NCRME DOT 2024/2025 Exam Questions
and Verified Answers
What are the two FMCSA two medical driver exemption program? - ✔✔Federal
Vision Exemption program
Diabetes Exemption Program
List of condition ME can not qualify - ✔✔1. established medical history of or
clinical diagnosis of epilepsy
2. dual pacemaker/ICD even if it has not been activated
What minimum PaO2 level is necessary if the driver has an ABG due to a chronic
respiratory disorder? - ✔✔65mmHg
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: - ✔✔Certify the driver for 2 years.
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
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©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025.
,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 - ✔✔Temporarily disqualify the driver.
The driver has not completed the required 2-monthwaiting 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. The
date of the certification would be from the date of the original examination.
A driver provides an audiometric test documenting the following:
1. 500 Hz: 2. 1000 HZ: 3. 2000 HZ: 4. 4000 Hz:
35 Right ear; 40 Left ear 40 Right ear; 45 Left ear 40 Right ear; 45 Left ear 50
Right ear; 50 Left ear - ✔✔Certify the driver for 2years.
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
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©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025.
, 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: - ✔✔Qualify the driver for 2 years
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: - ✔✔Disqualify the driver and refer
him to a mental health professional prior to consideration for
certification
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
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©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025.
and Verified Answers
What are the two FMCSA two medical driver exemption program? - ✔✔Federal
Vision Exemption program
Diabetes Exemption Program
List of condition ME can not qualify - ✔✔1. established medical history of or
clinical diagnosis of epilepsy
2. dual pacemaker/ICD even if it has not been activated
What minimum PaO2 level is necessary if the driver has an ABG due to a chronic
respiratory disorder? - ✔✔65mmHg
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: - ✔✔Certify the driver for 2 years.
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
Page 1 of 27
©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025.
,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 - ✔✔Temporarily disqualify the driver.
The driver has not completed the required 2-monthwaiting 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. The
date of the certification would be from the date of the original examination.
A driver provides an audiometric test documenting the following:
1. 500 Hz: 2. 1000 HZ: 3. 2000 HZ: 4. 4000 Hz:
35 Right ear; 40 Left ear 40 Right ear; 45 Left ear 40 Right ear; 45 Left ear 50
Right ear; 50 Left ear - ✔✔Certify the driver for 2years.
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
Page 2 of 27
©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025.
, 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: - ✔✔Qualify the driver for 2 years
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: - ✔✔Disqualify the driver and refer
him to a mental health professional prior to consideration for
certification
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
Page 3 of 27
©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025.
