering foods in a cooler.
C. Contact the driver's physician and request an upper GI study.
D. Correlate the GI history findings with the abdominal examination. - CORRECT
ANSWER ✔✔✔✔✔ Correct Response:
D. Correlate the GI history findings with the abdominal examination.
This is the correct response because given the information in the question; a medical
examiner would need to examine the driver before having sufficient information about
the health of the driver to consider any of the other options.
A 25-year-old female driver denies a history of any medical problems. She is a non-
smoker who exercises regularly without symptoms. The medical examiner auscultates
bilateral wheezes during the examination. The driver's SpO2 is 90 percent in the
medical examiner's office. The rest of the examination is normal. The driver should be...
?
A. Temporarily disqualified pending results of a cardiac workup.
B. Qualified since she has no cardiac symptoms.
C. Temporarily disqualified until further evaluation.
D. Qualified because her O2 saturation exceeds the minimum. - CORRECT ANSWER
✔✔✔✔✔ Correct Response:
C. Temporarily disqualified until further evaluation.
This is the correct response because the driver has a non-diagnosed respiratory or
thoracic illness that might interfere with the ability to safely operate a CMV. The driver
should not be certified until the etiology is confirmed and treatment has been shown to
be effective, safe, and stable. Also, according to FMCSA medical guidelines, a SpO2 of
less than 92 percent warrants obtaining an arterial blood gas analysis.
Which of the following stages of hypertension calls for a medical certificate that expires
in a year?
A. Stage 1
B. Stage 3
C. Stage 2
D. Stage 4 - CORRECT ANSWER ✔✔✔✔✔ A. Stage 1
Medical certificates for drivers with Stage 1 hypertension expire after a year. Stage 2
hypertension results in a one-time, three-month medical certificate. Stage 3
