Comprehensive NRCME Exam Study Guide for DOT
Medical Certification [ACTUAL EXAM] LATEST VERSION
[QUESTIONS AND ANSWERS] DETAILED AND VERIFIED FOR
GUARANTEED PASS- LATEST UPDATE 2025 GRADED A
(BRAND NEW!!)
Do foreign drivers from Mexico or Canada need an exam? - CORRECT ANSWER
✔✔✔✔✔ No, they do not need an exam.
What should the driver use when filling out the examination form? - CORRECT
ANSWER ✔✔✔✔✔ Their name as it appears on their current driver's license.
What should the driver provide as their current address? - CORRECT ANSWER
✔✔✔✔✔ The current address they live at, even if it differs from their driver's license.
What must be checked for in all physical examinations? - CORRECT ANSWER
✔✔✔✔✔ A hernia & tympanic membrane.
What is a non-discretionary standard in the context of the DOT Physical Exam? -
CORRECT ANSWER ✔✔✔✔✔ A standard that must be followed without variation,
such as vision, hearing, seizure disorders, and insulin use.
What are the vision requirements for a driver under the non-discretionary standard? -
CORRECT ANSWER ✔✔✔✔✔ The driver must have 20/40 vision in both eyes, 70
degrees peripheral vision, and be able to distinguish signal colors.
What happens if a driver does not meet the vision requirements? - CORRECT
ANSWER ✔✔✔✔✔ They must be disqualified unless one eye meets the standard.
What form must be filled out by an ophthalmologist or optometrist for drivers with vision
issues? - CORRECT ANSWER ✔✔✔✔✔ MCSA 5871 form.
What is the time limit for submitting the MCSA 5871 form to the medical examiner? -
CORRECT ANSWER ✔✔✔✔✔ 45 days.
What happens if the MCSA 5871 form is submitted after 45 days? - CORRECT
ANSWER ✔✔✔✔✔ It is no longer valid, and the driver must return to the specialist.
What does a vision score of 20/40 -1 indicate for a driver? - CORRECT ANSWER
✔✔✔✔✔ The driver has 20/40 vision but missed 1 letter on the Snellen eye chart.
,Which vision-related conditions should a medical examiner inquire about during a
driver's history? - CORRECT ANSWER ✔✔✔✔✔ Aphakia, macular degeneration,
glaucoma, retinopathy, and cataracts.
What hearing test must a driver pass to be certified? - CORRECT ANSWER ✔✔✔✔✔
The whisper test or audiometric test with an average hearing loss of less than or equal
to 40 dB at 500 Hz, 1000 Hz, and 2000 Hz.
What must be marked on the certification card if a driver uses hearing aids? -
CORRECT ANSWER ✔✔✔✔✔ It must be noted in the certification section of the card
and long form.
What happens if a driver does not meet the hearing criteria? - CORRECT ANSWER
✔✔✔✔✔ They may apply for a hearing exemption.
What is the FMCSA definition of epilepsy? - CORRECT ANSWER ✔✔✔✔✔ Two
seizure events or the use of anti-seizure medication to control seizures.
What should a medical examiner do if a driver has a clinical diagnosis of epilepsy? -
CORRECT ANSWER ✔✔✔✔✔ Disqualify the driver.
What is required for a driver with epilepsy to apply for a seizure exemption? -
CORRECT ANSWER ✔✔✔✔✔ A copy of the certificate and long form marked
'Accompanied by a seizure waiver/exemption'.
What process must be followed for insulin use under 391.41? - CORRECT ANSWER
✔✔✔✔✔ The driver must fill out the MCSA 5870 form with a treating clinician before
the DOT physical.
What is the time limit for submitting the MCSA 5870 form? - CORRECT ANSWER
✔✔✔✔✔ The form must be submitted within 45 days after being signed by the treating
clinician.
What happens if the MCSA 5870 form is submitted after 45 days? - CORRECT
ANSWER ✔✔✔✔✔ It is no longer valid, and the driver must start the process over.
What is the role of the medical examiner regarding the information provided by the
treating clinician? - CORRECT ANSWER ✔✔✔✔✔ The medical examiner has final
authority to determine if the driver is stable and safe to operate a commercial motor
vehicle.
What must a driver do before taking their history during an examination? - CORRECT
ANSWER ✔✔✔✔✔ Fill out their section in total, including driver information and
history, then sign and date the form.
,Why might a driver incorrectly mark their medical history form? - CORRECT ANSWER
✔✔✔✔✔ Due to intentional reasons, lack of understanding, or not taking the time to
read each question.
What is a good general question to ask a driver about their medications? - CORRECT
ANSWER ✔✔✔✔✔ Are you currently taking any prescriptive or OTC medications,
vitamins, or minerals?
What should a medical examiner ask about the driver's past medical history? -
CORRECT ANSWER ✔✔✔✔✔ Have you ever been hospitalized, had a serious
illness, or had surgeries in your lifetime?
What should be asked for any yes answer in the Driver's Health History questions? -
CORRECT ANSWER ✔✔✔✔✔ Follow-up questions including date of onset, treating
provider's contact information, current/past treatment, success of treatment, date of last
medical visit, and any current limitations.
What is the maximum certification period for drivers with a benign history and normal
examination? - CORRECT ANSWER ✔✔✔✔✔ The maximum certification will always
be 2 years.
What does 'Determination Pending' status indicate? - CORRECT ANSWER ✔✔✔✔✔
It indicates that additional information is required before making a final certification
decision.
How long can 'Determination Pending' status be assigned? - CORRECT ANSWER
✔✔✔✔✔ For a maximum of 45 days.
Can a driver operate a CMV while under 'Determination Pending' status? - CORRECT
ANSWER ✔✔✔✔✔ Yes, if they have a current medical certificate.
Does 'Determination Pending' extend the expiration date of the current medical
certificate? - CORRECT ANSWER ✔✔✔✔✔ No, it does not extend the current
expiration date.
What happens if the requested information is not obtained within the 45-day period of
'Determination Pending'? - CORRECT ANSWER ✔✔✔✔✔ The initial exam is
invalidated by the FMCSA, and a new exam will be required for certification.
What occurs if a driver does not provide requested information within the 45 days of a
'Determination Pending' certificate? - CORRECT ANSWER ✔✔✔✔✔ The driver will
automatically be disqualified by the FMCSA.
What is the current status of Temporary Certification Cards? - CORRECT ANSWER
✔✔✔✔✔ They do not exist anymore.
, What alternative can be used instead of a Temporary Certification Card? - CORRECT
ANSWER ✔✔✔✔✔ A shortened certification period, such as a 1-month or 3-month
certification.
What should be done if a driver is not compliant with providing requested information? -
CORRECT ANSWER ✔✔✔✔✔ Consecutive shortened certifications should not be
granted.
What is the maximum duration for a shortened certification period? - CORRECT
ANSWER ✔✔✔✔✔ Never exceed 3 months for a shortened certification period not
clearly defined by the FMCSA.
What should be considered when issuing a medical certificate for a shortened period? -
CORRECT ANSWER ✔✔✔✔✔ The driver must be capable of safely driving and
comply with treatment.
What happens once the examiner obtains the requested information after a
'Determination Pending'? - CORRECT ANSWER ✔✔✔✔✔ A final decision is made
based on the certification interval at the time of the decision.
What is required for a driver to maintain their certification during the 'Determination
Pending' period? - CORRECT ANSWER ✔✔✔✔✔ They must provide the requested
information within the 45-day period.
What should be done if a driver does not have additional time on their current medical
certificate? - CORRECT ANSWER ✔✔✔✔✔ A medical certificate for a shorter period
may be issued to allow the driver to obtain needed medical information.
What is the purpose of a shortened certification period? - CORRECT ANSWER
✔✔✔✔✔ To obtain needed information or to assist with compliance.
What is the role of the medical examiner regarding compliance with treatment? -
CORRECT ANSWER ✔✔✔✔✔ The medical examiner should not provide another
certification if the driver was non-compliant with treatment.
What is the consequence of not completing a 'Determination Pending' within the
specified time? - CORRECT ANSWER ✔✔✔✔✔ The driver must undergo a new
exam for certification.
What specific medical conditions were mentioned regarding the previous existence of
Temporary Certification Cards? - CORRECT ANSWER ✔✔✔✔✔ Stage 1 or 2
hypertension.
Medical Certification [ACTUAL EXAM] LATEST VERSION
[QUESTIONS AND ANSWERS] DETAILED AND VERIFIED FOR
GUARANTEED PASS- LATEST UPDATE 2025 GRADED A
(BRAND NEW!!)
Do foreign drivers from Mexico or Canada need an exam? - CORRECT ANSWER
✔✔✔✔✔ No, they do not need an exam.
What should the driver use when filling out the examination form? - CORRECT
ANSWER ✔✔✔✔✔ Their name as it appears on their current driver's license.
What should the driver provide as their current address? - CORRECT ANSWER
✔✔✔✔✔ The current address they live at, even if it differs from their driver's license.
What must be checked for in all physical examinations? - CORRECT ANSWER
✔✔✔✔✔ A hernia & tympanic membrane.
What is a non-discretionary standard in the context of the DOT Physical Exam? -
CORRECT ANSWER ✔✔✔✔✔ A standard that must be followed without variation,
such as vision, hearing, seizure disorders, and insulin use.
What are the vision requirements for a driver under the non-discretionary standard? -
CORRECT ANSWER ✔✔✔✔✔ The driver must have 20/40 vision in both eyes, 70
degrees peripheral vision, and be able to distinguish signal colors.
What happens if a driver does not meet the vision requirements? - CORRECT
ANSWER ✔✔✔✔✔ They must be disqualified unless one eye meets the standard.
What form must be filled out by an ophthalmologist or optometrist for drivers with vision
issues? - CORRECT ANSWER ✔✔✔✔✔ MCSA 5871 form.
What is the time limit for submitting the MCSA 5871 form to the medical examiner? -
CORRECT ANSWER ✔✔✔✔✔ 45 days.
What happens if the MCSA 5871 form is submitted after 45 days? - CORRECT
ANSWER ✔✔✔✔✔ It is no longer valid, and the driver must return to the specialist.
What does a vision score of 20/40 -1 indicate for a driver? - CORRECT ANSWER
✔✔✔✔✔ The driver has 20/40 vision but missed 1 letter on the Snellen eye chart.
,Which vision-related conditions should a medical examiner inquire about during a
driver's history? - CORRECT ANSWER ✔✔✔✔✔ Aphakia, macular degeneration,
glaucoma, retinopathy, and cataracts.
What hearing test must a driver pass to be certified? - CORRECT ANSWER ✔✔✔✔✔
The whisper test or audiometric test with an average hearing loss of less than or equal
to 40 dB at 500 Hz, 1000 Hz, and 2000 Hz.
What must be marked on the certification card if a driver uses hearing aids? -
CORRECT ANSWER ✔✔✔✔✔ It must be noted in the certification section of the card
and long form.
What happens if a driver does not meet the hearing criteria? - CORRECT ANSWER
✔✔✔✔✔ They may apply for a hearing exemption.
What is the FMCSA definition of epilepsy? - CORRECT ANSWER ✔✔✔✔✔ Two
seizure events or the use of anti-seizure medication to control seizures.
What should a medical examiner do if a driver has a clinical diagnosis of epilepsy? -
CORRECT ANSWER ✔✔✔✔✔ Disqualify the driver.
What is required for a driver with epilepsy to apply for a seizure exemption? -
CORRECT ANSWER ✔✔✔✔✔ A copy of the certificate and long form marked
'Accompanied by a seizure waiver/exemption'.
What process must be followed for insulin use under 391.41? - CORRECT ANSWER
✔✔✔✔✔ The driver must fill out the MCSA 5870 form with a treating clinician before
the DOT physical.
What is the time limit for submitting the MCSA 5870 form? - CORRECT ANSWER
✔✔✔✔✔ The form must be submitted within 45 days after being signed by the treating
clinician.
What happens if the MCSA 5870 form is submitted after 45 days? - CORRECT
ANSWER ✔✔✔✔✔ It is no longer valid, and the driver must start the process over.
What is the role of the medical examiner regarding the information provided by the
treating clinician? - CORRECT ANSWER ✔✔✔✔✔ The medical examiner has final
authority to determine if the driver is stable and safe to operate a commercial motor
vehicle.
What must a driver do before taking their history during an examination? - CORRECT
ANSWER ✔✔✔✔✔ Fill out their section in total, including driver information and
history, then sign and date the form.
,Why might a driver incorrectly mark their medical history form? - CORRECT ANSWER
✔✔✔✔✔ Due to intentional reasons, lack of understanding, or not taking the time to
read each question.
What is a good general question to ask a driver about their medications? - CORRECT
ANSWER ✔✔✔✔✔ Are you currently taking any prescriptive or OTC medications,
vitamins, or minerals?
What should a medical examiner ask about the driver's past medical history? -
CORRECT ANSWER ✔✔✔✔✔ Have you ever been hospitalized, had a serious
illness, or had surgeries in your lifetime?
What should be asked for any yes answer in the Driver's Health History questions? -
CORRECT ANSWER ✔✔✔✔✔ Follow-up questions including date of onset, treating
provider's contact information, current/past treatment, success of treatment, date of last
medical visit, and any current limitations.
What is the maximum certification period for drivers with a benign history and normal
examination? - CORRECT ANSWER ✔✔✔✔✔ The maximum certification will always
be 2 years.
What does 'Determination Pending' status indicate? - CORRECT ANSWER ✔✔✔✔✔
It indicates that additional information is required before making a final certification
decision.
How long can 'Determination Pending' status be assigned? - CORRECT ANSWER
✔✔✔✔✔ For a maximum of 45 days.
Can a driver operate a CMV while under 'Determination Pending' status? - CORRECT
ANSWER ✔✔✔✔✔ Yes, if they have a current medical certificate.
Does 'Determination Pending' extend the expiration date of the current medical
certificate? - CORRECT ANSWER ✔✔✔✔✔ No, it does not extend the current
expiration date.
What happens if the requested information is not obtained within the 45-day period of
'Determination Pending'? - CORRECT ANSWER ✔✔✔✔✔ The initial exam is
invalidated by the FMCSA, and a new exam will be required for certification.
What occurs if a driver does not provide requested information within the 45 days of a
'Determination Pending' certificate? - CORRECT ANSWER ✔✔✔✔✔ The driver will
automatically be disqualified by the FMCSA.
What is the current status of Temporary Certification Cards? - CORRECT ANSWER
✔✔✔✔✔ They do not exist anymore.
, What alternative can be used instead of a Temporary Certification Card? - CORRECT
ANSWER ✔✔✔✔✔ A shortened certification period, such as a 1-month or 3-month
certification.
What should be done if a driver is not compliant with providing requested information? -
CORRECT ANSWER ✔✔✔✔✔ Consecutive shortened certifications should not be
granted.
What is the maximum duration for a shortened certification period? - CORRECT
ANSWER ✔✔✔✔✔ Never exceed 3 months for a shortened certification period not
clearly defined by the FMCSA.
What should be considered when issuing a medical certificate for a shortened period? -
CORRECT ANSWER ✔✔✔✔✔ The driver must be capable of safely driving and
comply with treatment.
What happens once the examiner obtains the requested information after a
'Determination Pending'? - CORRECT ANSWER ✔✔✔✔✔ A final decision is made
based on the certification interval at the time of the decision.
What is required for a driver to maintain their certification during the 'Determination
Pending' period? - CORRECT ANSWER ✔✔✔✔✔ They must provide the requested
information within the 45-day period.
What should be done if a driver does not have additional time on their current medical
certificate? - CORRECT ANSWER ✔✔✔✔✔ A medical certificate for a shorter period
may be issued to allow the driver to obtain needed medical information.
What is the purpose of a shortened certification period? - CORRECT ANSWER
✔✔✔✔✔ To obtain needed information or to assist with compliance.
What is the role of the medical examiner regarding compliance with treatment? -
CORRECT ANSWER ✔✔✔✔✔ The medical examiner should not provide another
certification if the driver was non-compliant with treatment.
What is the consequence of not completing a 'Determination Pending' within the
specified time? - CORRECT ANSWER ✔✔✔✔✔ The driver must undergo a new
exam for certification.
What specific medical conditions were mentioned regarding the previous existence of
Temporary Certification Cards? - CORRECT ANSWER ✔✔✔✔✔ Stage 1 or 2
hypertension.
