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NRCME DOT Sample Questions and Answers
Minimum PaO2 level on ABG
Ans: 65 mm Hg
Whisper test - 5 ft right ear, 4 ft left ear. The examiner should:
Ans: Certify the driver for 2 years
6 wk s/p mild MI. Cardiologist cleared him for work immediately
without restriction. ETT: 12 METS. Echo: EF 65%. The examiner
should:
Ans: Disqualify the driver
Audiometric test:
500 Hz: 35 R; 40 L
1000 Hz 40 R; 45 L
2000 Hz: 40 R; 45 L
4000 Hz: 50 R; 50 L
The examiner should:
Ans: Certify the driver for 2 years
Peripheral vision 70° L, 80° R. The examiner should:
Ans: Qualify the driver for 2 years
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The driver is distant, lacks eye contact and shows absolutely no
emotional response during the exam. The examiner's best
response should be:
Ans: Disqualify the driver and refer him to a mental health professional
prior to consideration for certification.
The driver has legal medical documentation for marijuana to treat
glaucoma, started 3 months ago. Current medical card has no
limitations and is for 2 years. Exam is WNL. The examiner should:
Ans: Disqualify the driver.
BP 136/92 mmHg is
Ans: Stage 1 Hypertension
A driver is taking Celexa for the treatment of what he calls a "mild
depression". He reports he has not considered or attempted
suicide. The examiner should:
Ans: Certify only after obtaining written clearance for the depression
and the medication from the treating provider.
ITDM (insulin-treated DM), the examiner can only accept Form
MCSA-5870 if it has been properly completed within the last:
Ans: 45 days
Topamax for the treatment of migraine headaches, with good
management and don't seem to interfere with driving. The
examiner should:
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Ans: Obtain medical clearance for the condition and the medication
Longstanding history of ADHD and is taking methylphenidate.
Diagnosis verified, clearance obtained from treating psychiatrist.
As the certified examiner, you should:
Ans: Shoulder certify the examiner for a maximum of 12 months
BP 168/112. The driver should be:
Ans: Disqualified
For how long should the driver be certified if he is taking Micardis
HCT for hypertension, and has a BP of 148/96?
Ans: 3 month (1-time)
Babinski reflex found. The examiner should:
Ans: Not certify the driver until s/he has a neurological evaluation.
The following are required for all DOT exams EXCPET:
a) Vision
b) Hearing
c) BP
d) Ophthalmoscopic exam
Ans: d) Ophthalmoscopic exam
Treated for epilepsy 14 years ago, stopped taking anti-epileptic
medication on his own 11 years ago. Has not seen a Neurologist
since, and reports no seizures since. The examiner should:
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Ans: Disqualify the driver
The driver reports for a re-certification exam 8 wk after having
triple CABG, with a note from surgeon stating he is able to return
to driving without restriction, and ETT normal, with Echo EF 75%.
The examiner should:
Ans: Disqualify the driver until he has completed the recommended
waiting period
Maximum hours drive in 7 consecutive days?
Ans: 60 hours
BP 166/92 Stage?
Ans: Stage 2 Hypertension
Lasegue's sign tests for:
Ans: Lumbosacral radicular irritation
Uses hearing aids during whisper test. Able to hear 5 ft R, 4 ft L.
Ans: Certify the driver for 2 years
Minimum acceptable PFT values:
Ans: FEV1: 65
FVC: 60
FEV1/FVC: 65
© 2025 All rights reserved
NRCME DOT Sample Questions and Answers
Minimum PaO2 level on ABG
Ans: 65 mm Hg
Whisper test - 5 ft right ear, 4 ft left ear. The examiner should:
Ans: Certify the driver for 2 years
6 wk s/p mild MI. Cardiologist cleared him for work immediately
without restriction. ETT: 12 METS. Echo: EF 65%. The examiner
should:
Ans: Disqualify the driver
Audiometric test:
500 Hz: 35 R; 40 L
1000 Hz 40 R; 45 L
2000 Hz: 40 R; 45 L
4000 Hz: 50 R; 50 L
The examiner should:
Ans: Certify the driver for 2 years
Peripheral vision 70° L, 80° R. The examiner should:
Ans: Qualify the driver for 2 years
© 2025 All rights reserved
, 2 | Page
The driver is distant, lacks eye contact and shows absolutely no
emotional response during the exam. The examiner's best
response should be:
Ans: Disqualify the driver and refer him to a mental health professional
prior to consideration for certification.
The driver has legal medical documentation for marijuana to treat
glaucoma, started 3 months ago. Current medical card has no
limitations and is for 2 years. Exam is WNL. The examiner should:
Ans: Disqualify the driver.
BP 136/92 mmHg is
Ans: Stage 1 Hypertension
A driver is taking Celexa for the treatment of what he calls a "mild
depression". He reports he has not considered or attempted
suicide. The examiner should:
Ans: Certify only after obtaining written clearance for the depression
and the medication from the treating provider.
ITDM (insulin-treated DM), the examiner can only accept Form
MCSA-5870 if it has been properly completed within the last:
Ans: 45 days
Topamax for the treatment of migraine headaches, with good
management and don't seem to interfere with driving. The
examiner should:
© 2025 All rights reserved
, 3 | Page
Ans: Obtain medical clearance for the condition and the medication
Longstanding history of ADHD and is taking methylphenidate.
Diagnosis verified, clearance obtained from treating psychiatrist.
As the certified examiner, you should:
Ans: Shoulder certify the examiner for a maximum of 12 months
BP 168/112. The driver should be:
Ans: Disqualified
For how long should the driver be certified if he is taking Micardis
HCT for hypertension, and has a BP of 148/96?
Ans: 3 month (1-time)
Babinski reflex found. The examiner should:
Ans: Not certify the driver until s/he has a neurological evaluation.
The following are required for all DOT exams EXCPET:
a) Vision
b) Hearing
c) BP
d) Ophthalmoscopic exam
Ans: d) Ophthalmoscopic exam
Treated for epilepsy 14 years ago, stopped taking anti-epileptic
medication on his own 11 years ago. Has not seen a Neurologist
since, and reports no seizures since. The examiner should:
© 2025 All rights reserved
, 4 | Page
Ans: Disqualify the driver
The driver reports for a re-certification exam 8 wk after having
triple CABG, with a note from surgeon stating he is able to return
to driving without restriction, and ETT normal, with Echo EF 75%.
The examiner should:
Ans: Disqualify the driver until he has completed the recommended
waiting period
Maximum hours drive in 7 consecutive days?
Ans: 60 hours
BP 166/92 Stage?
Ans: Stage 2 Hypertension
Lasegue's sign tests for:
Ans: Lumbosacral radicular irritation
Uses hearing aids during whisper test. Able to hear 5 ft R, 4 ft L.
Ans: Certify the driver for 2 years
Minimum acceptable PFT values:
Ans: FEV1: 65
FVC: 60
FEV1/FVC: 65
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