NRCME DOT PRACTICE TEST EXAM FULLY SOLVED &
UPDATED 2025-2026(LATEST VERSION VERIFIED FOR
ACCURACY) (QUESTIONS + ANSWERS) SOLVED 100%
CORRECT!! | FROM QUESTION TO PERFECTION| STUDY
WITH CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027.
Duration: 2 Hours.
Total Marks: 100.
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
,What minimum 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: D.
To be qualified, the driver should meet a minimum arterial blood gas (PaO2) 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 examination are unremarkable. The examiner should:
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 hearing loss in his left ear. Answer: B.
The driver is qualified to drive without restriction as long as he is able to perceive a whispered
voice at 5 feet in 1 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: 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 year at the completion of the waiting period.
A driver provides an audiometric test documenting the following:
1. 500 Hz: 35 Right ear; 40 Left ear
2. 1000 HZ: 40 Right ear; 45 Left ear
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
,3. 2000 HZ: 40 Right ear; 45 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 2years.
c. Certify the driver for 1 year.
d. Require the driver to obtain a hearing exemption Answer: 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 2years.
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: 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: 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.
APPHIA – Crafted with Care and Precision for Academic Excellence.
3
, 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: 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: 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 from the treating mental
health professional.
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. Answer: A.
Medical clearance is recommended for all mental health disorders. Celexa is an SSRI or 2nd
Generation anti-depressant and is acceptable.
For a driver with insulin-treated diabetes mellitus, the medical examiner can only accept Form
MCSA-5870 if it has been properly completed within the last:
a. 25 days.
b. 30 days.
c. 45 days.
d. 60 days. Answer: C.
APPHIA – Crafted with Care and Precision for Academic Excellence.
4
UPDATED 2025-2026(LATEST VERSION VERIFIED FOR
ACCURACY) (QUESTIONS + ANSWERS) SOLVED 100%
CORRECT!! | FROM QUESTION TO PERFECTION| STUDY
WITH CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027.
Duration: 2 Hours.
Total Marks: 100.
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
,What minimum 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: D.
To be qualified, the driver should meet a minimum arterial blood gas (PaO2) 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 examination are unremarkable. The examiner should:
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 hearing loss in his left ear. Answer: B.
The driver is qualified to drive without restriction as long as he is able to perceive a whispered
voice at 5 feet in 1 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: 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 year at the completion of the waiting period.
A driver provides an audiometric test documenting the following:
1. 500 Hz: 35 Right ear; 40 Left ear
2. 1000 HZ: 40 Right ear; 45 Left ear
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
,3. 2000 HZ: 40 Right ear; 45 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 2years.
c. Certify the driver for 1 year.
d. Require the driver to obtain a hearing exemption Answer: 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 2years.
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: 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: 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.
APPHIA – Crafted with Care and Precision for Academic Excellence.
3
, 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: 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: 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 from the treating mental
health professional.
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. Answer: A.
Medical clearance is recommended for all mental health disorders. Celexa is an SSRI or 2nd
Generation anti-depressant and is acceptable.
For a driver with insulin-treated diabetes mellitus, the medical examiner can only accept Form
MCSA-5870 if it has been properly completed within the last:
a. 25 days.
b. 30 days.
c. 45 days.
d. 60 days. Answer: C.
APPHIA – Crafted with Care and Precision for Academic Excellence.
4
