NRCME DOT Exam Questions & Answers
1.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 mm Hg
Answer 65 mmhg
2.A driver first perceives a whispered voice at 5 feet in his right ear and 4
feet in his left ear. All other aspects of his physical examination are
unremarkable. The examiner should
a. Disqualify the driver because he "failed" the whispered
voice test.
b. Certify the driver for 2 years.
c. Certify the driver for 1 year.
d. Require an audiometric test to determine the extent of hearing loss in his
leftear.
Answer certify for 2 years
3.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 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.
Answer disqualify the driver
The driver has not completed the required 2-month waiting period, but a
other requirements for medical clearance and required testing have bee
met. The driver would be certified for 1 year at the completion of the
waiting period
4.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 Left ear
3. 2000 HZ 40 Right ear; 45 Left ear
4. 4000 Hz 50 Right ear; 50 Left ear
The medical examiner should
a. Disqualify the driver because he does not meet minimum hearing
,require- ments
to drive.
b. Certify the driver for 2years. c. Certify the driver for 1 year. d. Require
the driver to obtain a hearing exemption
Answer certify the driver for 2 years
5.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 exemp- tion because of the limitation
in the driver's left peripheral field.
c. Disqualify the driver.
d. Have the driver consult with an Ophthalmologist to determine if the
driver's peripheral vision meets minimum standards.
Answer Qualify the driver for two years
6.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
Answer Disqualify the driver and refer him to a mental health professiona
prior to consideration for certification.
7.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
documenta- tion for the glaucoma indicating he is able to drive a truck. He
began using the marijuana about three months ago. His current medical card
has no limitations listed and is for 2 years. His certification examination is
within normal limits. The medical examiner should
a. Disqualify the driver.
b. Perform a urine drug collection and provide the release from the
testing provider.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years.
Answer Disqualify the driver
8.A driver has a blood pressure of 136/92 mm Hg. This is
1.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 mm Hg
Answer 65 mmhg
2.A driver first perceives a whispered voice at 5 feet in his right ear and 4
feet in his left ear. All other aspects of his physical examination are
unremarkable. The examiner should
a. Disqualify the driver because he "failed" the whispered
voice test.
b. Certify the driver for 2 years.
c. Certify the driver for 1 year.
d. Require an audiometric test to determine the extent of hearing loss in his
leftear.
Answer certify for 2 years
3.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 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.
Answer disqualify the driver
The driver has not completed the required 2-month waiting period, but a
other requirements for medical clearance and required testing have bee
met. The driver would be certified for 1 year at the completion of the
waiting period
4.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 Left ear
3. 2000 HZ 40 Right ear; 45 Left ear
4. 4000 Hz 50 Right ear; 50 Left ear
The medical examiner should
a. Disqualify the driver because he does not meet minimum hearing
,require- ments
to drive.
b. Certify the driver for 2years. c. Certify the driver for 1 year. d. Require
the driver to obtain a hearing exemption
Answer certify the driver for 2 years
5.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 exemp- tion because of the limitation
in the driver's left peripheral field.
c. Disqualify the driver.
d. Have the driver consult with an Ophthalmologist to determine if the
driver's peripheral vision meets minimum standards.
Answer Qualify the driver for two years
6.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
Answer Disqualify the driver and refer him to a mental health professiona
prior to consideration for certification.
7.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
documenta- tion for the glaucoma indicating he is able to drive a truck. He
began using the marijuana about three months ago. His current medical card
has no limitations listed and is for 2 years. His certification examination is
within normal limits. The medical examiner should
a. Disqualify the driver.
b. Perform a urine drug collection and provide the release from the
testing provider.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years.
Answer Disqualify the driver
8.A driver has a blood pressure of 136/92 mm Hg. This is
