NRCME training DOT question bank [ACTUAL EXAM] LATEST
VERSION [QUESTIONS AND ANSWERS] DETAILED AND
VERIFIED FOR GUARANTEED PASS- LATEST UPDATE 2025
GRADED A (BRAND NEW!!)
. FMCSA regulates interstate commercial operation including the:
A. Driver
B. Vehicle
C. Motor Carrier
D. All of above - CORRECT ANSWER ✔✔✔✔✔ D
. During the CMV exam a driver perceived a whispered voice at 5 feet in his left year
and 4 feet in his right year. Exam
was otherwise normal. What do you do as the medical examiner?
A. Required audiometric test to determine the extent of hearing loss in left ear
B. Certify driver for 2 years
C. Certify driver for 1 year
D. Disqualify driver - CORRECT ANSWER ✔✔✔✔✔ B
. Which of the following is an assessment of L4 nerve root pathology?
A. Plantar flexion
B. Patellar reflex
C. Hip extension
D. Babinski reflex - CORRECT ANSWER ✔✔✔✔✔ B
6. A driver presents for medical exam and reports being a smoker and having frequent
shortness of breath. What do
you do next?
A. Order an ECG
B. Refer to a pulmonologist
C. Order a spirometer test
D. Provide 1 year certification - CORRECT ANSWER ✔✔✔✔✔ C
7. According to regulation, which of the following must be evaluated as part of the eye
exam?
A. Pupil reaction
B. Iris symmetry
C. Conjunctiva injection
,D. Tonometry pressure - CORRECT ANSWER ✔✔✔✔✔ A
8. Continued certification of NRCE Medical Examiners requires all EXCEPT which of
the following?
A. Periodic training at least every five years
B. Completion of recertification test every five years
C. Completion of certification test every 10 years
D. Electronic transmission to FMCSA CMV Medical Examination Results at least
monthly - CORRECT ANSWER ✔✔✔✔✔ B
9. A driver presents for recertification. The only condition he lists is GERD, for which he
takes OTC omeprazole. He
says that when he is driving and eating fast foods, he is more likely to have heartburn
than when off‐duty. You should:
A. Request recent UGI results
B. Correlate history with abdominal exam
C. Certify for one year with restricted diet
D. Discuss alternative employment - CORRECT ANSWER ✔✔✔✔✔ B
10. Which of the following findings is disqualifying?
A. Oxygen saturation 90%
B. LVEF 40%
C. FEV 68% predicted
D. All of the above - CORRECT ANSWER ✔✔✔✔✔ A
11. The driver presents for recertification and submits an ultrasound report indicating an
abdominal aortic aneurysm
from two months ago, shortly before he had surgical correction. He has surgical
clearance and says he is doing well, has
no symptoms. You should:
A. Certify for 1 year
B. Certify for 2 years
C. Inform the driver of the 3 month waiting period before he can be certified
D. Inform the driver of the 6 month waiting period before he can be certified -
CORRECT ANSWER ✔✔✔✔✔ C
12. The driver takes diphenhydramine twice a day to treat nasal congestion. What must
you document in order to
certify?
A. Take the lowest dose effective on days when driving
B. Cannot drive within 12 hours of taking diphenhydramine
C. Cannot drive within 6 hours of taking diphenhydramine
D. Diphenhydramine is disqualifying - CORRECT ANSWER ✔✔✔✔✔ B
13. The driver has a history of carpal tunnel repair of her right hand 2 months ago. Her
grip strengths are symmetrical
,and strong. What is necessary in order to qualify this driver?
A. Must first complete a 3‐month post‐op waiting period
B. Document her findings for 1‐year certification
C. Document her findings for 2‐year certification
D. Request that an SPE be obtained before certification - CORRECT ANSWER
✔✔✔✔✔ C
14. Which of the following abdominal complaints is most likely to be incapacitating?
A. IBS
B. GERD
C. Urinary tract infection
D. Nephrolithiasis - CORRECT ANSWER ✔✔✔✔✔ D
15. The waiting period for benign positional vertigo is:
A. 1 month
B. 2 months
C. 3 months
D. 6 months - CORRECT ANSWER ✔✔✔✔✔ B
16. The driver's BP is 148/96. You verify her history, which indicates she has no prior
history of hypertension. If
otherwise qualified, you may certify her for:
A. 3 months
B. 6 months
C. 1 year
D. 2 years - CORRECT ANSWER ✔✔✔✔✔ C
17. The driver's current BP is 135/76. Your records indicate at history of Stage III
hypertension 4 years ago. The
maximum certification for this driver is:
A. 3 months
B. 6 months
C. 1 year
D. 2 years - CORRECT ANSWER ✔✔✔✔✔ B
18. The driver presents for examination with a recent history (five weeks ago) of
pneumothorax. He has no prior history
of pneumothorax. In order to be considered medically qualified, his forced vital capacity
(FVC) should be greater than:
A. 40%
B. 55%
C. 65%
D. 90% - CORRECT ANSWER ✔✔✔✔✔ C
, 19. The recommended waiting period (WP) and certification period (CP) for a driver
following surgical correction for
intermittent claudication are:
A. WP 1 month, CP 6 months
B. WP 3 months, CP 1 year
C. WP 3 months, CP 2 years
D. WP 6 months, CP 2 years - CORRECT ANSWER ✔✔✔✔✔ B
20. Which of the following are disqualifying?
A. Pacemaker
B. Implanted defibrillator
C. Both a and b
D. Neither - CORRECT ANSWER ✔✔✔✔✔ B
21. Five years post‐CABG, the driver must provide a copy of _________ in order to
qualify for recertification
A. Ultrasound
B. EKG
C. Lipid profile
D. ETT - CORRECT ANSWER ✔✔✔✔✔ D
22. The driver has a 5‐year history of asthma, described as "well‐controlled". He carries
rescue inhaler for the times
when he becomes short of breath, but says this is rare. He provides pulmonary
functions performed last week and his
FEV1 is 62% of predicted and his Pa02 is 62 mm. You should:
A. Qualify for 1 year
B. Qualify for 2 years
C. Disqualify and recommend that he return to his personal provider
D. Disqualify and recommend that he pursue a chronic respiratory exemption -
CORRECT ANSWER ✔✔✔✔✔ C
23. What is the Primary mission of FMCSA?
A. To improve the quality of the highways.
B. To promote the safety of the roadways.
C. To regulate the performance of medical exams.
D. To ensure state regulations coincide with federal regulations - CORRECT ANSWER
✔✔✔✔✔ B
24 . During a driver's history, she describes her role and responsibilities as limited to the
driving component and
excluding strenuous activities. You should:
A. Limit the examination to those qualifications associated with driving
B. Contact her employer for verification of this history prior to proceeding with the
physical examination
C. Disqualify Ms. Jeffries for her limited understanding of the driver role
VERSION [QUESTIONS AND ANSWERS] DETAILED AND
VERIFIED FOR GUARANTEED PASS- LATEST UPDATE 2025
GRADED A (BRAND NEW!!)
. FMCSA regulates interstate commercial operation including the:
A. Driver
B. Vehicle
C. Motor Carrier
D. All of above - CORRECT ANSWER ✔✔✔✔✔ D
. During the CMV exam a driver perceived a whispered voice at 5 feet in his left year
and 4 feet in his right year. Exam
was otherwise normal. What do you do as the medical examiner?
A. Required audiometric test to determine the extent of hearing loss in left ear
B. Certify driver for 2 years
C. Certify driver for 1 year
D. Disqualify driver - CORRECT ANSWER ✔✔✔✔✔ B
. Which of the following is an assessment of L4 nerve root pathology?
A. Plantar flexion
B. Patellar reflex
C. Hip extension
D. Babinski reflex - CORRECT ANSWER ✔✔✔✔✔ B
6. A driver presents for medical exam and reports being a smoker and having frequent
shortness of breath. What do
you do next?
A. Order an ECG
B. Refer to a pulmonologist
C. Order a spirometer test
D. Provide 1 year certification - CORRECT ANSWER ✔✔✔✔✔ C
7. According to regulation, which of the following must be evaluated as part of the eye
exam?
A. Pupil reaction
B. Iris symmetry
C. Conjunctiva injection
,D. Tonometry pressure - CORRECT ANSWER ✔✔✔✔✔ A
8. Continued certification of NRCE Medical Examiners requires all EXCEPT which of
the following?
A. Periodic training at least every five years
B. Completion of recertification test every five years
C. Completion of certification test every 10 years
D. Electronic transmission to FMCSA CMV Medical Examination Results at least
monthly - CORRECT ANSWER ✔✔✔✔✔ B
9. A driver presents for recertification. The only condition he lists is GERD, for which he
takes OTC omeprazole. He
says that when he is driving and eating fast foods, he is more likely to have heartburn
than when off‐duty. You should:
A. Request recent UGI results
B. Correlate history with abdominal exam
C. Certify for one year with restricted diet
D. Discuss alternative employment - CORRECT ANSWER ✔✔✔✔✔ B
10. Which of the following findings is disqualifying?
A. Oxygen saturation 90%
B. LVEF 40%
C. FEV 68% predicted
D. All of the above - CORRECT ANSWER ✔✔✔✔✔ A
11. The driver presents for recertification and submits an ultrasound report indicating an
abdominal aortic aneurysm
from two months ago, shortly before he had surgical correction. He has surgical
clearance and says he is doing well, has
no symptoms. You should:
A. Certify for 1 year
B. Certify for 2 years
C. Inform the driver of the 3 month waiting period before he can be certified
D. Inform the driver of the 6 month waiting period before he can be certified -
CORRECT ANSWER ✔✔✔✔✔ C
12. The driver takes diphenhydramine twice a day to treat nasal congestion. What must
you document in order to
certify?
A. Take the lowest dose effective on days when driving
B. Cannot drive within 12 hours of taking diphenhydramine
C. Cannot drive within 6 hours of taking diphenhydramine
D. Diphenhydramine is disqualifying - CORRECT ANSWER ✔✔✔✔✔ B
13. The driver has a history of carpal tunnel repair of her right hand 2 months ago. Her
grip strengths are symmetrical
,and strong. What is necessary in order to qualify this driver?
A. Must first complete a 3‐month post‐op waiting period
B. Document her findings for 1‐year certification
C. Document her findings for 2‐year certification
D. Request that an SPE be obtained before certification - CORRECT ANSWER
✔✔✔✔✔ C
14. Which of the following abdominal complaints is most likely to be incapacitating?
A. IBS
B. GERD
C. Urinary tract infection
D. Nephrolithiasis - CORRECT ANSWER ✔✔✔✔✔ D
15. The waiting period for benign positional vertigo is:
A. 1 month
B. 2 months
C. 3 months
D. 6 months - CORRECT ANSWER ✔✔✔✔✔ B
16. The driver's BP is 148/96. You verify her history, which indicates she has no prior
history of hypertension. If
otherwise qualified, you may certify her for:
A. 3 months
B. 6 months
C. 1 year
D. 2 years - CORRECT ANSWER ✔✔✔✔✔ C
17. The driver's current BP is 135/76. Your records indicate at history of Stage III
hypertension 4 years ago. The
maximum certification for this driver is:
A. 3 months
B. 6 months
C. 1 year
D. 2 years - CORRECT ANSWER ✔✔✔✔✔ B
18. The driver presents for examination with a recent history (five weeks ago) of
pneumothorax. He has no prior history
of pneumothorax. In order to be considered medically qualified, his forced vital capacity
(FVC) should be greater than:
A. 40%
B. 55%
C. 65%
D. 90% - CORRECT ANSWER ✔✔✔✔✔ C
, 19. The recommended waiting period (WP) and certification period (CP) for a driver
following surgical correction for
intermittent claudication are:
A. WP 1 month, CP 6 months
B. WP 3 months, CP 1 year
C. WP 3 months, CP 2 years
D. WP 6 months, CP 2 years - CORRECT ANSWER ✔✔✔✔✔ B
20. Which of the following are disqualifying?
A. Pacemaker
B. Implanted defibrillator
C. Both a and b
D. Neither - CORRECT ANSWER ✔✔✔✔✔ B
21. Five years post‐CABG, the driver must provide a copy of _________ in order to
qualify for recertification
A. Ultrasound
B. EKG
C. Lipid profile
D. ETT - CORRECT ANSWER ✔✔✔✔✔ D
22. The driver has a 5‐year history of asthma, described as "well‐controlled". He carries
rescue inhaler for the times
when he becomes short of breath, but says this is rare. He provides pulmonary
functions performed last week and his
FEV1 is 62% of predicted and his Pa02 is 62 mm. You should:
A. Qualify for 1 year
B. Qualify for 2 years
C. Disqualify and recommend that he return to his personal provider
D. Disqualify and recommend that he pursue a chronic respiratory exemption -
CORRECT ANSWER ✔✔✔✔✔ C
23. What is the Primary mission of FMCSA?
A. To improve the quality of the highways.
B. To promote the safety of the roadways.
C. To regulate the performance of medical exams.
D. To ensure state regulations coincide with federal regulations - CORRECT ANSWER
✔✔✔✔✔ B
24 . During a driver's history, she describes her role and responsibilities as limited to the
driving component and
excluding strenuous activities. You should:
A. Limit the examination to those qualifications associated with driving
B. Contact her employer for verification of this history prior to proceeding with the
physical examination
C. Disqualify Ms. Jeffries for her limited understanding of the driver role
