NRCME DOT Medical Examiner
Comprehensive Resource To Help You Ace 2026-2027 Exams
Includes Frequently Tested Questions With ELABORATED
100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
Instant Download Pdf
1. A driver must exhibit a minimum of what % compliance of CPAP usage?
a. 60%
b. 70%
c. 80%
d. 100% - Correct Answer: Correct answer is "b". The driver must show at least
70% compliance.
2. 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. Temporarily disqualify the driver until he obtains 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 years.
d. Disqualify the driver until he is no longer requiring medication for the
treatment of depression. - Correct Answer: Correct answer is "a". Medical
,clearance is required for all mental disorders. Celexa is an SSRI or 2nd. Generation
anti-depressant and is OK for use with clearance also.
3. The driver reports for a re-certification examination. In his history he reports he
was hospitalized 8 months ago for what was diagnosed as a "TIA". In addition he is
being treated for and he has been taking Coumadin to manage atrial fibrillation
for which he has been treated during the past 2 years. He provides a note from his
cardiologist stating he has no restrictions and he may drive a CMV. The examiner
would?
a. Certify the driver for 1 year.
b. Certify the driver for 2 years.
c. Request an electrocardiogram.
d. Disqualify the driver. - Correct Answer: Correct answer is "d". A driver with
a history of TIA on anticoagulation therapy is automatically disqualified.
4. The driver marks "Injury and Illness in the past 5 years" in his history. He
reports that he had a hunting accident where he suffered a left orbital fracture. He
presents a note at the time of the examination from an ophthalmologist stating
"may drive". His exam is unremarkable except for a limitation in peripheral vision
in his left eye, which was inconclusive. His distance vision was 20/20 right and
20/40 left. The medical examiner should?
a. Council the driver on the need for a vision exemption.
b. Disqualify the driver pending vision exam to determine if it meets peripheral
vision requirements.
c. Certify the driver for 1 year.
,d. Certify the driver for 2 years. - Correct Answer: Correct answer is "b". The
driver must have a peripheral vision of 70 degrees bilaterally to certify to drive a
CMV.
5. What minimum PaO2 level is necessary if the driver has an ABG due to a
chronic respiratory disorder?
a. 55%
b. 60%
c. 65%
d. 70% - Correct Answer: Correct answer is "c". Blood oxygen saturation must
be a minimum of 65% for the driver to certify.
6. The driver is taking "Topomax" for the treatment of migraine headaches. He
reports good management for his headaches and they never seem to interfere
with his driving ability with the medication. The medical examiner should?
a. Obtain medical clearance for the condition and the medication.
b. Disqualify the driver because he is taking an anti-seizure medication.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years. - Correct Answer: Correct answer is "a".
Topomox is a medication that is used for seizure control. The examiner should
confirm with the prescribing provider that the driver does not take it to control
seizures, and they are capable of driving a CMV.
7. How long is the certification period for a driver who has a vision exemption, and
how long is the exemption good for?
a. Certify for 1 year and the exemption must be renewed annually.
, b. Certify for 2 years and the exemption must be renewed annually. c. Certify for 1
year and the exemption must be renewed every 2 years.
d. Certify for 2 years and the exemption must be renewed every 2 years. -
Correct Answer: Correct answer is "c". Certification for a driver with a vision
exemption is annually and the driver must reapply for the exemption every 2 years
8. What is the waiting period for "Viral encephalitis with early seizures"? a. 1 year
b. 2 years
c. 5 years
d. 10 years - Correct Answer: Correct answer is "d". The only two waiting
periods that are 10 years are Epilepsy (no seizure and taken off of medication for
10 years), and Viral Encephalitis with early seizures.
9. Can a driver be certified while taking "methadone" for chronic pain
management?
a. Yes, with medical clearance for 1 year.
b. Yes, with medical clearance for 2 years.
c. No, because use of methadone is always prohibited.
d. No, because drivers are disqualified during chronic pain management. -
Correct Answer: Correct answer is "c". Methadone is not allowed.
10. A driver has a blood pressure of 168/112 confirmed during the examination.
The driver would be?
a. Disqualified.
b. Certified for 6 months.
Comprehensive Resource To Help You Ace 2026-2027 Exams
Includes Frequently Tested Questions With ELABORATED
100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
Instant Download Pdf
1. A driver must exhibit a minimum of what % compliance of CPAP usage?
a. 60%
b. 70%
c. 80%
d. 100% - Correct Answer: Correct answer is "b". The driver must show at least
70% compliance.
2. 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. Temporarily disqualify the driver until he obtains 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 years.
d. Disqualify the driver until he is no longer requiring medication for the
treatment of depression. - Correct Answer: Correct answer is "a". Medical
,clearance is required for all mental disorders. Celexa is an SSRI or 2nd. Generation
anti-depressant and is OK for use with clearance also.
3. The driver reports for a re-certification examination. In his history he reports he
was hospitalized 8 months ago for what was diagnosed as a "TIA". In addition he is
being treated for and he has been taking Coumadin to manage atrial fibrillation
for which he has been treated during the past 2 years. He provides a note from his
cardiologist stating he has no restrictions and he may drive a CMV. The examiner
would?
a. Certify the driver for 1 year.
b. Certify the driver for 2 years.
c. Request an electrocardiogram.
d. Disqualify the driver. - Correct Answer: Correct answer is "d". A driver with
a history of TIA on anticoagulation therapy is automatically disqualified.
4. The driver marks "Injury and Illness in the past 5 years" in his history. He
reports that he had a hunting accident where he suffered a left orbital fracture. He
presents a note at the time of the examination from an ophthalmologist stating
"may drive". His exam is unremarkable except for a limitation in peripheral vision
in his left eye, which was inconclusive. His distance vision was 20/20 right and
20/40 left. The medical examiner should?
a. Council the driver on the need for a vision exemption.
b. Disqualify the driver pending vision exam to determine if it meets peripheral
vision requirements.
c. Certify the driver for 1 year.
,d. Certify the driver for 2 years. - Correct Answer: Correct answer is "b". The
driver must have a peripheral vision of 70 degrees bilaterally to certify to drive a
CMV.
5. What minimum PaO2 level is necessary if the driver has an ABG due to a
chronic respiratory disorder?
a. 55%
b. 60%
c. 65%
d. 70% - Correct Answer: Correct answer is "c". Blood oxygen saturation must
be a minimum of 65% for the driver to certify.
6. The driver is taking "Topomax" for the treatment of migraine headaches. He
reports good management for his headaches and they never seem to interfere
with his driving ability with the medication. The medical examiner should?
a. Obtain medical clearance for the condition and the medication.
b. Disqualify the driver because he is taking an anti-seizure medication.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years. - Correct Answer: Correct answer is "a".
Topomox is a medication that is used for seizure control. The examiner should
confirm with the prescribing provider that the driver does not take it to control
seizures, and they are capable of driving a CMV.
7. How long is the certification period for a driver who has a vision exemption, and
how long is the exemption good for?
a. Certify for 1 year and the exemption must be renewed annually.
, b. Certify for 2 years and the exemption must be renewed annually. c. Certify for 1
year and the exemption must be renewed every 2 years.
d. Certify for 2 years and the exemption must be renewed every 2 years. -
Correct Answer: Correct answer is "c". Certification for a driver with a vision
exemption is annually and the driver must reapply for the exemption every 2 years
8. What is the waiting period for "Viral encephalitis with early seizures"? a. 1 year
b. 2 years
c. 5 years
d. 10 years - Correct Answer: Correct answer is "d". The only two waiting
periods that are 10 years are Epilepsy (no seizure and taken off of medication for
10 years), and Viral Encephalitis with early seizures.
9. Can a driver be certified while taking "methadone" for chronic pain
management?
a. Yes, with medical clearance for 1 year.
b. Yes, with medical clearance for 2 years.
c. No, because use of methadone is always prohibited.
d. No, because drivers are disqualified during chronic pain management. -
Correct Answer: Correct answer is "c". Methadone is not allowed.
10. A driver has a blood pressure of 168/112 confirmed during the examination.
The driver would be?
a. Disqualified.
b. Certified for 6 months.
