Page | 1
DOT Medical Examiner (NRCME) Exam
2026 National Registry of Certified
Medical Examiners Accurate passe A+
What are the 3 points of contact when entering/exiting a cab? -
correct answer ----hands
-arms
-leg
What is the minimum passing grip strength required when using a
dynamometer? - correct answer ----58 lbs
-26.3 kgs
Can those with peripheral neuropathy be certified? - correct
answer ----do not certify!
-inform the patient they can submit an appeal which will require
evaluation by a physiatrist or neurologist
Can those with autonomic neuropathy be certified? - correct
answer ----if they have resting tachycardia do not certify!
-if no resting tachycardia they can be certified for up to 2 years
once etiology is confirmed and treatment is safe/effective
Can those who are taking nitroglycerin be certified? - correct
answer ----only if angina is stable
-requires cardiology evaluation
Can those with menieres disease be certified? - correct answer ---
-no!
, Page | 2
What are 3 neurologic conditions that are always disqualifying? -
correct answer ----myotonia
-Isaac's syndrome
-stiff person syndrome
What 3 factors are considered as part of the Council for
Psychiatric Disease and Commercial Driving? - correct answer ---
-psychopharmacology
-counseling
-mental disorders
The sedative effects of psychotropic medications are compared to
what blood alcohol content? - correct answer ----0.04
Which psychiatric condition is most likely to be disqualifying? -
correct answer ----schizophrenia
What are the elements of the CAGE assessment? - correct
answer ----cut down (do you feel the need to?)
-annoyed (are you annoyed by the response of others?)
-guilt (do you feel guilty about drinking?)
-eye opener (do you need one?)
What should you do if a candidate is visibley drunk on exam? -
correct answer ----contact FMCSA or employer
-should not certify if you suspect alcoholism
Can you certify a driver who is actively in a 12-step or recovery
program? - correct answer ----yes!
When should you submit a candidate to drug/alcohol testing? -
correct answer ----not part of the standard DOT exam
, Page | 3
-only performed if required by the employer or another regulatory
agency
What is the 1st indication of diabetic nephropathy? - correct
answer ----persistent proteinuria on urine dipstick
-can certify for 2 years if etiology confirmed and treatment is safe
and effective
How often does a candidate with a hernia require examination? -
correct answer ----requires at least biennial medical exam
-must check for visceral/GU/abdominal hernia(s) on exam
-if painful they require further evaluation but can then be certified
for up to 2 years if appropriate
What should you do with a candidate who has abnormal urine
dipstick findings? - correct answer ----refer back to primary care
for evaluation and treatment
Can you certify a candidate who is using medial marijuana? -
correct answer ----no!
What should you do with a candidate who is using a disqualifying
medication? - correct answer ----refer back to primary care
-they can still be qualified if approved by primary care but the
ultimate decision is left up to the medical examiner
-can certify for any time period you deem appropriate
Can a patient on anticoagulants be certified? - correct answer ----
if taking for neurovascular condition then no!
-if taking for cardiovascular condition then yes
-requires monthly INR checks to maintain certification
Can a patient with migraines be certified? - correct answer ----yes
they can be certified for up to 2 years
DOT Medical Examiner (NRCME) Exam
2026 National Registry of Certified
Medical Examiners Accurate passe A+
What are the 3 points of contact when entering/exiting a cab? -
correct answer ----hands
-arms
-leg
What is the minimum passing grip strength required when using a
dynamometer? - correct answer ----58 lbs
-26.3 kgs
Can those with peripheral neuropathy be certified? - correct
answer ----do not certify!
-inform the patient they can submit an appeal which will require
evaluation by a physiatrist or neurologist
Can those with autonomic neuropathy be certified? - correct
answer ----if they have resting tachycardia do not certify!
-if no resting tachycardia they can be certified for up to 2 years
once etiology is confirmed and treatment is safe/effective
Can those who are taking nitroglycerin be certified? - correct
answer ----only if angina is stable
-requires cardiology evaluation
Can those with menieres disease be certified? - correct answer ---
-no!
, Page | 2
What are 3 neurologic conditions that are always disqualifying? -
correct answer ----myotonia
-Isaac's syndrome
-stiff person syndrome
What 3 factors are considered as part of the Council for
Psychiatric Disease and Commercial Driving? - correct answer ---
-psychopharmacology
-counseling
-mental disorders
The sedative effects of psychotropic medications are compared to
what blood alcohol content? - correct answer ----0.04
Which psychiatric condition is most likely to be disqualifying? -
correct answer ----schizophrenia
What are the elements of the CAGE assessment? - correct
answer ----cut down (do you feel the need to?)
-annoyed (are you annoyed by the response of others?)
-guilt (do you feel guilty about drinking?)
-eye opener (do you need one?)
What should you do if a candidate is visibley drunk on exam? -
correct answer ----contact FMCSA or employer
-should not certify if you suspect alcoholism
Can you certify a driver who is actively in a 12-step or recovery
program? - correct answer ----yes!
When should you submit a candidate to drug/alcohol testing? -
correct answer ----not part of the standard DOT exam
, Page | 3
-only performed if required by the employer or another regulatory
agency
What is the 1st indication of diabetic nephropathy? - correct
answer ----persistent proteinuria on urine dipstick
-can certify for 2 years if etiology confirmed and treatment is safe
and effective
How often does a candidate with a hernia require examination? -
correct answer ----requires at least biennial medical exam
-must check for visceral/GU/abdominal hernia(s) on exam
-if painful they require further evaluation but can then be certified
for up to 2 years if appropriate
What should you do with a candidate who has abnormal urine
dipstick findings? - correct answer ----refer back to primary care
for evaluation and treatment
Can you certify a candidate who is using medial marijuana? -
correct answer ----no!
What should you do with a candidate who is using a disqualifying
medication? - correct answer ----refer back to primary care
-they can still be qualified if approved by primary care but the
ultimate decision is left up to the medical examiner
-can certify for any time period you deem appropriate
Can a patient on anticoagulants be certified? - correct answer ----
if taking for neurovascular condition then no!
-if taking for cardiovascular condition then yes
-requires monthly INR checks to maintain certification
Can a patient with migraines be certified? - correct answer ----yes
they can be certified for up to 2 years
