NRCME
DOTEXAM
ACTUALTEST
2025/
202
6
,1. An unrestricted Commercial Motor Vehicle Driver Medical Certificate
must be renewed:
A. Annually
B. Every Two Years
C. Every Four Years
D. Whenever the State Issued Driver's License is renewed
2. A driver presents with history of an isolated TIA 6 months ago. He has
a return to work letter from his primary care provider (PCP) and
neurologist. He is taking and tolerating well hydrochlorothiazide and
simvastatin. All other aspects of the exam and history were normal.
What should the medical examiner do next?
A. Certify driver for 1 year
B. Disqualify driver for now
C. Certify driver for 3 months
D. Certify driver for 2 years
3. FMCSA regulates interstate commercial operation including the:
,A. Driver
B. Vehicle
C. Motor Carrier
D. All of above
4. During the CMV exam a driver perceived a whispered voice at 5 feet in
his left ear and 4 feet in his right ear. 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
5. Which of the following is an assessment of L4 nerve root pathology?
A. Plantar flexion
B. Patellar reflex
C. Hip extension
D. Babinski reflex
, 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
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
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
DOTEXAM
ACTUALTEST
2025/
202
6
,1. An unrestricted Commercial Motor Vehicle Driver Medical Certificate
must be renewed:
A. Annually
B. Every Two Years
C. Every Four Years
D. Whenever the State Issued Driver's License is renewed
2. A driver presents with history of an isolated TIA 6 months ago. He has
a return to work letter from his primary care provider (PCP) and
neurologist. He is taking and tolerating well hydrochlorothiazide and
simvastatin. All other aspects of the exam and history were normal.
What should the medical examiner do next?
A. Certify driver for 1 year
B. Disqualify driver for now
C. Certify driver for 3 months
D. Certify driver for 2 years
3. FMCSA regulates interstate commercial operation including the:
,A. Driver
B. Vehicle
C. Motor Carrier
D. All of above
4. During the CMV exam a driver perceived a whispered voice at 5 feet in
his left ear and 4 feet in his right ear. 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
5. Which of the following is an assessment of L4 nerve root pathology?
A. Plantar flexion
B. Patellar reflex
C. Hip extension
D. Babinski reflex
, 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
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
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
