1|Page
NRCME DOT EXAM WITH QUESTIONS AND
100% CORRECT ANSWERS|| LATEST AND
COMPLETE VERSION 2025-2026 WITH EXPERT
VERIFIED SOLUTIONS|| ASSURED PASS
What minimum PaO2 level is necessary if the driver has an ABG due to a chronic
respiratory disorder?
a. 70 mm Hg
b. 55 mm Hg
c. 60 mm Hg
d. 65 mm Hg - ANSWER: 65 mmhg
A driver first perceives a whispered voice at 5 feet in his right ear and 4 feet in his
left ear. All other aspects of his physical examination are unremarkable. The
examiner should:
a. Disqualify the driver because he "failed" the whispered voice
test.
b. Certify the driver for 2 years.
c. Certify the driver for 1 year.
d. Require an audiometric test to determine the extent of hearing loss in his leftear.
- ANSWER: certify for 2 years
A driver reports for an examination 6 weeks after suffering a mild heart attack and
presents a note from his cardiologist stating that he is able to return to work
immediately without restriction. Included within the note, the cardiologist provides
recent testing information showing that the driver had an ETT that showed he was
able to reach 12 METS during the test. His echocardiogram showed an ejection
,2|Page
fraction of 65%. The examination of the driver is unremarkable. The examiner
should:
a. Disqualify the driver.
b. Qualify the driver for 1 year.
c. Qualify the driver for 2 years.
d. Consult with the cardiologist to determine if the driver suffers from angina. -
ANSWER: disqualify the driver
The driver has not completed the required 2-month waiting period, but all other
requirements for medical clearance and required testing have been met. The driver
would be certified for 1 year at the completion of the waiting period
A driver provides an audiometric test documenting the following:
1. 500 Hz: 35 Right ear; 40 Left ear
2. 1000 HZ: 40 Right ear; 45 Left ear
3. 2000 HZ: 40 Right ear; 45 Left ear
4. 4000 Hz: 50 Right ear; 50 Left ear
The medical examiner should:
a. Disqualify the driver because he does not meet minimum hearing requirements
to drive.
b. Certify the driver for 2years.
c. Certify the driver for 1 year.
d. Require the driver to obtain a hearing exemption - ANSWER: certify the driver
for 2 years
,3|Page
During the examination of a commercial driver, the examiner notices that the
driver's peripheral vision is 70 degrees to the left and 80 degrees to the right. The
examiner should:
a. Qualify the driver for 2years.
b. Require the driver to obtain a vision exemption because of the limitation in the
driver's left peripheral field.
c. Disqualify the driver.
d. Have the driver consult with an Ophthalmologist to determine if the driver's
peripheral vision meets minimum standards. - ANSWER: Qualify the driver for
two years
During examination, the medical examiner notices that the driver is distant, lacks
eye contact and shows absolutely no emotional response during the exam. The
examiner's best response should be:
a. Provide the driver with a "CAGE" questionnaire to determine if he suffers from
alcoholism.
b. Disqualify the driver and refer him to a mental health professional prior to
consideration for certification. c. Certify the driver with a 1-time, 3-month
certificate to determine if there is any effect on the driver's ability to drive a CMV.
d. Require a skill performance evaluation to ascertain if the driver has any
limitations with driving - ANSWER: Disqualify the driver and refer him to a
mental health professional prior to consideration for certification.
A driver admits to the use of marijuana for the treatment of his glaucoma, which is
legal in the State in which he lives. He provides medical documentation for the
glaucoma indicating he is able to drive a truck. He began using the marijuana about
three months ago. His current medical card has no limitations listed and is for 2
years. His certification examination is within normal limits. The medical examiner
should:
, 4|Page
a. Disqualify the driver.
b. Perform a urine drug collection and provide the release from the testing
provider.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years. - ANSWER: Disqualify the driver
A driver has a blood pressure of 136/92 mm Hg. This is:
a. Within normal limits and would not affect the driver's certification.
b. Stage 1Hypertension.
c. Stage 2Hypertension.
d. Stage 3Hypertension. - ANSWER: Stage 1 HTN
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?
a. Certify only after obtaining written clearance for the depression and the
medication from the treating provider.
b. Certify the driver for a period of 1 year.
c. Certify the driver for a period of 2 years.
d. Disqualify the driver until he is no longer requiring medication for the treatment
of depression. - ANSWER: Certify only after obtaining written clearance for the
depression and the medication from the treating provider.
For a driver with insulin-treated diabetes mellitus, the medical examiner can only
accept Form MCSA-5870 if it has been properly completed within the last:
a. 25 days.
b. 30 days.
c. 45 days.
NRCME DOT EXAM WITH QUESTIONS AND
100% CORRECT ANSWERS|| LATEST AND
COMPLETE VERSION 2025-2026 WITH EXPERT
VERIFIED SOLUTIONS|| ASSURED PASS
What minimum PaO2 level is necessary if the driver has an ABG due to a chronic
respiratory disorder?
a. 70 mm Hg
b. 55 mm Hg
c. 60 mm Hg
d. 65 mm Hg - ANSWER: 65 mmhg
A driver first perceives a whispered voice at 5 feet in his right ear and 4 feet in his
left ear. All other aspects of his physical examination are unremarkable. The
examiner should:
a. Disqualify the driver because he "failed" the whispered voice
test.
b. Certify the driver for 2 years.
c. Certify the driver for 1 year.
d. Require an audiometric test to determine the extent of hearing loss in his leftear.
- ANSWER: certify for 2 years
A driver reports for an examination 6 weeks after suffering a mild heart attack and
presents a note from his cardiologist stating that he is able to return to work
immediately without restriction. Included within the note, the cardiologist provides
recent testing information showing that the driver had an ETT that showed he was
able to reach 12 METS during the test. His echocardiogram showed an ejection
,2|Page
fraction of 65%. The examination of the driver is unremarkable. The examiner
should:
a. Disqualify the driver.
b. Qualify the driver for 1 year.
c. Qualify the driver for 2 years.
d. Consult with the cardiologist to determine if the driver suffers from angina. -
ANSWER: disqualify the driver
The driver has not completed the required 2-month waiting period, but all other
requirements for medical clearance and required testing have been met. The driver
would be certified for 1 year at the completion of the waiting period
A driver provides an audiometric test documenting the following:
1. 500 Hz: 35 Right ear; 40 Left ear
2. 1000 HZ: 40 Right ear; 45 Left ear
3. 2000 HZ: 40 Right ear; 45 Left ear
4. 4000 Hz: 50 Right ear; 50 Left ear
The medical examiner should:
a. Disqualify the driver because he does not meet minimum hearing requirements
to drive.
b. Certify the driver for 2years.
c. Certify the driver for 1 year.
d. Require the driver to obtain a hearing exemption - ANSWER: certify the driver
for 2 years
,3|Page
During the examination of a commercial driver, the examiner notices that the
driver's peripheral vision is 70 degrees to the left and 80 degrees to the right. The
examiner should:
a. Qualify the driver for 2years.
b. Require the driver to obtain a vision exemption because of the limitation in the
driver's left peripheral field.
c. Disqualify the driver.
d. Have the driver consult with an Ophthalmologist to determine if the driver's
peripheral vision meets minimum standards. - ANSWER: Qualify the driver for
two years
During examination, the medical examiner notices that the driver is distant, lacks
eye contact and shows absolutely no emotional response during the exam. The
examiner's best response should be:
a. Provide the driver with a "CAGE" questionnaire to determine if he suffers from
alcoholism.
b. Disqualify the driver and refer him to a mental health professional prior to
consideration for certification. c. Certify the driver with a 1-time, 3-month
certificate to determine if there is any effect on the driver's ability to drive a CMV.
d. Require a skill performance evaluation to ascertain if the driver has any
limitations with driving - ANSWER: Disqualify the driver and refer him to a
mental health professional prior to consideration for certification.
A driver admits to the use of marijuana for the treatment of his glaucoma, which is
legal in the State in which he lives. He provides medical documentation for the
glaucoma indicating he is able to drive a truck. He began using the marijuana about
three months ago. His current medical card has no limitations listed and is for 2
years. His certification examination is within normal limits. The medical examiner
should:
, 4|Page
a. Disqualify the driver.
b. Perform a urine drug collection and provide the release from the testing
provider.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years. - ANSWER: Disqualify the driver
A driver has a blood pressure of 136/92 mm Hg. This is:
a. Within normal limits and would not affect the driver's certification.
b. Stage 1Hypertension.
c. Stage 2Hypertension.
d. Stage 3Hypertension. - ANSWER: Stage 1 HTN
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?
a. Certify only after obtaining written clearance for the depression and the
medication from the treating provider.
b. Certify the driver for a period of 1 year.
c. Certify the driver for a period of 2 years.
d. Disqualify the driver until he is no longer requiring medication for the treatment
of depression. - ANSWER: Certify only after obtaining written clearance for the
depression and the medication from the treating provider.
For a driver with insulin-treated diabetes mellitus, the medical examiner can only
accept Form MCSA-5870 if it has been properly completed within the last:
a. 25 days.
b. 30 days.
c. 45 days.
