NRCME (DOT) TEST BANK 2025/2026
ACTUAL EXAM WITH COMPLETE
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES |ALREADY
GRADED A+||ALREADY GRADED A+
Which of the following is correct regarding the appropriate person
to complete and sign Form MCSA-5870 for a driver who has
insulin-treated diabetes mellitus?
a. Only an endocrinologist can complete the form.
b. The medical provider who manages the driver's diabetes and
prescribes insulin for the driver's diabetes completes the form.
c. The driver's primary care provider of record must complete the
form.
d. Any provider who has evaluated the driver within the last 12
months may complete the form Correct Answer b. The medical
provider who manages the driver's diabetes and prescribes
insulin for the driver's diabetes completes the form
A driver should not be certified when an ABG reveals a PaO2 of
less than 65 at altitudes below:
a. 2,000 feet
,b. 3,000 feet
c. 5,000 feet
d. 7,000 feet Correct Answer 5,000 feet
If an individual does not meet the hearing requirements with the
use of a hearing aid and requires a Federal hearing exemption,
the examiner should mark on the Medical Evaluation Report
Form:
a. "Does not meet standards". b. "Wearing hearing aid".
c. "Accompanied by a hearing exemption"
d. All of the above Correct Answer C. "Accompanied by a hearing
exemption"
A driver presents for certification 6 weeks after suffering a
myocardial infarction. She presents a note from her cardiologist,
clearing her to drive a CMV without restrictions. Her post MI
echocardiogram shows an EF of 50%. Her EKG shows no
ischemia. Her ETT exceeds FMCSA standards. The medical
examiner should: a. Certify the driver for 3 months. b. Certify the
driver for 1 year. c. Certify the driver for 2 years d. Disqualify the
driver Correct Answer Disqualify the driver
A driver presents for certification. He checks "yes" for "Anxiety,
depression, nervousness, and other mental health problems" for
the Driver Health History portion of the Medical Examiner Report
Form. He clarifies he has depression which is controlled with
,medications and electroconvulsive therapy (ECT). Following ECT,
the driver should be symptoms free for how long before being
certified?
a. 3 months
b. 6 months
c. 12 months
d. 24 months Correct Answer b. 6 months
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
c. Conjunctival injection
d. Corneal thickness Correct Answer a. Pupil reactivity
According to FMCSA regulation and guidance, medical
qualification for two years can be given to a driver who has:
a. An SPE certificate for a left below the knee amputation(BKA)
b. Hypertension
c. A recent diagnosis of Lewy body dementia
d. Documented medical marijuana use for pain control Correct
Answer a. An SPE certificate for a left below the knee
amputation(BKA)
, 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 exam reveals an infected, swollen finger. After the
ME inquires, the driver states that the pain is made worse when
he grips the steering wheel. Which of the following should the ME
do next?
a. Obtain a hand X-ray
b. Assess capillary refill in the hand
c. Obtain a culture and sensitivity
d. Assess the driver's grip strength Correct Answer d. Assess the
driver's grip strength
A new driver who had a myocardial infarction six months ago is
certified after completing an acceptable exercise tolerance test
and is cleared by a cardiologist. According to FMCSA guidelines,
which of the following is recommended regarding recertification
and exercise tolerance test monitoring intervals?
Recertification Exercise; Tolerance Test
a. Every year; Every year
b. Every two years; Every year c. Every year; Every two years
d. Every two years; Every two years Correct Answer C. Every
year;
Every two year
ACTUAL EXAM WITH COMPLETE
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES |ALREADY
GRADED A+||ALREADY GRADED A+
Which of the following is correct regarding the appropriate person
to complete and sign Form MCSA-5870 for a driver who has
insulin-treated diabetes mellitus?
a. Only an endocrinologist can complete the form.
b. The medical provider who manages the driver's diabetes and
prescribes insulin for the driver's diabetes completes the form.
c. The driver's primary care provider of record must complete the
form.
d. Any provider who has evaluated the driver within the last 12
months may complete the form Correct Answer b. The medical
provider who manages the driver's diabetes and prescribes
insulin for the driver's diabetes completes the form
A driver should not be certified when an ABG reveals a PaO2 of
less than 65 at altitudes below:
a. 2,000 feet
,b. 3,000 feet
c. 5,000 feet
d. 7,000 feet Correct Answer 5,000 feet
If an individual does not meet the hearing requirements with the
use of a hearing aid and requires a Federal hearing exemption,
the examiner should mark on the Medical Evaluation Report
Form:
a. "Does not meet standards". b. "Wearing hearing aid".
c. "Accompanied by a hearing exemption"
d. All of the above Correct Answer C. "Accompanied by a hearing
exemption"
A driver presents for certification 6 weeks after suffering a
myocardial infarction. She presents a note from her cardiologist,
clearing her to drive a CMV without restrictions. Her post MI
echocardiogram shows an EF of 50%. Her EKG shows no
ischemia. Her ETT exceeds FMCSA standards. The medical
examiner should: a. Certify the driver for 3 months. b. Certify the
driver for 1 year. c. Certify the driver for 2 years d. Disqualify the
driver Correct Answer Disqualify the driver
A driver presents for certification. He checks "yes" for "Anxiety,
depression, nervousness, and other mental health problems" for
the Driver Health History portion of the Medical Examiner Report
Form. He clarifies he has depression which is controlled with
,medications and electroconvulsive therapy (ECT). Following ECT,
the driver should be symptoms free for how long before being
certified?
a. 3 months
b. 6 months
c. 12 months
d. 24 months Correct Answer b. 6 months
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
c. Conjunctival injection
d. Corneal thickness Correct Answer a. Pupil reactivity
According to FMCSA regulation and guidance, medical
qualification for two years can be given to a driver who has:
a. An SPE certificate for a left below the knee amputation(BKA)
b. Hypertension
c. A recent diagnosis of Lewy body dementia
d. Documented medical marijuana use for pain control Correct
Answer a. An SPE certificate for a left below the knee
amputation(BKA)
, 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 exam reveals an infected, swollen finger. After the
ME inquires, the driver states that the pain is made worse when
he grips the steering wheel. Which of the following should the ME
do next?
a. Obtain a hand X-ray
b. Assess capillary refill in the hand
c. Obtain a culture and sensitivity
d. Assess the driver's grip strength Correct Answer d. Assess the
driver's grip strength
A new driver who had a myocardial infarction six months ago is
certified after completing an acceptable exercise tolerance test
and is cleared by a cardiologist. According to FMCSA guidelines,
which of the following is recommended regarding recertification
and exercise tolerance test monitoring intervals?
Recertification Exercise; Tolerance Test
a. Every year; Every year
b. Every two years; Every year c. Every year; Every two years
d. Every two years; Every two years Correct Answer C. Every
year;
Every two year
