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FMCSA DOT | NRCME PRACTICE Questions and
Answers
Hypoglycemic Episodes
Ans: Driver disqualified until controlled.
Peripheral Neuropathy
Ans: Disqualify if affects vehicle control or safety.
Mitral Regurgitation Monitoring
Ans: Annual monitoring with echocardiogram.
Pulmonary Embolism Waiting Period
Ans: 3 months post-stable function.
Untreated Glaucoma Handling
Ans: Disqualify until treated and stabilized.
Isolated TIA Post-Waiting Period
Ans: Temporarily disqualify for 1 year post-TIA.
Suicidal Ideation Protocol
Ans: Disqualify until cleared by mental health pro.
Vision Exemption Certification Interval
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Ans: Maximum 1-year certification interval.
Methotrexate Concern in Exam
Ans: Focus on musculoskeletal health and grip strength.
Severe Asthma Waiting Period
Ans: Certification upon condition control.
Smoker with Breathlessness Test
Ans: Order spirometer test.
Peripheral Vision Qualification
Ans: Qualify for 2 years if meets standards.
Non-Insulin-Dependent Diabetes Certification
Ans: Certify up to 2 years if controlled.
Marijuana Use Disqualification
Ans: Disqualify even with prescription.
LV Ejection Fraction Post-Heart Failure
Ans: Minimum 40% for certification.
Lisinopril and Antabuse Disqualification
Ans: Disqualify due to Antabuse use for substance abuse.
Forced Whisper Test Failure
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Ans: Refer for audiometric testing.
CABG Waiting Period
Ans: 3 months post-stable cardiac function.
Visual Acuity Certification Requirement
Ans: 20/40 vision in each eye.
Arrhythmia and Pacemaker Certification
Ans: Certify if controlled and pacemaker functions.
Angina Waiting Period
Ans: 3 months symptom-free with stable angina.
FEV1 Requirement for COPD
Ans: At least 65% of predicted value.
Aortic Valve Replacement Certification
Ans: Yes, after 3-month waiting period.
Percutaneous Balloon Valvuloplasty Waiting Period
Ans: 4 weeks before certification.
Corrected Vision Requirement
Ans: Refer for further testing if not meeting 20/40.
Recreational Drug Use Handling
© 2025 All rights reserved
FMCSA DOT | NRCME PRACTICE Questions and
Answers
Hypoglycemic Episodes
Ans: Driver disqualified until controlled.
Peripheral Neuropathy
Ans: Disqualify if affects vehicle control or safety.
Mitral Regurgitation Monitoring
Ans: Annual monitoring with echocardiogram.
Pulmonary Embolism Waiting Period
Ans: 3 months post-stable function.
Untreated Glaucoma Handling
Ans: Disqualify until treated and stabilized.
Isolated TIA Post-Waiting Period
Ans: Temporarily disqualify for 1 year post-TIA.
Suicidal Ideation Protocol
Ans: Disqualify until cleared by mental health pro.
Vision Exemption Certification Interval
© 2025 All rights reserved
, 2 | Page
Ans: Maximum 1-year certification interval.
Methotrexate Concern in Exam
Ans: Focus on musculoskeletal health and grip strength.
Severe Asthma Waiting Period
Ans: Certification upon condition control.
Smoker with Breathlessness Test
Ans: Order spirometer test.
Peripheral Vision Qualification
Ans: Qualify for 2 years if meets standards.
Non-Insulin-Dependent Diabetes Certification
Ans: Certify up to 2 years if controlled.
Marijuana Use Disqualification
Ans: Disqualify even with prescription.
LV Ejection Fraction Post-Heart Failure
Ans: Minimum 40% for certification.
Lisinopril and Antabuse Disqualification
Ans: Disqualify due to Antabuse use for substance abuse.
Forced Whisper Test Failure
© 2025 All rights reserved
, 3 | Page
Ans: Refer for audiometric testing.
CABG Waiting Period
Ans: 3 months post-stable cardiac function.
Visual Acuity Certification Requirement
Ans: 20/40 vision in each eye.
Arrhythmia and Pacemaker Certification
Ans: Certify if controlled and pacemaker functions.
Angina Waiting Period
Ans: 3 months symptom-free with stable angina.
FEV1 Requirement for COPD
Ans: At least 65% of predicted value.
Aortic Valve Replacement Certification
Ans: Yes, after 3-month waiting period.
Percutaneous Balloon Valvuloplasty Waiting Period
Ans: 4 weeks before certification.
Corrected Vision Requirement
Ans: Refer for further testing if not meeting 20/40.
Recreational Drug Use Handling
© 2025 All rights reserved
