NRCME DOT PRACTICE TEST EXAM
FULLY SOLVED & UPDATED 2026
LATEST VERSION VERIFIED FOR
ACCURACY 280 QUESTIONS AND
ANSWERS SOLVED 100% CORRECT
GUARANTEED PASS!
"A 40-year-old driver presents for certification three months after undergoing surgery for carpal
tunnel syndrome. The examiner should next:
a. Order an EMG.
b. Assess grip strength.
c. Obtain assurance that the driver has completed the prescribed physical therapy. - CORRECT
ANSWER=>B.
Assessing grip strength is the next logical step to assess if the driver can safely operate a
commercial motor vehicle."
"A blood pressure of 166/92 mm Hg would be?
a. Considered normal.
b. Stage 1 hypertension.
c. Stage 2 hypertension.
d. Stage 3 hypertension. - CORRECT ANSWER=>C.
The driver has Stage 2 hypertension (160 - 179/100 - 109)."
"Lasegue's sign tests for:
a. Lumbosacral radicular irritation.
b. Early peritonitis.
c. Benign vertigo, as opposed to a central etiology.
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,d. Amblyopia - CORRECT ANSWER=>A.
Lasegue's sign or straight leg raising test is a neurodynamic exam to assess nerve root irritation
in the lumbosacral area."
"The driver uses hearing aids during the whisper test. He is able to hear at 5 feet on the right
and 4 feet on the left.
a. Send the driver for an audiometric test.
b. Disqualify the driver.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years. - CORRECT ANSWER=>D.
The driver is able to use hearing aids during the whisper test (and this should be marked on the
form). A driver must only qualify in 1 ear to certify and there is no limitation of certification
time."
"The minimum acceptable spirometry values required to certify a driver are:
a. FEV1 70%, FVC 65%, FEV1/FVC ratio 65%
b. FEV1 65%, FVC 60%, FEV1/FVC ratio 65%
c. FEV1 65%, FVC 65%, FEV1/FVC ratio 65%
d. FEV1 60%, FVC 60%, FEV1/FVC ratio 60% - CORRECT ANSWER=>B.
The minimum acceptable values are 65%, 60%, and 65% (FEV1, FVC, FEV1/FVC ratio)."
"A driver presenting to your office marks down that he is taking "nitroglycerin" for angina and
he has been doing so for a few years. Upon questioning he indicates that he has needed more
nitroglycerin recently because his episodes have become more frequent. Your best course of
action is to:
a. Council the driver to increase his dose of medication.
b. Certify the driver for 1 year.
c. Provide a 1-time, 3-month certificate to monitor his condition.
d. Disqualify the driver and refer him to his cardiologist for further evaluation. - CORRECT
ANSWER=>D.
Disqualify the driver because his angina is not stable."
"The longest the medical examiner would certify a driver with a history of Stage 3 hypertension
is:
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,a. 3 months
b. 6 months
c. 12 months
d. 24 months - CORRECT ANSWER=>B.
The driver may only be certified for a maximum of 6 months for the rest of his/her driving
career."
"A driver is taking Wellbutrin to help him stop smoking. He has provided a note from his PCP
stating that he has no side effects and confirms that he is taking the medication for smoking
cessation. The examiner would?
a. Certify the driver for 2 years.
b. Certify the driver for 1 year.
c. Disqualify the driver because the medication is not allowed.
d. Council the driver to only take the medication at night. - CORRECT ANSWER=>A.
The driver is not being treated for a psychiatric condition such as anxiety or depression, and he
has clearance. He would be able to be certified for 2 years."
"During the history, the driver admits to taking Benadryl for seasonal allergies. The examiner
should?
a. Counsel the driver to not take the medication for 12 hours prior to driving.
b. Obtain medical clearance from the driver's PCP that he/she can drive.
c. Disqualify the driver until he/she is no longer taking Benadryl.
d. Provide a 1-time, 3-month certificate to determine the medication's effect on the driver. -
CORRECT ANSWER=>A.
Counsel the driver concerning use of over-the-counter anti- histamines, and anti-tussives (both
cause drowsiness and should not be taken while driving) and about the recommended 12-hour
waiting period for first-generation anti-histamines."
"A driver has a history of a moderate Traumatic Brain Injury that occurred 3 years ago as a result
of a car accident. He reports he has fully recovered and provides a note from his neurologist
stating that he suffered no seizures and that he is able to return to driving. He does not list any
medications in his history. The examiner should:
a. Disqualify the driver.
b. Require the driver to take a "Folstein's mini mental state exam."
c. Certify the driver for one year.
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, d. Certify the driver for two years. - CORRECT ANSWER=>C.
The driver suffered no seizures from the TBI, has completed the recommended waiting period
(3 years), and has medical clearance. If the rest of the examination is unremarkable, the driver
could be certified for 1 year."
"For a driver with amblyopia, the medical examiner would be most interested in evaluating:
a. Extraocular muscles.
b. Intraocular pressure.
c. Fundoscopic examination.
d. Slit lamp exam. - CORRECT ANSWER=>A.
Amblyopia is often associated with strabismus (misaligned eyes)."
"The driver lists Synthroid for the treatment of hypothyroidism. He has been taking it for about
6 months and feels fine now. His examination is essentially normal. The examiner's best course
of action is to?
a. Request medical clearance for the medication prior to certification.
b. Certify the driver for 1 year.
c. Certify the driver for 2 years.
d. Counsel the driver that he needs to apply for an endocrine exemption. - CORRECT
ANSWER=>C.
The driver's hypothyroidism is well managed and he is asymptomatic. The driver may be
certified for 2 years."
"Which of the following is correct regarding the appropriate person to complete and sign Form
MCSA-5870 for a driver who has insulin-treated diabetes mellitus?
a. Only an endocrinologist can complete the form.
b. The medical provider who manages the driver's diabetes and prescribes insulin for the
driver's diabetes completes the form.
c. The driver's primary care provider of record must complete the form.
d. Any provider who has evaluated the driver within the last 12 months may complete the form
- CORRECT ANSWER=>B.
The treating clinician completes from MCSA-5870, defined as the healthcare professional who
manages, and prescribes insulin for the treatment of the driver's diabetes."
"A driver should not be certified when an ABG reveals a PaO2 of less than 65 at altitudes below:
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FULLY SOLVED & UPDATED 2026
LATEST VERSION VERIFIED FOR
ACCURACY 280 QUESTIONS AND
ANSWERS SOLVED 100% CORRECT
GUARANTEED PASS!
"A 40-year-old driver presents for certification three months after undergoing surgery for carpal
tunnel syndrome. The examiner should next:
a. Order an EMG.
b. Assess grip strength.
c. Obtain assurance that the driver has completed the prescribed physical therapy. - CORRECT
ANSWER=>B.
Assessing grip strength is the next logical step to assess if the driver can safely operate a
commercial motor vehicle."
"A blood pressure of 166/92 mm Hg would be?
a. Considered normal.
b. Stage 1 hypertension.
c. Stage 2 hypertension.
d. Stage 3 hypertension. - CORRECT ANSWER=>C.
The driver has Stage 2 hypertension (160 - 179/100 - 109)."
"Lasegue's sign tests for:
a. Lumbosacral radicular irritation.
b. Early peritonitis.
c. Benign vertigo, as opposed to a central etiology.
Page | 1
,d. Amblyopia - CORRECT ANSWER=>A.
Lasegue's sign or straight leg raising test is a neurodynamic exam to assess nerve root irritation
in the lumbosacral area."
"The driver uses hearing aids during the whisper test. He is able to hear at 5 feet on the right
and 4 feet on the left.
a. Send the driver for an audiometric test.
b. Disqualify the driver.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years. - CORRECT ANSWER=>D.
The driver is able to use hearing aids during the whisper test (and this should be marked on the
form). A driver must only qualify in 1 ear to certify and there is no limitation of certification
time."
"The minimum acceptable spirometry values required to certify a driver are:
a. FEV1 70%, FVC 65%, FEV1/FVC ratio 65%
b. FEV1 65%, FVC 60%, FEV1/FVC ratio 65%
c. FEV1 65%, FVC 65%, FEV1/FVC ratio 65%
d. FEV1 60%, FVC 60%, FEV1/FVC ratio 60% - CORRECT ANSWER=>B.
The minimum acceptable values are 65%, 60%, and 65% (FEV1, FVC, FEV1/FVC ratio)."
"A driver presenting to your office marks down that he is taking "nitroglycerin" for angina and
he has been doing so for a few years. Upon questioning he indicates that he has needed more
nitroglycerin recently because his episodes have become more frequent. Your best course of
action is to:
a. Council the driver to increase his dose of medication.
b. Certify the driver for 1 year.
c. Provide a 1-time, 3-month certificate to monitor his condition.
d. Disqualify the driver and refer him to his cardiologist for further evaluation. - CORRECT
ANSWER=>D.
Disqualify the driver because his angina is not stable."
"The longest the medical examiner would certify a driver with a history of Stage 3 hypertension
is:
Page | 2
,a. 3 months
b. 6 months
c. 12 months
d. 24 months - CORRECT ANSWER=>B.
The driver may only be certified for a maximum of 6 months for the rest of his/her driving
career."
"A driver is taking Wellbutrin to help him stop smoking. He has provided a note from his PCP
stating that he has no side effects and confirms that he is taking the medication for smoking
cessation. The examiner would?
a. Certify the driver for 2 years.
b. Certify the driver for 1 year.
c. Disqualify the driver because the medication is not allowed.
d. Council the driver to only take the medication at night. - CORRECT ANSWER=>A.
The driver is not being treated for a psychiatric condition such as anxiety or depression, and he
has clearance. He would be able to be certified for 2 years."
"During the history, the driver admits to taking Benadryl for seasonal allergies. The examiner
should?
a. Counsel the driver to not take the medication for 12 hours prior to driving.
b. Obtain medical clearance from the driver's PCP that he/she can drive.
c. Disqualify the driver until he/she is no longer taking Benadryl.
d. Provide a 1-time, 3-month certificate to determine the medication's effect on the driver. -
CORRECT ANSWER=>A.
Counsel the driver concerning use of over-the-counter anti- histamines, and anti-tussives (both
cause drowsiness and should not be taken while driving) and about the recommended 12-hour
waiting period for first-generation anti-histamines."
"A driver has a history of a moderate Traumatic Brain Injury that occurred 3 years ago as a result
of a car accident. He reports he has fully recovered and provides a note from his neurologist
stating that he suffered no seizures and that he is able to return to driving. He does not list any
medications in his history. The examiner should:
a. Disqualify the driver.
b. Require the driver to take a "Folstein's mini mental state exam."
c. Certify the driver for one year.
Page | 3
, d. Certify the driver for two years. - CORRECT ANSWER=>C.
The driver suffered no seizures from the TBI, has completed the recommended waiting period
(3 years), and has medical clearance. If the rest of the examination is unremarkable, the driver
could be certified for 1 year."
"For a driver with amblyopia, the medical examiner would be most interested in evaluating:
a. Extraocular muscles.
b. Intraocular pressure.
c. Fundoscopic examination.
d. Slit lamp exam. - CORRECT ANSWER=>A.
Amblyopia is often associated with strabismus (misaligned eyes)."
"The driver lists Synthroid for the treatment of hypothyroidism. He has been taking it for about
6 months and feels fine now. His examination is essentially normal. The examiner's best course
of action is to?
a. Request medical clearance for the medication prior to certification.
b. Certify the driver for 1 year.
c. Certify the driver for 2 years.
d. Counsel the driver that he needs to apply for an endocrine exemption. - CORRECT
ANSWER=>C.
The driver's hypothyroidism is well managed and he is asymptomatic. The driver may be
certified for 2 years."
"Which of the following is correct regarding the appropriate person to complete and sign Form
MCSA-5870 for a driver who has insulin-treated diabetes mellitus?
a. Only an endocrinologist can complete the form.
b. The medical provider who manages the driver's diabetes and prescribes insulin for the
driver's diabetes completes the form.
c. The driver's primary care provider of record must complete the form.
d. Any provider who has evaluated the driver within the last 12 months may complete the form
- CORRECT ANSWER=>B.
The treating clinician completes from MCSA-5870, defined as the healthcare professional who
manages, and prescribes insulin for the treatment of the driver's diabetes."
"A driver should not be certified when an ABG reveals a PaO2 of less than 65 at altitudes below:
Page | 4
