NRCME DOT Certification Exam 2026 | Questions
with 100% Correct Answers | Verified | Updated
| Instant Pdf Download
vision requirements - SELECTED ANSWER 👀 *** 20/40 each eye and 20/40 both eyes
peripheral vision - SELECTED ANSWER 👀 *** 70 degrees
Federal exemption for monocular vision: can certify for how long? - SELECTED ANSWER
👀 *** 1 year
hearing requirements - SELECTED ANSWER 👀 *** whisper at not less than 5 feet better
ear, or average hearing loss no greater than 40 dB at 500Hz, 1000Hz, 2000 Hz.
name 4 otic conditions that are automatic DQs - SELECTED ANSWER 👀 *** Meniere's,
uncontrolled vertigo, labyrinthine fistula, nonfunctioning labyrinth
Max cert period for Syncope - SELECTED ANSWER 👀 *** 1 year (needs neurologist
clearance)
Post MI drivers can be certified for 1 year with all 5 of these criteria: (almost the same
criteria for post CABG) (first 4 also apply for CHF drivers) - SELECTED ANSWER 👀 *** 1.
Asymptomatic
2. Tolerating meds
3. Satisfactory ETT with workload capacity of 6 METs (has to have this biennially)
,4. LVEF >=40%
5. No ST depression on ECG - for post CABG this one is replaced by completely healed
sternal incision
Stable angina: max cert period - SELECTED ANSWER 👀 *** 1 year
minimum waiting period post CABG - SELECTED ANSWER 👀 *** 3 months
Min waiting period for post heart transplant - SELECTED ANSWER 👀 *** 1 year
Max cert period for post heart transplant - SELECTED ANSWER 👀 *** 6 months
Min waiting period post PCI (percutaneous coronary intervention) - SELECTED ANSWER
👀 *** 1 week
Min waiting period for pacemaker implantation for sinus node dysfunction - SELECTED
ANSWER 👀 *** 1 month
Min waiting period for pacemaker implantation for neurocardiogenic syncope or
hypersensitive carotid sinus with syncope - SELECTED ANSWER 👀 *** 3 months
Min waiting period post AAA repair - SELECTED ANSWER 👀 *** 3 months
Max cert period for being on anticoagulation for a CV condition - SELECTED ANSWER 👀
*** 1 year
, 3 criteria for certification if patient on anticoagulation for a CV condition - SELECTED
ANSWER 👀 *** 1. Stable on meds for 1 month
2. Provide copy of INR at exam
3. Have INR checked and monitored at least monthly
True or false: driver on anticoagulation for CVA can be certified for max 1 year -
SELECTED ANSWER 👀 *** False. Should not be certified due to high risk of bleeding
5 reasons to DQ a driver with AAA - SELECTED ANSWER 👀 *** 1. Symptomatic
2. AAA >5cm
3. AAA 4-5 cm and does not have clearance from a cardiologist
4. AAA increased in size 0.5cm in 6 months
5. Surgical repair was recommended but not done
Max size of a thoracic aneurysm that can be certified - SELECTED ANSWER 👀 *** 3.5 cm
Min waiting period for PE - SELECTED ANSWER 👀 *** 3 months
True or false: having an ICD is automatic DQ - SELECTED ANSWER 👀 *** true
True or false: dx of severe aortic stenosis is automatic DQ - SELECTED ANSWER 👀 ***
true
Max certification post aortic valve repair - SELECTED ANSWER 👀 *** 1 year
with 100% Correct Answers | Verified | Updated
| Instant Pdf Download
vision requirements - SELECTED ANSWER 👀 *** 20/40 each eye and 20/40 both eyes
peripheral vision - SELECTED ANSWER 👀 *** 70 degrees
Federal exemption for monocular vision: can certify for how long? - SELECTED ANSWER
👀 *** 1 year
hearing requirements - SELECTED ANSWER 👀 *** whisper at not less than 5 feet better
ear, or average hearing loss no greater than 40 dB at 500Hz, 1000Hz, 2000 Hz.
name 4 otic conditions that are automatic DQs - SELECTED ANSWER 👀 *** Meniere's,
uncontrolled vertigo, labyrinthine fistula, nonfunctioning labyrinth
Max cert period for Syncope - SELECTED ANSWER 👀 *** 1 year (needs neurologist
clearance)
Post MI drivers can be certified for 1 year with all 5 of these criteria: (almost the same
criteria for post CABG) (first 4 also apply for CHF drivers) - SELECTED ANSWER 👀 *** 1.
Asymptomatic
2. Tolerating meds
3. Satisfactory ETT with workload capacity of 6 METs (has to have this biennially)
,4. LVEF >=40%
5. No ST depression on ECG - for post CABG this one is replaced by completely healed
sternal incision
Stable angina: max cert period - SELECTED ANSWER 👀 *** 1 year
minimum waiting period post CABG - SELECTED ANSWER 👀 *** 3 months
Min waiting period for post heart transplant - SELECTED ANSWER 👀 *** 1 year
Max cert period for post heart transplant - SELECTED ANSWER 👀 *** 6 months
Min waiting period post PCI (percutaneous coronary intervention) - SELECTED ANSWER
👀 *** 1 week
Min waiting period for pacemaker implantation for sinus node dysfunction - SELECTED
ANSWER 👀 *** 1 month
Min waiting period for pacemaker implantation for neurocardiogenic syncope or
hypersensitive carotid sinus with syncope - SELECTED ANSWER 👀 *** 3 months
Min waiting period post AAA repair - SELECTED ANSWER 👀 *** 3 months
Max cert period for being on anticoagulation for a CV condition - SELECTED ANSWER 👀
*** 1 year
, 3 criteria for certification if patient on anticoagulation for a CV condition - SELECTED
ANSWER 👀 *** 1. Stable on meds for 1 month
2. Provide copy of INR at exam
3. Have INR checked and monitored at least monthly
True or false: driver on anticoagulation for CVA can be certified for max 1 year -
SELECTED ANSWER 👀 *** False. Should not be certified due to high risk of bleeding
5 reasons to DQ a driver with AAA - SELECTED ANSWER 👀 *** 1. Symptomatic
2. AAA >5cm
3. AAA 4-5 cm and does not have clearance from a cardiologist
4. AAA increased in size 0.5cm in 6 months
5. Surgical repair was recommended but not done
Max size of a thoracic aneurysm that can be certified - SELECTED ANSWER 👀 *** 3.5 cm
Min waiting period for PE - SELECTED ANSWER 👀 *** 3 months
True or false: having an ICD is automatic DQ - SELECTED ANSWER 👀 *** true
True or false: dx of severe aortic stenosis is automatic DQ - SELECTED ANSWER 👀 ***
true
Max certification post aortic valve repair - SELECTED ANSWER 👀 *** 1 year
