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DOT NRCME ACTUAL EXAM/ NRCME DOT
PRACTICE EXAM ALL QUESTIONS AND
CORRECT ANND ANSWERS| RECENT AND
COMPLETE VERSION GRADED A+ BRAND
NEW!!!!
Which of the following is a requirement for drivers with a diabetes exemption?
A) Possess a rapidly absorbable form of glucose while driving
B) Self—monitor blood glucose one hour before driving and at least once every 2
hours while driving
C) Plan to submit blood glucose monitoring logs every 6 months
D) Maintain a Hemoglobin A1C value less than 7 - ANSWER: A. Drivers with
diabetes should self monitor blood glucose before driving and every 4 hours while
driving. Blood glucose monitoring logs should be submitted annually. There is no
specific requirement for HgA1C level.
Drivers with insulin dependent diabetes:
A) May be certified for a maximum of 6 months
B) Must maintain a hemoglobin A1C level of less than 7 to qualify for certification
C) Cannot be certified if they have a history of myocardial infarction
D) May be eligible for a diabetes exemption - ANSWER: D) Drivers with insulin
dependent diabetes cannot be certified but may be eligible for a diabetes exemption
Which of the following is true?
A) A driver with diabetes who uses insulin does not meet the minimum
requirements of 49 CFR Part 391.41
B) The most important concert related to medication use for treating diabetes is
hyperglycemia
C) Peripheral neuropathy is not a disqualifying condition
D) Diabetes is not a coronary heart disease (CHD) equivalent condition -
ANSWER: A) The greatest risk for medication use for drivers with diabetes in
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hypoglycemia, not hyperglycemia. Peripheral neuropathy is disqualifying
condition. Diabetes is a CHD equivalent condition.
According to FMCSA regulations, which of the following must the medical
examiner evaluate when examining a driver's eyes?
A. Pupil reactivity
B. Iris symmetry
C. Conjunctival injection
D. Corneal thickness - ANSWER: Correct Response:
A. Pupil reactivity
Incorrect Responses:
B. Iris symmetry
This is incorrect because determining iris symmetry is not required by FMCSA.
C. Conjunctival injection
This is incorrect because most causes of conjunctival injection would not be
disqualifying. Causes that are suspicious for a disqualifying condition need
additional evaluation. While this abnormal finding should be explained, with
determination of possible effects on safe driving before making a certification
decision, it is not a condition that is specified in FMCSA regulations.
D. Corneal thickness
This is incorrect because it is not measured in an office examination except by an
eye specialist.
According to FMCSA regulations, medical qualification for two years can be given
to a driver who has... ?
A. An SPE certificate for a left below the knee amputation (BKA).
B. Hypertension.
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C. A recent diagnosis of Lewy body dementia.
D. Documented medical marijuana use for pain control. - ANSWER: Correct
Response:
A. An SPE certificate for a left below the knee amputation.This is the correct
response because in order to obtain the SPE certificate, the driver had to
demonstrate the ability to perform all tasks for the commercial driver job
description.
Incorrect Responses:
B. Hypertension.
This is not the correct response because drivers with hypertension are only given a
medical certificate that is good for one year.
C. A recent diagnosis of Lewy body dementia.
This is not the correct response because this is a progressive, degenerative
condition with no known treatment. The effects of Lewy body dementia impact the
ability to operate a CMV safely.
D. Documented medical marijuana use for pain control.
This is not the correct response because marijuana remains a drug listed in
Schedule I of the Controlled Substances Act. It remains unacceptable for any
safety-sensitive employee subject to drug testing under the drug testing regulations
of DOT to use marijuana. Also, FMCSA medical guidelines state that "driving
impairment due to marijuana use is well substantiated."
During his visit to the medical examiner, a driver complains of severe pain in his
finger for the last two weeks after it was punctured. The examination reveals an
infected, swollen finger. After the medical examiner inquiries, the driver states that
the pain is made worse when he grips the steering wheel. Which of the following
should the medical examiner do next?
A. Obtain a hand X-ray.
B. Assess capillary refill in the hand.
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C. Obtain a culture and sensitivity.
D. Assess the driver's grip strength. - ANSWER: Correct Response:
D. Assess the driver's grip strength.This is the correct response because the
condition does not present a safety risk unless it interferes with the ability of the
driver to hold and control the steering wheel.
Incorrect Responses:
A. Obtain a hand X-ray.
This is not the correct response because this is a diagnostic test that a healthcare
provider or specialist would perform or order. Your role as a medical examiner is
to determine if the condition interferes with the ability of the driver to safely
operate a CMV.
B. Assess capillary refill in the hand.
This is not the correct response because given the information in the question it is
not the primary consideration for determining if the driver can safely operate a
CMV.
C. Obtain a culture and sensitivity.
This is not the correct response because this is an action that a treating healthcare
provider or specialist would do in the course workup and treatment- Your role as a
medical examiner is to determine if the condition interferes with the ability of the
driver to safely operate a CMV.
A new driver who had a myocardial infarction six months ago is certified after
completing an acceptable exercise tolerance test and is cleared by a cardiologist.
According to FMCSA guidelines, which of the following is recommended
regarding recertification and exercise tolerance test monitoring intervals?
Recertification / Exercise tolerance
A. Every year / Every year
B. Every two years / Every year
C. Every year / Every two years
DOT NRCME ACTUAL EXAM/ NRCME DOT
PRACTICE EXAM ALL QUESTIONS AND
CORRECT ANND ANSWERS| RECENT AND
COMPLETE VERSION GRADED A+ BRAND
NEW!!!!
Which of the following is a requirement for drivers with a diabetes exemption?
A) Possess a rapidly absorbable form of glucose while driving
B) Self—monitor blood glucose one hour before driving and at least once every 2
hours while driving
C) Plan to submit blood glucose monitoring logs every 6 months
D) Maintain a Hemoglobin A1C value less than 7 - ANSWER: A. Drivers with
diabetes should self monitor blood glucose before driving and every 4 hours while
driving. Blood glucose monitoring logs should be submitted annually. There is no
specific requirement for HgA1C level.
Drivers with insulin dependent diabetes:
A) May be certified for a maximum of 6 months
B) Must maintain a hemoglobin A1C level of less than 7 to qualify for certification
C) Cannot be certified if they have a history of myocardial infarction
D) May be eligible for a diabetes exemption - ANSWER: D) Drivers with insulin
dependent diabetes cannot be certified but may be eligible for a diabetes exemption
Which of the following is true?
A) A driver with diabetes who uses insulin does not meet the minimum
requirements of 49 CFR Part 391.41
B) The most important concert related to medication use for treating diabetes is
hyperglycemia
C) Peripheral neuropathy is not a disqualifying condition
D) Diabetes is not a coronary heart disease (CHD) equivalent condition -
ANSWER: A) The greatest risk for medication use for drivers with diabetes in
,2|P a g e
hypoglycemia, not hyperglycemia. Peripheral neuropathy is disqualifying
condition. Diabetes is a CHD equivalent condition.
According to FMCSA regulations, which of the following must the medical
examiner evaluate when examining a driver's eyes?
A. Pupil reactivity
B. Iris symmetry
C. Conjunctival injection
D. Corneal thickness - ANSWER: Correct Response:
A. Pupil reactivity
Incorrect Responses:
B. Iris symmetry
This is incorrect because determining iris symmetry is not required by FMCSA.
C. Conjunctival injection
This is incorrect because most causes of conjunctival injection would not be
disqualifying. Causes that are suspicious for a disqualifying condition need
additional evaluation. While this abnormal finding should be explained, with
determination of possible effects on safe driving before making a certification
decision, it is not a condition that is specified in FMCSA regulations.
D. Corneal thickness
This is incorrect because it is not measured in an office examination except by an
eye specialist.
According to FMCSA regulations, medical qualification for two years can be given
to a driver who has... ?
A. An SPE certificate for a left below the knee amputation (BKA).
B. Hypertension.
,3|P a g e
C. A recent diagnosis of Lewy body dementia.
D. Documented medical marijuana use for pain control. - ANSWER: Correct
Response:
A. An SPE certificate for a left below the knee amputation.This is the correct
response because in order to obtain the SPE certificate, the driver had to
demonstrate the ability to perform all tasks for the commercial driver job
description.
Incorrect Responses:
B. Hypertension.
This is not the correct response because drivers with hypertension are only given a
medical certificate that is good for one year.
C. A recent diagnosis of Lewy body dementia.
This is not the correct response because this is a progressive, degenerative
condition with no known treatment. The effects of Lewy body dementia impact the
ability to operate a CMV safely.
D. Documented medical marijuana use for pain control.
This is not the correct response because marijuana remains a drug listed in
Schedule I of the Controlled Substances Act. It remains unacceptable for any
safety-sensitive employee subject to drug testing under the drug testing regulations
of DOT to use marijuana. Also, FMCSA medical guidelines state that "driving
impairment due to marijuana use is well substantiated."
During his visit to the medical examiner, a driver complains of severe pain in his
finger for the last two weeks after it was punctured. The examination reveals an
infected, swollen finger. After the medical examiner inquiries, the driver states that
the pain is made worse when he grips the steering wheel. Which of the following
should the medical examiner do next?
A. Obtain a hand X-ray.
B. Assess capillary refill in the hand.
, 4|P a g e
C. Obtain a culture and sensitivity.
D. Assess the driver's grip strength. - ANSWER: Correct Response:
D. Assess the driver's grip strength.This is the correct response because the
condition does not present a safety risk unless it interferes with the ability of the
driver to hold and control the steering wheel.
Incorrect Responses:
A. Obtain a hand X-ray.
This is not the correct response because this is a diagnostic test that a healthcare
provider or specialist would perform or order. Your role as a medical examiner is
to determine if the condition interferes with the ability of the driver to safely
operate a CMV.
B. Assess capillary refill in the hand.
This is not the correct response because given the information in the question it is
not the primary consideration for determining if the driver can safely operate a
CMV.
C. Obtain a culture and sensitivity.
This is not the correct response because this is an action that a treating healthcare
provider or specialist would do in the course workup and treatment- Your role as a
medical examiner is to determine if the condition interferes with the ability of the
driver to safely operate a CMV.
A new driver who had a myocardial infarction six months ago is certified after
completing an acceptable exercise tolerance test and is cleared by a cardiologist.
According to FMCSA guidelines, which of the following is recommended
regarding recertification and exercise tolerance test monitoring intervals?
Recertification / Exercise tolerance
A. Every year / Every year
B. Every two years / Every year
C. Every year / Every two years
