NRCME DOT EXAM 2023-2024 / NRCME (DOT) ACTUAL EXAM 400 QUESTIONS AND CORRECT DETAILED
ANSWERS
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
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
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 all other requirements for
medical clearance and required testing have been met. The driver would be certified for 1 year at the
completion of the waiting period
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
,NRCME DOT EXAM 2023-2024 / NRCME (DOT) ACTUAL EXAM 400 QUESTIONS AND CORRECT DETAILED
ANSWERS
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 requirements
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
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 exemption 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
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 professional prior to consideration for
certification.
,NRCME DOT EXAM 2023-2024 / NRCME (DOT) ACTUAL EXAM 400 QUESTIONS AND CORRECT DETAILED
ANSWERS
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 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. - (answer) Disqualify the driver
A driver has a blood 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. - (answer) Stage 1 HTN
A driver is taking Celexa for the treatment of what he calls a "mild 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. -
(answer) Certify only after obtaining written clearance for the depression and the medication from the
treating provider.
For a driver with insulin-treated diabetes mellitus, the medical examiner can only accept Form MCSA-
5870 if it has been properly completed within the last:
, NRCME DOT EXAM 2023-2024 / NRCME (DOT) ACTUAL EXAM 400 QUESTIONS AND CORRECT DETAILED
ANSWERS
a. 25 days.
b. 30 days.
c. 45 days.
d. 60 days. - (answer) 45 days
What minimum PaO2 level on an ABG performed for a chronic respiratory disorder is necessary to
certify a commercial driver?
a. 55 mm Hg.
b. 60 mm Hg.
c. 65 mm Hg.
d. 70 mm Hg. - (answer) 65mmhg
A driver is taking Topamax 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 - (answer) Obtain medical clearance for
the condition and the
medication
A 26 year-old driver presents for a first-time certification. He has a long-standing history of ADHD and is
taking methylphenidate. You have verified his diagnosis and obtained clearance from his treating
psychiatrist. As the certified examiner, you:
a. Should disqualify the driver, explaining that use of such stimulants is cause for disqualification.
b. May certify for a maximum of 6 months.
c. May certify for a maximum of 12 months.
ANSWERS
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
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
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 all other requirements for
medical clearance and required testing have been met. The driver would be certified for 1 year at the
completion of the waiting period
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
,NRCME DOT EXAM 2023-2024 / NRCME (DOT) ACTUAL EXAM 400 QUESTIONS AND CORRECT DETAILED
ANSWERS
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 requirements
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
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 exemption 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
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 professional prior to consideration for
certification.
,NRCME DOT EXAM 2023-2024 / NRCME (DOT) ACTUAL EXAM 400 QUESTIONS AND CORRECT DETAILED
ANSWERS
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 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. - (answer) Disqualify the driver
A driver has a blood 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. - (answer) Stage 1 HTN
A driver is taking Celexa for the treatment of what he calls a "mild 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. -
(answer) Certify only after obtaining written clearance for the depression and the medication from the
treating provider.
For a driver with insulin-treated diabetes mellitus, the medical examiner can only accept Form MCSA-
5870 if it has been properly completed within the last:
, NRCME DOT EXAM 2023-2024 / NRCME (DOT) ACTUAL EXAM 400 QUESTIONS AND CORRECT DETAILED
ANSWERS
a. 25 days.
b. 30 days.
c. 45 days.
d. 60 days. - (answer) 45 days
What minimum PaO2 level on an ABG performed for a chronic respiratory disorder is necessary to
certify a commercial driver?
a. 55 mm Hg.
b. 60 mm Hg.
c. 65 mm Hg.
d. 70 mm Hg. - (answer) 65mmhg
A driver is taking Topamax 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 - (answer) Obtain medical clearance for
the condition and the
medication
A 26 year-old driver presents for a first-time certification. He has a long-standing history of ADHD and is
taking methylphenidate. You have verified his diagnosis and obtained clearance from his treating
psychiatrist. As the certified examiner, you:
a. Should disqualify the driver, explaining that use of such stimulants is cause for disqualification.
b. May certify for a maximum of 6 months.
c. May certify for a maximum of 12 months.
