NRCME DOT Practice Test Exam || Most Recent Exam
2025/2026 Actual Complete Real Exam Questions And
Correct Answers (Verified Answers) Already Graded
A+ / Newest Exam / Just Released!
As a certified medical examiner, for how long must you
retain a copy of the
Medical Examination Report Form for
each driver?
a. 1 year.
b. 3 years.
c. 5 years.
d. 10 years. - ANSWER-B.
You are to retain the driver medical records for a minimum of 3
years.
As a medical examiner, you will need to provide a copy
of the Medical
Examination Report Form to a driver who is applying for,
or renewing, a:
a. Skill Performance Evaluation (SPE) certificate.
b. Hearing exemption certificate.
c. Seizure exemption certificate.
d. Any of the above. - ANSWER-D.
,Since the medical examiner does not complete any of the three
certificates listed - they are approved by the FMCSA - the driver
must have a copy of the Medical Examination Report Form to
apply for each exemption certificate.
Which of the following is true of the vision requirements for
commercial drivers?
a. The requirement for central distant visual acuity is at least
20/40 in each eye.
b. The requirement for distant binocular visual acuity is at least
20/50.
c. Contact lenses may not be worn to meet distant visual acuity
requirements.
d. The driver must meet either the distant visual acuity
requirement for each eye OR the binocular visual acuity
requirement. - ANSWER-A.
The Snellen chart or the Titmus Vision Tester measures static
central vision acuity. The requirement for central distant visual
acuity is at least 20/40 in each eye and distant binocular visual
acuity of at least 20/40.
An acute disk herniation at L5/S1 would be expected to affect
which of the following reflexes?
a. The driver cannot be certified.
b. The driver should be certified after a one-year waiting period.
c. The driver should be certified after a one-month waiting
period.
,d. The driver should be certified with no restrictions. -
ANSWER-B. A driver who has suffered a stroke may or may
not be at increased risk for seizures, depending on the
location of the lesions. A driver with brainstem vascular
lesions is not at an increased risk for seizures, and may be
certified following a one-year waiting period.
A driver who has been diagnosed with depression and is
prescribed lithium may
be
certified if:
a. The driver is asymptomatic.
b. Has no impairment that interferes with safe driving.
c. Has lithium levels that are maintained in the therapeutic
range
d. All of the above. - ANSWER-D.
Studies show there is little evidence to link lithium to driving
accidents. A driver who currently takes lithium should be
certified provided that: the driver is asymptomatic, the driver
has no impairment that interferes with safe driving, and the
driver has lithium levels that are maintained in the therapeutic
range.
A 44-year-old male presents for examination. He has undergone
a surgery for repair of a 5.0 cm abdominal aortic aneurysm 1
year ago. He provides a clearance report by a cardiovascular
specialist indicating he is asymptomatic. Is this person
qualified? If yes, for how long?
, a. Yes, for 6 months.
b. No.
c. Yes, for one year.
d. Yes, for two years. - ANSWER-C.
Per FMCSA's guidelines, persons who have undergone repair
of an abdominal aortic aneurysm may be certified annually if
more than three months have passed since surgery, they are
asymptomatic, and are cleared by a cardiovascular specialist.
A driver has been struggling dealing with separation from his
family during his long-haul shifts and was started on Lexapro
by his primary care physician. The driver appears stressed and
tired during his DOT exam that he attributes to recently being
on the road for a long period of time. The medical examiner
should:
a. Certify the driver for three months to allow for a psychiatric
evaluation.
b. Certify the driver for three months to allow for titration of
medications.
c. Acknowledge the stressors the driver is facing and
encourage regular follow up with his PCP.
d. Disqualify the driver. - ANSWER-C.
A drive r reports a suicide attempt 10 months earlier, following
the break-up of his marriage. He noted seeing a psychiatrist
and he takes Citalopram daily and he reports he feels fine now
and is moving on with his life. He provides a release from his
2025/2026 Actual Complete Real Exam Questions And
Correct Answers (Verified Answers) Already Graded
A+ / Newest Exam / Just Released!
As a certified medical examiner, for how long must you
retain a copy of the
Medical Examination Report Form for
each driver?
a. 1 year.
b. 3 years.
c. 5 years.
d. 10 years. - ANSWER-B.
You are to retain the driver medical records for a minimum of 3
years.
As a medical examiner, you will need to provide a copy
of the Medical
Examination Report Form to a driver who is applying for,
or renewing, a:
a. Skill Performance Evaluation (SPE) certificate.
b. Hearing exemption certificate.
c. Seizure exemption certificate.
d. Any of the above. - ANSWER-D.
,Since the medical examiner does not complete any of the three
certificates listed - they are approved by the FMCSA - the driver
must have a copy of the Medical Examination Report Form to
apply for each exemption certificate.
Which of the following is true of the vision requirements for
commercial drivers?
a. The requirement for central distant visual acuity is at least
20/40 in each eye.
b. The requirement for distant binocular visual acuity is at least
20/50.
c. Contact lenses may not be worn to meet distant visual acuity
requirements.
d. The driver must meet either the distant visual acuity
requirement for each eye OR the binocular visual acuity
requirement. - ANSWER-A.
The Snellen chart or the Titmus Vision Tester measures static
central vision acuity. The requirement for central distant visual
acuity is at least 20/40 in each eye and distant binocular visual
acuity of at least 20/40.
An acute disk herniation at L5/S1 would be expected to affect
which of the following reflexes?
a. The driver cannot be certified.
b. The driver should be certified after a one-year waiting period.
c. The driver should be certified after a one-month waiting
period.
,d. The driver should be certified with no restrictions. -
ANSWER-B. A driver who has suffered a stroke may or may
not be at increased risk for seizures, depending on the
location of the lesions. A driver with brainstem vascular
lesions is not at an increased risk for seizures, and may be
certified following a one-year waiting period.
A driver who has been diagnosed with depression and is
prescribed lithium may
be
certified if:
a. The driver is asymptomatic.
b. Has no impairment that interferes with safe driving.
c. Has lithium levels that are maintained in the therapeutic
range
d. All of the above. - ANSWER-D.
Studies show there is little evidence to link lithium to driving
accidents. A driver who currently takes lithium should be
certified provided that: the driver is asymptomatic, the driver
has no impairment that interferes with safe driving, and the
driver has lithium levels that are maintained in the therapeutic
range.
A 44-year-old male presents for examination. He has undergone
a surgery for repair of a 5.0 cm abdominal aortic aneurysm 1
year ago. He provides a clearance report by a cardiovascular
specialist indicating he is asymptomatic. Is this person
qualified? If yes, for how long?
, a. Yes, for 6 months.
b. No.
c. Yes, for one year.
d. Yes, for two years. - ANSWER-C.
Per FMCSA's guidelines, persons who have undergone repair
of an abdominal aortic aneurysm may be certified annually if
more than three months have passed since surgery, they are
asymptomatic, and are cleared by a cardiovascular specialist.
A driver has been struggling dealing with separation from his
family during his long-haul shifts and was started on Lexapro
by his primary care physician. The driver appears stressed and
tired during his DOT exam that he attributes to recently being
on the road for a long period of time. The medical examiner
should:
a. Certify the driver for three months to allow for a psychiatric
evaluation.
b. Certify the driver for three months to allow for titration of
medications.
c. Acknowledge the stressors the driver is facing and
encourage regular follow up with his PCP.
d. Disqualify the driver. - ANSWER-C.
A drive r reports a suicide attempt 10 months earlier, following
the break-up of his marriage. He noted seeing a psychiatrist
and he takes Citalopram daily and he reports he feels fine now
and is moving on with his life. He provides a release from his
