2024 DOT: COMPREHENSIVE REVIEW
FOR NRCME EXAM QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
CorrectiveFlensesFthatFareFprohibitedFbyFtheFFMCSA,Fincluding:F-
FANSWERFlensesFthatFcorrectFdistanceFvisionFinFoneFeyeFandFnearFvisionFinFtheFother.
telescopicFlenses
MedicalFguidelinesFforFtheFdriverFwithFdiabetesFmellitusFinclude:F-FANSWERFAnnualFmedicalFexamination.
AnnualFophthalmologistForFoptometristFeyeFevaluation.
DisqualificationFforFaFdiagnosisFofFunstableFproliferativeFretinopathy.
MonocularFVisionF-FANSWERFMonocularFvisionFisFdisqualifying.
However,FtheFdriverFwhoFhasFmonocularFvisionFthatFwithFtheFbetterFeyeFmeetsFallFvisionFqualificationFrequi
rementsFmayFbeFconsideredFforFaFFederalFVisionFExemptionFifFtheFMedicalFExaminerFfindsFtheFdriverFother
wiseFmedicallyFfitFforFduty.
MonocularFvisionFisFdefinedFasFvisionFthatFisFatFleastF20/40FforFdistanceFinFoneFeyeFwithForFwithoutFcorrecti
onFandFvisionFthatFisFlessFthanF20/40FforFdistanceFinFoneFeyeFwithForFwithoutFcorrection.
TheFdriverFmustFmeetFotherFvisionFrequirementsFinFeachFeye,FincludingFvisualFfieldsF(horizontalFfieldFofFvisi
on).
FederalFVisionFExemption:FtheFdriverFwithFmonocularFvisionFwhoFisFapplyingFforForFhasFaFfederalFexemptio
nForFisFqualifiedFbyFoperationFofF49FCFRF391.64FmustFhaveFanFannualFphysicalFexamination.
DriversFwithFvisionFlossFwhoFmeetFstandardsFmayFbeFcertifiedFforFupFtoFtwoFyears.
AFdriverFwhoFwearsFcontactFlensesFwhichFcorrectFfarsightednessFinFoneFeyeFandFnearsightednessFinFtheFot
her,FbutFhasFnoFotherFvisualFimpairmentsFcanFbeFcertifiedFunderFwhatFadditionalFconditions?
OnlyFifFtheFdriverFwearsFprescriptionFglassesFwhichFprovideFtheFsameFcorrectionFasFtheFcontactFlenses.
FMCSAFguidanceFindicatesFthatFaFdriverFshouldFnotFbeFcertifiedFunderFtheseFcircumstances.
OnlyFbyFfederalFexemption.
TheFdriverFisFalwaysFcertifiableFunderFtheseFconditions.F-
FANSWERFFMCSAFguidanceFindicatesFthatFaFdriverFshouldFnotFbeFcertifiedFunderFtheseFcircumstances.
,Explanation:FFMCSAFguidanceFindicatesFthatFcontactFlensesFthatFcorrectFoneFeyeFforFdistanceFandFoneFeyeF
forFnearFvisionFareFnotFacceptable.
GuidanceFrecommendsFnotFtoFcertifyFwithFearFproblemFdiagnosesFof:F-FANSWERFa)FUncontrolledFvertigo.
b)FMénière'sFdisease.
F
c)FNonfunctioningFlabyrinth.
F
d)FNonfunctioningFfistula.
F
TheFmedicalFexaminer'sFroleFinFtheFexemptionFprocessFincludesF_________.
IssuingFtheFexemption.
IssuingFtheFprescriptionFforFtheFdriver'sFcontactFlensesFand/orFglasses.
ProvidingFtheFdriverFwithFcontactFinformationFforFtheFFederalFVisionFExemptionFProgram.
AssuringFthatFtheFdriverFhasFperipheralFvisionFofFatFleastF110FdegreesFinFeachFeye.F-
FANSWERFProvidingFtheFdriverFwithFcontactFinformationFforFtheFFederalFVisionFExemptionFProgram.
Explanation:FTheFmedicalFexaminer'sFroleFinFtheFexemptionFprocessFisFlimitedFtoFperformingFtheFdriverFexa
minationFandFprovidingFtheFdriverFwithFcontactFinformationFforFtheFFMCSAFrelatedFtoFtheFexemptionFproc
ess.
AnFaudiometricFtestFproducesFtheFfollowingFresults:FLeftFear:F500FHz,F35dBFLoss;F1,000FHz,F35FdBFloss;F2,00
0FHzF45FdBFloss.FRightFear:F500FHz,F40FdBFloss;F1,000FHz,F45FdBFloss;F2,000F40FdBFloss.FWhatFisFtheFcertificati
on?
CertifyFforFoneFyear.
CertifyFforFtwoFyears.
DoFnotFcertify.
,CertifyFonlyFwhenFaccompaniedFbyFhearingFaid.F-FANSWERFCertifyFforFtwoFyears.
Explanation:FDriversFwithFanFaverageFhearingFlossFofF<F40FdecibelsFaveragedFacrossF500,F1000,FandF2000FH
zFinFtheFbetterFearFmayFbeFcertifiedFforFtwoFyears.
WhatFeyeFconditionsFmustFtheFmedicalFexaminerFaskFtheFdriverFabout?
Cataracts,FcolorFdeficiencies,FretinitisFpigmentosa,Faphakia,Fglaucoma.
LazyFeye,Fcataracts,Faphakia,Ffloaters,Fretinopathy.
Glaucoma,FmacularFdegeneration,FretinitisFpigmentosa,FcolorFdeficiencies.
Retinopathy,Fcataracts,Faphakia,Fglaucoma,FmacularFdegeneration.F-
FANSWERFRetinopathy,Fcataracts,Faphakia,Fglaucoma,FmacularFdegeneration.
Explanation:FTheseFareFtheF"askFabout"FvisionFconditions.FTheFmedicalFexaminerFmayFaskFtheFdriverFaboutF
anyFeyeFconditions,FbutFshouldFaskFtheFdriverFaboutFtheseFspecifiedFconditions.
WhichFofFtheFfollowingFdrivers'FtestsFmeetFhearingFcertificationFstandards?
WhisperFtestF4FfeetFrightFear,F3FfeetFleftFear.
WhisperFtestF5FfeetFrightFearFwithFhearingFaid,F3FfeetFleftFearFwithoutFhearingFaid.
AudiogramFleftF30/500FHz,F40/1000FHz,F60/2000FHz;FrightF25/500FHz,F35/1000FHz,F80/2000FHz.
AudiogramFleftF35/500FHz,F50/1000FHz,F40/3000FHz;FrightF35/500FHz,F35/1000FHz,F60/3000FHz.F-
FANSWERFWhisperFtestF5FfeetFrightFearFwithFhearingFaid,F3FfeetFleftFearFwithoutFhearingFaid.
Explanation:FWhisperFtestFresultsFrequireF5FfeetFinFatFleastFoneFearFforFpassing,FwithForFwithoutFaFhearingFa
id.FAudiometricFtestingFresultsFrequireFanFaverageFofF40FdBFlossFinFtheFbetterFearFforFresultsFaveragedFacros
sF500,F1000,FandF2000FHz.FAlthoughFtestingFmayFbeFperformedFatF3000FHz,FresultsFobtainedFareFnotFusedFt
oFdetermineFwhetherFtheFdriverFmeetsFhearingFrequirements.
AFdriverFhasFlossFofFhearingFinFtheFbetterFearFofF25FdBFlossFatF500FHz,F40FdBFlossFatF1000FHz,FandF60FdBFlossF
atF2000FHz.FWithFrespectFtoFtheFhearingFrequirementFforFmedicalFcertification,FtheFdriverF__________.
, MayFbeFcertifiedFforFoneFyear.
MayFbeFcertifiedFforFtwoFyears.
MayFnotFbeFcertified.
MayFbeFcertifiedFifFexaminedFbyFanFotolaryngologistFwhoFisFfamiliarFwithFtheFCMVFdrivingFdutiesFwhoFcertif
iesFtheFdriverFasFmedicallyFqualifiedFtoFdriveFaFCMV.F-FANSWERFMayFnotFbeFcertified.
Explanation:FAnFaverageFhearingFlossFofF41.7FdecibelsFaveragedFacrossF500,F1000,FandF2000FHzFinFtheFbette
rFearFisFdisqualifying.FTheFdriverFshouldFbeFreferredFtoFobtainFaFhearingFaidFandFmayFbeFcertifiedFifFtheFdriv
erFpassesFwhileFwearingFaFhearingFaid.FAFspecialistFcannotFdetermineFcertification,FandFaFspecialistFcannotF
overrideFmedicalFqualificationFstandardsFsuchFasFtheFminimumFhearingFrequirement.
WhichFofFtheFfollowingFisFacceptableFforFaFdriverFwhoFwearsFaFhearingFaid?
TestingFofFtheFdriver'sFhearingFisFwaivedFifFtheFdriverFpresentsFaFletterFfromFaFqualifiedFspecialist.
TestingFofFtheFdriver'sFhearingFmayFbeFperformedFbyFtheFmedicalFexaminerFusingFaudiometricFtestingFequi
pment.
TestingFofFtheFdriver'sFhearingFmayFbeFperformedFbyFanFaudiologistForFotolaryngologistFusingFspecializedFa
udiometricFtestingFequipment.
TestingFofFtheFdriver'sFhearingFmayFbeFperformedFatF1,000FHzFonly.F-
FANSWERFTestingFofFtheFdriver'sFhearingFisFwaivedFifFtheFdriverFpresentsFaFletterFfromFaFqualifiedFspecialist.
TestingFtheFhearingFofFaFdriverFwhoFwearsFaFhearingFaidFmayFbeFaccomplishedFinFthreeFways:F1)FwhisperFte
st,F2)FaudiometricFtestingFbyFanFotolaryngologistFusingFspecializedFaudiometricFtestingFequipment,ForF3)Fau
diometricFtestingFbyFanFaudiologistFusingFspecializedFaudiometricFtestingFequipment.FAudiometricFtestingFi
sFrequiredFtoFbeFconductedFatF500FHz,F1000FHz,FandF2000FHz.
PassingFRequirementsFforFVisionFTestsF-
FANSWERFCorrectiveFlenses,FeyeFglassesFand/orFcontactFlensesFmayFbeFused.
DistanceFbinocularFacuityFofFatFleastF20/40F(Snellen)FinFeachFeyeFwithForFwithoutFcorrectiveFlenses.FFieldFof
FvisionFofFatFleastF70ºFinFtheFhorizontalFmeridianFinFeachFeye.FMonocularFvisionF-
FvisionFmeetingFrequirementsFinFonlyFoneFeyeF-FisFdisqualifyingFbyFregulation.
TheFabilityFtoFrecognizeFtheFcolorsFofFtrafficFsignalsFandFdevicesFshowingFstandardFred,Fgreen,FandFamber.
ContactFlensesFthatFcorrectFvisionFinFoneFeyeFforFdistanceFandFtheFotherFeyeFforFnearFareFnotFacceptable.