DOT NRCME Exam 2025 Actual exam with
questions and accurate answers
A driver presents for examination following a spontaneous
pneumothorax one month earlier. The records provided by the
driver indicate that the pneumothorax reduced the driver's forced
vital capacity (FVC) to 58% of predicted forced vital capacity. As
the medical examiner, you should:
a. Certify the driver for one year.
b. Certify the driver for two years.
c. Do not certify the driver.
d. Disqualify the driver for 6 months and re-evaluate at 6-month
recheck Correct Answer c. Do not certify the driver
Who can perform the vision portion of the interstate CMV driver
physical examination other than the medical examiner?
a. Medical assistant.
b. Ophthalmologist.
c. Optometrist.
d. Any of the above Correct Answer d. Any of the above.
Which of the following mandates disqualification, per regulation?
a. Idiopathic hypersomnia.
b. Narcolepsy.
c. ICD placement.
d. ALL of the above Correct Answer d. ALL of the above
According to regulations, which of the following can grant drivers
an SPE certificate?
a. Medical examiners.
b. Orthopedic surgeons.
c. Physical Medicine & Rehab physicians.
d. The FMCSA Correct Answer d. The FMCSA
,As a certified medical examiner, for how long must you retain a
copy of the Medical Examination Report Form for each driver?
a. 1 year.
b. 3 years.
c. 5 years.
d. 10 years Correct Answer b. 3 years
As a medical examiner, you will need to provide a copy of the
Medical Examination Report Form to a driver who is applying for,
or renewing, a:
a. Skill Performance Evaluation (SPE) certificate.
b. Hearing exemption certificate.
c. Seizure exemption certificate.
d. Any of the above. Correct Answer d. Any of the above.
Which of the following is true of the vision requirements for
commercial drivers?
a. The requirement for central distant visual acuity is at least
20/40 in each eye.
b. The requirement for distant binocular visual acuity is at least
20/50.
c. Contact lenses may not be worn to meet distant visual acuity
requirements.
d. The driver must meet either the distant visual acuity
requirement for each eye OR the binocular visual acuity
requirement Correct Answer a. The requirement for central distant
visual acuity is at least 20/40 in each eye
Which is accurate regarding the hearing test required of
commercial motor vehicle drivers?
a. The forced whisper test must be administered first.
b. Hearing aids cannot be used to pass the test.
c. If the driver perceives a forced whisper in one ear at 6 feet, he
has met the hearing requirement.
,d. If the driver attempts to meet the requirement using a hearing
aid, only the audiometric test is administered. Correct Answer C.
If the driver perceives a forced whisper in one ear at 6 feet, he
has met the hearing requirement.
When a driver who wears a hearing aid is unable to pass a forced
whisper test, referral to which of the following is required?
a. An audiologist.
b. An otolaryngologist.
c. A hearing aid center.
d. Any of the above is acceptable Correct Answer d. Any of the
above is acceptable
Which of the following frequencies is NOT included as part of the
audiometric hearing test for commercial motor vehicle drivers?
a. 500 hertz (Hz).
b. 1,000 Hz.
c. 2,000 Hz.
d. 4,000Hz Correct Answer d. 4,000Hz
A commercial driver is taking Coumadin for a diagnosis of atrial
fibrillation. As the medical examiner you explain to the driver that:
a. He cannot be certified to drive.
b. He can be certified to drive for 2 years as long as he provides
documentation that his INR is therapeutic.
c. He must undergo monthly INR monitoring.
d. He can be certified to drive only if he switches to a newer
anticoagulant that does not require INR monitoring. Correct
Answer C. He must undergo monthly INR monitoring
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 Correct
Answer certify the driver for 2 years
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. Correct
Answer Qualify the driver for two years
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 Correct Answer Disqualify the
driver and refer him to a mental health professional prior to
consideration for 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
questions and accurate answers
A driver presents for examination following a spontaneous
pneumothorax one month earlier. The records provided by the
driver indicate that the pneumothorax reduced the driver's forced
vital capacity (FVC) to 58% of predicted forced vital capacity. As
the medical examiner, you should:
a. Certify the driver for one year.
b. Certify the driver for two years.
c. Do not certify the driver.
d. Disqualify the driver for 6 months and re-evaluate at 6-month
recheck Correct Answer c. Do not certify the driver
Who can perform the vision portion of the interstate CMV driver
physical examination other than the medical examiner?
a. Medical assistant.
b. Ophthalmologist.
c. Optometrist.
d. Any of the above Correct Answer d. Any of the above.
Which of the following mandates disqualification, per regulation?
a. Idiopathic hypersomnia.
b. Narcolepsy.
c. ICD placement.
d. ALL of the above Correct Answer d. ALL of the above
According to regulations, which of the following can grant drivers
an SPE certificate?
a. Medical examiners.
b. Orthopedic surgeons.
c. Physical Medicine & Rehab physicians.
d. The FMCSA Correct Answer d. The FMCSA
,As a certified medical examiner, for how long must you retain a
copy of the Medical Examination Report Form for each driver?
a. 1 year.
b. 3 years.
c. 5 years.
d. 10 years Correct Answer b. 3 years
As a medical examiner, you will need to provide a copy of the
Medical Examination Report Form to a driver who is applying for,
or renewing, a:
a. Skill Performance Evaluation (SPE) certificate.
b. Hearing exemption certificate.
c. Seizure exemption certificate.
d. Any of the above. Correct Answer d. Any of the above.
Which of the following is true of the vision requirements for
commercial drivers?
a. The requirement for central distant visual acuity is at least
20/40 in each eye.
b. The requirement for distant binocular visual acuity is at least
20/50.
c. Contact lenses may not be worn to meet distant visual acuity
requirements.
d. The driver must meet either the distant visual acuity
requirement for each eye OR the binocular visual acuity
requirement Correct Answer a. The requirement for central distant
visual acuity is at least 20/40 in each eye
Which is accurate regarding the hearing test required of
commercial motor vehicle drivers?
a. The forced whisper test must be administered first.
b. Hearing aids cannot be used to pass the test.
c. If the driver perceives a forced whisper in one ear at 6 feet, he
has met the hearing requirement.
,d. If the driver attempts to meet the requirement using a hearing
aid, only the audiometric test is administered. Correct Answer C.
If the driver perceives a forced whisper in one ear at 6 feet, he
has met the hearing requirement.
When a driver who wears a hearing aid is unable to pass a forced
whisper test, referral to which of the following is required?
a. An audiologist.
b. An otolaryngologist.
c. A hearing aid center.
d. Any of the above is acceptable Correct Answer d. Any of the
above is acceptable
Which of the following frequencies is NOT included as part of the
audiometric hearing test for commercial motor vehicle drivers?
a. 500 hertz (Hz).
b. 1,000 Hz.
c. 2,000 Hz.
d. 4,000Hz Correct Answer d. 4,000Hz
A commercial driver is taking Coumadin for a diagnosis of atrial
fibrillation. As the medical examiner you explain to the driver that:
a. He cannot be certified to drive.
b. He can be certified to drive for 2 years as long as he provides
documentation that his INR is therapeutic.
c. He must undergo monthly INR monitoring.
d. He can be certified to drive only if he switches to a newer
anticoagulant that does not require INR monitoring. Correct
Answer C. He must undergo monthly INR monitoring
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 Correct
Answer certify the driver for 2 years
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. Correct
Answer Qualify the driver for two years
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 Correct Answer Disqualify the
driver and refer him to a mental health professional prior to
consideration for 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
