NRCME DOT Certification
Exam
Question 1
A commercial driver presents with a blood pressure of 142/92 mmHg at the time of
examination. According to FMCSA guidelines, what is the maximum certification
period that can be issued?
A. 3 months
B. 6 months
C. 1 year
D. 2 years
Answer: C. 1 year
Explanation:
A driver with Stage 1 hypertension (140-159/90-99) can be certified for 1 year.
The driver must be advised to control blood pressure, and at the next exam, the
blood pressure must be ≤140/90 to continue certification for another year.
Question 2
,A driver has a diagnosis of Type 2 Diabetes Mellitus treated with insulin. Which of
the following is TRUE regarding certification?
A. The driver is automatically disqualified.
B. The driver may be certified for up to 12 months with a completed Insulin-Treated
Diabetes Mellitus (ITDM) form.
C. The driver may be certified for 2 years if stable.
D. The driver must undergo a stress test before certification.
Answer: B.
Explanation:
FMCSA allows drivers with insulin-treated diabetes to be certified for up to 12
months if they provide an ITDM assessment form completed by their treating
clinician.
This form must confirm the driver is stable and has no severe hypoglycemic
episodes.
Question 3
Which of the following conditions is an automatic disqualifier for commercial driving
according to FMCSA?
A. Controlled hypothyroidism
B. History of epilepsy
C. Mild depression treated with SSRIs
D. Controlled hypertension
Answer: B. History of epilepsy
,Explanation:
A driver with epilepsy (seizure disorder) is disqualified unless they have been seizure-
free and off anti-seizure medication for 10 years (or 8 years with an exemption).
Controlled hypothyroidism and depression may be certified if stable and without
impairing effects.
Question 4
A driver has a vision exam showing 20/40 in each eye, with corrective lenses, and a
horizontal field of vision of 70 degrees in each eye. What is the correct action?
A. Disqualify immediately
B. Certify for 2 years without restrictions
C. Certify for 2 years but mark "must wear corrective lenses"
D. Certify for 1 year with annual vision check
Answer: C.
Explanation:
FMCSA minimum vision standards:
Distant visual acuity 20/40 in each eye (with or without correction)
Horizontal field of vision ≥70 degrees in each eye
If correction is needed, examiner must mark the "corrective lenses" restriction.
Question 5
, A commercial driver presents with a random blood glucose of 340 mg/dL and reports
polyuria and polydipsia. Which is the most appropriate decision?
A. Certify for 3 months to allow treatment initiation
B. Disqualify until the condition is stabilized
C. Certify for 1 year with instructions to follow-up with PCP
D. Certify for 2 years with no restrictions
Answer: B.
Explanation:
Blood glucose >300 mg/dL with symptoms indicates poorly controlled diabetes,
which poses a high risk for sudden incapacitation.
The driver must not be certified until evaluated and treatment stabilizes their
condition.
Question 6
What is the maximum certification period for a driver using Schedule II narcotics,
such as hydrocodone, prescribed by a physician for chronic pain?
A. 1 year
B. 2 years
C. The driver may be certified only if the medication is prescribed and monitored by
a licensed practitioner
D. The driver cannot be certified while using Schedule II narcotics
Answer: D.
Explanation:
Exam
Question 1
A commercial driver presents with a blood pressure of 142/92 mmHg at the time of
examination. According to FMCSA guidelines, what is the maximum certification
period that can be issued?
A. 3 months
B. 6 months
C. 1 year
D. 2 years
Answer: C. 1 year
Explanation:
A driver with Stage 1 hypertension (140-159/90-99) can be certified for 1 year.
The driver must be advised to control blood pressure, and at the next exam, the
blood pressure must be ≤140/90 to continue certification for another year.
Question 2
,A driver has a diagnosis of Type 2 Diabetes Mellitus treated with insulin. Which of
the following is TRUE regarding certification?
A. The driver is automatically disqualified.
B. The driver may be certified for up to 12 months with a completed Insulin-Treated
Diabetes Mellitus (ITDM) form.
C. The driver may be certified for 2 years if stable.
D. The driver must undergo a stress test before certification.
Answer: B.
Explanation:
FMCSA allows drivers with insulin-treated diabetes to be certified for up to 12
months if they provide an ITDM assessment form completed by their treating
clinician.
This form must confirm the driver is stable and has no severe hypoglycemic
episodes.
Question 3
Which of the following conditions is an automatic disqualifier for commercial driving
according to FMCSA?
A. Controlled hypothyroidism
B. History of epilepsy
C. Mild depression treated with SSRIs
D. Controlled hypertension
Answer: B. History of epilepsy
,Explanation:
A driver with epilepsy (seizure disorder) is disqualified unless they have been seizure-
free and off anti-seizure medication for 10 years (or 8 years with an exemption).
Controlled hypothyroidism and depression may be certified if stable and without
impairing effects.
Question 4
A driver has a vision exam showing 20/40 in each eye, with corrective lenses, and a
horizontal field of vision of 70 degrees in each eye. What is the correct action?
A. Disqualify immediately
B. Certify for 2 years without restrictions
C. Certify for 2 years but mark "must wear corrective lenses"
D. Certify for 1 year with annual vision check
Answer: C.
Explanation:
FMCSA minimum vision standards:
Distant visual acuity 20/40 in each eye (with or without correction)
Horizontal field of vision ≥70 degrees in each eye
If correction is needed, examiner must mark the "corrective lenses" restriction.
Question 5
, A commercial driver presents with a random blood glucose of 340 mg/dL and reports
polyuria and polydipsia. Which is the most appropriate decision?
A. Certify for 3 months to allow treatment initiation
B. Disqualify until the condition is stabilized
C. Certify for 1 year with instructions to follow-up with PCP
D. Certify for 2 years with no restrictions
Answer: B.
Explanation:
Blood glucose >300 mg/dL with symptoms indicates poorly controlled diabetes,
which poses a high risk for sudden incapacitation.
The driver must not be certified until evaluated and treatment stabilizes their
condition.
Question 6
What is the maximum certification period for a driver using Schedule II narcotics,
such as hydrocodone, prescribed by a physician for chronic pain?
A. 1 year
B. 2 years
C. The driver may be certified only if the medication is prescribed and monitored by
a licensed practitioner
D. The driver cannot be certified while using Schedule II narcotics
Answer: D.
Explanation:
