NCRME DOT 2024/2025 Study Guide
Exam Q&A 100% Solved
How often is a driver with stage 3 hypertension recertified? a. Every 3 months.
b. Every 6 months.
c. Every 12 months.
d. Every 2 years. - ✔✔b. Every 6 months.
A driver with a history of stage 3 hypertension may be certified for a maximum
of 6 months.
What minimum PaO2 level is necessary if the driver has an ABG due to a chronic
respiratory disorder?
a. 70 mm Hg
b. 55 mm Hg
c. 60 mm Hg
d. 65 mmHg - ✔✔Correct answer is "D". To be qualified, the driver should meet
a minimum arterial blood gas (PaO2) greater than 65.
A driver reports for an examination 6 weeks after suffering a mild heart attack
and presents a note from his cardiologist stating that he is able to return to
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,work immediately without restriction. Included within the note, the cardiologist
provides recent testing information showing that the driver had an ETT that
showed he was able to reach 12 METS during the test. His echocardiogram
showed an ejection fraction of 65%. The examination of the driver is
unremarkable. The examiner should:
a. Disqualify the driver.
b. Qualify the driver for 1 year.
c. Qualify the driver for 2 years.
d. Consult with the cardiologist to determine if the driver suffers from angina. -
✔✔Correct answer is "A". The driver has not completed the required 2-month
waiting period, but all other requirements for medical clearance and required
testing have been met. The driver would be certified for 1 year at the
completion of the waiting period. The date of the certification would be from
the date of the original examination.
A driver provides an audiometric test documenting the following:
1. 500 Hz: 35 Right ear; 40 Left ear
2. 1000 HZ: 40 Right ear; 45 Leftear
3. 2000 HZ: 40 Right ear; 45 Leftear
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,4. 4000 Hz: 50 Right ear; 50 Left ear
The medical examinershould:
a. Disqualify the driver because he does not meet minimum hearing
requirementsto drive.
b. Certify the driver for 2years.
c. Certify the driver for 1 year.
d. Require the driver to obtain a hearing exemption. - ✔✔Correct answer is "B".
The examiner would average the results from 500 Hz, 1000 Hz and 2000 Hz. This
average is 38.33 in the Right and 43.33 in the Left ear. A driver must have an
average hearing loss of less than or equal to 40 in the better ear. This does not
have to be met in both ears.
During the examination of a commercial driver, the examiner notices that the
driver's peripheral vision is 70 degrees to the left and 80 degrees to the right.
The examiner should:
a. Qualify the driver for 2years.
b. Require the driver to obtain a vision exemption because of the limitation in
the driver's left peripheral field.
c. Disqualify the driver.
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, d. Have the driver consult with an Ophthalmologist to determine if the driver's
peripheral vision meets minimum standards. - ✔✔Correct answer is "A". A
driver must exhibit a minimum peripheral vision of 70 degrees bilaterally.
During examination, the medical examiner notices that the driver is distant,
lacks eye contact and shows absolutely no emotional response during the exam.
The examiner's best response should be:
a. Provide the driver with a "CAGE" questionnaire to determine if he suffers
from alcoholism.
b. Disqualify the driver and refer him to a mental health professional prior to
consideration for certification.
c. Certify the driver with a 1-time, 3-month certificate to determine if there is
any effect on the driver's ability to drive a CMV.
d. Require a skill performance evaluation to ascertain if the driver has any
limitations with driving. - ✔✔Correct answer is "B". The driver exhibits what
may be considered a "flat affect" which is seen in schizophrenia and in severe
depression. The driver should be evaluated by a mental health expert to make a
diagnosis prior to certification.
A driver admits to the use of marijuana for the treatment of his glaucoma,
which is legal in the State in which he lives. He provides medical documentation
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Exam Q&A 100% Solved
How often is a driver with stage 3 hypertension recertified? a. Every 3 months.
b. Every 6 months.
c. Every 12 months.
d. Every 2 years. - ✔✔b. Every 6 months.
A driver with a history of stage 3 hypertension may be certified for a maximum
of 6 months.
What minimum PaO2 level is necessary if the driver has an ABG due to a chronic
respiratory disorder?
a. 70 mm Hg
b. 55 mm Hg
c. 60 mm Hg
d. 65 mmHg - ✔✔Correct answer is "D". To be qualified, the driver should meet
a minimum arterial blood gas (PaO2) greater than 65.
A driver reports for an examination 6 weeks after suffering a mild heart attack
and presents a note from his cardiologist stating that he is able to return to
Page 1 of 129
©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025.
,work immediately without restriction. Included within the note, the cardiologist
provides recent testing information showing that the driver had an ETT that
showed he was able to reach 12 METS during the test. His echocardiogram
showed an ejection fraction of 65%. The examination of the driver is
unremarkable. The examiner should:
a. Disqualify the driver.
b. Qualify the driver for 1 year.
c. Qualify the driver for 2 years.
d. Consult with the cardiologist to determine if the driver suffers from angina. -
✔✔Correct answer is "A". The driver has not completed the required 2-month
waiting period, but all other requirements for medical clearance and required
testing have been met. The driver would be certified for 1 year at the
completion of the waiting period. The date of the certification would be from
the date of the original examination.
A driver provides an audiometric test documenting the following:
1. 500 Hz: 35 Right ear; 40 Left ear
2. 1000 HZ: 40 Right ear; 45 Leftear
3. 2000 HZ: 40 Right ear; 45 Leftear
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,4. 4000 Hz: 50 Right ear; 50 Left ear
The medical examinershould:
a. Disqualify the driver because he does not meet minimum hearing
requirementsto drive.
b. Certify the driver for 2years.
c. Certify the driver for 1 year.
d. Require the driver to obtain a hearing exemption. - ✔✔Correct answer is "B".
The examiner would average the results from 500 Hz, 1000 Hz and 2000 Hz. This
average is 38.33 in the Right and 43.33 in the Left ear. A driver must have an
average hearing loss of less than or equal to 40 in the better ear. This does not
have to be met in both ears.
During the examination of a commercial driver, the examiner notices that the
driver's peripheral vision is 70 degrees to the left and 80 degrees to the right.
The examiner should:
a. Qualify the driver for 2years.
b. Require the driver to obtain a vision exemption because of the limitation in
the driver's left peripheral field.
c. Disqualify the driver.
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, d. Have the driver consult with an Ophthalmologist to determine if the driver's
peripheral vision meets minimum standards. - ✔✔Correct answer is "A". A
driver must exhibit a minimum peripheral vision of 70 degrees bilaterally.
During examination, the medical examiner notices that the driver is distant,
lacks eye contact and shows absolutely no emotional response during the exam.
The examiner's best response should be:
a. Provide the driver with a "CAGE" questionnaire to determine if he suffers
from alcoholism.
b. Disqualify the driver and refer him to a mental health professional prior to
consideration for certification.
c. Certify the driver with a 1-time, 3-month certificate to determine if there is
any effect on the driver's ability to drive a CMV.
d. Require a skill performance evaluation to ascertain if the driver has any
limitations with driving. - ✔✔Correct answer is "B". The driver exhibits what
may be considered a "flat affect" which is seen in schizophrenia and in severe
depression. The driver should be evaluated by a mental health expert to make a
diagnosis prior to certification.
A driver admits to the use of marijuana for the treatment of his glaucoma,
which is legal in the State in which he lives. He provides medical documentation
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©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025.
