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NRCME DOT Exam Questions and Answers
What minimum PaO2 level is necessary if the driver has an ABG
due to a chronic respiratory disorder?
a. 70 mm Hg
b. 55 mm Hg
c. 60 mm Hg
d. 65 mm Hg
Ans: 65 mmhg
A driver first perceives a whispered voice at 5 feet in his right ear
and 4 feet in his left ear. All other aspects of his physical
examination are unremarkable. The examiner should:
a. Disqualify the driver because he "failed" the whispered voice
test.
b. Certify the driver for 2 years. c. Certify the driver for 1 year. d.
Require an audiometric test to determine the extent of hearing
loss in his leftear.
Ans: certify for 2 years
A driver reports for an examination 6 weeks after suffering a mild
heart attack and presents a note from his cardiologist stating that
he is able to return to work immediately without restriction.
Included within the note, the cardiologist provides recent testing
information showing that the driver had an ETT that showed he
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was able to reach 12 METS during the test. His echocardiogram
showed an ejection fraction of 65%. The examination of the driver
is unremarkable. The examiner should:
a. Disqualify the driver.
b. Qualify the driver for 1 year. c. Qualify the driver for 2 years. d.
Consult with the cardiologist to determine if the driver suffers
from angina.
Ans: disqualify the driver
The driver has not completed the required 2-month waiting period, but
all other requirements for medical clearance and required testing have
been met. The driver would be certified for 1 year at the completion of
the waiting period
A driver provides an audiometric test documenting the following:
1. 500 Hz: 35 Right ear; 40 Left ear
2. 1000 HZ: 40 Right ear; 45 Left ear
3. 2000 HZ: 40 Right ear; 45 Left ear
4. 4000 Hz: 50 Right ear; 50 Left ear
The medical examiner should:
a. Disqualify the driver because he does not meet minimum
hearing requirements
to drive.
b. Certify the driver for 2years. c. Certify the driver for 1 year. d.
Require the driver to obtain a hearing exemption
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Ans: certify the driver for 2 years
During the examination of a commercial driver, the examiner
notices that the driver's peripheral vision is 70 degrees to the left
and 80 degrees to the right. The examiner should:
a. Qualify the driver for 2years. b. Require the driver to obtain a
vision exemption because of the limitation in the driver's 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.
Ans: Qualify the driver for two years
During examination, the medical examiner notices that the driver
is distant, lacks eye contact and shows absolutely no emotional
response during the exam. The examiner's best response should
be:
a. Provide the driver with a "CAGE" questionnaire to determine if
he suffers from alcoholism.
b. Disqualify the driver and refer him to a mental health
professional prior to consideration for certification. c. Certify the
driver with a 1-time, 3-month certificate to determine if there is
any effect on the driver's ability to drive a CMV.
d. Require a skill performance evaluation to ascertain if the driver
has any limitations with driving
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Ans: Disqualify the driver and refer him to a mental health professional
prior to consideration for certification.
A driver admits to the use of marijuana for the treatment of his
glaucoma, which is legal in the State in which he lives. He provides
medical documentation for the glaucoma indicating he is able to
drive a truck. He began using the marijuana about three months
ago. His current medical card has no limitations listed and is for 2
years. His certification examination is within normal limits. The
medical examiner should:
a. Disqualify the driver.
b. Perform a urine drug collection and provide the release from the
testing provider.
c. Certify the driver for 1 year. d. Certify the driver for 2 years.
Ans: Disqualify the driver
A driver has a blood pressure of 136/92 mm Hg. This is:
a. Within normal limits and would not affect the driver's
certification.
b. Stage 1Hypertension.
c. Stage 2Hypertension.
d. Stage 3Hypertension.
Ans: Stage 1 HTN
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?
© 2025 All rights reserved
NRCME DOT Exam Questions and Answers
What minimum PaO2 level is necessary if the driver has an ABG
due to a chronic respiratory disorder?
a. 70 mm Hg
b. 55 mm Hg
c. 60 mm Hg
d. 65 mm Hg
Ans: 65 mmhg
A driver first perceives a whispered voice at 5 feet in his right ear
and 4 feet in his left ear. All other aspects of his physical
examination are unremarkable. The examiner should:
a. Disqualify the driver because he "failed" the whispered voice
test.
b. Certify the driver for 2 years. c. Certify the driver for 1 year. d.
Require an audiometric test to determine the extent of hearing
loss in his leftear.
Ans: certify for 2 years
A driver reports for an examination 6 weeks after suffering a mild
heart attack and presents a note from his cardiologist stating that
he is able to return to work immediately without restriction.
Included within the note, the cardiologist provides recent testing
information showing that the driver had an ETT that showed he
© 2025 All rights reserved
, 2 | Page
was able to reach 12 METS during the test. His echocardiogram
showed an ejection fraction of 65%. The examination of the driver
is unremarkable. The examiner should:
a. Disqualify the driver.
b. Qualify the driver for 1 year. c. Qualify the driver for 2 years. d.
Consult with the cardiologist to determine if the driver suffers
from angina.
Ans: disqualify the driver
The driver has not completed the required 2-month waiting period, but
all other requirements for medical clearance and required testing have
been met. The driver would be certified for 1 year at the completion of
the waiting period
A driver provides an audiometric test documenting the following:
1. 500 Hz: 35 Right ear; 40 Left ear
2. 1000 HZ: 40 Right ear; 45 Left ear
3. 2000 HZ: 40 Right ear; 45 Left ear
4. 4000 Hz: 50 Right ear; 50 Left ear
The medical examiner should:
a. Disqualify the driver because he does not meet minimum
hearing requirements
to drive.
b. Certify the driver for 2years. c. Certify the driver for 1 year. d.
Require the driver to obtain a hearing exemption
© 2025 All rights reserved
, 3 | Page
Ans: certify the driver for 2 years
During the examination of a commercial driver, the examiner
notices that the driver's peripheral vision is 70 degrees to the left
and 80 degrees to the right. The examiner should:
a. Qualify the driver for 2years. b. Require the driver to obtain a
vision exemption because of the limitation in the driver's 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.
Ans: Qualify the driver for two years
During examination, the medical examiner notices that the driver
is distant, lacks eye contact and shows absolutely no emotional
response during the exam. The examiner's best response should
be:
a. Provide the driver with a "CAGE" questionnaire to determine if
he suffers from alcoholism.
b. Disqualify the driver and refer him to a mental health
professional prior to consideration for certification. c. Certify the
driver with a 1-time, 3-month certificate to determine if there is
any effect on the driver's ability to drive a CMV.
d. Require a skill performance evaluation to ascertain if the driver
has any limitations with driving
© 2025 All rights reserved
, 4 | Page
Ans: Disqualify the driver and refer him to a mental health professional
prior to consideration for certification.
A driver admits to the use of marijuana for the treatment of his
glaucoma, which is legal in the State in which he lives. He provides
medical documentation for the glaucoma indicating he is able to
drive a truck. He began using the marijuana about three months
ago. His current medical card has no limitations listed and is for 2
years. His certification examination is within normal limits. The
medical examiner should:
a. Disqualify the driver.
b. Perform a urine drug collection and provide the release from the
testing provider.
c. Certify the driver for 1 year. d. Certify the driver for 2 years.
Ans: Disqualify the driver
A driver has a blood pressure of 136/92 mm Hg. This is:
a. Within normal limits and would not affect the driver's
certification.
b. Stage 1Hypertension.
c. Stage 2Hypertension.
d. Stage 3Hypertension.
Ans: Stage 1 HTN
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?
© 2025 All rights reserved
