NRCME DOT EXAM WITH ACTUAL
QUESTIONS AND VERIFIED ANSWERS||
GUARANTEED PASS || ALREADY GRADED A+ ||
LATEST UPDATE 2025
Which of the following is a criterion for certification after a myocardial
infarction?
a. EKG showing no signs of ischemia.
b. Echocardiogram showing an EF >= 40%.
c. ETT showing 85% of maximum predicted HR.
d. All of the above. - ANSWER-D. All the listed choices are criteria for
certification post myocardial infarction after meeting the 2-month wait time.
Certification is granted for one 1 year.
A driver reports that he was hospitalized recently for palpitations. He states he
was diagnosed with atrial fibrillation and was put on warfarin therapy. Which of
the following is the correct certification criteria for atrial fibrillation?
a. Waiting time: 1 month INR monthly Cert: 1yr
b. Waiting time: 1 week INR: monthly Cert: 2yrs
c. Waiting time: none INR: annually Cert: 6mon
d. Waiting time: 1 year INR: weekly Cert:1yr - ANSWER- A. The waiting
period for atrial fibrillation is 1 month with at least monthly INR. If stable and
tolerating medications without side effects, certification is granted for 1 year
A driver presents for certification. She reports that she was hospitalized recently
for chest pain. She states she was diagnosed with a myocardial infarction, and
subsequently underwent left coronary artery balloon angioplasty. She was put
,on Xarelto. Which of the following best represents certification decision for this
driver?
a. waiting time: 2mon INR:none Cert: 2yr
b. waiting time: 1wk INR: none Cert: 1yr
c. waiting time: 2mon INR: none Cert: 1yr
d: waiting time: 1 yr INR: monthly Cert: 2 yrs - ANSWER- C. Since the
angioplasty was the result of a myocardial infarction, the waiting time is 2
months. Without an MI, the waiting time post angioplasty is 1 week. No INR
monitoring is required for the newer anticoagulants (Xarelto, Eliquis, Pradaxa,
etc.). A patient on warfarin requires at least monthly INRs. The maximum
certification for a myocardial infarction is 1 year.
During the examination, all systems were found to be normal. The CME
measures the driver's peripheral horizontal vision at 70 degrees on the left and
80 degrees on the right. The examiner should?
a. Qualify the driver for 2 years.
b. Require the driver to obtain a vision exemption because of the limitation in
the 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. – ANSWER- A. The driver must
exhibit a minimum peripheral vision of 70 degrees bilaterally.
A motor carrier calls to request a copy of one of its driver's Medical
Examination Report F. What is the next step?
a. Fax a copy of the driver's MERF to the employer and record the transmittal.
b. Scan and email a copy of the MERF to the employer, making sure to include
the FMCSA on the email.
c. Call the FMCSA to request a release of the driver's MERF.
d. contact the driver and obtain a signed release of medical information prior to
sending the form to the employer. - ANSWER-d. contact the driver and obtain a
signed release of medical information prior to sending the form to the employer.
,Comment: The medical exam form is considered medical information protected
by HIPPA.
A medical examiner observes that a driver has a blood pressure of 160/94. The
driver has no prior knowledge of high blood pressure and has not been
prescribed medication. He states recent blood pressure at the primary care
provider was "in the 130s". The remainder of his exam is unremarkable. Which
of the following is the appropriate subsequent action for the medical examiner?
a. Certify for 3 months
b. Disqualify the driver for high blood pressure
c. Request driver come back the next day to take a second measurement
d. Repeat the blood pressure and if it is normal issue a 2-year certification -
ANSWER- D. A repeat, second Blood Pressure reading is always a good
approach to confirm an initial high reading.
The driver was disqualified on the examination date 4/16/2017 due to diagnosis
of benign positional vertigo 3/15/2011. He returns to medical examiner for
certification exam on 5/20/2017 and has been asymptomatic since 3/11/2017.
He is qualified for two years. What date should be noted as ME certificate
expiration?
a. 3/11/2019
b. 3/15/2019
c. 4/15/2019
d. 5/20/2019 - ANSWER- D. The date of the follow up visit is used to calculate
the certification when a driver presents while in determination pending status.
A driver presents with a hernia. Can the driver be certified?
a. No, the driver cannot be certified.
b. Yes, after a one-year waiting period.
c. Yes, if the hernia does not cause discomfort or interfere with driving.
, d. Yes, after a thirty-day waiting period. - ANSWER- C. In general, a hernia
should not interfere with a driver's ability to operate a commercial vehicle. In
some cases, additional tests may be required, but generally speaking, a driver
with a hernia can be certified as long as the hernia does not cause discomfort or
interfere with the driver's ability to operate a motor vehicle.
What ancillary information documentation is/are required to be included in the
medical examination of a driver who has an implantable cardiac defibrillator
(ICD)?
a. Echocardiogram and ETT.
b. Acardiologistclearancereport.
c. Cardiovascular specialist report.
d. None of the above. - ANSWER- D. This is the correct answer because
according to FMCSA guidelines, persons with ICDs are not to be qualified as
interstate CMV drivers. These persons are at high risk of sudden death or
incapacitation and thus, they pose a risk to public safety.
A 37-year-male CMV driver presents for examination. He has the fourth finger
missing from his right hand. He provides a medical report confirming a strong
right-hand grasp. Does this person require a Skill Performance Evaluation
(SPE) Certificate by FMCSA to complete the qualifying procedure under CFR
391.41, and why?
a. No, as long as there is a medical report confirming no interference with hand
grasp power an SPE certificate is not required for impairment/ loss of a finger.
b. Yes, a medical report confirming a strong right-hand grasp does not exempt
from an SPE certificate.
c. Yes, an impaired or missing finger requires an SPE certificate regardless of
whether it affects hand grasp power or not.
d. No,thispersonismedicallynotqualifiedtobeaCMVdriver. - ANSWER- A. This
is the correct answer because according to CFR 391.41, persons with an
impairment of a hand or finger that does not interfere with prehension and
grasping power may be qualified. In this case, the presence of a medical report
confirming the prehension power is valid evidence for the medical examiner
and does not prompt for a SPE certificate.
QUESTIONS AND VERIFIED ANSWERS||
GUARANTEED PASS || ALREADY GRADED A+ ||
LATEST UPDATE 2025
Which of the following is a criterion for certification after a myocardial
infarction?
a. EKG showing no signs of ischemia.
b. Echocardiogram showing an EF >= 40%.
c. ETT showing 85% of maximum predicted HR.
d. All of the above. - ANSWER-D. All the listed choices are criteria for
certification post myocardial infarction after meeting the 2-month wait time.
Certification is granted for one 1 year.
A driver reports that he was hospitalized recently for palpitations. He states he
was diagnosed with atrial fibrillation and was put on warfarin therapy. Which of
the following is the correct certification criteria for atrial fibrillation?
a. Waiting time: 1 month INR monthly Cert: 1yr
b. Waiting time: 1 week INR: monthly Cert: 2yrs
c. Waiting time: none INR: annually Cert: 6mon
d. Waiting time: 1 year INR: weekly Cert:1yr - ANSWER- A. The waiting
period for atrial fibrillation is 1 month with at least monthly INR. If stable and
tolerating medications without side effects, certification is granted for 1 year
A driver presents for certification. She reports that she was hospitalized recently
for chest pain. She states she was diagnosed with a myocardial infarction, and
subsequently underwent left coronary artery balloon angioplasty. She was put
,on Xarelto. Which of the following best represents certification decision for this
driver?
a. waiting time: 2mon INR:none Cert: 2yr
b. waiting time: 1wk INR: none Cert: 1yr
c. waiting time: 2mon INR: none Cert: 1yr
d: waiting time: 1 yr INR: monthly Cert: 2 yrs - ANSWER- C. Since the
angioplasty was the result of a myocardial infarction, the waiting time is 2
months. Without an MI, the waiting time post angioplasty is 1 week. No INR
monitoring is required for the newer anticoagulants (Xarelto, Eliquis, Pradaxa,
etc.). A patient on warfarin requires at least monthly INRs. The maximum
certification for a myocardial infarction is 1 year.
During the examination, all systems were found to be normal. The CME
measures the driver's peripheral horizontal vision at 70 degrees on the left and
80 degrees on the right. The examiner should?
a. Qualify the driver for 2 years.
b. Require the driver to obtain a vision exemption because of the limitation in
the 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. – ANSWER- A. The driver must
exhibit a minimum peripheral vision of 70 degrees bilaterally.
A motor carrier calls to request a copy of one of its driver's Medical
Examination Report F. What is the next step?
a. Fax a copy of the driver's MERF to the employer and record the transmittal.
b. Scan and email a copy of the MERF to the employer, making sure to include
the FMCSA on the email.
c. Call the FMCSA to request a release of the driver's MERF.
d. contact the driver and obtain a signed release of medical information prior to
sending the form to the employer. - ANSWER-d. contact the driver and obtain a
signed release of medical information prior to sending the form to the employer.
,Comment: The medical exam form is considered medical information protected
by HIPPA.
A medical examiner observes that a driver has a blood pressure of 160/94. The
driver has no prior knowledge of high blood pressure and has not been
prescribed medication. He states recent blood pressure at the primary care
provider was "in the 130s". The remainder of his exam is unremarkable. Which
of the following is the appropriate subsequent action for the medical examiner?
a. Certify for 3 months
b. Disqualify the driver for high blood pressure
c. Request driver come back the next day to take a second measurement
d. Repeat the blood pressure and if it is normal issue a 2-year certification -
ANSWER- D. A repeat, second Blood Pressure reading is always a good
approach to confirm an initial high reading.
The driver was disqualified on the examination date 4/16/2017 due to diagnosis
of benign positional vertigo 3/15/2011. He returns to medical examiner for
certification exam on 5/20/2017 and has been asymptomatic since 3/11/2017.
He is qualified for two years. What date should be noted as ME certificate
expiration?
a. 3/11/2019
b. 3/15/2019
c. 4/15/2019
d. 5/20/2019 - ANSWER- D. The date of the follow up visit is used to calculate
the certification when a driver presents while in determination pending status.
A driver presents with a hernia. Can the driver be certified?
a. No, the driver cannot be certified.
b. Yes, after a one-year waiting period.
c. Yes, if the hernia does not cause discomfort or interfere with driving.
, d. Yes, after a thirty-day waiting period. - ANSWER- C. In general, a hernia
should not interfere with a driver's ability to operate a commercial vehicle. In
some cases, additional tests may be required, but generally speaking, a driver
with a hernia can be certified as long as the hernia does not cause discomfort or
interfere with the driver's ability to operate a motor vehicle.
What ancillary information documentation is/are required to be included in the
medical examination of a driver who has an implantable cardiac defibrillator
(ICD)?
a. Echocardiogram and ETT.
b. Acardiologistclearancereport.
c. Cardiovascular specialist report.
d. None of the above. - ANSWER- D. This is the correct answer because
according to FMCSA guidelines, persons with ICDs are not to be qualified as
interstate CMV drivers. These persons are at high risk of sudden death or
incapacitation and thus, they pose a risk to public safety.
A 37-year-male CMV driver presents for examination. He has the fourth finger
missing from his right hand. He provides a medical report confirming a strong
right-hand grasp. Does this person require a Skill Performance Evaluation
(SPE) Certificate by FMCSA to complete the qualifying procedure under CFR
391.41, and why?
a. No, as long as there is a medical report confirming no interference with hand
grasp power an SPE certificate is not required for impairment/ loss of a finger.
b. Yes, a medical report confirming a strong right-hand grasp does not exempt
from an SPE certificate.
c. Yes, an impaired or missing finger requires an SPE certificate regardless of
whether it affects hand grasp power or not.
d. No,thispersonismedicallynotqualifiedtobeaCMVdriver. - ANSWER- A. This
is the correct answer because according to CFR 391.41, persons with an
impairment of a hand or finger that does not interfere with prehension and
grasping power may be qualified. In this case, the presence of a medical report
confirming the prehension power is valid evidence for the medical examiner
and does not prompt for a SPE certificate.
