Master the 2025 DOT NRCME Medical Examiner Certification with this comprehensive review guide. Includes updated FMCSA regulations, detailed exam explanations, correct answers, and essential clinical standards for commercial driver medical fitness. Ideal f

DOT Comprehensive Review for NRCME
Exam with correct answers 2025



CorrectivevlensesvthatvarevprohibitedvbyvthevFMCSA,vincluding:v-vcorrect-answersv-
lensesvthatvcorrectvdistancevvisionvinvoneveyevandvnearvvisionvinvthevother.

telescopicvlenses



Medicalvguidelinesvforvthevdrivervwithvdiabetesvmellitusvinclude:v-vcorrect-answersv-
Annualvmedicalvexamination.

Annualvophthalmologistvorvoptometristveyevevaluation.

Disqualificationvforvavdiagnosisvofvunstablevproliferativevretinopathy.



MonocularvVisionv-vcorrect-answersv-Monocularvvisionvisvdisqualifying.

However,vthevdrivervwhovhasvmonocularvvisionvthatvwithvthevbetterveyevmeetsvallvvisionvqualificati
onvrequirementsvmayvbevconsideredvforvavFederalvVisionvExemptionvifvthevMedicalvExaminervfindsv
thevdrivervotherwisevmedicallyvfitvforvduty.

,Monocularvvisionvisvdefinedvasvvisionvthatvisvatvleastv20/40vforvdistancevinvoneveyevwithvorvwithoutv
correctionvandvvisionvthatvisvlessvthanv20/40vforvdistancevinvoneveyevwithvorvwithoutvcorrection.

Thevdrivervmustvmeetvothervvisionvrequirementsvinveachveye,vincludingvvisualvfieldsv(horizontalvfiel
dvofvvision).

FederalvVisionvExemption:vthevdrivervwithvmonocularvvisionvwhovisvapplyingvforvorvhasvavfederalvex
emptionvorvisvqualifiedvbyvoperationvofv49vCFRv391.64vmustvhavevanvannualvphysicalvexamination.

Driversvwithvvisionvlossvwhovmeetvstandardsvmayvbevcertifiedvforvupvtovtwovyears.



Avdrivervwhovwearsvcontactvlensesvwhichvcorrectvfarsightednessvinvoneveyevandvnearsightednessvi
nvthevother,vbutvhasvnovothervvisualvimpairmentsvcanvbevcertifiedvundervwhatvadditionalvcondition
s?



Onlyvifvthevdrivervwearsvprescriptionvglassesvwhichvprovidevthevsamevcorrectionvasvthevcontactvlen
ses.

FMCSAvguidancevindicatesvthatvavdrivervshouldvnotvbevcertifiedvundervthesevcircumstances.

Onlyvbyvfederalvexemption.

Thevdrivervisvalwaysvcertifiablevundervthesevconditions.v-vcorrect-answersv-
FMCSAvguidancevindicatesvthatvavdrivervshouldvnotvbevcertifiedvundervthesevcircumstances.



Explanation:vFMCSAvguidancevindicatesvthatvcontactvlensesvthatvcorrectvoneveyevforvdistancevandv
oneveyevforvnearvvisionvarevnotvacceptable.



Guidancevrecommendsvnotvtovcertifyvwithvearvproblemvdiagnosesvof:v-vcorrect-answersv-
a)vUncontrolledvvertigo.



v b)vMénière'svdisease.



v c)vNonfunctioningvlabyrinth.

,v d)vNonfunctioningvfistula.



Thevmedicalvexaminer'svrolevinvthevexemptionvprocessvincludesv_________.



Issuingvthevexemption.

Issuingvthevprescriptionvforvthevdriver'svcontactvlensesvand/orvglasses.

ProvidingvthevdrivervwithvcontactvinformationvforvthevFederalvVisionvExemptionvProgram.

Assuringvthatvthevdrivervhasvperipheralvvisionvofvatvleastv110vdegreesvinveachveye.v-vcorrect-
answersv-
ProvidingvthevdrivervwithvcontactvinformationvforvthevFederalvVisionvExemptionvProgram.



Explanation:vThevmedicalvexaminer'svrolevinvthevexemptionvprocessvisvlimitedvtovperformingvthevdr
ivervexaminationvandvprovidingvthevdrivervwithvcontactvinformationvforvthevFMCSAvrelatedvtovthev
exemptionvprocess.



Anvaudiometricvtestvproducesvthevfollowingvresults:vLeftvear:v500vHz,v35dBvLoss;v1,000vHz,v35vdBvlo
ss;v2,000vHzv45vdBvloss.vRightvear:v500vHz,v40vdBvloss;v1,000vHz,v45vdBvloss;v2,000v40vdBvloss.vWhatvi
svthevcertification?



Certifyvforvonevyear.

Certifyvforvtwovyears.

Dovnotvcertify.

Certifyvonlyvwhenvaccompaniedvbyvhearingvaid.v-vcorrect-answersv-Certifyvforvtwovyears.



Explanation:vDriversvwithvanvaveragevhearingvlossvofv<v40vdecibelsvaveragedvacrossv500,v1000,vandv
2000vHzvinvthevbettervearvmayvbevcertifiedvforvtwovyears.



Whatveyevconditionsvmustvthevmedicalvexaminervaskvthevdrivervabout?

, Cataracts,vcolorvdeficiencies,vretinitisvpigmentosa,vaphakia,vglaucoma.

Lazyveye,vcataracts,vaphakia,vfloaters,vretinopathy.

Glaucoma,vmacularvdegeneration,vretinitisvpigmentosa,vcolorvdeficiencies.

Retinopathy,vcataracts,vaphakia,vglaucoma,vmacularvdegeneration.v-vcorrect-answersv-
Retinopathy,vcataracts,vaphakia,vglaucoma,vmacularvdegeneration.



Explanation:vThesevarevthev"askvabout"vvisionvconditions.vThevmedicalvexaminervmayvaskvthevdrive
rvaboutvanyveyevconditions,vbutvshouldvaskvthevdrivervaboutvthesevspecifiedvconditions.



Whichvofvthevfollowingvdrivers'vtestsvmeetvhearingvcertificationvstandards?



Whispervtestv4vfeetvrightvear,v3vfeetvleftvear.

Whispervtestv5vfeetvrightvearvwithvhearingvaid,v3vfeetvleftvearvwithoutvhearingvaid.

Audiogramvleftv30/500vHz,v40/1000vHz,v60/2000vHz;vrightv25/500vHz,v35/1000vHz,v80/2000vHz.

Audiogramvleftv35/500vHz,v50/1000vHz,v40/3000vHz;vrightv35/500vHz,v35/1000vHz,v60/3000vHz.v-
vcorrect-answersv-


Whispervtestv5vfeetvrightvearvwithvhearingvaid,v3vfeetvleftvearvwithoutvhearingvaid.



Explanation:vWhispervtestvresultsvrequirev5vfeetvinvatvleastvonevearvforvpassing,vwithvorvwithoutvavh
earingvaid.vAudiometricvtestingvresultsvrequirevanvaveragevofv40vdBvlossvinvthevbettervearvforvresult
svaveragedvacrossv500,v1000,vandv2000vHz.vAlthoughvtestingvmayvbevperformedvatv3000vHz,vresults
vobtainedvarevnotvusedvtovdeterminevwhethervthevdrivervmeetsvhearingvrequirements.




Avdrivervhasvlossvofvhearingvinvthevbettervearvofv25vdBvlossvatv500vHz,v40vdBvlossvatv1000vHz,vandv60v
dBvlossvatv2000vHz.vWithvrespectvtovthevhearingvrequirementvforvmedicalvcertification,vthevdriverv_
_________.



Mayvbevcertifiedvforvonevyear.