NRCME DOT Exam correct Questions & verified answers \\\ 2026 \\ graded
a+ \\ pass!!!
A urinalysis is a required part of the driver evaluations. If the UA indicates glycosuria,
the medical examiner:
a. Must disqualify the driver.
b. Must not certify the driver until a repeat urinalysis in at least one week reveals
resolution of glycosuria.
c. Must obtain a consultation with an endocrinologist.
d. May elect to perform a finger stick to obtain a random blood glucose. -answer-d. May
elect to perform a finger stick to obtain a random blood glucose
You are required to perform a urinalysis (dip stick) as a part of every driver certification
and recertification medical examination. An abnormal result for which of the following
mandates temporary disqualification?
a. Protein.
b. Blood.
c. Glucose.
d. NONE of the above -answer-d. NONE of the above
Each of the following mandates disqualification in a driver with a history of alcoholism
EXCEPT:
a. He voluntarily attends a 12-step program to maintain his recovery.
b. He has not successfully completed counseling and/or treatment.
c. He has a current diagnosis of alcoholism.
d. ALL of the above are disqualifying -answer-a. He voluntarily attends a 12-step
program to maintain his recovery.
A female driver presents for re-certification who is in her fourth day of menses with
heavy bleeding. Her US shows a Specific gravity of 1.020; Protein is +1; Blood is +4;
Glucose is negative. All other aspects of her medical examination are within normal.
The examiner should:
a. Obtain medical clearance prior to certification.
b. Disqualify the driver.
c. Certify the driver for 1 year. d. Certify the driver for 2 years. -answer-d. Certify the
driver for 2 years.
,At initial certification, a driver is found to have a blood pressure of 165/105 mm Hg. You
give him a certification for three months. Upon recheck, his blood pressure is 135/85. As
medical examiner you:
a. Certify him for 6-months after performing a new DOT examination.
b. Certify him for one year from date of initial exam after performing a new DOT
examination.
c. Certify him for one year after performing a new DOT examination.
d. Repeat the 3-month certification -answer-c. Certify him for one year after performing
a new DOT examination
Which of the following is TRUE concerning a driver who presents for a DOT exam but
does not speak English:
a. He must be disqualified after the DOT exam is performed.
b. It is not permissible to use an interpreter.
c. When determining a driver's physical qualification, English language is not factored
into the determination as long as the examiner can obtain a proper history and exam.
d. The examiner should halt the exam at the start and not perform the exam. -answer-
C. When determining a driver's physical qualification, English language is not factored
into the determination as long as the examiner can obtain a proper history and exam.
Which of the following accurately describes the FMCSA's requirement regarding grip
strength for certifying commercial drivers? a. The FMCSA requires Dynamometer
testing to measure grip strength.
b. The FMCSA requires Sphygmomanometer used as a screening test for grip by
having the applicant repeatedly squeeze the inflated cuff while noting the maximum
deflection on the gauge.
c. The FMCSA accepts either Dynamometer testing or Sphygmomanometer testing for
certification.
d. The Federal Motor Carrier Safety Administration does not require any specific test for
assessing grip power. -answer-d. The Federal Motor Carrier Safety Administration
does not require any specific test for assessing grip power.
FMCSA guidance recommends drivers NOT be certified with the following conditions
EXCEPT:
a. Uncontrolled vertigo.
b. Meniere's disease.
c. Labyrinthine fistula.
d. Otitis Media -answer-d. Otitis Media.
A driver with a history of congestive heart failure is asymptomatic at time of presentation
for certification. What minimum left ventricular ejection fraction is required for
certification?
a. 40%
b. 45%
c. 50%
d. 55% -answer-a. 40%
, A driver presents for certification and notes that he is recently had a surgical repair of an
aneurysm in his left leg. What is the minimum waiting period following surgical repair of
an aneurysm?
a. 1 month
b. 3 months
c. 6 months.
d. 1 year. -answer-b. 3 months
Which of the following is true regarding the FMCSA Blood Pressure regulations for
commercial motor vehicle drivers?
a. Only BP readings taken during the driver physical or follow-up examinations may be
used for certification decisions. b. A BP greater than 145/89 mm Hg should be
confirmed with a second measurement taken later during the examination.
c. Trained assistive personnel may take and record the BP.
d. All of the above are correct. -answer-d. All of the above are correct.
As part of the evaluation of a driver presenting for initial certification, as the medical
examiner, you must perform testing for:
a. Alcohol.
b. Marijuana.
c. Opiates.
d. NONE of the above -answer-d. NONE of the above.
Select the correct statement regarding evaluation and certification of a commercial
motor vehicle driver:
a. There are no work restrictions permitted. The commercial driver must be able to
perform all job-related tasks, including lifting, to be certified.
b. The SPE program is intended only for individuals with fixed deficits of the extremities
(not for individuals with progressive diseases).
c. A new, complete DOT exam must be performed in order to issue a new Medical
Examiner's Certificate.
d. ALL of the above are correct. -answer-d. ALL of the above are correct
Which of the following is NOT a mission of the FMCSA?
a. Develop and enforce data-driven regulations that balance motor carrier (truck and
bus companies) safety with industry efficiency.
b. Target educational messages to carriers, commercial drivers, and the public.
c. Partner with stakeholders including Federal, State, and local enforcement agencies,
the motor carrier industry, safety groups, and organized labor on efforts to reduce bus
and truck-related crashes.
d. Oversee the prosecution of criminally negligent cases of motor carrier safety
breaches. -answer-d. Oversee the prosecution of criminally negligent cases of motor
carrier safety breaches
In which of the following cases should you mark an exam as "incomplete examination"?
a+ \\ pass!!!
A urinalysis is a required part of the driver evaluations. If the UA indicates glycosuria,
the medical examiner:
a. Must disqualify the driver.
b. Must not certify the driver until a repeat urinalysis in at least one week reveals
resolution of glycosuria.
c. Must obtain a consultation with an endocrinologist.
d. May elect to perform a finger stick to obtain a random blood glucose. -answer-d. May
elect to perform a finger stick to obtain a random blood glucose
You are required to perform a urinalysis (dip stick) as a part of every driver certification
and recertification medical examination. An abnormal result for which of the following
mandates temporary disqualification?
a. Protein.
b. Blood.
c. Glucose.
d. NONE of the above -answer-d. NONE of the above
Each of the following mandates disqualification in a driver with a history of alcoholism
EXCEPT:
a. He voluntarily attends a 12-step program to maintain his recovery.
b. He has not successfully completed counseling and/or treatment.
c. He has a current diagnosis of alcoholism.
d. ALL of the above are disqualifying -answer-a. He voluntarily attends a 12-step
program to maintain his recovery.
A female driver presents for re-certification who is in her fourth day of menses with
heavy bleeding. Her US shows a Specific gravity of 1.020; Protein is +1; Blood is +4;
Glucose is negative. All other aspects of her medical examination are within normal.
The examiner should:
a. Obtain medical clearance prior to certification.
b. Disqualify the driver.
c. Certify the driver for 1 year. d. Certify the driver for 2 years. -answer-d. Certify the
driver for 2 years.
,At initial certification, a driver is found to have a blood pressure of 165/105 mm Hg. You
give him a certification for three months. Upon recheck, his blood pressure is 135/85. As
medical examiner you:
a. Certify him for 6-months after performing a new DOT examination.
b. Certify him for one year from date of initial exam after performing a new DOT
examination.
c. Certify him for one year after performing a new DOT examination.
d. Repeat the 3-month certification -answer-c. Certify him for one year after performing
a new DOT examination
Which of the following is TRUE concerning a driver who presents for a DOT exam but
does not speak English:
a. He must be disqualified after the DOT exam is performed.
b. It is not permissible to use an interpreter.
c. When determining a driver's physical qualification, English language is not factored
into the determination as long as the examiner can obtain a proper history and exam.
d. The examiner should halt the exam at the start and not perform the exam. -answer-
C. When determining a driver's physical qualification, English language is not factored
into the determination as long as the examiner can obtain a proper history and exam.
Which of the following accurately describes the FMCSA's requirement regarding grip
strength for certifying commercial drivers? a. The FMCSA requires Dynamometer
testing to measure grip strength.
b. The FMCSA requires Sphygmomanometer used as a screening test for grip by
having the applicant repeatedly squeeze the inflated cuff while noting the maximum
deflection on the gauge.
c. The FMCSA accepts either Dynamometer testing or Sphygmomanometer testing for
certification.
d. The Federal Motor Carrier Safety Administration does not require any specific test for
assessing grip power. -answer-d. The Federal Motor Carrier Safety Administration
does not require any specific test for assessing grip power.
FMCSA guidance recommends drivers NOT be certified with the following conditions
EXCEPT:
a. Uncontrolled vertigo.
b. Meniere's disease.
c. Labyrinthine fistula.
d. Otitis Media -answer-d. Otitis Media.
A driver with a history of congestive heart failure is asymptomatic at time of presentation
for certification. What minimum left ventricular ejection fraction is required for
certification?
a. 40%
b. 45%
c. 50%
d. 55% -answer-a. 40%
, A driver presents for certification and notes that he is recently had a surgical repair of an
aneurysm in his left leg. What is the minimum waiting period following surgical repair of
an aneurysm?
a. 1 month
b. 3 months
c. 6 months.
d. 1 year. -answer-b. 3 months
Which of the following is true regarding the FMCSA Blood Pressure regulations for
commercial motor vehicle drivers?
a. Only BP readings taken during the driver physical or follow-up examinations may be
used for certification decisions. b. A BP greater than 145/89 mm Hg should be
confirmed with a second measurement taken later during the examination.
c. Trained assistive personnel may take and record the BP.
d. All of the above are correct. -answer-d. All of the above are correct.
As part of the evaluation of a driver presenting for initial certification, as the medical
examiner, you must perform testing for:
a. Alcohol.
b. Marijuana.
c. Opiates.
d. NONE of the above -answer-d. NONE of the above.
Select the correct statement regarding evaluation and certification of a commercial
motor vehicle driver:
a. There are no work restrictions permitted. The commercial driver must be able to
perform all job-related tasks, including lifting, to be certified.
b. The SPE program is intended only for individuals with fixed deficits of the extremities
(not for individuals with progressive diseases).
c. A new, complete DOT exam must be performed in order to issue a new Medical
Examiner's Certificate.
d. ALL of the above are correct. -answer-d. ALL of the above are correct
Which of the following is NOT a mission of the FMCSA?
a. Develop and enforce data-driven regulations that balance motor carrier (truck and
bus companies) safety with industry efficiency.
b. Target educational messages to carriers, commercial drivers, and the public.
c. Partner with stakeholders including Federal, State, and local enforcement agencies,
the motor carrier industry, safety groups, and organized labor on efforts to reduce bus
and truck-related crashes.
d. Oversee the prosecution of criminally negligent cases of motor carrier safety
breaches. -answer-d. Oversee the prosecution of criminally negligent cases of motor
carrier safety breaches
In which of the following cases should you mark an exam as "incomplete examination"?
