NRCME (DOT) | Latest 2025/2026 Update| i,- i,- i,- i,- i,- i,-
240 Actual Exam Questions with Verified
i,- i,- i,- i,- i,- i,-
Answers | 100% Correct| Graded A. i,- i,- i,- i,- i,-
A driver admits to the use of marijuana for the treatment of his
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
glaucoma, which is legal in the State in which he lives. He
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
provides medical documentation for the glaucoma indicating he
i,- i,- i,- i,- i,- i,- i,- i,-
is able to drive a truck. He began using the marijuana about three
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
months ago. His current medical card has no limitations listed
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
and is for 2 years. His certification examination is within normal
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
limits. The medical examiner should:
i,- i,- i,- i,-
a. Disqualify the driver.
i,- i,- i,-
b. Perform a urine drug collection and provide the release from
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
the testing provider.
i,- i,-
c. Certify the driver for 1 year.
i,- i,- i,- i,- i,- i,-
d. Certify the driver for 2 years.
i,- Correct answer is "A". Use of
i,- i,- i,- i,- i,- i,-i,- i,- i,- i,- i,- i,- i,- i,-
marijuana is prohibited by Federal law while driving a CMV and
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
trumps State law in this matter.
i,- i,- i,- i,- i,-
A driver has a blood pressure of 136/92 mm Hg. This is:
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
a. Within normal limits and would not affect the driver's
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
certification.
b. Stage 1 Hypertension.
i,- i,- i,-
,c. Stage 2 Hypertension.
i,- i,- i,-
d. Stage 3 Hypertension.
i,- Correct answer is "B". This is Stage 1
i,- i,- i,-i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
Hypertension, which is defined as 140-159/90 - 99. i,- i,- i,- i,- i,- i,- i,-
A driver is taking Celexa for the treatment of what he calls a "mild
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
depression." He reports he has not considered or attempted i,- i,- i,- i,- i,- i,- i,- i,- i,-
suicide. The examiner should? i,- i,- i,-
a.Temporarily disqualify the driver until he obtains written i,- i,- i,- i,- i,- i,- i,- i,-
clearance for the depression and the medication from the
i,- i,- i,- i,- i,- i,- i,- i,- i,-
treating provi i,-
b. Certify the driver for a period of 1 year.
i,- i,- i,- i,- i,- i,- i,- i,- i,-
c. Certify the driver for a period of 2 years.
i,- i,- i,- i,- i,- i,- i,- i,- i,-
d. Disqualify the driver until he is no longer requiring medication
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
for the treatment of depression.
i,- i,- Correct answer is "A". i,- i,- i,-i,- i,- i,- i,- i,- i,-
Medical clearance is required for all mental health disorders.
i,- i,- i,- i,- i,- i,- i,- i,- i,-
Celexa is an SSRI or 2nd Generation anti-depressant and is
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
acceptable.
A driver reports that he had a hunting accident wherein he
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
suffered a left orbital fracture. He presents a note at the time of
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
the examination from an ophthalmologist stating "may drive". His
i,- i,- i,- i,- i,- i,- i,- i,- i,-
exam is unremarkable except for a limitation in peripheral vision
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
in his left eye, which was inconclusive. His distance vision was
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
20/20 right and 20/40 left. The medical examiner should?
i,- i,- i,- i,- i,- i,- i,- i,-
,a. Council the driver on the need for a vision exemption.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
b. Disqualify the driver pending vision exam to determine if it
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
meets peripheral vision requirements.
i,- i,- i,- i,-
c. Certify the driver for 1 year.
i,- i,- i,- i,- i,- i,- i,-
d. Certify the driver for 2 years.
i,- Correct answer is "B". The
i,- i,- i,- i,- i,- i,-i,- i,- i,- i,- i,- i,- i,-
driver must have a peripheral vision of 70 degrees bilaterally to
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
certify to drive a CMV.
i,- i,- i,- i,-
What minimum PaO2 level on an ABG performed for a chronic
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
respiratory disorder is necessary to certify a commercial driver?
i,- i,- i,- i,- i,- i,- i,- i,-
a. 55 mm Hg.
i,- i,- i,-
b. 60 mm Hg.
i,- i,- i,-
c. 65 mm Hg.
i,- i,- i,-
d. 70 mm Hg.
i,- i,- Correct answer is "C". Blood oxygen saturation
i,- i,-i,- i,- i,- i,- i,- i,- i,- i,- i,-
must be a minimum of 65 mm Hg for the driver to certify.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
A driver is taking Topamax for the treatment of migraine
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
headaches. He reports good management of his headaches and
i,- i,- i,- i,- i,- i,- i,- i,- i,-
they never seem to interfere with his driving ability with the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
medication. The medical examiner should? i,- i,- i,- i,-
a. Obtain medical clearance for the condition and the medication.
i,- i,- i,- i,- i,- i,- i,- i,- i,-
b. Disqualify the driver because he is taking an anti-seizure
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
medication.
, c. Certify the driver for 1 year.
i,- i,- i,- i,- i,- i,-
d. Certify the driver for 2 years.
i,- Correct answer is "A".
i,- i,- i,- i,- i,- i,-i,- i,- i,- i,- i,- i,-
Topamax is a medication that is used for seizure control. The
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
examiner should confirm with the prescribing provider that the
i,- i,- i,- i,- i,- i,- i,- i,- i,-
driver does not take it to control seizures, and he is capable of
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
driving a CMV. i,- i,-
A 26 year-old driver presents for a first-time certification. He has
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
a long-standing history of ADHD and is taking methylphenidate.
i,- i,- i,- i,- i,- i,- i,- i,- i,-
You have verified his diagnosis and obtained clearance from his
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
treating psychiatrist. As the certified examiner, you:
i,- i,- i,- i,- i,- i,-
a. Should disqualify the driver, explaining that use of such
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
stimulants is cause for disqualification. i,- i,- i,- i,-
b. May certify for a maximum of 6 months.
i,- i,- i,- i,- i,- i,- i,- i,-
c. May certify for a maximum of 12 months.
i,- i,- i,- i,- i,- i,- i,- i,-
d. May certify for a maximum of 2 years.
i,- i,- i,- i,- i,- i,- i,- i,- i,-i,- i,- c. May certify for a
i,- i,- i,- i,- i,-
maximum of 12 months. i,- i,- i,-
A driver has a blood pressure of 168/112 mm Hg confirmed
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
during the examination. The driver should be:
i,- i,- i,- i,- i,- i,-
a. Disqualified.
i,-
b. Certified for 6 months.
i,- i,- i,- i,-
c. Certified for 1 year.
i,- i,- i,- i,-
240 Actual Exam Questions with Verified
i,- i,- i,- i,- i,- i,-
Answers | 100% Correct| Graded A. i,- i,- i,- i,- i,-
A driver admits to the use of marijuana for the treatment of his
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
glaucoma, which is legal in the State in which he lives. He
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
provides medical documentation for the glaucoma indicating he
i,- i,- i,- i,- i,- i,- i,- i,-
is able to drive a truck. He began using the marijuana about three
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
months ago. His current medical card has no limitations listed
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
and is for 2 years. His certification examination is within normal
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
limits. The medical examiner should:
i,- i,- i,- i,-
a. Disqualify the driver.
i,- i,- i,-
b. Perform a urine drug collection and provide the release from
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
the testing provider.
i,- i,-
c. Certify the driver for 1 year.
i,- i,- i,- i,- i,- i,-
d. Certify the driver for 2 years.
i,- Correct answer is "A". Use of
i,- i,- i,- i,- i,- i,-i,- i,- i,- i,- i,- i,- i,- i,-
marijuana is prohibited by Federal law while driving a CMV and
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
trumps State law in this matter.
i,- i,- i,- i,- i,-
A driver has a blood pressure of 136/92 mm Hg. This is:
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
a. Within normal limits and would not affect the driver's
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
certification.
b. Stage 1 Hypertension.
i,- i,- i,-
,c. Stage 2 Hypertension.
i,- i,- i,-
d. Stage 3 Hypertension.
i,- Correct answer is "B". This is Stage 1
i,- i,- i,-i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
Hypertension, which is defined as 140-159/90 - 99. i,- i,- i,- i,- i,- i,- i,-
A driver is taking Celexa for the treatment of what he calls a "mild
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
depression." He reports he has not considered or attempted i,- i,- i,- i,- i,- i,- i,- i,- i,-
suicide. The examiner should? i,- i,- i,-
a.Temporarily disqualify the driver until he obtains written i,- i,- i,- i,- i,- i,- i,- i,-
clearance for the depression and the medication from the
i,- i,- i,- i,- i,- i,- i,- i,- i,-
treating provi i,-
b. Certify the driver for a period of 1 year.
i,- i,- i,- i,- i,- i,- i,- i,- i,-
c. Certify the driver for a period of 2 years.
i,- i,- i,- i,- i,- i,- i,- i,- i,-
d. Disqualify the driver until he is no longer requiring medication
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
for the treatment of depression.
i,- i,- Correct answer is "A". i,- i,- i,-i,- i,- i,- i,- i,- i,-
Medical clearance is required for all mental health disorders.
i,- i,- i,- i,- i,- i,- i,- i,- i,-
Celexa is an SSRI or 2nd Generation anti-depressant and is
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
acceptable.
A driver reports that he had a hunting accident wherein he
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
suffered a left orbital fracture. He presents a note at the time of
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
the examination from an ophthalmologist stating "may drive". His
i,- i,- i,- i,- i,- i,- i,- i,- i,-
exam is unremarkable except for a limitation in peripheral vision
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
in his left eye, which was inconclusive. His distance vision was
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
20/20 right and 20/40 left. The medical examiner should?
i,- i,- i,- i,- i,- i,- i,- i,-
,a. Council the driver on the need for a vision exemption.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
b. Disqualify the driver pending vision exam to determine if it
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
meets peripheral vision requirements.
i,- i,- i,- i,-
c. Certify the driver for 1 year.
i,- i,- i,- i,- i,- i,- i,-
d. Certify the driver for 2 years.
i,- Correct answer is "B". The
i,- i,- i,- i,- i,- i,-i,- i,- i,- i,- i,- i,- i,-
driver must have a peripheral vision of 70 degrees bilaterally to
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
certify to drive a CMV.
i,- i,- i,- i,-
What minimum PaO2 level on an ABG performed for a chronic
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
respiratory disorder is necessary to certify a commercial driver?
i,- i,- i,- i,- i,- i,- i,- i,-
a. 55 mm Hg.
i,- i,- i,-
b. 60 mm Hg.
i,- i,- i,-
c. 65 mm Hg.
i,- i,- i,-
d. 70 mm Hg.
i,- i,- Correct answer is "C". Blood oxygen saturation
i,- i,-i,- i,- i,- i,- i,- i,- i,- i,- i,-
must be a minimum of 65 mm Hg for the driver to certify.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
A driver is taking Topamax for the treatment of migraine
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
headaches. He reports good management of his headaches and
i,- i,- i,- i,- i,- i,- i,- i,- i,-
they never seem to interfere with his driving ability with the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
medication. The medical examiner should? i,- i,- i,- i,-
a. Obtain medical clearance for the condition and the medication.
i,- i,- i,- i,- i,- i,- i,- i,- i,-
b. Disqualify the driver because he is taking an anti-seizure
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
medication.
, c. Certify the driver for 1 year.
i,- i,- i,- i,- i,- i,-
d. Certify the driver for 2 years.
i,- Correct answer is "A".
i,- i,- i,- i,- i,- i,-i,- i,- i,- i,- i,- i,-
Topamax is a medication that is used for seizure control. The
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
examiner should confirm with the prescribing provider that the
i,- i,- i,- i,- i,- i,- i,- i,- i,-
driver does not take it to control seizures, and he is capable of
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
driving a CMV. i,- i,-
A 26 year-old driver presents for a first-time certification. He has
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
a long-standing history of ADHD and is taking methylphenidate.
i,- i,- i,- i,- i,- i,- i,- i,- i,-
You have verified his diagnosis and obtained clearance from his
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
treating psychiatrist. As the certified examiner, you:
i,- i,- i,- i,- i,- i,-
a. Should disqualify the driver, explaining that use of such
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
stimulants is cause for disqualification. i,- i,- i,- i,-
b. May certify for a maximum of 6 months.
i,- i,- i,- i,- i,- i,- i,- i,-
c. May certify for a maximum of 12 months.
i,- i,- i,- i,- i,- i,- i,- i,-
d. May certify for a maximum of 2 years.
i,- i,- i,- i,- i,- i,- i,- i,- i,-i,- i,- c. May certify for a
i,- i,- i,- i,- i,-
maximum of 12 months. i,- i,- i,-
A driver has a blood pressure of 168/112 mm Hg confirmed
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
during the examination. The driver should be:
i,- i,- i,- i,- i,- i,-
a. Disqualified.
i,-
b. Certified for 6 months.
i,- i,- i,- i,-
c. Certified for 1 year.
i,- i,- i,- i,-
