NRCME DOT EXAM WITH WELL VERIFIED
QUESTIONS AND ANSWERS|| GUARANTEED
PASS || ALREADY GRADED A+ || LATEST
UPDATE 2025
Which of the following is not true:
A. Regulations are law
B.ME must use standards found in 49 CFR 391.41 for CMV fitness for duty
C. Medical guidelines are non‐discretionary
D. Medical guidelines are based on expert review - ANSWER-C
Which objective tests and measures are NOT required as part of the driver
medical exam:
A. Height and weight
B. Blood pressure and pulse
C. Urinalysis protein and glucose
D. Urine drug screen and MMPIv - ANSWER-D
What is the maximum period of certification for a driver with a history of Stage
III hypertension whose BP is now
138/86?
A. Three months providing tolerating medications and without side effects
B. Six months providing tolerating medications and without side effects
C. One year providing tolerating medications and without side effects
D. Drivers with history of Stage III hypertension cannot be certified -
ANSWER-B
,Which of the following is not a possible outcome of a driver physical exam?
A. Disqualification
B. Certification
C. Determination pending
D. Inconclusive - ANSWER-D
A driver is found to have a blood pressure ready measured twice during the
examination at 166/106 mm HG.
According to FMCSA guidelines on blood pressure, the examiner should issue
the following:
A. 1 month card
B. 3 month card
C. No card‐must have blood pressure < 140/90
D. One year - ANSWER-B
A 60 year old female driver presents for a commercial motor carrier driver
examination. Her employer asked her to obtain a renewal as her current
certification expires today. She has difficulty in filling out her medical history
form completely, skipping items. Although her appearance is neat and her
demeanour pleasant, upon further questioning, her short term memory is lacking
and she is scattered in thought. She fails a brief recall memory test of familiar
objects, although she denies memory loss. In the interest of public and driver
safety what would be the prudent thing to do next in this examination?
A. Determine determination pending until the driver until a neuro‐psychiatric
evaluation is done.
B. Disqualify the driver for incompletely filling out her medical history form.
C. Qualify the driver for 3 months only until a medical evaluation is completed.
D. None of the above are correct. - ANSWER-D
,A 28 year old otherwise healthy driver reports he had a sudden brief seizure two
months ago, thought to be due to high fever during a recent serious lung
infection. He is adamant he does not have epilepsy and takes no medications.
The seizure was unwitnessed. According to medical guidance from FMSA,
what should the examiner do?
A. Request medical records for neurological diagnosis and related information,
temporarily disqualify until clearance verified
B. Do not certify as seizure history is always disqualifying
C. Provide a conditional 30 day medical certification giving him time to bring in
proof of medical clearance from his PCP
D. Certify for one year as your examination shows no neurological deficits and
he is not taking anti‐seizure medications - ANSWER-A
A commercial driver new to the U.S. from a foreign county must meet the
following requirement to drive an interstate commercial vehicle:
A. Must have a valid immigration green card
B. Read and speak the English Language sufficient to converse with the public
C. Complete a 6 month truck driving training course
D. Relinquish their driver's license from their home county for a state driver's
license - ANSWER-B
A driver says that she has exercise‐induced asthma well‐controlled by albuterol
inhaler before aerobic activity. Her
FEV1 must be ___ of predicted in order to be certified.
A. 40%
B. 55%
C. 65%
D. 90% - ANSWER-C
Which of the following is non‐discretionary for the medical examiner per
FMSA standards:
, A. Hearing
B. Grade 2 hypertension
C. Symptomatic Asthma
D. History of MI - ANSWER-A
The CMV driver who has undergone a heart transplant may be qualified if:
A. Is at least 1 year post-transplant
B. Is asymptomatic, tolerating treatment, has clearance from specialist
understanding CMV operation requirements
C. Has no signs of rejection
D. All of the above - ANSWER-D
In May 2016, the driver received a 1-year certification, after her blood pressure
was elevated for the first time, consistent with a Stage 1 BP. A year later, she
received a 3‐month certification on 5/20/2017, as her blood pressure was still
mildly elevated (Stage 1). She now presents 8/15/17 for recertification. Her
blood pressure is now 128/82, she is tolerating antihypertensive therapy. The
complete exam is not repeated. What date should be recorded as the certificate
expiration?
A. 5/20/18
B. 8/15/18
C. 5/20/19
D. 8/15/19 - ANSWER-A
What is the first step for a CMV driver who is prescribed insulin to do in
obtaining certification to drive?
A. Undergo the standard CMV medical examination and be otherwise fully
medically qualified
B. Submit all medical records over a 3 year period for medical examiner to
review
C. Submit diabetes monitoring logs, including glucometer reading, for past year
QUESTIONS AND ANSWERS|| GUARANTEED
PASS || ALREADY GRADED A+ || LATEST
UPDATE 2025
Which of the following is not true:
A. Regulations are law
B.ME must use standards found in 49 CFR 391.41 for CMV fitness for duty
C. Medical guidelines are non‐discretionary
D. Medical guidelines are based on expert review - ANSWER-C
Which objective tests and measures are NOT required as part of the driver
medical exam:
A. Height and weight
B. Blood pressure and pulse
C. Urinalysis protein and glucose
D. Urine drug screen and MMPIv - ANSWER-D
What is the maximum period of certification for a driver with a history of Stage
III hypertension whose BP is now
138/86?
A. Three months providing tolerating medications and without side effects
B. Six months providing tolerating medications and without side effects
C. One year providing tolerating medications and without side effects
D. Drivers with history of Stage III hypertension cannot be certified -
ANSWER-B
,Which of the following is not a possible outcome of a driver physical exam?
A. Disqualification
B. Certification
C. Determination pending
D. Inconclusive - ANSWER-D
A driver is found to have a blood pressure ready measured twice during the
examination at 166/106 mm HG.
According to FMCSA guidelines on blood pressure, the examiner should issue
the following:
A. 1 month card
B. 3 month card
C. No card‐must have blood pressure < 140/90
D. One year - ANSWER-B
A 60 year old female driver presents for a commercial motor carrier driver
examination. Her employer asked her to obtain a renewal as her current
certification expires today. She has difficulty in filling out her medical history
form completely, skipping items. Although her appearance is neat and her
demeanour pleasant, upon further questioning, her short term memory is lacking
and she is scattered in thought. She fails a brief recall memory test of familiar
objects, although she denies memory loss. In the interest of public and driver
safety what would be the prudent thing to do next in this examination?
A. Determine determination pending until the driver until a neuro‐psychiatric
evaluation is done.
B. Disqualify the driver for incompletely filling out her medical history form.
C. Qualify the driver for 3 months only until a medical evaluation is completed.
D. None of the above are correct. - ANSWER-D
,A 28 year old otherwise healthy driver reports he had a sudden brief seizure two
months ago, thought to be due to high fever during a recent serious lung
infection. He is adamant he does not have epilepsy and takes no medications.
The seizure was unwitnessed. According to medical guidance from FMSA,
what should the examiner do?
A. Request medical records for neurological diagnosis and related information,
temporarily disqualify until clearance verified
B. Do not certify as seizure history is always disqualifying
C. Provide a conditional 30 day medical certification giving him time to bring in
proof of medical clearance from his PCP
D. Certify for one year as your examination shows no neurological deficits and
he is not taking anti‐seizure medications - ANSWER-A
A commercial driver new to the U.S. from a foreign county must meet the
following requirement to drive an interstate commercial vehicle:
A. Must have a valid immigration green card
B. Read and speak the English Language sufficient to converse with the public
C. Complete a 6 month truck driving training course
D. Relinquish their driver's license from their home county for a state driver's
license - ANSWER-B
A driver says that she has exercise‐induced asthma well‐controlled by albuterol
inhaler before aerobic activity. Her
FEV1 must be ___ of predicted in order to be certified.
A. 40%
B. 55%
C. 65%
D. 90% - ANSWER-C
Which of the following is non‐discretionary for the medical examiner per
FMSA standards:
, A. Hearing
B. Grade 2 hypertension
C. Symptomatic Asthma
D. History of MI - ANSWER-A
The CMV driver who has undergone a heart transplant may be qualified if:
A. Is at least 1 year post-transplant
B. Is asymptomatic, tolerating treatment, has clearance from specialist
understanding CMV operation requirements
C. Has no signs of rejection
D. All of the above - ANSWER-D
In May 2016, the driver received a 1-year certification, after her blood pressure
was elevated for the first time, consistent with a Stage 1 BP. A year later, she
received a 3‐month certification on 5/20/2017, as her blood pressure was still
mildly elevated (Stage 1). She now presents 8/15/17 for recertification. Her
blood pressure is now 128/82, she is tolerating antihypertensive therapy. The
complete exam is not repeated. What date should be recorded as the certificate
expiration?
A. 5/20/18
B. 8/15/18
C. 5/20/19
D. 8/15/19 - ANSWER-A
What is the first step for a CMV driver who is prescribed insulin to do in
obtaining certification to drive?
A. Undergo the standard CMV medical examination and be otherwise fully
medically qualified
B. Submit all medical records over a 3 year period for medical examiner to
review
C. Submit diabetes monitoring logs, including glucometer reading, for past year
