NRCME DOT EXAM ACTUAL EXAM QUESTIONS
AND ANSWERS || VERIFIED AND WELL DETAILED
ANSWERS || LATEST 2025/2026
On examination, the d. Refer the driver to his Primary Care Provider
medical examiner
palpates an enlarged liver
on a driver and find signs
suggestive of early
hepatic failure. The
medical examiner should:
a. Order an abdominal
ultrasound as a first step.
b. Order an abdominal CT
scan as a first step.
c. Order a set of Liver
Function Tests as a
first step.
d. Refer the driver to
his Primary Care
Provider
,A driver admits to the use Disqualify the driver
of marijuana for the
treatment of his glaucoma,
which is legal in the State
in which he lives. He
provides medical
documentation 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.
A driver has a blood Stage 1 HTN
pressure of 136/92 mm
Hg. This is:
a. Within normal limits and
would not affect the
driver's certification.
b. Stage 1Hypertension.
c. Stage 2Hypertension.
d. Stage 3Hypertension.
,A driver is taking Celexa for Certify only after obtaining written clearance for the depression and
the treatment of what he the medication from the treating
calls a "mild provider.
depression." He reports he
has not considered or
attempted suicide. The
examiner should?
a. Certify only after
obtaining written
clearance for the
depression and the
medication from the treating
provider.
b. Certify the driver for
a period of 1 year.
c. Certify the driver for
a period of 2 years.
d. Disqualify the
driver until he is no
longer
requiring medication for the
treatment of
depression.
, For a driver with insulin- 45 days
treated diabetes mellitus,
the medical examiner can
only accept Form MCSA-
5870 if it has been
properly completed within
the last:
a. 25 days.
b. 30 days.
c. 45 days.
d. 60 days.
A driver is taking Topamax Obtain medical clearance for the condition and the medication
for the treatment of
migraine headaches. He
reports good
management of his
headaches and they never
seem to interfere with his
driving ability with the
medication. The medical
examiner should?
a. Obtain medical
clearance for the
condition and the
medication.
b. Disqualify the driver
because he is taking an
anti-seizure
medication.
c. Certify the driver for 1
year. d. Certify the
driver for 2 years
AND ANSWERS || VERIFIED AND WELL DETAILED
ANSWERS || LATEST 2025/2026
On examination, the d. Refer the driver to his Primary Care Provider
medical examiner
palpates an enlarged liver
on a driver and find signs
suggestive of early
hepatic failure. The
medical examiner should:
a. Order an abdominal
ultrasound as a first step.
b. Order an abdominal CT
scan as a first step.
c. Order a set of Liver
Function Tests as a
first step.
d. Refer the driver to
his Primary Care
Provider
,A driver admits to the use Disqualify the driver
of marijuana for the
treatment of his glaucoma,
which is legal in the State
in which he lives. He
provides medical
documentation 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.
A driver has a blood Stage 1 HTN
pressure of 136/92 mm
Hg. This is:
a. Within normal limits and
would not affect the
driver's certification.
b. Stage 1Hypertension.
c. Stage 2Hypertension.
d. Stage 3Hypertension.
,A driver is taking Celexa for Certify only after obtaining written clearance for the depression and
the treatment of what he the medication from the treating
calls a "mild provider.
depression." He reports he
has not considered or
attempted suicide. The
examiner should?
a. Certify only after
obtaining written
clearance for the
depression and the
medication from the treating
provider.
b. Certify the driver for
a period of 1 year.
c. Certify the driver for
a period of 2 years.
d. Disqualify the
driver until he is no
longer
requiring medication for the
treatment of
depression.
, For a driver with insulin- 45 days
treated diabetes mellitus,
the medical examiner can
only accept Form MCSA-
5870 if it has been
properly completed within
the last:
a. 25 days.
b. 30 days.
c. 45 days.
d. 60 days.
A driver is taking Topamax Obtain medical clearance for the condition and the medication
for the treatment of
migraine headaches. He
reports good
management of his
headaches and they never
seem to interfere with his
driving ability with the
medication. The medical
examiner should?
a. Obtain medical
clearance for the
condition and the
medication.
b. Disqualify the driver
because he is taking an
anti-seizure
medication.
c. Certify the driver for 1
year. d. Certify the
driver for 2 years
