NRCME DOT EXAM 2025 WITH 200+
QUESTIONS AND VERIFIED ANSWERS||
ALREADY GRADED A+|| GUARANTEED PASS ||
BEST VERSION!!!
A driver with a history of acute seizure secondary to an acute structural insult
requires a waiting period of one-year seizure free and off anticonvulsant
medications for:
A) Mild insult without early seizures
B) Moderate insult without early seizures
C) Mild insult with early seizures
D) Stroke with risk for seizures - ANSWER-A) A history of seizure secondary
to acute structural insult requires a waiting period of one year for mild insult
without early seizure, stroke without risk for seizure, or intracerebral
hemorrhage without risk for seizure. Moderate insult without early seizures and
mild insult with early seizures requires a two-year waiting period, and stroke
with risk for seizures requires a five-year waiting period.
A driver with a history of moderate traumatic brain injury with early seizures,
stroke with risk for seizures, or intracerebral or subarachnoid hemorrhage with
risk for seizures requires a waiting period of ___________ seizure free and off
anticonvulsant medications.
A) One year
B) Two years
C) Five years
D) Ten years - ANSWER-C) Each of these conditions requires a symptom free
waiting period of five years
,The Medical Examiner should recommend do not certify if the driver has the
following:
A) Acute otitis media
B) Ménière's disease
C) A history of TIA's three years ago
D) Multiple sclerosis - ANSWER-B) Meriere's disease is disqualifying
Only ___________________ can grant drivers a Skill Performance Evaluation
(SPE) certificate
A) The FMCSA
B) The Department of Transportation
C) A certified medical examiner
D) A physiatrist or orthopedic specialist - ANSWER-A) Only the FMCSA can
grant waivers/exemptions and SPE certificates
The maximum certification period for Skill Performance Evaluation (SPE)
certificate is ____________
A) six months
B) one year
C) two years
D) determined on a case-by-case basis - ANSWER-C) A SPE certificate is
granted for a maximum of two years
A driver presents for clearance to return to driving a CMV four weeks after
arthroscopic carpal tunnel repair to his left hand. The certification decision
should be:
A) The driver must complete a two-month waiting period for carpal tunnel
surgery
B) The driver may be certified if he completes a functional capacity evaluation
,C) The driver may be certified for a maximum of one year, as long as he meets
all the other qualification standards
D) The driver may be certified for a maximum of two years, as long as he meets
all the other qualification standards - ANSWER-D) there is no waiting period
following carpal tunnel surgery. The driver may be certified for up to two years
if the medical examiner considers the driver to have recovered sufficiently from
surgery
A Skilled Performance Evaluation (SPE) certificate pursuant to 49 CFR 391.49
is granted under the following conditions except:
A) the driver has a fixed deficit of an extremity
B) the driver meets all the other standards
C) The driver has a medical evaluation summary completed by a board qualified
or certified physicatrist or orthopedic surgeon
D) The driver has completed a driving evaluation per FMCSA standards -
ANSWER-D) A driving evaluation is not required for issuance of an SPE
certificate
A Skill Performance Evaluatioin (SPE) certificate:
A) Is valid for one year from the date of issuance
B) May be renewed 60 days prior to expiration
C) Is required when the severity of a fixed deficit of an extremity includes the
loss or impairment of a hand, arm, foot or leg
D) Is issued by the medical examiner - ANSWER-C) A SPE certificate is valid
for 2 years, may be renewed 30 days prior to expiration, and is required for a
fixed deficit of an extremity includes of loss or impairment of a hand, arm, foot
or leg. A SPE certificate is issued by the FMCSA, not the medical examiner.
The medical examiner determines that the driver is otherwise medically
qualified and meets the criteria for a SPE.
Examples of adapting clinical evaluation of the musculoskeletal system to
ensure applicability when assessing CMV driver fitness for duty could include
all of the following except:
, A) Using resistive force or a dynamometer to have the driver demonstrate grip
strength
B) Nerve conduction study testing
C) Have the driver simulate the range of motion and coordination of hands and
legs required for steering and changing gears when operating a CMV and/or
have the driver demonstrate shoulder joint mobility, arm and leg muscle
strength. Required to enter and exit the cab, and other driver-related duties.
D) Have driver perform activities that demonstrate the ability to maneuver and
maintain balance while under the trailer and having the driver demonstrate
cervical range of motion sufficient to look in either side mirror of an oversized
CMV - ANSWER-B) Nerve conduction study testing is not a clinical evaluation
of musculoskeletal function
The following conditions are disqualifying except:
A) Multiple sclerosis
B) Congenital myopathies
C) Metabolic muscle diseases
D) Muscular dystrophies - ANSWER-A) Multiple sclerosis may or may not be
disqualifying, depending on whether the driver has symptoms that interfere with
safe driving. Congenital myopathies, metabolic muscle diseases, and muscular
dystrophies are all disqualifying.
The waiting period for a driver with a history of acute seizures secondary to a
systemic metabolic illness is ____________ and the driver may be certified for
up to _________________.
A) No waiting period, two years
B) One month, one year
C) Three months, one year
D) One year, one year - ANSWER-A) As long as risk for recurrence of the
metabolic illness is low, there is no waiting period. And the driver may be
certified for two years.
QUESTIONS AND VERIFIED ANSWERS||
ALREADY GRADED A+|| GUARANTEED PASS ||
BEST VERSION!!!
A driver with a history of acute seizure secondary to an acute structural insult
requires a waiting period of one-year seizure free and off anticonvulsant
medications for:
A) Mild insult without early seizures
B) Moderate insult without early seizures
C) Mild insult with early seizures
D) Stroke with risk for seizures - ANSWER-A) A history of seizure secondary
to acute structural insult requires a waiting period of one year for mild insult
without early seizure, stroke without risk for seizure, or intracerebral
hemorrhage without risk for seizure. Moderate insult without early seizures and
mild insult with early seizures requires a two-year waiting period, and stroke
with risk for seizures requires a five-year waiting period.
A driver with a history of moderate traumatic brain injury with early seizures,
stroke with risk for seizures, or intracerebral or subarachnoid hemorrhage with
risk for seizures requires a waiting period of ___________ seizure free and off
anticonvulsant medications.
A) One year
B) Two years
C) Five years
D) Ten years - ANSWER-C) Each of these conditions requires a symptom free
waiting period of five years
,The Medical Examiner should recommend do not certify if the driver has the
following:
A) Acute otitis media
B) Ménière's disease
C) A history of TIA's three years ago
D) Multiple sclerosis - ANSWER-B) Meriere's disease is disqualifying
Only ___________________ can grant drivers a Skill Performance Evaluation
(SPE) certificate
A) The FMCSA
B) The Department of Transportation
C) A certified medical examiner
D) A physiatrist or orthopedic specialist - ANSWER-A) Only the FMCSA can
grant waivers/exemptions and SPE certificates
The maximum certification period for Skill Performance Evaluation (SPE)
certificate is ____________
A) six months
B) one year
C) two years
D) determined on a case-by-case basis - ANSWER-C) A SPE certificate is
granted for a maximum of two years
A driver presents for clearance to return to driving a CMV four weeks after
arthroscopic carpal tunnel repair to his left hand. The certification decision
should be:
A) The driver must complete a two-month waiting period for carpal tunnel
surgery
B) The driver may be certified if he completes a functional capacity evaluation
,C) The driver may be certified for a maximum of one year, as long as he meets
all the other qualification standards
D) The driver may be certified for a maximum of two years, as long as he meets
all the other qualification standards - ANSWER-D) there is no waiting period
following carpal tunnel surgery. The driver may be certified for up to two years
if the medical examiner considers the driver to have recovered sufficiently from
surgery
A Skilled Performance Evaluation (SPE) certificate pursuant to 49 CFR 391.49
is granted under the following conditions except:
A) the driver has a fixed deficit of an extremity
B) the driver meets all the other standards
C) The driver has a medical evaluation summary completed by a board qualified
or certified physicatrist or orthopedic surgeon
D) The driver has completed a driving evaluation per FMCSA standards -
ANSWER-D) A driving evaluation is not required for issuance of an SPE
certificate
A Skill Performance Evaluatioin (SPE) certificate:
A) Is valid for one year from the date of issuance
B) May be renewed 60 days prior to expiration
C) Is required when the severity of a fixed deficit of an extremity includes the
loss or impairment of a hand, arm, foot or leg
D) Is issued by the medical examiner - ANSWER-C) A SPE certificate is valid
for 2 years, may be renewed 30 days prior to expiration, and is required for a
fixed deficit of an extremity includes of loss or impairment of a hand, arm, foot
or leg. A SPE certificate is issued by the FMCSA, not the medical examiner.
The medical examiner determines that the driver is otherwise medically
qualified and meets the criteria for a SPE.
Examples of adapting clinical evaluation of the musculoskeletal system to
ensure applicability when assessing CMV driver fitness for duty could include
all of the following except:
, A) Using resistive force or a dynamometer to have the driver demonstrate grip
strength
B) Nerve conduction study testing
C) Have the driver simulate the range of motion and coordination of hands and
legs required for steering and changing gears when operating a CMV and/or
have the driver demonstrate shoulder joint mobility, arm and leg muscle
strength. Required to enter and exit the cab, and other driver-related duties.
D) Have driver perform activities that demonstrate the ability to maneuver and
maintain balance while under the trailer and having the driver demonstrate
cervical range of motion sufficient to look in either side mirror of an oversized
CMV - ANSWER-B) Nerve conduction study testing is not a clinical evaluation
of musculoskeletal function
The following conditions are disqualifying except:
A) Multiple sclerosis
B) Congenital myopathies
C) Metabolic muscle diseases
D) Muscular dystrophies - ANSWER-A) Multiple sclerosis may or may not be
disqualifying, depending on whether the driver has symptoms that interfere with
safe driving. Congenital myopathies, metabolic muscle diseases, and muscular
dystrophies are all disqualifying.
The waiting period for a driver with a history of acute seizures secondary to a
systemic metabolic illness is ____________ and the driver may be certified for
up to _________________.
A) No waiting period, two years
B) One month, one year
C) Three months, one year
D) One year, one year - ANSWER-A) As long as risk for recurrence of the
metabolic illness is low, there is no waiting period. And the driver may be
certified for two years.
