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NRCME DOT Final Exam – Certified Medical Examiner Training – Complete Practice Test with Correct Answers

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This document contains the complete NRCME (National Registry of Certified Medical Examiners) DOT Final Exam with verified and up-to-date correct answers. It includes multiple-choice questions covering cardiovascular, neurological, endocrine, pulmonary, and psychological conditions relevant to FMCSA driver certification standards. The content is ideal for medical examiners preparing for the NRCME certification test or reviewing the most recent FMCSA medical guidelines.

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2025/2026
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NRCME DOT FINAL EXAM/ NRCME FINAL TEST
QUESTIONS AND CORRECT ANSWERS/ MOST
RECENT AND CORRECT ANSWERS ALREADY
GRADED A+| BRAND NEW
The waiting period after pacemaker implantation for treatment of sinus node
dysfunction is .


One week.
Two weeks.
One month.
Three months. - ANSWER: One month.


The maximum thoracic aneurysm size that allows driver certification is _


3.0 cm
3.5 cm
4.0 cm
5.0 cm - ANSWER: 3.5cm


Which of the following is a qualification recommendation following coronary
artery bypass graft (CABG) surgery?


A. Exercise tolerance testing (ETT) every two years after five years.
B. Echocardiogram or radionuclide stress testing is indicated if the driver is not
able to achieve a satisfactory ETT result, has an abnormal resting
electrocardiogram, or a dysrhythmia.

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C. Resting echocardiogram left ventricular ejection fraction (LVEF) greater than or
equal to 45%.
D. Normal electrocardiogram. - ANSWER: Echocardiogram or radionuclide stress
testing is indicated if the driver is not able to achieve a satisfactory ETT result, has
an abnormal resting electrocardiogram, or a dysrhythmia.


Which of the following is a requirement in order for a driver with congestive heart
failure (CHF) to be qualified?
A. The driver must have a normal electrocardiogram.
B. The driver must have completed an exercise tolerance test (ETT) to at least 10
METS. (metabolic equivalents).
C. The driver must have a left ventricular ejection fraction (LVEF) of greater than
or equal to 45%.
D. The driver must be asymptomatic and tolerate medications. - ANSWER: The
driver must be asymptomatic and tolerate medications.


Which of the following guidelines for medical certification following device
implantation is true?


A. Six months after implantation of cardiac defibrillator.
B. Three months after pacemaker implantation for atrioventricular block.
C. One month after pacemaker implantation for neurocardiogenic syncope.
D. Three months after pacemaker implantation for hypersensitive carotid sinus
with syncope. - ANSWER: Three months after pacemaker implantation for
hypersensitive carotid sinus with syncope.


Waiting periods for now stable cardiovascular conditions include .
A. Three months for myocardial infarction (MI).
B. Three months for angina.

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C. Two weeks for percutaneous coronary intervention (PCI).
D. Two months for coronary artery bypass surgery (CABG). - ANSWER: Three
months for angina.


Cardiovascular disease not-to-certify diagnoses include .
A. Hypertrophic cardiomyopathy.
B. Angina.
C. Left ventricular ejection fraction (LVEF) < 50%.
D. Congestive heart failure (CHF). - ANSWER: Hypertrophic cardiomyopathy.


Certification outcome is a maximum of for a driver with history of heart
attack - myocardial infarction (MI).
Three months.
Six months.
One year.
Two months. - ANSWER: One year.


For a driver with moderate aortic stenosis, an echocardiogram should be repeated
every years; for a driver with mild aortic stenosis, an echocardiogram
should be repeated every years.
One-two, five.
Three, three.
Two, four.
One, three. - ANSWER: One-two, five.


Drivers with insulin dependent diabetes .
A. May be certified for a maximum of six months.

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