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NRCME DOT Examiner Test Practice Questions and
Answers
Pupil reactivity
Ans: The medical examiner must evaluate pupil reactivity when
examining a driver's eyes according to FMCSA regulations.
Iris symmetry
Ans: Determining iris symmetry is not required by FMCSA regulations.
Conjunctival injection
Ans: Most causes of conjunctival injection would not be disqualifying
according to FMCSA regulations.
Corneal thickness
Ans: Corneal thickness is not measured in an office examination except
by an eye specialist.
Medical qualification for two years
Ans: A driver can be given medical qualification for two years if they
have an SPE certificate for a left below the knee amputation (BKA).
Hypertension
Ans: Drivers with hypertension are only given a medical certificate that
is good for one year.
Lewy body dementia
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Ans: A recent diagnosis of Lewy body dementia is not a correct response
for medical qualification because it is a progressive, degenerative
condition with no known treatment.
Medical marijuana use
Ans: Documented medical marijuana use for pain control is not
acceptable for safety-sensitive employees subject to drug testing under
DOT regulations.
Infected, swollen finger
Ans: A driver with an infected, swollen finger should have their grip
strength assessed next by the medical examiner.
Hand X-ray
Ans: Obtaining a hand X-ray is one of the options the medical examiner
could consider, but it is not the correct next step.
Capillary refill
Ans: Assessing capillary refill in the hand is an option, but not the
correct next step for the medical examiner.
Culture and sensitivity
Ans: Obtaining a culture and sensitivity is another option for the
medical examiner but not the correct next step.
Grip strength assessment
Ans: Assessing the driver's grip strength is the correct next step for the
medical examiner.
Driver's grip strength
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Ans: The ability of the driver to hold and control the steering wheel,
which is assessed to determine if a condition presents a safety risk.
Hand X-ray
Ans: A diagnostic test that a healthcare provider or specialist would
perform or order, not within the role of a medical examiner.
Capillary refill assessment
Ans: A test that is not the primary consideration for determining if the
driver can safely operate a CMV, based on the information provided.
Culture and sensitivity
Ans: An action that a treating healthcare provider or specialist would do
in the course of workup and treatment, not the responsibility of a
medical examiner.
Myocardial infarction
Ans: A medical condition that increases the risk for another myocardial
infarction within six months to a year, requiring specific recertification
and testing guidelines.
FMCSA guidelines
Ans: Regulations that recommend recertification every year and exercise
tolerance testing at least every two years for drivers with a history of
myocardial infarction.
Recertification intervals
Ans: The frequency at which a driver must be recertified, which is every
year for those with a history of myocardial infarction.
Exercise tolerance test monitoring
© 2025 All rights reserved
NRCME DOT Examiner Test Practice Questions and
Answers
Pupil reactivity
Ans: The medical examiner must evaluate pupil reactivity when
examining a driver's eyes according to FMCSA regulations.
Iris symmetry
Ans: Determining iris symmetry is not required by FMCSA regulations.
Conjunctival injection
Ans: Most causes of conjunctival injection would not be disqualifying
according to FMCSA regulations.
Corneal thickness
Ans: Corneal thickness is not measured in an office examination except
by an eye specialist.
Medical qualification for two years
Ans: A driver can be given medical qualification for two years if they
have an SPE certificate for a left below the knee amputation (BKA).
Hypertension
Ans: Drivers with hypertension are only given a medical certificate that
is good for one year.
Lewy body dementia
© 2025 All rights reserved
, 2 | Page
Ans: A recent diagnosis of Lewy body dementia is not a correct response
for medical qualification because it is a progressive, degenerative
condition with no known treatment.
Medical marijuana use
Ans: Documented medical marijuana use for pain control is not
acceptable for safety-sensitive employees subject to drug testing under
DOT regulations.
Infected, swollen finger
Ans: A driver with an infected, swollen finger should have their grip
strength assessed next by the medical examiner.
Hand X-ray
Ans: Obtaining a hand X-ray is one of the options the medical examiner
could consider, but it is not the correct next step.
Capillary refill
Ans: Assessing capillary refill in the hand is an option, but not the
correct next step for the medical examiner.
Culture and sensitivity
Ans: Obtaining a culture and sensitivity is another option for the
medical examiner but not the correct next step.
Grip strength assessment
Ans: Assessing the driver's grip strength is the correct next step for the
medical examiner.
Driver's grip strength
© 2025 All rights reserved
, 3 | Page
Ans: The ability of the driver to hold and control the steering wheel,
which is assessed to determine if a condition presents a safety risk.
Hand X-ray
Ans: A diagnostic test that a healthcare provider or specialist would
perform or order, not within the role of a medical examiner.
Capillary refill assessment
Ans: A test that is not the primary consideration for determining if the
driver can safely operate a CMV, based on the information provided.
Culture and sensitivity
Ans: An action that a treating healthcare provider or specialist would do
in the course of workup and treatment, not the responsibility of a
medical examiner.
Myocardial infarction
Ans: A medical condition that increases the risk for another myocardial
infarction within six months to a year, requiring specific recertification
and testing guidelines.
FMCSA guidelines
Ans: Regulations that recommend recertification every year and exercise
tolerance testing at least every two years for drivers with a history of
myocardial infarction.
Recertification intervals
Ans: The frequency at which a driver must be recertified, which is every
year for those with a history of myocardial infarction.
Exercise tolerance test monitoring
© 2025 All rights reserved
