NRCME DOT EXAM ACTUAL EXAM QUESTIONS AND ANSWERS ||
VERIFIED AND WELL DETAILED ANSWERS || LATEST 2025/2026
the two disqualifying cardiomyopathies of myocardial disease - CORRECT
ANSWER - restrictive and hypertrophic
When is pulse oximetry or ABG indicated? - CORRECT ANSWER -
FEV1<65%, FEV1/FVC<65%, FVC<60%
At what pulse ox finding is ABG indicated? - CORRECT ANSWER - pulse ox
<92%
Minimum required paO2 at <5000ft - CORRECT ANSWER - 65 mm Hg
Minimum required paO2 at altitudes >5000 ft - CORRECT ANSWER - 60mm
Hg
4 requirements that need to be met for ETT? - CORRECT ANSWER - 1- >6
METs
2- attain HR > or = 85% (unless taking BB)
3- rise in systolic bp > or = 20 without angina
4- no significant ST depression
Waiting period s/p MI - CORRECT ANSWER - 2 months
,waiting period s/p CABG - CORRECT ANSWER - 3 months
4 requirements for vision: - CORRECT ANSWER - 1- distant visual acuity in
each eye at least 20/40
2- distant binocular vision of at least 20/40 in each eye
3- field of vision at least 70 degrees in horizontal median
4- recognize red, green, amber
Certification for pt with monocular vision and federal exemption: how long to
certify for? how long is the federal vision exemption valid for? - CORRECT
ANSWER - cert for 1 yr; fed exemption valid for 2 yrs
what is the dx of tx of: sxs- glare at night with driving, decreased acuity and
contrast, color resolution, and light scattering effects. - CORRECT ANSWER -
dx- cataracts
tx- surgical removal/lens
Eye condition that causes loss of peripheral vision loss. sxs include redirection of
night vision, color vision, especially peripherally is noticeable. - CORRECT
ANSWER - glaucoma
lengthened recovery from bright lights, loss of visual acuity, leading cause of
blindness. dx and tx? - CORRECT ANSWER - macular degeneration. tx-
telescopic lenses but these are not acceptable for driving
retinal hemorrhages, microaneurysms, scotomas affecting central vision -
CORRECT ANSWER - retinopathy
,Hearing requirements - CORRECT ANSWER - 1- first perceives forced whisper
test at <5 feet in the better ear
2- in better ear avg hearing < or = to40 db at 500, 1000, and 2000 Hz
waiting period symptom free after bppv, acute/chronic peripheral vestibulopathy -
CORRECT ANSWER - 2 months sx free
3 disqualifying otic conditions: - CORRECT ANSWER - 1- menieres disease
2- labyrinthe fistula
3- nonfunctioning labyrinths
how long is federal hearing exemption valid for? how long can medical examiner
certify? - CORRECT ANSWER - 2 yrs. for both
most likely CV cause of sudden driver incapacitation - CORRECT ANSWER -
arrhythmia
driver with CAD should: - CORRECT ANSWER - be cleared by CV specialist
tol CV meds
comply with treatment plan
have annual med exam
passing an echo test involves: (2) - CORRECT ANSWER - LVEF > or = or40%
no pulm htn ( pulm artery pressure >50% of systemic systolic bp
, passing an ETT involves: (4) - CORRECT ANSWER - exercise to workload >6
METs
attain HR > or = to 85% predicted maximum unless on BB
rise in systolic bp > or = to 20 without angina
no significant ST depression
waiting period s/p MI - CORRECT ANSWER - 2 months
max cert for MI - CORRECT ANSWER - 1 year
ok to cert for MI if: (4) - CORRECT ANSWER - no sxs
tol meds
satisfactory ETT and bi ennial ETT thereafter
has resting LVEF > or = to 40%
required for initial cert s/p MI - CORRECT ANSWER - post-MI echo showing >
or = to 40% LVEF
do not cert after acute MI if: (3) - CORRECT ANSWER - rest angina or change
in angina within 3 months
abnl ETT
intol to CV therapy
chest pain at rest
VERIFIED AND WELL DETAILED ANSWERS || LATEST 2025/2026
the two disqualifying cardiomyopathies of myocardial disease - CORRECT
ANSWER - restrictive and hypertrophic
When is pulse oximetry or ABG indicated? - CORRECT ANSWER -
FEV1<65%, FEV1/FVC<65%, FVC<60%
At what pulse ox finding is ABG indicated? - CORRECT ANSWER - pulse ox
<92%
Minimum required paO2 at <5000ft - CORRECT ANSWER - 65 mm Hg
Minimum required paO2 at altitudes >5000 ft - CORRECT ANSWER - 60mm
Hg
4 requirements that need to be met for ETT? - CORRECT ANSWER - 1- >6
METs
2- attain HR > or = 85% (unless taking BB)
3- rise in systolic bp > or = 20 without angina
4- no significant ST depression
Waiting period s/p MI - CORRECT ANSWER - 2 months
,waiting period s/p CABG - CORRECT ANSWER - 3 months
4 requirements for vision: - CORRECT ANSWER - 1- distant visual acuity in
each eye at least 20/40
2- distant binocular vision of at least 20/40 in each eye
3- field of vision at least 70 degrees in horizontal median
4- recognize red, green, amber
Certification for pt with monocular vision and federal exemption: how long to
certify for? how long is the federal vision exemption valid for? - CORRECT
ANSWER - cert for 1 yr; fed exemption valid for 2 yrs
what is the dx of tx of: sxs- glare at night with driving, decreased acuity and
contrast, color resolution, and light scattering effects. - CORRECT ANSWER -
dx- cataracts
tx- surgical removal/lens
Eye condition that causes loss of peripheral vision loss. sxs include redirection of
night vision, color vision, especially peripherally is noticeable. - CORRECT
ANSWER - glaucoma
lengthened recovery from bright lights, loss of visual acuity, leading cause of
blindness. dx and tx? - CORRECT ANSWER - macular degeneration. tx-
telescopic lenses but these are not acceptable for driving
retinal hemorrhages, microaneurysms, scotomas affecting central vision -
CORRECT ANSWER - retinopathy
,Hearing requirements - CORRECT ANSWER - 1- first perceives forced whisper
test at <5 feet in the better ear
2- in better ear avg hearing < or = to40 db at 500, 1000, and 2000 Hz
waiting period symptom free after bppv, acute/chronic peripheral vestibulopathy -
CORRECT ANSWER - 2 months sx free
3 disqualifying otic conditions: - CORRECT ANSWER - 1- menieres disease
2- labyrinthe fistula
3- nonfunctioning labyrinths
how long is federal hearing exemption valid for? how long can medical examiner
certify? - CORRECT ANSWER - 2 yrs. for both
most likely CV cause of sudden driver incapacitation - CORRECT ANSWER -
arrhythmia
driver with CAD should: - CORRECT ANSWER - be cleared by CV specialist
tol CV meds
comply with treatment plan
have annual med exam
passing an echo test involves: (2) - CORRECT ANSWER - LVEF > or = or40%
no pulm htn ( pulm artery pressure >50% of systemic systolic bp
, passing an ETT involves: (4) - CORRECT ANSWER - exercise to workload >6
METs
attain HR > or = to 85% predicted maximum unless on BB
rise in systolic bp > or = to 20 without angina
no significant ST depression
waiting period s/p MI - CORRECT ANSWER - 2 months
max cert for MI - CORRECT ANSWER - 1 year
ok to cert for MI if: (4) - CORRECT ANSWER - no sxs
tol meds
satisfactory ETT and bi ennial ETT thereafter
has resting LVEF > or = to 40%
required for initial cert s/p MI - CORRECT ANSWER - post-MI echo showing >
or = to 40% LVEF
do not cert after acute MI if: (3) - CORRECT ANSWER - rest angina or change
in angina within 3 months
abnl ETT
intol to CV therapy
chest pain at rest
