DOT NRCME [ACTUAL EXAM] LATEST VERSION [QUESTIONS
AND ANSWERS] DETAILED AND VERIFIED FOR
GUARANTEED PASS- LATEST UPDATE 2025 GRADED A
(BRAND NEW!!)
At what pulse ox finding is ABG indicated? - CORRECT ANSWER ✔✔✔✔✔ pulse ox
<92%
Minimum required paO2 at <5000ft - CORRECT ANSWER ✔✔✔✔✔ 65 mm Hg
Minimum required paO2 at altitudes >5000 ft - CORRECT ANSWER ✔✔✔✔✔ 60mm
Hg
4 requirements that need to be met for ETT? - CORRECT ANSWER ✔✔✔✔✔ 1- >6
METs
2- attain HR > or = 85% (unless taking BB)
3- rise in systolic bp > or = 20 without angina
4- no significant ST depression
Waiting period s/p MI - CORRECT ANSWER ✔✔✔✔✔ 2 months
waiting period s/p CABG - CORRECT ANSWER ✔✔✔✔✔ 3 months
4 requirements for vision: - CORRECT ANSWER ✔✔✔✔✔ 1- distant visual acuity in
each eye at least 20/40
2- distant binocular vision of at least 20/40 in each eye
3- field of vision at least 70 degrees in horizontal median
4- recognize red, green, amber
Certification for pt with monocular vision and federal exemption: how long to certify for?
how long is the federal vision exemption valid for? - CORRECT ANSWER ✔✔✔✔✔
cert for 1 yr; fed exemption valid for 2 yrs
what is the dx of tx of: sxs- glare at night with driving, decreased acuity and contrast,
color resolution, and light scattering effects. - CORRECT ANSWER ✔✔✔✔✔ dx-
cataracts
tx- surgical removal/lens
Eye condition that causes loss of peripheral vision loss. sxs include redirection of night
vision, color vision, especially peripherally is noticeable. - CORRECT ANSWER
✔✔✔✔✔ glaucoma
,lengthened recovery from bright lights, loss of visual acuity, leading cause of blindness.
dx and tx? - CORRECT ANSWER ✔✔✔✔✔ macular degeneration. tx- telescopic
lenses but these are not acceptable for driving
retinal hemorrhages, microaneurysms, scotomas affecting central vision - CORRECT
ANSWER ✔✔✔✔✔ retinopathy
Hearing requirements - CORRECT ANSWER ✔✔✔✔✔ 1- first perceives forced
whisper test at <5 feet in the better ear
2- in better ear avg hearing < or = to40 db at 500, 1000, and 2000 Hz
waiting period symptom free after bppv, acute/chronic peripheral vestibulopathy -
CORRECT ANSWER ✔✔✔✔✔ 2 months sx free
3 disqualifying otic conditions: - CORRECT ANSWER ✔✔✔✔✔ 1- menieres disease
2- labyrinthe fistula
3- nonfunctioning labyrinths
how long is federal hearing exemption valid for? how long can medical examiner certify?
- CORRECT ANSWER ✔✔✔✔✔ 2 yrs. for both
most likely CV cause of sudden driver incapacitation - CORRECT ANSWER ✔✔✔✔✔
arrhythmia
driver with CAD should: - CORRECT ANSWER ✔✔✔✔✔ be cleared by CV specialist
tol CV meds
comply with treatment plan
have annual med exam
passing an echo test involves: (2) - CORRECT ANSWER ✔✔✔✔✔ LVEF > or =
or40%
no pulm htn ( pulm artery pressure >50% of systemic systolic bp
passing an ETT involves: (4) - CORRECT ANSWER ✔✔✔✔✔ exercise to workload
>6 METs
attain HR > or = to 85% predicted maximum unless on BB
rise in systolic bp > or = to 20 without angina
no significant ST depression
waiting period s/p MI - CORRECT ANSWER ✔✔✔✔✔ 2 months
max cert for MI - CORRECT ANSWER ✔✔✔✔✔ 1 year
ok to cert for MI if: (4) - CORRECT ANSWER ✔✔✔✔✔ no sxs
, tol meds
satisfactory ETT and bi ennial ETT thereafter
has resting LVEF > or = to 40%
required for initial cert s/p MI - CORRECT ANSWER ✔✔✔✔✔ post-MI echo showing
> or = to 40% LVEF
do not cert after acute MI if: (3) - CORRECT ANSWER ✔✔✔✔✔ rest angina or
change in angina within 3 months
abnl ETT
intol to CV therapy
chest pain at rest
changes in pattern of chest pain
decreased response to meds
dx is? waiting period is? max cert? - CORRECT ANSWER ✔✔✔✔✔ unstable angina
waiting period is 3 months with no rest angina or change in angina pattern
max cert 1 yr
ok to cert angina if: (4) - CORRECT ANSWER ✔✔✔✔✔ stable angina
tol CV meds
normal ETT
no sxs
waiting period cabg
max cert cabg - CORRECT ANSWER ✔✔✔✔✔ waiting- 3 months
max cert- 1 yr
ok to cert driver s/p cabg if: (5) - CORRECT ANSWER ✔✔✔✔✔ asxatic
tol CV meds
LVEF > or = to 40%
has been cleared by cardiologist
healed sternum
waiting period s/p PCI for elective stable angina - CORRECT ANSWER ✔✔✔✔✔ 1
week
ok to cert s/p pci if: - CORRECT ANSWER ✔✔✔✔✔ asxatic
tol meds
no injury to vascular access site
do not cert s/p pci if: (3) - CORRECT ANSWER ✔✔✔✔✔ incomplete healing or
complication at vascular access site
rest angina
ischemic ekg changes
AND ANSWERS] DETAILED AND VERIFIED FOR
GUARANTEED PASS- LATEST UPDATE 2025 GRADED A
(BRAND NEW!!)
At what pulse ox finding is ABG indicated? - CORRECT ANSWER ✔✔✔✔✔ pulse ox
<92%
Minimum required paO2 at <5000ft - CORRECT ANSWER ✔✔✔✔✔ 65 mm Hg
Minimum required paO2 at altitudes >5000 ft - CORRECT ANSWER ✔✔✔✔✔ 60mm
Hg
4 requirements that need to be met for ETT? - CORRECT ANSWER ✔✔✔✔✔ 1- >6
METs
2- attain HR > or = 85% (unless taking BB)
3- rise in systolic bp > or = 20 without angina
4- no significant ST depression
Waiting period s/p MI - CORRECT ANSWER ✔✔✔✔✔ 2 months
waiting period s/p CABG - CORRECT ANSWER ✔✔✔✔✔ 3 months
4 requirements for vision: - CORRECT ANSWER ✔✔✔✔✔ 1- distant visual acuity in
each eye at least 20/40
2- distant binocular vision of at least 20/40 in each eye
3- field of vision at least 70 degrees in horizontal median
4- recognize red, green, amber
Certification for pt with monocular vision and federal exemption: how long to certify for?
how long is the federal vision exemption valid for? - CORRECT ANSWER ✔✔✔✔✔
cert for 1 yr; fed exemption valid for 2 yrs
what is the dx of tx of: sxs- glare at night with driving, decreased acuity and contrast,
color resolution, and light scattering effects. - CORRECT ANSWER ✔✔✔✔✔ dx-
cataracts
tx- surgical removal/lens
Eye condition that causes loss of peripheral vision loss. sxs include redirection of night
vision, color vision, especially peripherally is noticeable. - CORRECT ANSWER
✔✔✔✔✔ glaucoma
,lengthened recovery from bright lights, loss of visual acuity, leading cause of blindness.
dx and tx? - CORRECT ANSWER ✔✔✔✔✔ macular degeneration. tx- telescopic
lenses but these are not acceptable for driving
retinal hemorrhages, microaneurysms, scotomas affecting central vision - CORRECT
ANSWER ✔✔✔✔✔ retinopathy
Hearing requirements - CORRECT ANSWER ✔✔✔✔✔ 1- first perceives forced
whisper test at <5 feet in the better ear
2- in better ear avg hearing < or = to40 db at 500, 1000, and 2000 Hz
waiting period symptom free after bppv, acute/chronic peripheral vestibulopathy -
CORRECT ANSWER ✔✔✔✔✔ 2 months sx free
3 disqualifying otic conditions: - CORRECT ANSWER ✔✔✔✔✔ 1- menieres disease
2- labyrinthe fistula
3- nonfunctioning labyrinths
how long is federal hearing exemption valid for? how long can medical examiner certify?
- CORRECT ANSWER ✔✔✔✔✔ 2 yrs. for both
most likely CV cause of sudden driver incapacitation - CORRECT ANSWER ✔✔✔✔✔
arrhythmia
driver with CAD should: - CORRECT ANSWER ✔✔✔✔✔ be cleared by CV specialist
tol CV meds
comply with treatment plan
have annual med exam
passing an echo test involves: (2) - CORRECT ANSWER ✔✔✔✔✔ LVEF > or =
or40%
no pulm htn ( pulm artery pressure >50% of systemic systolic bp
passing an ETT involves: (4) - CORRECT ANSWER ✔✔✔✔✔ exercise to workload
>6 METs
attain HR > or = to 85% predicted maximum unless on BB
rise in systolic bp > or = to 20 without angina
no significant ST depression
waiting period s/p MI - CORRECT ANSWER ✔✔✔✔✔ 2 months
max cert for MI - CORRECT ANSWER ✔✔✔✔✔ 1 year
ok to cert for MI if: (4) - CORRECT ANSWER ✔✔✔✔✔ no sxs
, tol meds
satisfactory ETT and bi ennial ETT thereafter
has resting LVEF > or = to 40%
required for initial cert s/p MI - CORRECT ANSWER ✔✔✔✔✔ post-MI echo showing
> or = to 40% LVEF
do not cert after acute MI if: (3) - CORRECT ANSWER ✔✔✔✔✔ rest angina or
change in angina within 3 months
abnl ETT
intol to CV therapy
chest pain at rest
changes in pattern of chest pain
decreased response to meds
dx is? waiting period is? max cert? - CORRECT ANSWER ✔✔✔✔✔ unstable angina
waiting period is 3 months with no rest angina or change in angina pattern
max cert 1 yr
ok to cert angina if: (4) - CORRECT ANSWER ✔✔✔✔✔ stable angina
tol CV meds
normal ETT
no sxs
waiting period cabg
max cert cabg - CORRECT ANSWER ✔✔✔✔✔ waiting- 3 months
max cert- 1 yr
ok to cert driver s/p cabg if: (5) - CORRECT ANSWER ✔✔✔✔✔ asxatic
tol CV meds
LVEF > or = to 40%
has been cleared by cardiologist
healed sternum
waiting period s/p PCI for elective stable angina - CORRECT ANSWER ✔✔✔✔✔ 1
week
ok to cert s/p pci if: - CORRECT ANSWER ✔✔✔✔✔ asxatic
tol meds
no injury to vascular access site
do not cert s/p pci if: (3) - CORRECT ANSWER ✔✔✔✔✔ incomplete healing or
complication at vascular access site
rest angina
ischemic ekg changes
