NCRME DOT 2024/2025 Exam Questions
and Answers | Get it 100% Correct!!
disqualify pulmonary (7) - ✔✔- ABG PaO2<65mmHg below 5,000ft
PaO2<60mmHg above 5,000ft
PaCO2>45mmHg at any altitude
- untreated symptomatic obstructive sleep apnea, restless leg syndrome
associated with excessive daytime sleepiness (EDS), narcolepsy, hypoxemia at
rest, use of supplementary oxygen, use of antihistamines within 12 hrs
ABG testing required when (3) - ✔✔O2<92
FEV1 or FEV1/FVC ratio <65%
FVC< 60%
minimum pulse ox not requiring ABG - ✔✔92%
stage 1 HTN - ✔✔140-159/90-99
stage 2 HTN - ✔✔160-179/100-109
stage 3 HTN - ✔✔> or equal to 180/> or equal to 110
persistent stage 1 HTN, you can one time certify for how many months - ✔✔3
months
3 major disqualifications - ✔✔IDDM, monocular vision, epilepsy
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,urine dipstick (4) - ✔✔specific gravity, blood, protein, and glucose
required tests (5) - ✔✔vision, hearing, blood pressure, pulse, and dipstick
urinalysis
maximum certification interval - ✔✔2 years
minimum vision requirements (2) - ✔✔20/40 w/ correction and 70 degrees
minimum hearing requirements - ✔✔ability to hear a forced whisper in at least
one ear from not less than 5 feet, or hearing loss of no more than 40 decibels
averaged across 500 Hz, 1000 Hz, and 2000 Hz
waiting period for acute and chronic
vestibulopathy and benign positional vertigo - ✔✔2 months
do not certify for hearing conditions (4) - ✔✔uncontrolled vertigo, Meniere's
disease, nonfunctioning labyrinth, and nonfunctioning fistula
Drivers on blood pressure medications get certified for - ✔✔1 year
Non-modifiable Cardiovascular Disease risk factors (4) - ✔✔-Age (over 45 at
higher risk, over 60 at much higher risk).
-Gender (males at higher risk, postmenopausal women at higher risk).
-Family history (premature CVD in 1st degree relative males age 55, females age
65).
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, -Race (African Americans are at higher risk)
disqualifying cardiac conditions - ✔✔Hypertrophic or Restrictive
Cardiomyopathy
Implantable cardiac defibrillator (ICD)
Modifiable Cardiovascular Disease risk factors (6) - ✔✔Hypertension.
Smoking.
Cholesterol (high LDL and low HDL, high triglycerides)
Obesity.
Sedentary lifestyle.
Diabetes.
Coronary heart disease (CHD) Risk-Equivalent conditions (4) - ✔✔Diabetes.
Peripheral vascular disease.
Framingham risk predicting 20% event risk over 10 years.
Age over 45 with multiple CVD risk factors
ETT requirements (5) - ✔✔- 6 METS (metabolic equivalents) (through Bruce
Stage II or equivalent )
-attain a heart rate >/= 85% of predicted max (unless on beta
blockers)
- hav a rise in SBP >/= 20 mmHg w/o angina
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and Answers | Get it 100% Correct!!
disqualify pulmonary (7) - ✔✔- ABG PaO2<65mmHg below 5,000ft
PaO2<60mmHg above 5,000ft
PaCO2>45mmHg at any altitude
- untreated symptomatic obstructive sleep apnea, restless leg syndrome
associated with excessive daytime sleepiness (EDS), narcolepsy, hypoxemia at
rest, use of supplementary oxygen, use of antihistamines within 12 hrs
ABG testing required when (3) - ✔✔O2<92
FEV1 or FEV1/FVC ratio <65%
FVC< 60%
minimum pulse ox not requiring ABG - ✔✔92%
stage 1 HTN - ✔✔140-159/90-99
stage 2 HTN - ✔✔160-179/100-109
stage 3 HTN - ✔✔> or equal to 180/> or equal to 110
persistent stage 1 HTN, you can one time certify for how many months - ✔✔3
months
3 major disqualifications - ✔✔IDDM, monocular vision, epilepsy
Page 1 of 17
©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025.
,urine dipstick (4) - ✔✔specific gravity, blood, protein, and glucose
required tests (5) - ✔✔vision, hearing, blood pressure, pulse, and dipstick
urinalysis
maximum certification interval - ✔✔2 years
minimum vision requirements (2) - ✔✔20/40 w/ correction and 70 degrees
minimum hearing requirements - ✔✔ability to hear a forced whisper in at least
one ear from not less than 5 feet, or hearing loss of no more than 40 decibels
averaged across 500 Hz, 1000 Hz, and 2000 Hz
waiting period for acute and chronic
vestibulopathy and benign positional vertigo - ✔✔2 months
do not certify for hearing conditions (4) - ✔✔uncontrolled vertigo, Meniere's
disease, nonfunctioning labyrinth, and nonfunctioning fistula
Drivers on blood pressure medications get certified for - ✔✔1 year
Non-modifiable Cardiovascular Disease risk factors (4) - ✔✔-Age (over 45 at
higher risk, over 60 at much higher risk).
-Gender (males at higher risk, postmenopausal women at higher risk).
-Family history (premature CVD in 1st degree relative males age 55, females age
65).
Page 2 of 17
©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025.
, -Race (African Americans are at higher risk)
disqualifying cardiac conditions - ✔✔Hypertrophic or Restrictive
Cardiomyopathy
Implantable cardiac defibrillator (ICD)
Modifiable Cardiovascular Disease risk factors (6) - ✔✔Hypertension.
Smoking.
Cholesterol (high LDL and low HDL, high triglycerides)
Obesity.
Sedentary lifestyle.
Diabetes.
Coronary heart disease (CHD) Risk-Equivalent conditions (4) - ✔✔Diabetes.
Peripheral vascular disease.
Framingham risk predicting 20% event risk over 10 years.
Age over 45 with multiple CVD risk factors
ETT requirements (5) - ✔✔- 6 METS (metabolic equivalents) (through Bruce
Stage II or equivalent )
-attain a heart rate >/= 85% of predicted max (unless on beta
blockers)
- hav a rise in SBP >/= 20 mmHg w/o angina
Page 3 of 17
©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025.
