NRCME Exam Questions With Complete Solutions
A driver denies using illegal drugs, but he looks haggard and has
fresh needle sticks on his forearm. Can you order lab testing for
drugs?
a. No. Drug testing is beyond the scope of the DOT medical
exam.
b. Only if you call the employer and have them do a reasonable
suspicion DOT drug test.
c. Yes. This is outside of standard DOT drug testing, but a non-
DOT drug test can be ordered. Refusal to test is a failure.
c
What is the maximum allowable BMI to qualify a driver?
a. 40.
b. 50.
c. 55.
d. There is no standard.
d
A driver has a long history of major depression. His only current
medication is Paxil, and he reports no side effects. Three months
ago, he attempted to commit suicide by hanging, but was
unsuccessful. Physically, all is within standards. Can he be
qualified?
a. No. Paxil is disqualifying.
b. Yes. This scenario is not disqualifying.
c. No. The waiting period following a suicide attempt is 2
,months minimum.
d. No. The waiting period following a suicide attempt is 1 year
minimum
d
A driver's exam is unremarkable except for a recent history of
panic attacks. These are under control with Xanax. She reports
no side effects. What certification is appropriate?
a. 2 years.
b. Xanax required annual recertification. 1 year.
c. Xanax is potentially dangerous. 6 months is appropriate.
d. Xanax is generally considered to increase crash risk. Use your
clinical judgment, but use of
benzodiazepines is typically disqualifying. Additional
consultation with treating physician may be needed.
d
What is the minimum gross vehicle weight that will require a
DOT medical exam for the driver?
a. 16,501 pounds.
b. 10,001 pounds.
c. 26,001 pounds.
d. 22,501 pounds.
b
Drugs with no known medical use and a high potential for abuse
fall into what category?
a. Class C.
b. Schedule I.
,c. Class F.
d. Schedule V.
b
Marijuana is what listed as which of the following?
a. Schedule 1 drug.
b. Schedule 2 drug.
c. Schedule V drug
d. It used to be considered a Schedule 1 drug. It is no longer a
listed drug.
a
A driver is 35 years of age. He has a diagnosis of Ankylosing
Spondylitis since he was 19. He has fusion throughout his spine,
excluding the upper cervical spine. Neck rotation is limited to 15
degrees bilaterally. His neck is permanently flexed 25 degrees
forward and he can only extend it 10 degrees. Agility is greatly
diminished and he cannot climb well. He now presents for
recertification, but notes he primarily does an administrative
desk job. Based on this, what is the proper course of action?
a. Disqualify.
b. Certify for 1 year.
c. Order a Skill Performance Evaluation.
d. Certify for 6 months.
a
Transient Ischemic Attacks are a major concern. They can be
one of the earliest signs of cerebrovascular disease. Symptoms
usually only last 10-20 minutes. All of the following are
, symptoms that may present in the history as a result of a TIA,
EXCEPT:
a. Sudden temporary tingling, numbness, or weakness.
b. Confusion.
c. Sudden visual changes.
d. Sciatica.
d
A driver with a history of a TIA should be removed from the
road for what minimum waiting period?
a. 2 months.
b. 6 months.
c. 1 year.
d. 2 years.
c
Epilepsy is a major concern due to risk of seizure or loss of
consciousness. How many unprovoked seizures are required for
a diagnosis of epilepsy?
a. One.
b. Two.
c. There is no single definition; diagnosis is made on a case-by-
case basis.
b
After a diagnosis of Meniere's disease, what is the
recommendation for certification of a driver?
a. Certification if no reported dizziness or vertigo.
b. Certification after a 1 year waiting period if hearing standards
A driver denies using illegal drugs, but he looks haggard and has
fresh needle sticks on his forearm. Can you order lab testing for
drugs?
a. No. Drug testing is beyond the scope of the DOT medical
exam.
b. Only if you call the employer and have them do a reasonable
suspicion DOT drug test.
c. Yes. This is outside of standard DOT drug testing, but a non-
DOT drug test can be ordered. Refusal to test is a failure.
c
What is the maximum allowable BMI to qualify a driver?
a. 40.
b. 50.
c. 55.
d. There is no standard.
d
A driver has a long history of major depression. His only current
medication is Paxil, and he reports no side effects. Three months
ago, he attempted to commit suicide by hanging, but was
unsuccessful. Physically, all is within standards. Can he be
qualified?
a. No. Paxil is disqualifying.
b. Yes. This scenario is not disqualifying.
c. No. The waiting period following a suicide attempt is 2
,months minimum.
d. No. The waiting period following a suicide attempt is 1 year
minimum
d
A driver's exam is unremarkable except for a recent history of
panic attacks. These are under control with Xanax. She reports
no side effects. What certification is appropriate?
a. 2 years.
b. Xanax required annual recertification. 1 year.
c. Xanax is potentially dangerous. 6 months is appropriate.
d. Xanax is generally considered to increase crash risk. Use your
clinical judgment, but use of
benzodiazepines is typically disqualifying. Additional
consultation with treating physician may be needed.
d
What is the minimum gross vehicle weight that will require a
DOT medical exam for the driver?
a. 16,501 pounds.
b. 10,001 pounds.
c. 26,001 pounds.
d. 22,501 pounds.
b
Drugs with no known medical use and a high potential for abuse
fall into what category?
a. Class C.
b. Schedule I.
,c. Class F.
d. Schedule V.
b
Marijuana is what listed as which of the following?
a. Schedule 1 drug.
b. Schedule 2 drug.
c. Schedule V drug
d. It used to be considered a Schedule 1 drug. It is no longer a
listed drug.
a
A driver is 35 years of age. He has a diagnosis of Ankylosing
Spondylitis since he was 19. He has fusion throughout his spine,
excluding the upper cervical spine. Neck rotation is limited to 15
degrees bilaterally. His neck is permanently flexed 25 degrees
forward and he can only extend it 10 degrees. Agility is greatly
diminished and he cannot climb well. He now presents for
recertification, but notes he primarily does an administrative
desk job. Based on this, what is the proper course of action?
a. Disqualify.
b. Certify for 1 year.
c. Order a Skill Performance Evaluation.
d. Certify for 6 months.
a
Transient Ischemic Attacks are a major concern. They can be
one of the earliest signs of cerebrovascular disease. Symptoms
usually only last 10-20 minutes. All of the following are
, symptoms that may present in the history as a result of a TIA,
EXCEPT:
a. Sudden temporary tingling, numbness, or weakness.
b. Confusion.
c. Sudden visual changes.
d. Sciatica.
d
A driver with a history of a TIA should be removed from the
road for what minimum waiting period?
a. 2 months.
b. 6 months.
c. 1 year.
d. 2 years.
c
Epilepsy is a major concern due to risk of seizure or loss of
consciousness. How many unprovoked seizures are required for
a diagnosis of epilepsy?
a. One.
b. Two.
c. There is no single definition; diagnosis is made on a case-by-
case basis.
b
After a diagnosis of Meniere's disease, what is the
recommendation for certification of a driver?
a. Certification if no reported dizziness or vertigo.
b. Certification after a 1 year waiting period if hearing standards
