NRCME DOT Examiner Test Practice Questions [ACTUAL
EXAM] LATEST VERSION [QUESTIONS AND ANSWERS]
DETAILED AND VERIFIED FOR GUARANTEED PASS- LATEST
UPDATE 2025 GRADED A (BRAND NEW!!)
Corneal thickness - CORRECT ANSWER ✔✔✔✔✔ Corneal thickness is not
measured in an office examination except by an eye specialist.
Medical qualification for two years - CORRECT ANSWER ✔✔✔✔✔ 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 - CORRECT ANSWER ✔✔✔✔✔ Drivers with hypertension are only
given a medical certificate that is good for one year.
Lewy body dementia - CORRECT ANSWER ✔✔✔✔✔ 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 - CORRECT ANSWER ✔✔✔✔✔ Documented medical
marijuana use for pain control is not acceptable for safety-sensitive employees subject
to drug testing under DOT regulations.
Infected, swollen finger - CORRECT ANSWER ✔✔✔✔✔ A driver with an infected,
swollen finger should have their grip strength assessed next by the medical examiner.
Hand X-ray - CORRECT ANSWER ✔✔✔✔✔ 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 - CORRECT ANSWER ✔✔✔✔✔ Assessing capillary refill in the hand is
an option, but not the correct next step for the medical examiner.
Culture and sensitivity - CORRECT ANSWER ✔✔✔✔✔ Obtaining a culture and
sensitivity is another option for the medical examiner but not the correct next step.
Grip strength assessment - CORRECT ANSWER ✔✔✔✔✔ Assessing the driver's grip
strength is the correct next step for the medical examiner.
, Driver's grip strength - CORRECT ANSWER ✔✔✔✔✔ 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 - CORRECT ANSWER ✔✔✔✔✔ A diagnostic test that a healthcare
provider or specialist would perform or order, not within the role of a medical examiner.
Capillary refill assessment - CORRECT ANSWER ✔✔✔✔✔ 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 - CORRECT ANSWER ✔✔✔✔✔ 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 - CORRECT ANSWER ✔✔✔✔✔ 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 - CORRECT ANSWER ✔✔✔✔✔ 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 - CORRECT ANSWER ✔✔✔✔✔ 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 - CORRECT ANSWER ✔✔✔✔✔ Recommended to
be conducted at least every two years for drivers with a history of myocardial infarction
to demonstrate continued ability to safely operate a CMV.
Esomeprazole (Nexium) - CORRECT ANSWER ✔✔✔✔✔ A medication taken by a
driver with chronic gastroesophageal reflux disease (GERD) as part of their treatment.
Cimetidine (Tagamet) - CORRECT ANSWER ✔✔✔✔✔ An over-the-counter
medication taken by a driver with chronic gastroesophageal reflux disease (GERD) as
part of their treatment.
Incorrect response A - CORRECT ANSWER ✔✔✔✔✔ Every year / Every year is not
correct because FMCSA medical guidance recommends exercise tolerance tests every
two years.
Incorrect response B - CORRECT ANSWER ✔✔✔✔✔ Every two years / Every year is
not correct because it reverses the guidelines for recertification and testing.
EXAM] LATEST VERSION [QUESTIONS AND ANSWERS]
DETAILED AND VERIFIED FOR GUARANTEED PASS- LATEST
UPDATE 2025 GRADED A (BRAND NEW!!)
Corneal thickness - CORRECT ANSWER ✔✔✔✔✔ Corneal thickness is not
measured in an office examination except by an eye specialist.
Medical qualification for two years - CORRECT ANSWER ✔✔✔✔✔ 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 - CORRECT ANSWER ✔✔✔✔✔ Drivers with hypertension are only
given a medical certificate that is good for one year.
Lewy body dementia - CORRECT ANSWER ✔✔✔✔✔ 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 - CORRECT ANSWER ✔✔✔✔✔ Documented medical
marijuana use for pain control is not acceptable for safety-sensitive employees subject
to drug testing under DOT regulations.
Infected, swollen finger - CORRECT ANSWER ✔✔✔✔✔ A driver with an infected,
swollen finger should have their grip strength assessed next by the medical examiner.
Hand X-ray - CORRECT ANSWER ✔✔✔✔✔ 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 - CORRECT ANSWER ✔✔✔✔✔ Assessing capillary refill in the hand is
an option, but not the correct next step for the medical examiner.
Culture and sensitivity - CORRECT ANSWER ✔✔✔✔✔ Obtaining a culture and
sensitivity is another option for the medical examiner but not the correct next step.
Grip strength assessment - CORRECT ANSWER ✔✔✔✔✔ Assessing the driver's grip
strength is the correct next step for the medical examiner.
, Driver's grip strength - CORRECT ANSWER ✔✔✔✔✔ 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 - CORRECT ANSWER ✔✔✔✔✔ A diagnostic test that a healthcare
provider or specialist would perform or order, not within the role of a medical examiner.
Capillary refill assessment - CORRECT ANSWER ✔✔✔✔✔ 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 - CORRECT ANSWER ✔✔✔✔✔ 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 - CORRECT ANSWER ✔✔✔✔✔ 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 - CORRECT ANSWER ✔✔✔✔✔ 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 - CORRECT ANSWER ✔✔✔✔✔ 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 - CORRECT ANSWER ✔✔✔✔✔ Recommended to
be conducted at least every two years for drivers with a history of myocardial infarction
to demonstrate continued ability to safely operate a CMV.
Esomeprazole (Nexium) - CORRECT ANSWER ✔✔✔✔✔ A medication taken by a
driver with chronic gastroesophageal reflux disease (GERD) as part of their treatment.
Cimetidine (Tagamet) - CORRECT ANSWER ✔✔✔✔✔ An over-the-counter
medication taken by a driver with chronic gastroesophageal reflux disease (GERD) as
part of their treatment.
Incorrect response A - CORRECT ANSWER ✔✔✔✔✔ Every year / Every year is not
correct because FMCSA medical guidance recommends exercise tolerance tests every
two years.
Incorrect response B - CORRECT ANSWER ✔✔✔✔✔ Every two years / Every year is
not correct because it reverses the guidelines for recertification and testing.
