NRCME (DOT) TESTBAK LATEST VERSION
EXAM WITH ACTUAL 170 QUESTION AND
CORRECT DETAILED ANSWERS WITH
RATIONALES.
1. gAn gunrestricted gCommercial gMotor gVehicle gDriver gMedical gCertificate gmust gbe
grenewed:
A. gAnnually
B. gEvery gTwo gYears
C. gEvery gFour gYears
D. gWhenever gthe gState gIssued gDriver's gLicense gis grenewed g- ganswersB
2. gA gdriver gpresents gwith ghistory gof gan gisolated gTIA g6 gmonths gago. gHe ghas ga
greturn gto gwork gletter gfrom ghis gprimary gcare
provider g(PCP) gand gneurologist. gHe gis gtaking gand gtolerating gwell
ghydrochlorothiazide gand gsimvastatin. gAll gother gaspects gof
the gexam gand ghistory gwere gnormal. gWhat gshould gthe gmedical gexaminer gdo gnext?
A. gCertify gdriver gfor g1 gyear
B. gDisqualify gdriver gfor gnow
C. gCertify gdriver gfor g3 gmonths
D. gCertify gdriver gfor g2 gyears g- ganswersB
3. gFMCSA gregulates ginterstate gcommercial goperation gincluding gthe:
A. gDriver
B. gVehicle
C. gMotor gCarrier
D. gAll gof gabove g- ganswersD
4. gDuring gthe gCMV gexam ga gdriver gperceived ga gwhispered gvoice gat g5 gfeet gin ghis
gleft gyear gand g4 gfeet gin ghis gright gyear. gExam
was gotherwise gnormal. gWhat gdo gyou gdo gas gthe gmedical gexaminer?
A. gRequired gaudiometric gtest gto gdetermine gthe gextent gof ghearing gloss gin gleft gear
B. gCertify gdriver gfor g2 gyears
C. gCertify gdriver gfor g1 gyear
D. gDisqualify gdriver g- ganswersB
5. gWhich gof gthe gfollowing gis gan gassessment gof gL4 gnerve groot gpathology?
A. gPlantar gflexion
B. gPatellar greflex
,C. gHip gextension
D. gBabinski greflex g- ganswersB
6. gA gdriver gpresents gfor gmedical gexam gand greports gbeing ga gsmoker gand ghaving
gfrequent gshortness gof gbreath. gWhat gdo
you gdo gnext?
A. gOrder gan gECG
B. gRefer gto ga gpulmonologist
C. gOrder ga gspirometer gtest
D. gProvide g1 gyear gcertification g- ganswersC
7. gAccording gto gregulation, gwhich gof gthe gfollowing gmust gbe gevaluated gas gpart gof
gthe geye gexam?
A. gPupil greaction
B. gIris gsymmetry
C. gConjunctiva ginjection
D. gTonometry gpressure g- ganswersA
8. gContinued gcertification gof gNRCE gMedical gExaminers grequires gall gEXCEPT
gwhich gof gthe gfollowing?
A. gPeriodic gtraining gat gleast gevery gfive gyears
B. gCompletion gof grecertification gtest gevery gfive gyears
C. gCompletion gof gcertification gtest gevery g10 gyears
D. gElectronic gtransmission gto gFMCSA gCMV gMedical gExamination gResults gat gleast
gmonthly g- ganswersB
9. gA gdriver gpresents gfor grecertification. gThe gonly gcondition ghe glists gis gGERD, gfor
gwhich ghe gtakes gOTC gomeprazole. gHe
says gthat gwhen ghe gis gdriving gand geating gfast gfoods, ghe gis gmore glikely gto ghave
gheartburn gthan gwhen goff‐duty. gYou gshould:
A. gRequest grecent gUGI gresults
B. gCorrelate ghistory gwith gabdominal gexam
C. gCertify gfor gone gyear gwith grestricted gdiet
D. gDiscuss galternative gemployment g- ganswersB
10. gWhich gof gthe gfollowing gfindings gis gdisqualifying?
A. gOxygen gsaturation g90%
B. gLVEF g40%
C. gFEV g68% gpredicted
D. gAll gof gthe gabove g- ganswersA
11. gThe gdriver gpresents gfor grecertification gand gsubmits gan gultrasound greport
gindicating gan gabdominal gaortic ganeurysm
from gtwo gmonths gago, gshortly gbefore ghe ghad gsurgical gcorrection. gHe ghas gsurgical
gclearance gand gsays ghe gis gdoing gwell, ghas
no gsymptoms. gYou gshould:
,A. gCertify gfor g1 gyear
B. gCertify gfor g2 gyears
C. gInform gthe gdriver gof gthe g3 gmonth gwaiting gperiod gbefore ghe gcan gbe gcertified
D. gInform gthe gdriver gof gthe g6 gmonth gwaiting gperiod gbefore ghe gcan gbe gcertified g-
ganswersC
12. gThe gdriver gtakes gdiphenhydramine gtwice ga gday gto gtreat gnasal gcongestion.
gWhat gmust gyou gdocument gin gorder gto
certify?
A. gTake gthe glowest gdose geffective gon gdays gwhen gdriving
B. gCannot gdrive gwithin g12 ghours gof gtaking gdiphenhydramine
C. gCannot gdrive gwithin g6 ghours gof gtaking gdiphenhydramine
D. gDiphenhydramine gis gdisqualifying g- ganswersB
13. gThe gdriver ghas ga ghistory gof gcarpal gtunnel grepair gof gher gright ghand g2 gmonths
gago. gHer ggrip gstrengths gare gsymmetrical
and gstrong. gWhat gis gnecessary gin gorder gto gqualify gthis gdriver?
A. gMust gfirst gcomplete ga g3‐month gpost‐op gwaiting gperiod
B. gDocument gher gfindings gfor g1‐year gcertification
C. gDocument gher gfindings gfor g2‐year gcertification
D. gRequest gthat gan gSPE gbe gobtained gbefore gcertification g- ganswersC
14. gWhich gof gthe gfollowing gabdominal gcomplaints gis gmost glikely gto gbe
gincapacitating?
A. gIBS
B. gGERD
C. gUrinary gtract ginfection
D. gNephrolithiasis g- ganswersD
15. gThe gwaiting gperiod gfor gbenign gpositional gvertigo gis:
A. g1 gmonth
B. g2 gmonths
C. g3 gmonths
D. g6 gmonths g- ganswersB
16. gThe gdriver's gBP gis g148/96. gYou gverify gher ghistory, gwhich gindicates gshe ghas
gno gprior ghistory gof ghypertension. gIf
otherwise gqualified, gyou gmay gcertify gher gfor:
A. g3 gmonths
B. g6 gmonths
C. g1 gyear
D. g2 gyears g- ganswersC
17. gThe gdriver's gcurrent gBP gis g135/76. gYour grecords gindicate gat ghistory gof gStage
gIII ghypertension g4 gyears gago. gThe
maximum gcertification gfor gthis gdriver gis:
, A. g3 gmonths
B. g6 gmonths
C. g1 gyear
D. g2 gyears g- ganswersB
18. gThe gdriver gpresents gfor gexamination gwith ga grecent ghistory g(five gweeks gago) gof
gpneumothorax. gHe ghas gno gprior ghistory
of gpneumothorax. gIn gorder gto gbe gconsidered gmedically gqualified, ghis gforced gvital
gcapacity g(FVC) gshould gbe ggreater gthan:
A. g40%
B. g55%
C. g65%
D. g90% g- ganswersC
19. gThe grecommended gwaiting gperiod g(WP) gand gcertification gperiod g(CP) gfor ga
gdriver gfollowing gsurgical gcorrection gfor
intermittent gclaudication gare:
A. gWP g1 gmonth, gCP g6 gmonths
B. gWP g3 gmonths, gCP g1 gyear
C. gWP g3 gmonths, gCP g2 gyears
D. gWP g6 gmonths, gCP g2 gyears g- ganswersB
20. gWhich gof gthe gfollowing gare gdisqualifying?
A. gPacemaker
B. gImplanted gdefibrillator
C. gBoth ga gand gb
D. gNeither g- ganswersB
21. gFive gyears gpost‐CABG, gthe gdriver gmust gprovide ga gcopy gof g_________ gin
gorder gto gqualify gfor grecertification
A. gUltrasound
B. gEKG
C. gLipid gprofile
D. gETT g- ganswersD
22. gThe gdriver ghas ga g5‐year ghistory gof gasthma, gdescribed gas g"well‐controlled". gHe
gcarries grescue ginhaler gfor gthe gtimes
when ghe gbecomes gshort gof gbreath, gbut gsays gthis gis grare. gHe gprovides gpulmonary
gfunctions gperformed glast gweek gand ghis
FEV1 gis g62% gof gpredicted gand ghis gPa02 gis g62 gmm. gYou gshould:
A. gQualify gfor g1 gyear
B. gQualify gfor g2 gyears
C. gDisqualify gand grecommend gthat ghe greturn gto ghis gpersonal gprovider
D. gDisqualify gand grecommend gthat ghe gpursue ga gchronic grespiratory gexemption g-
ganswersC
EXAM WITH ACTUAL 170 QUESTION AND
CORRECT DETAILED ANSWERS WITH
RATIONALES.
1. gAn gunrestricted gCommercial gMotor gVehicle gDriver gMedical gCertificate gmust gbe
grenewed:
A. gAnnually
B. gEvery gTwo gYears
C. gEvery gFour gYears
D. gWhenever gthe gState gIssued gDriver's gLicense gis grenewed g- ganswersB
2. gA gdriver gpresents gwith ghistory gof gan gisolated gTIA g6 gmonths gago. gHe ghas ga
greturn gto gwork gletter gfrom ghis gprimary gcare
provider g(PCP) gand gneurologist. gHe gis gtaking gand gtolerating gwell
ghydrochlorothiazide gand gsimvastatin. gAll gother gaspects gof
the gexam gand ghistory gwere gnormal. gWhat gshould gthe gmedical gexaminer gdo gnext?
A. gCertify gdriver gfor g1 gyear
B. gDisqualify gdriver gfor gnow
C. gCertify gdriver gfor g3 gmonths
D. gCertify gdriver gfor g2 gyears g- ganswersB
3. gFMCSA gregulates ginterstate gcommercial goperation gincluding gthe:
A. gDriver
B. gVehicle
C. gMotor gCarrier
D. gAll gof gabove g- ganswersD
4. gDuring gthe gCMV gexam ga gdriver gperceived ga gwhispered gvoice gat g5 gfeet gin ghis
gleft gyear gand g4 gfeet gin ghis gright gyear. gExam
was gotherwise gnormal. gWhat gdo gyou gdo gas gthe gmedical gexaminer?
A. gRequired gaudiometric gtest gto gdetermine gthe gextent gof ghearing gloss gin gleft gear
B. gCertify gdriver gfor g2 gyears
C. gCertify gdriver gfor g1 gyear
D. gDisqualify gdriver g- ganswersB
5. gWhich gof gthe gfollowing gis gan gassessment gof gL4 gnerve groot gpathology?
A. gPlantar gflexion
B. gPatellar greflex
,C. gHip gextension
D. gBabinski greflex g- ganswersB
6. gA gdriver gpresents gfor gmedical gexam gand greports gbeing ga gsmoker gand ghaving
gfrequent gshortness gof gbreath. gWhat gdo
you gdo gnext?
A. gOrder gan gECG
B. gRefer gto ga gpulmonologist
C. gOrder ga gspirometer gtest
D. gProvide g1 gyear gcertification g- ganswersC
7. gAccording gto gregulation, gwhich gof gthe gfollowing gmust gbe gevaluated gas gpart gof
gthe geye gexam?
A. gPupil greaction
B. gIris gsymmetry
C. gConjunctiva ginjection
D. gTonometry gpressure g- ganswersA
8. gContinued gcertification gof gNRCE gMedical gExaminers grequires gall gEXCEPT
gwhich gof gthe gfollowing?
A. gPeriodic gtraining gat gleast gevery gfive gyears
B. gCompletion gof grecertification gtest gevery gfive gyears
C. gCompletion gof gcertification gtest gevery g10 gyears
D. gElectronic gtransmission gto gFMCSA gCMV gMedical gExamination gResults gat gleast
gmonthly g- ganswersB
9. gA gdriver gpresents gfor grecertification. gThe gonly gcondition ghe glists gis gGERD, gfor
gwhich ghe gtakes gOTC gomeprazole. gHe
says gthat gwhen ghe gis gdriving gand geating gfast gfoods, ghe gis gmore glikely gto ghave
gheartburn gthan gwhen goff‐duty. gYou gshould:
A. gRequest grecent gUGI gresults
B. gCorrelate ghistory gwith gabdominal gexam
C. gCertify gfor gone gyear gwith grestricted gdiet
D. gDiscuss galternative gemployment g- ganswersB
10. gWhich gof gthe gfollowing gfindings gis gdisqualifying?
A. gOxygen gsaturation g90%
B. gLVEF g40%
C. gFEV g68% gpredicted
D. gAll gof gthe gabove g- ganswersA
11. gThe gdriver gpresents gfor grecertification gand gsubmits gan gultrasound greport
gindicating gan gabdominal gaortic ganeurysm
from gtwo gmonths gago, gshortly gbefore ghe ghad gsurgical gcorrection. gHe ghas gsurgical
gclearance gand gsays ghe gis gdoing gwell, ghas
no gsymptoms. gYou gshould:
,A. gCertify gfor g1 gyear
B. gCertify gfor g2 gyears
C. gInform gthe gdriver gof gthe g3 gmonth gwaiting gperiod gbefore ghe gcan gbe gcertified
D. gInform gthe gdriver gof gthe g6 gmonth gwaiting gperiod gbefore ghe gcan gbe gcertified g-
ganswersC
12. gThe gdriver gtakes gdiphenhydramine gtwice ga gday gto gtreat gnasal gcongestion.
gWhat gmust gyou gdocument gin gorder gto
certify?
A. gTake gthe glowest gdose geffective gon gdays gwhen gdriving
B. gCannot gdrive gwithin g12 ghours gof gtaking gdiphenhydramine
C. gCannot gdrive gwithin g6 ghours gof gtaking gdiphenhydramine
D. gDiphenhydramine gis gdisqualifying g- ganswersB
13. gThe gdriver ghas ga ghistory gof gcarpal gtunnel grepair gof gher gright ghand g2 gmonths
gago. gHer ggrip gstrengths gare gsymmetrical
and gstrong. gWhat gis gnecessary gin gorder gto gqualify gthis gdriver?
A. gMust gfirst gcomplete ga g3‐month gpost‐op gwaiting gperiod
B. gDocument gher gfindings gfor g1‐year gcertification
C. gDocument gher gfindings gfor g2‐year gcertification
D. gRequest gthat gan gSPE gbe gobtained gbefore gcertification g- ganswersC
14. gWhich gof gthe gfollowing gabdominal gcomplaints gis gmost glikely gto gbe
gincapacitating?
A. gIBS
B. gGERD
C. gUrinary gtract ginfection
D. gNephrolithiasis g- ganswersD
15. gThe gwaiting gperiod gfor gbenign gpositional gvertigo gis:
A. g1 gmonth
B. g2 gmonths
C. g3 gmonths
D. g6 gmonths g- ganswersB
16. gThe gdriver's gBP gis g148/96. gYou gverify gher ghistory, gwhich gindicates gshe ghas
gno gprior ghistory gof ghypertension. gIf
otherwise gqualified, gyou gmay gcertify gher gfor:
A. g3 gmonths
B. g6 gmonths
C. g1 gyear
D. g2 gyears g- ganswersC
17. gThe gdriver's gcurrent gBP gis g135/76. gYour grecords gindicate gat ghistory gof gStage
gIII ghypertension g4 gyears gago. gThe
maximum gcertification gfor gthis gdriver gis:
, A. g3 gmonths
B. g6 gmonths
C. g1 gyear
D. g2 gyears g- ganswersB
18. gThe gdriver gpresents gfor gexamination gwith ga grecent ghistory g(five gweeks gago) gof
gpneumothorax. gHe ghas gno gprior ghistory
of gpneumothorax. gIn gorder gto gbe gconsidered gmedically gqualified, ghis gforced gvital
gcapacity g(FVC) gshould gbe ggreater gthan:
A. g40%
B. g55%
C. g65%
D. g90% g- ganswersC
19. gThe grecommended gwaiting gperiod g(WP) gand gcertification gperiod g(CP) gfor ga
gdriver gfollowing gsurgical gcorrection gfor
intermittent gclaudication gare:
A. gWP g1 gmonth, gCP g6 gmonths
B. gWP g3 gmonths, gCP g1 gyear
C. gWP g3 gmonths, gCP g2 gyears
D. gWP g6 gmonths, gCP g2 gyears g- ganswersB
20. gWhich gof gthe gfollowing gare gdisqualifying?
A. gPacemaker
B. gImplanted gdefibrillator
C. gBoth ga gand gb
D. gNeither g- ganswersB
21. gFive gyears gpost‐CABG, gthe gdriver gmust gprovide ga gcopy gof g_________ gin
gorder gto gqualify gfor grecertification
A. gUltrasound
B. gEKG
C. gLipid gprofile
D. gETT g- ganswersD
22. gThe gdriver ghas ga g5‐year ghistory gof gasthma, gdescribed gas g"well‐controlled". gHe
gcarries grescue ginhaler gfor gthe gtimes
when ghe gbecomes gshort gof gbreath, gbut gsays gthis gis grare. gHe gprovides gpulmonary
gfunctions gperformed glast gweek gand ghis
FEV1 gis g62% gof gpredicted gand ghis gPa02 gis g62 gmm. gYou gshould:
A. gQualify gfor g1 gyear
B. gQualify gfor g2 gyears
C. gDisqualify gand grecommend gthat ghe greturn gto ghis gpersonal gprovider
D. gDisqualify gand grecommend gthat ghe gpursue ga gchronic grespiratory gexemption g-
ganswersC
