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This document covers preparation material for the NRCME (National Registry of Certified Medical Examiners) DOT certification exam. It includes key practice questions with answers, exam-focused explanations, and study guidance tailored to the 2025 test format. The content is designed to help medical professionals review essential regulations and clinical standards required for DOT certification.
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This document covers preparation material for the NRCME (National Registry of Certified Medical Examiners) DOT certification exam. It includes key practice questions with answers, exam-focused explanations, and study guidance tailored to the 2025 test format. The content is designed to help medical professionals review essential regulations and clinical standards required for DOT certification.
NRCME DOT ACTUAL EXAM WITH Q&A 
NEWLY MODIFIED GRADED A+ LATEST 
UPDATE 2025/2026
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NRCME DOT ACTUAL EXAM WITH Q&A 
NEWLY MODIFIED GRADED A+ LATEST 
UPDATE 2025/2026
NRCME DOT EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS LATEST UPDATE 2025/2026 
 
 
Terms in this set (133) 
 
 
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	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 bec...
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NRCME DOT EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS LATEST UPDATE 2025/2026 
 
 
Terms in this set (133) 
 
 
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	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 bec...
NRCME (DOT) EXAM 2025 ACTUAL QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED GRADED A++
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NRCME (DOT) EXAM 2025 ACTUAL QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED GRADED A++
NRCME DOT PRACTICE EXAM/ MOST RECENT 
AND COMPLETE VERSION ALL QUESTIONS 
AND CORRECT ANSWERS/ VERIFIED EDITION 
ALREADY GRADED A+ BRAND NEW!!! 
The driver must always keep a copy of ____________________ with them while driving - ANSWER 
:Medical Certificate 
SPE if applicable 
How many standards of "driver fitness for duty" are *NON- discretionary*? - ANSWER :4 
- Vision 
- Hearing 
- Epilepsy 
- T2DM 
(Some sources say 3 and do not include T2DM) 
Age requirement for drivers - ANSWER :21+...
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NRCME DOT PRACTICE EXAM/ MOST RECENT 
AND COMPLETE VERSION ALL QUESTIONS 
AND CORRECT ANSWERS/ VERIFIED EDITION 
ALREADY GRADED A+ BRAND NEW!!! 
The driver must always keep a copy of ____________________ with them while driving - ANSWER 
:Medical Certificate 
SPE if applicable 
How many standards of "driver fitness for duty" are *NON- discretionary*? - ANSWER :4 
- Vision 
- Hearing 
- Epilepsy 
- T2DM 
(Some sources say 3 and do not include T2DM) 
Age requirement for drivers - ANSWER :21+...
NRCME DOT FINAL EXAM/ NRCME FINAL TEST 
QUESTIONS AND CORRECT ANSWERS/ MOST 
RECENT AND CORRECT ANSWERS ALREADY 
GRADED A+| BRAND NEW 
The waiting period after pacemaker implantation for treatment of sinus node 
dysfunction is __________. 
One week. 
Two weeks. 
One month. 
Three months. - ANSWER: One month. 
The maximum thoracic aneurysm size that allows driver certification is _ 
3.0 cm 
3.5 cm 
4.0 cm 
5.0 cm - ANSWER: 3.5cm 
Which of the following is a qualification recommendation following ...
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NRCME DOT FINAL EXAM/ NRCME FINAL TEST 
QUESTIONS AND CORRECT ANSWERS/ MOST 
RECENT AND CORRECT ANSWERS ALREADY 
GRADED A+| BRAND NEW 
The waiting period after pacemaker implantation for treatment of sinus node 
dysfunction is __________. 
One week. 
Two weeks. 
One month. 
Three months. - ANSWER: One month. 
The maximum thoracic aneurysm size that allows driver certification is _ 
3.0 cm 
3.5 cm 
4.0 cm 
5.0 cm - ANSWER: 3.5cm 
Which of the following is a qualification recommendation following ...
DOT NRCME PRACTICE EXAM/ MOST RECENT 
AND COMPLETE VERSION ALL QUESTIONS AND 
CORRECT ANSWERS/ VERIFIED EDITION 
ALREADY GRADED A+ BRAND NEW!!! 
FMCSA Mission Statement - ANSWER :To reduce crashes, injuries, fatalities involving large 
trucks/buses 
Medical Examiner - ANSWER :Licensed, certified, registered provider who can perform PEs in 
accordance with laws and regulations ; registered through NRS ; has unique identifier ; passes MEC test 
FMCSA - ANSWER :Federal Motor Carrier Safety Administ...
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DOT NRCME PRACTICE EXAM/ MOST RECENT 
AND COMPLETE VERSION ALL QUESTIONS AND 
CORRECT ANSWERS/ VERIFIED EDITION 
ALREADY GRADED A+ BRAND NEW!!! 
FMCSA Mission Statement - ANSWER :To reduce crashes, injuries, fatalities involving large 
trucks/buses 
Medical Examiner - ANSWER :Licensed, certified, registered provider who can perform PEs in 
accordance with laws and regulations ; registered through NRS ; has unique identifier ; passes MEC test 
FMCSA - ANSWER :Federal Motor Carrier Safety Administ...
NRCME (DOT) PRACTICE EXAM ALL QUESTIONS 
AND VERIFIED SOLUTIONS/ MOST RECENT AND 
CORRECT ANSWERS ALREADY GRADED A+ | 
BRAND NEW 
the two disqualifying cardiomyopathies of myocardial disease - ANSWER: 
restrictive and hypertrophic 
When is pulse oximetry or ABG indicated? - ANSWER: FEV1<65%, 
FEV1/FVC<65%, FVC<60% 
At what pulse ox finding is ABG indicated? - ANSWER: pulse ox <92% 
Minimum required paO2 at <5000ft - ANSWER: 65 mm Hg 
Minimum required paO2 at altitudes >5000 ft ...
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CORRECT ANSWERS ALREADY GRADED A+ | 
BRAND NEW 
the two disqualifying cardiomyopathies of myocardial disease - ANSWER: 
restrictive and hypertrophic 
When is pulse oximetry or ABG indicated? - ANSWER: FEV1<65%, 
FEV1/FVC<65%, FVC<60% 
At what pulse ox finding is ABG indicated? - ANSWER: pulse ox <92% 
Minimum required paO2 at <5000ft - ANSWER: 65 mm Hg 
Minimum required paO2 at altitudes >5000 ft ...
NRCME (DOT) TESTBANK LATEST VERSION EXAM WITH ACTUAL 
QUESTION AND CORRECT DETAILED ANSWERS WITH 
RATIONALES 2024. 
1. An unrestricted Commercial Motor Vehicle Driver Medical Certificate must be renewed: 
A. Annually 
B. Every Two Years 
C. Every Four Years 
D. Whenever the State Issued Driver's License is renewed - Answer- B 
2. A driver presents with history of an isolated TIA 6 months ago. He has a return to work letter from his 
primary care 
provider (PCP) and neurologist. He is taking a...
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NRCME (DOT) TESTBANK LATEST VERSION EXAM WITH ACTUAL 
QUESTION AND CORRECT DETAILED ANSWERS WITH 
RATIONALES 2024. 
1. An unrestricted Commercial Motor Vehicle Driver Medical Certificate must be renewed: 
A. Annually 
B. Every Two Years 
C. Every Four Years 
D. Whenever the State Issued Driver's License is renewed - Answer- B 
2. A driver presents with history of an isolated TIA 6 months ago. He has a return to work letter from his 
primary care 
provider (PCP) and neurologist. He is taking a...

Which of the following is a requirement for drivers with a diabetes exemption? 
A) Possess a rapidly absorbable form of glucose while driving 
B) Self—monitor blood glucose one hour before driving and at least once every 2 hours while driving 
C) Plan to submit blood glucose monitoring logs every 6 months 
D) Maintain a Hemoglobin A1C value less than 7 - Answer: A. Drivers with diabetes should self monitor blood glucose before driving and every 4 hours while driving. Blood glucose monitor...
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Which of the following is a requirement for drivers with a diabetes exemption? 
A) Possess a rapidly absorbable form of glucose while driving 
B) Self—monitor blood glucose one hour before driving and at least once every 2 hours while driving 
C) Plan to submit blood glucose monitoring logs every 6 months 
D) Maintain a Hemoglobin A1C value less than 7 - Answer: A. Drivers with diabetes should self monitor blood glucose before driving and every 4 hours while driving. Blood glucose monitor...