NRCME (DOT) Exam 2025
1 month waiting period: - ANS-- A-fib, stabilized
- Anticoagulation, stabilized (a-fib)
- SVT
- Post-pacemaker for AV block or SV arrythmia
1 week waiting period: - ANS-Post PCI
1 year waiting period: - ANS-- TIA or Stroke with no seizure/risk
- Acute provoked seizure, mild/no insult
- Heart transplant
- Brain tumor resection with no seizure
10 year waiting period: - ANS-- Epilepsy
- Febrile seizures
2 month waiting period: - ANS-- Post MI
- BPPV or vertigo
2 year waiting period: - ANS-- TBI with moderate insult (such as LOC)
- Acute seizure, unprovoked, mild
3 month waiting period: - ANS-- Post surgery (CABG, CV, aneurysm repair, PVD, PAD, OSA,
2ry hypertension)
- PE
- Unstable angina
- Syncopal episode
- Post-pacemaker for carotid hypersensitivity or neurogenic syncope
4 week waiting period: - ANS-Post mitral balloon valvuloplasty
5 year waiting period: - ANS-- Seizure with moderate insult
- TBI with seizure
- Stroke/TIA with seizure
6 month waiting period: - ANS-ECT therapy
A 3 month certificate: - ANS-Is issued for the first time a driver exhibits stage 2 hypertension.
, A driver follows up after their 3 month certificate due to Stage 2 HTN - BP is now <140/90 and
therapy is tolerated. How do you document this visit? - ANS-Check "follow up", don't need to do
a complete examination, just document any new/pertinent information
- Issue 1 year cert. from the ORIGINAL exam
A driver is missing 2 fingers, but has normal grip strength. Exam is otherwise normal. What do
you do? - ANS-Certify x 2 years
A driver must wait ___ hours after taking a sedating med before driving - ANS-12+ hours
A driver with a single unprovoked seizure can - ANS-Be cleared if seizure-free and off
anticonvulsant medication(s) for at least 5 years after a single unprovoked seizure.
*Key word "unprovoked"*
AAA requirements - ANS-<4 cm
Asymptomatic
If symptomatic or > 4 cm, surgical eval
After a reading of Stage 3 hypertension, how often can a driver be certified? - ANS-Only every 6
months max
- Disqualify until BP <140/90
- 3 month cert if <160/100 and they are initiating treatment for the first time
- May certify Q1 year post surgical correction of secondary HTN
After completing the 2 month waiting period for vertigo, a driver can be recertified for (1 or 2)
years - ANS-2 years
Age requirement for drivers - ANS-21+
Angina requirements - ANS-- Stable (unstable has 3 month waiting period)
- Tolerating all meds
- Cardiac clearance
- *ETT*
Blood pressure requirement for 1-year certification - ANS-First finding of Stage 1 hypertension
(140-159/90-99)
or
History of Hypertension or taking 1+ HTN med and BP is controlled at <140/90
Blood pressure requirement for 2-year certification - ANS-<140/90 with no HTN therapy
No previous diagnosis of HTN
1 month waiting period: - ANS-- A-fib, stabilized
- Anticoagulation, stabilized (a-fib)
- SVT
- Post-pacemaker for AV block or SV arrythmia
1 week waiting period: - ANS-Post PCI
1 year waiting period: - ANS-- TIA or Stroke with no seizure/risk
- Acute provoked seizure, mild/no insult
- Heart transplant
- Brain tumor resection with no seizure
10 year waiting period: - ANS-- Epilepsy
- Febrile seizures
2 month waiting period: - ANS-- Post MI
- BPPV or vertigo
2 year waiting period: - ANS-- TBI with moderate insult (such as LOC)
- Acute seizure, unprovoked, mild
3 month waiting period: - ANS-- Post surgery (CABG, CV, aneurysm repair, PVD, PAD, OSA,
2ry hypertension)
- PE
- Unstable angina
- Syncopal episode
- Post-pacemaker for carotid hypersensitivity or neurogenic syncope
4 week waiting period: - ANS-Post mitral balloon valvuloplasty
5 year waiting period: - ANS-- Seizure with moderate insult
- TBI with seizure
- Stroke/TIA with seizure
6 month waiting period: - ANS-ECT therapy
A 3 month certificate: - ANS-Is issued for the first time a driver exhibits stage 2 hypertension.
, A driver follows up after their 3 month certificate due to Stage 2 HTN - BP is now <140/90 and
therapy is tolerated. How do you document this visit? - ANS-Check "follow up", don't need to do
a complete examination, just document any new/pertinent information
- Issue 1 year cert. from the ORIGINAL exam
A driver is missing 2 fingers, but has normal grip strength. Exam is otherwise normal. What do
you do? - ANS-Certify x 2 years
A driver must wait ___ hours after taking a sedating med before driving - ANS-12+ hours
A driver with a single unprovoked seizure can - ANS-Be cleared if seizure-free and off
anticonvulsant medication(s) for at least 5 years after a single unprovoked seizure.
*Key word "unprovoked"*
AAA requirements - ANS-<4 cm
Asymptomatic
If symptomatic or > 4 cm, surgical eval
After a reading of Stage 3 hypertension, how often can a driver be certified? - ANS-Only every 6
months max
- Disqualify until BP <140/90
- 3 month cert if <160/100 and they are initiating treatment for the first time
- May certify Q1 year post surgical correction of secondary HTN
After completing the 2 month waiting period for vertigo, a driver can be recertified for (1 or 2)
years - ANS-2 years
Age requirement for drivers - ANS-21+
Angina requirements - ANS-- Stable (unstable has 3 month waiting period)
- Tolerating all meds
- Cardiac clearance
- *ETT*
Blood pressure requirement for 1-year certification - ANS-First finding of Stage 1 hypertension
(140-159/90-99)
or
History of Hypertension or taking 1+ HTN med and BP is controlled at <140/90
Blood pressure requirement for 2-year certification - ANS-<140/90 with no HTN therapy
No previous diagnosis of HTN
