FMCSA NRCME DOT Medical Examiner
Certification Exam Preparation Guide:
Comprehensive Test Bank with 500 Practice
Questions, Verified Correct Answers, and Detailed
Rationales
What Minimim PaO2 Level is recommended 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 - Correct Answer is D. To be qualified the driver should
meet a minimum arterial blood gas (Pa02) greater than 65
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 exam are unremarkable. The examiner
shouldL
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 the hearing loss in his left
ear. - Answer - Correct Anser "B". The driver is qualified to drive without
restriction as long as he is able to perceive a whispered voice at 5 feet in one ear.
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
,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 - Correct Answer is A. The driver has not completed the recommended 2
month waiting period, but all other requirements for medical clearance and
required testing have been met. The driver would be certified for 1 years at the
completion of the waiting period.
A driver provides an audiometric test documenting the folliwing:
1. 500 Hz: 35 right ear; 40 left ear
2. 1000 Hz: 40 Right ear; 45 left ear
3. 2000 Hz: 40 right ear; 54 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 2 years.
c. Certify the driver for 1 year.
D. Require the driver to obtain a hearing examination. - Answer - The correct
Answer is B.
The examiner would average the results from 500 Hz, 1000 Hz, and 2000 Hz. This
average is 38.33 in the right, and 43.33 in the left ear. A driver must have an
average hearing loss of less than or equal to 40 in the better ear. This does not have
to be met in both ears.
,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 2 years.
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 - Correct Answer is A.
A driver must exhibit a minimum peripheral vision of 70 degrees bilaterally.
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 - Correct Answer is B.
The driver exhibits what may be considered a "flat affect" which is seen in
schizophrenia and in severe depression. The driver should be evaluated by a mental
health expert to make a diagnosis prior to 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:
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 - Correct Answer is A
Use of Marijuana is prohibited by Federal law while driving a CMV and trumps
State law in this matter.
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 1 Hypertension.
c. Stage 2 Hypertension.
d. Stage 3 Hypertension. - Answer - Correct Answer is B.
This is stage 1 hypertension, which is defined as 140-159/90-99
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 year.
D. Disqualify the driver until he is no longer requiring medication for the treatment
of depression - Answer - Correct Answer is A.
Medical clearance is recommended for all mental health disorders. Celexa is an
SSRI or 2nd generation anti-depressant and is acceptable.
Certification Exam Preparation Guide:
Comprehensive Test Bank with 500 Practice
Questions, Verified Correct Answers, and Detailed
Rationales
What Minimim PaO2 Level is recommended 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 - Correct Answer is D. To be qualified the driver should
meet a minimum arterial blood gas (Pa02) greater than 65
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 exam are unremarkable. The examiner
shouldL
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 the hearing loss in his left
ear. - Answer - Correct Anser "B". The driver is qualified to drive without
restriction as long as he is able to perceive a whispered voice at 5 feet in one ear.
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
,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 - Correct Answer is A. The driver has not completed the recommended 2
month waiting period, but all other requirements for medical clearance and
required testing have been met. The driver would be certified for 1 years at the
completion of the waiting period.
A driver provides an audiometric test documenting the folliwing:
1. 500 Hz: 35 right ear; 40 left ear
2. 1000 Hz: 40 Right ear; 45 left ear
3. 2000 Hz: 40 right ear; 54 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 2 years.
c. Certify the driver for 1 year.
D. Require the driver to obtain a hearing examination. - Answer - The correct
Answer is B.
The examiner would average the results from 500 Hz, 1000 Hz, and 2000 Hz. This
average is 38.33 in the right, and 43.33 in the left ear. A driver must have an
average hearing loss of less than or equal to 40 in the better ear. This does not have
to be met in both ears.
,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 2 years.
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 - Correct Answer is A.
A driver must exhibit a minimum peripheral vision of 70 degrees bilaterally.
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 - Correct Answer is B.
The driver exhibits what may be considered a "flat affect" which is seen in
schizophrenia and in severe depression. The driver should be evaluated by a mental
health expert to make a diagnosis prior to 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:
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 - Correct Answer is A
Use of Marijuana is prohibited by Federal law while driving a CMV and trumps
State law in this matter.
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 1 Hypertension.
c. Stage 2 Hypertension.
d. Stage 3 Hypertension. - Answer - Correct Answer is B.
This is stage 1 hypertension, which is defined as 140-159/90-99
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 year.
D. Disqualify the driver until he is no longer requiring medication for the treatment
of depression - Answer - Correct Answer is A.
Medical clearance is recommended for all mental health disorders. Celexa is an
SSRI or 2nd generation anti-depressant and is acceptable.
