@PROFDOCDIGITALLIBRARIES
NRCME DOT Examiner Test Practice Questions and
Answers (Latest Update 2025) Verified Answers
According to FMCSA regulations, which of the following must the medical
examiner evaluate when examining a driver's eyes?
A. Pupil reactivity
B. Iris symmetry
PR
C. Conjunctival injection
D. Corneal thickness - correct answers Correct Response:
O
A. Pupil reactivity
FD
Incorrect Responses:
O
B. Iris symmetry
This is incorrect because determining iris symmetry is not required by
C
FMCSA.
C. Conjunctival injection
This is incorrect because most causes of conjunctival injection would not be
disqualifying. Causes that are suspicious for a disqualifying condition need
additional evaluation. While this abnormal finding should be explained, with
determination of possible effects on safe driving before making a
,@PROFDOCDIGITALLIBRARIES
certification decision, it is not a condition that is specified in FMCSA
regulations.
D. Corneal thickness
This is incorrect because it is not measured in an office examination except
by an eye specialist.
According to FMCSA regulations, medical qualification for two years can be
PR
given to a driver who has... ?
A. An SPE certificate for a left below the knee amputation (BKA).
O
B. Hypertension.
FD
C. A recent diagnosis of Lewy body dementia.
D. Documented medical marijuana use for pain control. - correct answers
Correct Response:
O
A. An SPE certificate for a left below the knee amputation.This is the correct
C
response because in order to obtain the SPE certificate, the driver had to
demonstrate the ability to perform all tasks for the commercial driver job
description.
Incorrect Responses:
B. Hypertension.
, @PROFDOCDIGITALLIBRARIES
This is not the correct response because drivers with hypertension are only
given a medical certificate that is good for one year.
C. A recent diagnosis of Lewy body dementia.
This is not the correct response because this is a progressive, degenerative
condition with no known treatment. The effects of Lewy body dementia
impact the ability to operate a CMV safely.
D. Documented medical marijuana use for pain control.
PR
This is not the correct response because marijuana remains a drug listed in
Schedule I of the Controlled Substances Act. It remains unacceptable for any
O
safety-sensitive employee subject to drug testing under the drug testing
regulations of DOT to use marijuana. Also, FMCSA medical guidelines state
FD
that "driving impairment due to marijuana use is well substantiated."
O
During his visit to the medical examiner, a driver complains of severe pain in
his finger for the last two weeks after it was punctured. The examination
C
reveals an infected, swollen finger. After the medical examiner inquiries, the
driver states that the pain is made worse when he grips the steering wheel.
Which of the following should the medical examiner do next?
A. Obtain a hand X-ray.
B. Assess capillary refill in the hand.
C. Obtain a culture and sensitivity.
NRCME DOT Examiner Test Practice Questions and
Answers (Latest Update 2025) Verified Answers
According to FMCSA regulations, which of the following must the medical
examiner evaluate when examining a driver's eyes?
A. Pupil reactivity
B. Iris symmetry
PR
C. Conjunctival injection
D. Corneal thickness - correct answers Correct Response:
O
A. Pupil reactivity
FD
Incorrect Responses:
O
B. Iris symmetry
This is incorrect because determining iris symmetry is not required by
C
FMCSA.
C. Conjunctival injection
This is incorrect because most causes of conjunctival injection would not be
disqualifying. Causes that are suspicious for a disqualifying condition need
additional evaluation. While this abnormal finding should be explained, with
determination of possible effects on safe driving before making a
,@PROFDOCDIGITALLIBRARIES
certification decision, it is not a condition that is specified in FMCSA
regulations.
D. Corneal thickness
This is incorrect because it is not measured in an office examination except
by an eye specialist.
According to FMCSA regulations, medical qualification for two years can be
PR
given to a driver who has... ?
A. An SPE certificate for a left below the knee amputation (BKA).
O
B. Hypertension.
FD
C. A recent diagnosis of Lewy body dementia.
D. Documented medical marijuana use for pain control. - correct answers
Correct Response:
O
A. An SPE certificate for a left below the knee amputation.This is the correct
C
response because in order to obtain the SPE certificate, the driver had to
demonstrate the ability to perform all tasks for the commercial driver job
description.
Incorrect Responses:
B. Hypertension.
, @PROFDOCDIGITALLIBRARIES
This is not the correct response because drivers with hypertension are only
given a medical certificate that is good for one year.
C. A recent diagnosis of Lewy body dementia.
This is not the correct response because this is a progressive, degenerative
condition with no known treatment. The effects of Lewy body dementia
impact the ability to operate a CMV safely.
D. Documented medical marijuana use for pain control.
PR
This is not the correct response because marijuana remains a drug listed in
Schedule I of the Controlled Substances Act. It remains unacceptable for any
O
safety-sensitive employee subject to drug testing under the drug testing
regulations of DOT to use marijuana. Also, FMCSA medical guidelines state
FD
that "driving impairment due to marijuana use is well substantiated."
O
During his visit to the medical examiner, a driver complains of severe pain in
his finger for the last two weeks after it was punctured. The examination
C
reveals an infected, swollen finger. After the medical examiner inquiries, the
driver states that the pain is made worse when he grips the steering wheel.
Which of the following should the medical examiner do next?
A. Obtain a hand X-ray.
B. Assess capillary refill in the hand.
C. Obtain a culture and sensitivity.
