DOT Comprehensive Review for NRCME Exam with correct answers 2026

DOT Comprehensive Review for
NRCME Exam with correct
answers 2026




CorrectivevlensesvthatvarevprohibitedvbyvthevFMCSA,vincluding:v-vcorrect-
answersvlensesvthatvcorrectvdistancevvisionvinvoneveyevandvnearvvisionvinvthevother.

telescopicvlenses



Medicalvguidelinesvforvthevdrivervwithvdiabetesvmellitusvinclude:v-vcorrect-
answersvAnnualvmedicalvexamination.

Annualvophthalmologistvorvoptometristveyevevaluation.

Disqualificationvforvavdiagnosisvofvunstablevproliferativevretinopathy.

,MonocularvVisiongMonocularvvisionvisvdisqualifying.

However,vthevdrivervwhovhasvmonocularvvisionvthatvwithvthevbetterveyevmeetsvallvvisionvqualificati
onvrequirementsvmayvbevconsideredvforvavFederalvVisionvExemptionvifvthevMedicalvExaminervfinds
v thevdrivervotherwisevmedicallyvfitvforvduty.



Monocularvvisionvisvdefinedvasvvisionvthatvisvatvleastv20/40vforvdistancevinvoneveyevwithvorvwithoutv
correctionvandvvisionvthatvisvlessvthanv20/40vforvdistancevinvoneveyevwithvorvwithoutvcorrection.

Thevdrivervmustvmeetvothervvisionvrequirementsvinveachveye,vincludingvvisualvfieldsv(horizontalvfie
l dvofvvision).

FederalvVisionvExemption:vthevdrivervwithvmonocularvvisionvwhovisvapplyingvforvorvhasvavfederalvex
emptionvorvisvqualifiedvbyvoperationvofv49vCFRv391.64vmustvhavevanvannualvphysicalvexamination.

Driversvwithvvisionvlossvwhovmeetvstandardsvmayvbevcertifiedvforvupvtovtwovyears.



Avdrivervwhovwearsvcontactvlensesvwhichvcorrectvfarsightednessvinvoneveyevandvnearsightednessvi
nvthevother,vbutvhasvnovothervvisualvimpairmentsvcanvbevcertifiedvundervwhatvadditionalvcondition
s?



Onlyvifvthevdrivervwearsvprescriptionvglassesvwhichvprovidevthevsamevcorrectionvasvthevcontactvlen
ses.

FMCSAvguidancevindicatesvthatvavdrivervshouldvnotvbevcertifiedvundervthesevcircumstances.

Onlyvbyvfederalvexemption.

Thevdrivervisvalwaysvcertifiablevundervthesevconditions.g
FMCSAvguidancevindicatesvthatvavdrivervshouldvnotvbevcertifiedvundervthesevcircumstances.



Explanation:vFMCSAvguidancevindicatesvthatvcontactvlensesvthatvcorrectvoneveyevforvdistancevandv
oneveyevforvnearvvisionvarevnotvacceptable.



Guidancevrecommendsvnotvtovcertifyvwithvearvproblemvdiagnosesvof:v-vcorrect-
answersva)vUncontrolledvvertigo.

,v b)vMénière'svdisease.



v c)vNonfunctioningvlabyrinth.


v d)vNonfunctioningvfistula.



Thevmedicalvexaminer'svrolevinvthevexemptionvprocessvincludesv_________.



Issuingvthevexemption.

Issuingvthevprescriptionvforvthevdriver'svcontactvlensesvand/orvglasses.

ProvidingvthevdrivervwithvcontactvinformationvforvthevFederalvVisionvExemptionvProgram.

Assuringvthatvthevdrivervhasvperipheralvvisionvofvatvleastv110vdegreesvinveachveye.v-
vcorrectanswersv-


ProvidingvthevdrivervwithvcontactvinformationvforvthevFederalvVisionvExemptionvProgram.



Explanation:vThevmedicalvexaminer'svrolevinvthevexemptionvprocessvisvlimitedvtovperformingvthevd
r
ivervexaminationvandvprovidingvthevdrivervwithvcontactvinformationvforvthevFMCSAvrelatedvtovthev
exemptionvprocess.



Anvaudiometricvtestvproducesvthevfollowingvresults:vLeftvear:v500vHz,v35dBvLoss;v1,000vHz,v35vdBvl
o
ss;v2,000vHzv45vdBvloss.vRightvear:v500vHz,v40vdBvloss;v1,000vHz,v45vdBvloss;v2,000v40vdBvloss.vWhatvi
svthevcertification?



Certifyvforvonevyear.

Certifyvforvtwovyears.

Dovnotvcertify.

, Certifyvonlyvwhenvaccompaniedvbyvhearingvaid.gCertifyvforvtwovyears.



Explanation:vDriversvwithvanvaveragevhearingvlossvofv<v40vdecibelsvaveragedvacrossv500,v1000,vand
v 2000vHzvinvthevbettervearvmayvbevcertifiedvforvtwovyears.




Whatveyevconditionsvmustvthevmedicalvexaminervaskvthevdrivervabout?



Cataracts,vcolorvdeficiencies,vretinitisvpigmentosa,vaphakia,vglaucoma.

Lazyveye,vcataracts,vaphakia,vfloaters,vretinopathy.

Glaucoma,vmacularvdegeneration,vretinitisvpigmentosa,vcolorvdeficiencies.

Retinopathy,vcataracts,vaphakia,vglaucoma,vmacularvdegeneration.v-vcorrect-
answersvRetinopathy,vcataracts,vaphakia,vglaucoma,vmacularvdegeneration.



Explanation:vThesevarevthev"askvabout"vvisionvconditions.vThevmedicalvexaminervmayvaskvthevdriv
e rvaboutvanyveyevconditions,vbutvshouldvaskvthevdrivervaboutvthesevspecifiedvconditions.



Whichvofvthevfollowingvdrivers'vtestsvmeetvhearingvcertificationvstandards?



Whispervtestv4vfeetvrightvear,v3vfeetvleftvear.

Whispervtestv5vfeetvrightvearvwithvhearingvaid,v3vfeetvleftvearvwithoutvhearingvaid.

Audiogramvleftv30/500vHz,v40/1000vHz,v60/2000vHz;vrightv25/500vHz,v35/1000vHz,v80/2000vHz.

Audiogramvleftv35/500vHz,v50/1000vHz,v40/3000vHz;vrightv35/500vHz,v35/1000vHz,v60/3000vHz.vvco
rrect-answersv-
Whispervtestv5vfeetvrightvearvwithvhearingvaid,v3vfeetvleftvearvwithoutvhearingvaid.



Explanation:vWhispervtestvresultsvrequirev5vfeetvinvatvleastvonevearvforvpassing,vwithvorvwithoutvavh
earingvaid.vAudiometricvtestingvresultsvrequirevanvaveragevofv40vdBvlossvinvthevbettervearvforvresult