NRCME/DOT MEDICAL EXAMINER EXAM
STUDY GUIDE | PRACTICE QUESTIONS &
ANSWERS, COMPREHENSIVE EXAM
PREP & REVIEW MATERIALS
| GRADED A+ | GUARANTEED SUCCESS
Updated Questions and Answers
100% Verified Exam Prep
,You get a question on the NRCME giving you a clinical None! You are an examining provider during the DOT physical, not a treating
scenario and they ask the treatment you recommend. provider. F/u with PCM or subspecialty
What do you answer?
Can you use BP readings from anywhere (e.g. patient's -No, only what was obtained during the exam
primary care from last week) and include it on the -confirm with an additional reading later in the examination
physical? What do you do if it is high?
Does the provider have to obtain all vitals and tests -You may use qualified personnel for these (e.g. BP, Snellen, etc.), but REMEMBER,
himself or can they use other qualified personnel? the provider is still responsible for these results and is attesting to their accuracy.
STRONG RECOMMEND to confirm any abnormal results that would factor into
your decision.
What are the 3 Stages of hypertension? (For this exam, Stage 1: 140-159/90-99
not the current ACC/AHA guidelines) Stage 2: 160-179/100-109
Stage 3: ≥180/110
An individual has stage 1 HTN. Can they be certified? -Yes, for 1 year (if this is the first time the BP has been elevated and there has been
What about recertification? no prior BP tx)
-Can get another year if <140/90. If they are >140/90, but less than 160/100, they
can get a one-time 3 month certificate
An individual has stage II HTN. Can they be certified? -Yes, but they should be treated and can get a one time certificate for 3 month
What about recertification? certification.
-Once the driver has reduced his or her BP <140/90, he may be recertified
annually thereafter.
An individual has stage III HTN. Can they be certified? -Should not be certified until BP <140/90
What about recertification? -Can be recertified q6m
T/F: A one time certificate means per recertification T: a one time certificate means per recertification period, not in their lifetime
period. Not once per lifetime.
What should you do if you get an abnormal value on a Order additional testing prn and attach all other values you obtain to the physical
UA?
_________ & _____________ testing is not part of the DOT exam. Drug & alcohol
, What are the minimum vision requirements to pass the 1) distance visual acuity is 20/40 each eye and binocular vision with or w/o
physical? (Hint* 3) correction
*** know this inside and out. Many questions on this 2) 70° field of vision in horizontal meridian in each eye (remember 80° and 90° are
BETTER than 70 and are therefore passing)
3) Need to be able to distinguish red, green, and amber. So can be color blind
technically, but need to be able to distinguish those colors.
To meet the federal hearing standard, the driver must -one/one
successfully complete ______ hearing test with ______ ear. - Need either a forced whisper test in ONE ear at not less than FIVE feet
Explain these tests. ----or----
*** know this inside and out. Many questions on this not have an AVERAGE (all HZ testing combined) hearing loss in ONE ear greater
than 40db at 500hz, 1,000hz, and 2,000 hz
The driver fails one hearing test. Now what? -Administer the other test. Cannot fail based off one test only
What if they only pass one? -They pass. Standard met.
You are performing a physical on a patient, but they They may use hearing aids to meet the standard. Document in the physical if they
require the use of one or two hearing aids. Now what? need the hearing aid. They must also drive with it. These patients will usually need
to see an audiologist for their hearing exams.
You are performing a physical on a patient, but halfway Finish the exam. You may find more than one condition. This allows them to
through the exam you discover a disqualifying condition, potentially seek treatment for all conditions and possibly attempt to certify in the
what should you do? future depending on the condition
How long does a copy of each physical (paper or - 3 years
electronic) need to be kept at the examining office? - 48 hours
How quickly does it need to be produced for a PMCSA
representative?
What is Form MCSA-5875? - The medical examination report form (the physical)
What is the maximum amount of time you can certify 2 years
someone (assuming they are perfectly healthy)?
T/F: Insulin use is disqualifying F
When wouldn't you give the driver the medical examiner's When you disqualify them
certficate?
T/F: Complete both the federal and state medical F: Either or. Not both
determination section at the end of the exam.
STUDY GUIDE | PRACTICE QUESTIONS &
ANSWERS, COMPREHENSIVE EXAM
PREP & REVIEW MATERIALS
| GRADED A+ | GUARANTEED SUCCESS
Updated Questions and Answers
100% Verified Exam Prep
,You get a question on the NRCME giving you a clinical None! You are an examining provider during the DOT physical, not a treating
scenario and they ask the treatment you recommend. provider. F/u with PCM or subspecialty
What do you answer?
Can you use BP readings from anywhere (e.g. patient's -No, only what was obtained during the exam
primary care from last week) and include it on the -confirm with an additional reading later in the examination
physical? What do you do if it is high?
Does the provider have to obtain all vitals and tests -You may use qualified personnel for these (e.g. BP, Snellen, etc.), but REMEMBER,
himself or can they use other qualified personnel? the provider is still responsible for these results and is attesting to their accuracy.
STRONG RECOMMEND to confirm any abnormal results that would factor into
your decision.
What are the 3 Stages of hypertension? (For this exam, Stage 1: 140-159/90-99
not the current ACC/AHA guidelines) Stage 2: 160-179/100-109
Stage 3: ≥180/110
An individual has stage 1 HTN. Can they be certified? -Yes, for 1 year (if this is the first time the BP has been elevated and there has been
What about recertification? no prior BP tx)
-Can get another year if <140/90. If they are >140/90, but less than 160/100, they
can get a one-time 3 month certificate
An individual has stage II HTN. Can they be certified? -Yes, but they should be treated and can get a one time certificate for 3 month
What about recertification? certification.
-Once the driver has reduced his or her BP <140/90, he may be recertified
annually thereafter.
An individual has stage III HTN. Can they be certified? -Should not be certified until BP <140/90
What about recertification? -Can be recertified q6m
T/F: A one time certificate means per recertification T: a one time certificate means per recertification period, not in their lifetime
period. Not once per lifetime.
What should you do if you get an abnormal value on a Order additional testing prn and attach all other values you obtain to the physical
UA?
_________ & _____________ testing is not part of the DOT exam. Drug & alcohol
, What are the minimum vision requirements to pass the 1) distance visual acuity is 20/40 each eye and binocular vision with or w/o
physical? (Hint* 3) correction
*** know this inside and out. Many questions on this 2) 70° field of vision in horizontal meridian in each eye (remember 80° and 90° are
BETTER than 70 and are therefore passing)
3) Need to be able to distinguish red, green, and amber. So can be color blind
technically, but need to be able to distinguish those colors.
To meet the federal hearing standard, the driver must -one/one
successfully complete ______ hearing test with ______ ear. - Need either a forced whisper test in ONE ear at not less than FIVE feet
Explain these tests. ----or----
*** know this inside and out. Many questions on this not have an AVERAGE (all HZ testing combined) hearing loss in ONE ear greater
than 40db at 500hz, 1,000hz, and 2,000 hz
The driver fails one hearing test. Now what? -Administer the other test. Cannot fail based off one test only
What if they only pass one? -They pass. Standard met.
You are performing a physical on a patient, but they They may use hearing aids to meet the standard. Document in the physical if they
require the use of one or two hearing aids. Now what? need the hearing aid. They must also drive with it. These patients will usually need
to see an audiologist for their hearing exams.
You are performing a physical on a patient, but halfway Finish the exam. You may find more than one condition. This allows them to
through the exam you discover a disqualifying condition, potentially seek treatment for all conditions and possibly attempt to certify in the
what should you do? future depending on the condition
How long does a copy of each physical (paper or - 3 years
electronic) need to be kept at the examining office? - 48 hours
How quickly does it need to be produced for a PMCSA
representative?
What is Form MCSA-5875? - The medical examination report form (the physical)
What is the maximum amount of time you can certify 2 years
someone (assuming they are perfectly healthy)?
T/F: Insulin use is disqualifying F
When wouldn't you give the driver the medical examiner's When you disqualify them
certficate?
T/F: Complete both the federal and state medical F: Either or. Not both
determination section at the end of the exam.
